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The Folly of Self Referral
By HANS DUVEFELT, MD A lot of Americans think they should be able to make an appointment with a specialist on their own, and view the referral from a primary care provider as an unnecessary roadblock. This “system” often doesn’t work, because of the way medical specialties are divided up. If belly pain is due to gallbladder problems you need a general surgeon. If it’s due to pancreas cancer, you need an oncologic surgeon. If the cause is Crohn’s disease, any gastroenterologist will do, but with Sphincter of Oddi problems, you’ll need a gastroenterologist who does ERCPs, and not all of them do. Now, of ...
Source: The Health Care Blog - May 17, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Hans Duvefelt primary care Source Type: blogs

Fight Aging! Newsletter, April 1st 2019
In conclusion, long-term aerobic exercise appears to attenuate the decline in endothelial vascular function, a benefit which is maintained during chronological aging. However, currently there is not enough evidence to suggest that exercise interventions improve vascular function in previously sedentary healthy older adults. Hijacking the Proteasome to Dispose of Unwanted Molecules in Age-Related Disease https://www.fightaging.org/archives/2019/03/hijacking-the-proteasome-to-dispose-of-unwanted-molecules-in-age-related-disease/ Cells are equipped with a protein disposal system in the form of the proteaso...
Source: Fight Aging! - March 31, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Why Does the Aging Metabolism Bias Towards Fat Accumulation and Lipid Deposition?
Irina Conboy's pithy description of what aging does to the operation of metabolism runs much as follows: "stem cells are sleeping, so damage is not regenerated. Instead you now make fibrous tissue, and deposit fat tissue to replace the damage. Then gradually over time, you just turn into this big scar and big fat blob." It is certainly the case that the older body seems to tend to hold on to lipids, create fat tissue, and put fats and other lipids into cells where they are usually not found in large amounts in youth. We might well ask why this happens. Is it the result of damage, some form of dysregulation of normal metabo...
Source: Fight Aging! - March 28, 2019 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

The Most Pressing Issues In Bioethics
Who owns medical and genetic data? How to regulate gene editing? Where is the boundary of enhancing physical or cognitive human capabilities? What to do with biological differences widening the gap of the haves and have-nots? Could we define where is the boundary to augment life? Will we sue robots or algorithms for medical malpractice? With the constant advancement of technology, unprecedented moral, ethical and legal concerns are surfacing. Channeling them into substantial debates will get us closer to their fair solution step by step. Here, we collected the most pressing issues in bioethics. Bioethicists of the world...
Source: The Medical Futurist - March 26, 2019 Category: Information Technology Authors: nora Tags: Bioethics Cyborgization Genomics bioethical data debate DNA future gene editing genetic genetics Innovation legal longevity medical medical data moral sex sexuality technology Source Type: blogs

The Cruelty of Managed Medicare
By HANS DUVEFELT MD Jeanette Brown had lost twenty pounds, and she was worried. “I’m not trying,” she told me at her regular diabetes visit as I pored over her lab results. What I saw sent a chill down my spine: A normal weight, diet controlled diabetic for many years, her glycosylated hemoglobin had jumped from 6.9 to 9.3 in three months while losing that much weight. That is exactly what happened to my mother some years ago, before she was diagnosed with the pancreatic cancer that took her life in less than two years. Jeanette had a normal physical exam and all her bloodwork except for the sugar num...
Source: The Health Care Blog - March 18, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Medicare Hans Duvefelt Managed Care Source Type: blogs

Fight Aging! Newsletter, March 18th 2019
This study provides a possible reason why genes carrying health risks have persisted in human populations. The second found evidence for multiple variants in genes related to ageing that exhibited antagonistic pleiotropic effects. They found higher risk allele frequencies with large effect sizes for late-onset diseases (relative to early-onset diseases) and an excess of variants with antagonistic effects expressed through early and late life diseases. There also exists other recent tangible evidence of antagonistic pleiotropy in specific human genes. The SPATA31 gene has been found under strong positive genomic sele...
Source: Fight Aging! - March 17, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Alex Trebek reminds us to go beyond fear of pancreatic cancer
The news that beloved game show host Alex Trebek has advanced stage pancreatic cancer hit his millions of fans hard this week. His illness has elicited heartbreak and support. As a clinician who treats pancreatic cancer, I anticipated the reaction that would follow next. Fear. While it is a rare form of cancer, pancreatic cancer […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - March 8, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/burton-eisenberg" rel="tag" > Burton Eisenberg, MD < /a > < /span > Tags: Conditions #Instagram Oncology/Hematology Source Type: blogs

