October 29th, 2009 by RamonaBatesMD in Better Health Network, Health Tips
Tags: Dermatology, Family Medicine, History, Infected Toe, Infectious Disease, Ingrown, Ingrown Toenail, Internal Medicine, Nail, Plastic Surgery, Podiatry, Primary Care, Pus, Surgery, Toenail
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Flipping through the 1908 textbook, A Text-Book of Minor Surgery by Edward Milton Foote, MD I found at an antique store last month, I came across the section on ingrown toenails. The causes of ingrown toenails were much the same as one hundred years.
This is a condition in which the edge of the nail, usually of the great toe, by its too close contact with the flesh beneath causes irritation, ulceration, or suppuration. There has been much discussion as to whether the nail or the flesh is the more at fault. This discussion is without profit. It is much better to study the normal conditions, and see what can be done to restore them. Read more »
*This blog post was originally published at Suture for a Living*
October 29th, 2009 by Joseph Scherger, M.D. in Better Health Network, Health Tips
Tags: Diabetes, Diet, Endocrinology, Food and Nutrition, Glycemic Index, Glycemic Load, Hunger, Mabel Blades, Reduced, South Beach
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I’ve written before here about the glycemic index, that measure of how fast a food causes your blood sugar to rise. High glycemic foods, like simple sugars, cause our blood sugars to rise quickly resulting in a pouring out of insulin, a rapid fall in our blood sugar, and we become hungry again soon. Protein in our diet blunts this glycemic index effect, as does eating more complex carbohydrates such as vegetables.
An new concept has emerged that complements the glycemic index, called the glycemic load. The glycemic load reflects how much total carbohydrate is released in your body from various foods. While carbohydrates, sugars and starches, are a core part of our nutrition, we know that eating a lot of them results in more hunger and we end up eating more calories and gaining weight. Low carbohydrate diet plans have shown some advantage over low fat diet plans for losing weight, although both work if the total calories eaten are reduced. Read more »
*This blog post was originally published at eDocAmerica*
October 29th, 2009 by Peter Lipson, M.D. in Better Health Network, Quackery Exposed
Tags: Alternative Medicine, Andrew Weil, Boost, Complem, Cures, Ethics, FDA, Flu, FTC, H1N1, Immune System, Natural Remedies, Primary Care, Pseudoscience, Snake Oil, Supplements, Vitamins
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Dr. Weil is often seen as the smiling “mainstream” of alternative medicine. He’s a real doctor (unlike, say, Gary Null), and much of what he advocates is standard and uncontroversial nutritional advice. But Weil illustrates the two biggest problems with so-called alternative medicne: once you’ve decided science is dispensible, the door is open to anything, no matter how insane; and no matter how altruistic you may start, sooner or later you start selling snake oil. Most doctors out there are working hard to help their patients prevent and overcome disease use the available evidence. Others decide that science is too constraining and start practicing at the periphery of knowledge, throwing plausibility and ethics to the wind.
The fact that Weil claims to donate to charity all of his ill-gotten gains does not mitigate the harm he causes. Read more »
*This blog post was originally published at Science-Based Medicine*
October 28th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, Health Tips, News
Tags: Addiction Medicine, Chemical, Cigarettes, Gateway, Menthol, Primary Care, Pulmonology, smoking cessation, Tobacco
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I’m writing from the second conference on menthol and cigarettes, in Washington DC. This conference was organized to review the evidence on the effects of menthol in cigarettes and to discuss what further research is necessary and what actions should be taken.
To me, the presentations appeared to suggest that right now the evidence that menthol cigarettes are more harmful to health is weak. However, the evidence that menthol cigarettes are a starter product for youth and that menthol cigarettes can (under certain circumstances) be more addictive and harder to quit, is quite strong and getting stronger all the time. Read more »
This post, Menthol: Mounting Evidence That It Makes Smoking Cessation More Difficult, was originally published on
Healthine.com by Jonathan Foulds, Ph.D..
October 28th, 2009 by DrRob in Better Health Network, Opinion
Tags: Cancel, Discharge, Discontinue, Doctor Patient Relationship, Family Medicine, Fire, Patient, Physician, Primary Care
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They say that breaking up is hard to do
Now I know, I know that it’s true
Don’t say that this is the end
Instead of breaking up I wish that we were making up again
There are times that relationships need to end. Usually something happens to undermine trust; it’s hard to build trust, but it’s very easy to destroy it.
I had a discussion today with the other physicians in my practice as to when patients should be “discharged” from our practice. I have always found it somewhat ironic that we use the term “discharge” when we are basically telling patients we don’t want them to be our patients anymore. Doctors deal with discharges of various sorts – most of which are not pleasant. Here is a dictionary definition of discharge: the emission of pus, mucus, or other liquid from an orifice or from diseased tissue. True, there are other definitions of discharge that don’t cary that connotation (we discharge patients from the hospital), but if I see an appointment on my schedule with the word discharge as part of the reason for visit, I am not excited. I am praying for a no-show. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
