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The Growing Awareness Of Gluten And The Problems It Can Cause

I love bread, pasta, and many other foods made with wheat. Luckily, I can eat them all without having to worry about gluten. But I have to admit that the growing public awareness of gluten and the problems it can cause has got me thinking.

Gluten is an umbrella term for the proteins gliadin (in wheat), secalin (in rye), and hordein (in barley). Bakers know it as the substance that makes dough resilient and stretchy. In some people, gluten triggers an immune reaction and causes inflammation of the lining of the small intestine, which can eventually interfere with the absorption of nutrients from food. This is called celiac disease. Some of the more common symptoms of celiac disease are:

  • Gas
  • Bloating
  • Abdominal cramps
  • Diarrhea
  • Foul-smelling stools
  • Fatigue
  • Weight loss
  • Skin rash

Some people have Read more »

*This blog post was originally published at Harvard Health Blog*

Death By Diarrhea? How To Make Your Own Oral Rehydration Solution

My friend and fellow medblogger Jan Gurley has participated in two mission trips to Haiti this year. On her blog she describes the shocking living conditions that she encountered, including a new outbreak of cholera. Cholera can kill a person in as few as three hours by causing the body to loose all its fluid through the intestines.

Fluid replacement is the key to surviving cholera, though plain water lacks the electrolytes necessary for sustaining life. With just four bottle caps of sugar and one bottle cap of salt in half a liter of water, you can create lifesaving oral rehydration therapy. No need for Gatorade — Dr. Gurley shows you how in this video (please pass it on):

Why Are People Embarrassed By Certain Conditions?

April is “Embarrassing Subject Month” for my podcast. I am covering the following problems:

  • Hemorrhoids
  • Digestive problems (constipation/diarrhea)
  • Urinary incontinence
  • “Male problems”

It should be fun, and it will be promoted on iTunes, so it should drum up more subscribers and downloads.

But it begs the question: Why are certain conditions embarrassing to people? Why can people open up to me about so many personal things, yet be embarrassed to discuss hemorrhoids? Why is it easier to talk about your marriage falling apart than your urinary “accidents?” Why is diarrhea more embarrassing than vomiting? Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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