Alex Trebek diagnosed with pancreatic cancer. A brave journey begins.
The news  that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a difficult disease to treat effectively. That is due in no small […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - March 7, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/j-leonard-lichtenfeld" rel="tag" > J. Leonard Lichtenfeld, MD < /a > < /span > Tags: Conditions Oncology/Hematology Source Type: blogs

Alex Trebek diagnosed with pancreatic cancer. A new journey begins.
The news  that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a difficult disease to treat effectively. That is due in no small […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - March 7, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/j-leonard-lichtenfeld" rel="tag" > J. Leonard Lichtenfeld, MD < /a > < /span > Tags: Conditions Oncology/Hematology Source Type: blogs

Fight Aging! Newsletter, February 25th 2019
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more. This content is...
Source: Fight Aging! - February 24, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Muffin Top
Having a “muffin top or “love handles,” i.e., fat encircling the waistline, is not just a cosmetic issue but is a telltale sign that you have visceral fat surrounding your organs such as the liver, intestines, and pancreas. Visceral fat is highly inflammatory and has numerous health consequences from hormonal distortions to diabetes to increased potential for heart disease, dementia, and cancer. Getting rid of your muffin top and thereby visceral fat is easy, something we do every day in the Wheat Belly and Undoctored programs. The post Muffin Top appeared first on Dr. William Davis.
Source: Wheat Belly Blog - February 20, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates Inflammation undoctored visceral wheat belly Source Type: blogs

Fight Aging! Newsletter, February 18th 2019
This study showed that potential vicious cycles underlying ARDs are quite diverse and unique, triggered by diverse and unique factors that do not usually progress with age, thus casting doubts on the possibility of discovering the single molecular cause of aging and developing the single anti-aging pill. Rather, each disease appears to require an individual approach. However, it still cannot be excluded that some or all of these cycles are triggered by fundamental processes of aging, such as chronic inflammation or accumulation of senescent cells. Nevertheless, experimental data showing clear cause and effect relationships...
Source: Fight Aging! - February 17, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

A 100-Year-Old Martian In An Exoskeleton
The story of The Medical FuturistThe mission of a futuristThe most transformative technology: A.I.The mission of The Medical FuturistThe business modelCommunication of science to wide audiencesScience fiction and scienceData measurementData privacyAdvice to health policy-makersThe gap between the haves and have-nots Nightmare scenarios The future of the doctor-patient relationshipGenetics and gene editingMars and healthcare What do archaeologists and futurists have in common? Why was the Internet underestimated as a technology to transform society while A.I. is over-hyped? What’s the most transformative concept in hea...
Source: The Medical Futurist - February 12, 2019 Category: Information Technology Authors: nora Tags: Great Thinkers Source Type: blogs

The Wheat Belly “ No Change Rule ” to Reverse Type 2 Diabetes and Accelerate Weight Loss
Follow the simple Wheat Belly No Change Rule for fingerstick blood sugars and you maximize your chances of getting rid of type 2 diabetes and accelerating weight loss. By becoming non-diabetic or at least minimizing it, you are freed from the awful health consequences of this disease, as well as extending life considerably. The No Change Rule also helps reverse insulin resistance that blocks weight loss. Transcript: Hi everybody. Doctor William Davis here. I want to talk about something I call the Wheat Belly “No Change Rule” — that is, no change in blood sugar — comparing a pre-meal to a post-meal blood sugar....
Source: Wheat Belly Blog - January 21, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates diabetes no change rule undoctored Weight Loss wheat belly Source Type: blogs

How Three Physician Scientists Are Taking Strides to Improve Our Health
Brain injuries, cancer, infections, and wound healing are some of the complex and pressing health concerns we face today. Understanding the basic science behind these diseases and biological processes is the key to developing new treatments and improving patient outcomes. Physician scientists—medical doctors who also conduct laboratory research—are essential to turning knowledge gained in the lab into innovative treatments, surgical advances, and new diagnostic tools. In this blog, we highlight the work and impact of three trauma surgeon scientists funded by NIGMS at different stages in their careers: Dr. Nicole Gibran...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - January 9, 2019 Category: Research Authors: Ashley Swanson Tags: Being a Scientist Physical Trauma and Sepsis scientist profiles Training Wound Healing Source Type: blogs