August 8th, 2011 by KerriSparling in Opinion, True Stories
Tags: Adulthood, Adults, CGM, Children with Diabetes, Clara Barton Camp, Diabetic Children, Friends for Life, Growing Up, Insulin Pump, kids, Parents With Diabetes, Type 1 Diabetes
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In the years I’ve attended CWD’s Friends for Life conference, I always came away with this appreciation for what the conference provides for kids with diabetes, and their parents. Kids – a whole bunch of them – running amuck and clad in green bracelets with pump tubing flapping from underneath their t-shirts … it’s a place where these families hopefully feel normal, and safe, and understood.
But I’m not a kid with diabetes. I’m an adult. (I checked, and it’s true: adult.) I always felt welcomed at past FFL conferences, but people constantly checked for the kid at my side, because the “child with diabetes” surely couldn’t be me. (And then there was that time that the registration lady thought Sara(aah) was my child with diabetes, wherein my head exploded.)
Growing up with diabetes isn’t hard. It isn’t easy. I can’t assign adjectives to it because it’s all I’ve ever known, so growing up with diabetes is exactly synonymous to “just plain growing up.” My friends didn’t have to take injections or chase NPH peaks, but we were in the same classes and rode the same bus and went on the same field trips, so we were “the same.” The difference, at that point in my life, was Read more »
*This blog post was originally published at Six Until Me.*
August 7th, 2011 by Lucy Hornstein, M.D. in Opinion, True Stories
Tags: Boil, Breast Lump, Breast Tissue, Mammographic Images, Medical, Medical Costs, Pathology, Radiology, Red Bump, Surgical Excision, Unnecessary Procedures
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I saw a lady with a boil. It began as a small red bump which got bigger and harder, then drained white stuff, and was now getting better.
The reason she was worried about it was its location: it was on her breast. This was why the chief complaint officially read, “Breast lump” despite the fact that it was technically no such thing.
I examined her carefully, determining that the pathologic process was indeed confined to the skin and clinically did not involve the actual breast tissue in any way. However because she was of an age for screening mammography, I did take the opportunity to urge her to have it; which she did. The problem arrived with the radiology report:
A marker is placed over the area of palpable abnormality. Mammographic images reveal normal breast tissue with no mass or architectural distortion. The pathologic process is confined to the skin. Recommend surgical excision. (emphasis mine)
Um, no. Read more »
*This blog post was originally published at Musings of a Dinosaur*
August 7th, 2011 by Glenn Laffel, M.D., Ph.D. in Research, True Stories
Tags: Board of Physicians, Cardiology, Coronary Artery Stenting Procedure, Coronary Blockage, Coronary Stent, Mark Midei, Paul Chan, PCI, Percutaneous Coronary Intervention, Saint Luke's Mid America Heart and Vascular Institute, St. Joseph Medical Center, Unstable Angina
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The Case
In 2009, administrators at St. Joseph Medical Center in Maryland wrote letters to patients of Mark Midei, informing them that its staff cardiologist may have subjected them to a coronary artery stenting procedure inappropriately. That communication prompted an article in a local newspaper, which triggered an investigation by the Senate Finance Committee.
The Committee subsequently released a report which asserted that Midei performed nearly 600 stenting procedures unnecessarily, and charged Medicare nearly $4m for these procedures. According to the report, all the procedures involved stents made by Abbott Labs. Abbott, in turn, had paid Midei $31,000, added him to its roster of top stent volume cardiologists, and feted him with a pig roast at his home to celebrate a prodigious day in which he implanted 30 stents (apparently a company record). Then, after St. Joseph’s dropped Midei from its roster, Abbott hired him to provide services in Japan and China. In the subsequent year, the number of patients who received stents at the hospital fell to 116 from 350 in the previous year.
Most recently, the Maryland Board of Physicians revoked Midei’s license to practice medicine after concluding that he did implant stents into the coronary arteries of 4 patients inappropriately. The Board also determined that he exaggerated the severity of coronary blockages, and claimed incorrectly that they had unstable angina. Midei has denied the allegations and sued St. Joseph for damaging his career.
The Context Read more »
*This blog post was originally published at Pizaazz*
August 6th, 2011 by Dr. Val Jones in Opinion, True Stories
Tags: Advice, Exercise, fat loss, Fitness, Help, High-Protein Diet, Lean Mass, Weight Loss
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I’m feeling rather nauseated today. This is my fifth day of a high-protein, low-fat, low-carb diet, and I have already developed a deep-seated hatred of egg whites. My regimen includes uncomfortable quantities of grilled chicken breast, fat-free cottage cheese, Greek yogurt, and egg protein, occasionally garnished with a lettuce leaf or perhaps a blueberry. Just yesterday I had to drink a plastic test tube of liquid protein to meet my goals (see offending product image to the left). It looked like a blood-tinged albumin sample, and tasted like orange flavor crystals with a splash of soy sauce.
I know that the scientific literature (if we distill it and perhaps oversimplify it a bit) seems to suggest that there may be a short-term advantage to high-protein diets in terms of weight loss, but that this advantage fades after a year. Yet almost every trainer and athlete I’ve encountered keeps telling me that the only way to get “really lean” is to eat unimaginable amounts of protein, avoid refined carbs, dramatically limit the complex carbs, and dial down the fat intake. Essentially, I must be reduced to swilling test tubes of orange-soy “albumin.”
When I strenuously protested the diet plan presented to me by my trainer, she simply said, “If you care what food tastes like then you’re not serious about losing fat.”
“Well how long do I need to consume 50% of my calories as protein?” I asked meekly, assuming that there would be an end point in sight. Read more »
August 6th, 2011 by John Mandrola, M.D. in Health Tips, True Stories
Tags: Blood Thickness, Caffeine, Chills, Cycling, Dehydration, Diuretics, Exercise, Exercising Outdoors, Fluid Loss, Heart Health, Heart Rate, Heat, Heat Exhaustion, Heat-Related Illness, Labored Breathing, Salt Intake, Summer, sweating, Water Break
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Dehydrated, cramped, limping? on a bike. Road nationals 2010.
People who exercise outdoors face a new threat.
It’s unrelenting.
Consistent.
Inescapable.
Perhaps, even more dangerous than distracted or mean motorists.
It’s the heat. Gosh, is it hot. If only I had a dollar for every time I heard someone say, “Doctor M, you aren’t riding in this heat; are you?”
Well…Other than the fortunate souls smart (or lucky) enough to live in cooler climates, most of us are facing an extreme wave of hotness. As a Kentuckian, I live in the epicenter of this summer’s cauldron. Louisville sits in a wind-protected valley alongside the heat sink that is the Ohio River. Think hot and steamy.
The excessive heat smacked me hard last evening. Normally, my highly-veined skin and northern European heritage serves me well in the heat. But last night, while riding in sight of our city’s skyline, it started: My mouth grew dry and my breathing labored. And why was that helmet feeling so tight? Next came the sensation of tingles—not the pleasant kind of tingles, like when your teenager hugs you. And then came the deal-breaker: chills. I stopped, swallowed my pride and called for a ride home. (Here’s an always for you all: When it’s ninety degrees out and you feel cold–stop exercising, immediately.)
After last night’s brush with heat exhaustion, I thought it reasonable to ramble on about the dangers of exercising in the heat. And of course, I will offer some nuggets of wisdom for beating the heat. Read more »
*This blog post was originally published at Dr John M*
