TheHorse.com | Top Medicine Studies of 2016 TheHorse.com At the 2016 meeting, held Dec. 3-7 in Orlando, Florida, Rob MacKay, BVSc, PhD, Dipl. ACVIM, a professor at the University of Florida, in Gainesville, presented his selection of research topics in medicine, ranging from equine herpesvirus to headshaking. |
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Regional Medical Group orthopedic physicians Dr. Brian M. Babka and Dr. Jerome Kolavo will soon begin seeing patients in DeKalb. Both doctors will practice in the Medical Office Building at Northwestern Medicine Kishwaukee Hospital.
Babka is board certified in family medicine and sports medicine. He has clinical interests in sports medicine, overuse injuries, sports performance and sports concussion care. As a medical staff member of Northwestern Medicine Central DuPage Hospital since 2001 and a member of Northwestern Medicine Regional Medical Group, Babka has been instrumental in building a strong sports concussion and sports medicine program in the western suburbs. He serves on the faculty of Northwestern University Feinburg School Medicine, and he is team physician for DeKalb High School, Elgin High School, Waubonsee Community College and Kishwaukee College.
He has also served as a team physician for the United States Soccer Federation, and he has worked with United States Olympic Committee and several United States national teams. Babka completed medical school at Loyola University of Chicago Stritch School of Medicine, his residency and fellowship at Lutheran General Hospital.
Kolavo is board certified by the American Board of Orthopaedic Surgery. He has specialized interest in multiple spine surgeries including microsurgery of lumbar and cervical spine, reconstructive spinal surgery, spinal deformity surgery and minimally invasive spine surgery. Kolavo treats patients with both conservative and surgical solutions for degenerative conditions, chronic back and neck pain, injuries, and numbness in arms and legs. He treats all, from common conditions to complex surgeries to reduce pain, restore movement and improve quality of life.
Kolavo completed medical school at University of Illinois College of Medicine, his residency at Northwestern Memorial Hospital and his fellowship at Rush University Medical Center.
To learn about these physicians, visit kishhealth.org and nm.org. To make an appointment with Dr. Babka or Dr. Kolavo, call 815-748-5843.
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Spine, sports medicine specialists to practice in DeKalb - DeKalb Daily Chronicle
Heat and steam from your shower or shave can rob medicine of its potency long before the drug's expiration date. Angela Cappetta/Getty Images hide caption
Heat and steam from your shower or shave can rob medicine of its potency long before the drug's expiration date.
Most of us have reached for a painkiller, at one time or another, only to discover the date on the label shows it has expired. But what does an "expiration" date on medicine really mean? Is it dangerous if you take it anyway? Less effective?
It turns out that date stamped on the label actually means a lot. It's based on scientific evidence gathered by the manufacturer showing how long the drug's potency lasts. Companies expose their medications to different environments, different temperatures and humidity levels to see just how long it takes for the medication to degrade to the point that its effectiveness is compromised.
The general rule, says pharmacist Mike Fossler, with the American College of Clinical Pharmacology, is that once a drug is degraded by 10 percent it has reached "the end of its useful life." If you take it months or even years past the expiration date, it's unlikely to do you any harm, he says; it just might not do you much good.
That may not be a big deal if you're treating a headache, but if you're fighting a bacterial infection with antibiotics like amoxicillin or ciprofloxacin, for example, using less than fully potent drugs could fail to treat the infection and lead to more serious illness.
Pharmacist Mohamed Jalloh, a spokesman for the American Pharmacists Association, says there's an even bigger reason not to rely on old drugs: antibiotic resistance. When you inadvertently "underdose" yourself by taking antibiotics that aren't full strength, he says, you run the risk that the bacteria you're battling will figure out not only how to defeat this weakened drug, but other antibiotics, too.
At least 23,000 people each year in the U.S. die from infections that have become resistant to antibiotics, according to the Centers for Disease Control and Prevention.
"If your medicine has expired, don't use it," concurs Ilisa Bernstein, deputy director of the office of compliance in the Food and Drug Administration's Center for Drug Evaluation and Research.
That goes for over-the-counter drugs, as well as prescription meds. Check the expiration date before even buying those pain relievers or allergy tablets, some pharmacists advise the same way you check your milk. Buy the one with the date that's furthest away.
"Once the expiration date has passed," Bernstein says, "there is no guarantee that the medicine will be safe and effective."
Of course, even new drugs can quickly lose potency if they're not stored properly. Get those pills out of the bathroom "medicine cabinet" now, pharmacists say. The steam from your shower or shave kills pills fast.
"Medicines like the kind of environment that people like a little dry and not too hot or cold," Fossler says. And, of course, don't take medication to the beach or leave it in a hot car. Like humidity, heat degrades a medicine's active ingredients.
Some medications are more vulnerable than others, so check the label. Insulin, certain immunotherapy drugs, and some children's pain relievers and cold remedies require refrigeration and protection from light.
And compared to capsules and tablets, "liquids are not as highly preserved," says Barbara Kochanowski, a scientist with the Consumer Healthcare Products Association. Liquid drugs can more easily become contaminated with bacteria and fungus.
Anytime you see a change in the color, odor or consistency of a drug such as a cream turning into a runny solution consider it a red flag, Kochanowski says, and consult your pharmacist. It's probably time to toss that medication.
Some drugstores, hospitals with pharmacies, drugmakers and drug-treatment centers have been authorized by the federal government, in recent years, to serve as "drug-take-back" sites for some drugs that are expired, or no longer needed. You can check the FDA and Drug Enforcement Agency websites for their latest guidance on the safest ways to dispose of various drugs.
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Heat, Humidity And Aging Make Medicine Less Potent : Shots - NPR - NPR
CNN | New study finds children, adolescents at risk from medicine intended for pets Science Daily In the study, which was published online by Pediatrics, researchers found that the COPC received an average of 95 calls each year about youth 19 years of age or younger having been exposed to medicines intended for pets. That's about 2 calls every week. Pet medicines pose poison risk for kids |
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New study finds children, adolescents at risk from medicine intended for pets - Science Daily
As a black female author and filmmaker who has quadriplegia, Crystal Emery knows a thing or two about succeeding despite adversity.
So when Emery interviewed a group of black female physicians in 2011 as part of a Yale School of Medicine project, she knew she had to tell the world about how they had overcome sexism and racism to do what they loved.
"I was amazed at these wonderful women and their story," said Emery, 55, who lives in New Haven, Conn. "Because it's really the story of the triumph of the human spirit."
Her documentary about these doctors, "Black Women in Medicine," which airs on WTTW World and Create stations 8 p.m. Wednesday and will be shown again on WYCC-Ch. 20 at 8 p.m. Sunday, tells their struggles and triumphs in a series of heartwarming interviews.
The film begins with black women medical students on "Match Day," excitedly finding out where they will be doing their residencies. There are also historical clips on Rebecca Lee Crumpler, who in 1864 became the first black woman to graduate from medical school, plus the civil rights movement and perspectives on the small number of these doctors (roughly 2 percent) and the need for more.
Despite their different backgrounds, these women share determination, passion and the smarts to deal with overt and subtle discrimination, as well as the other stresses that are part of becoming a doctor. They also had supportive parents who stressed education and encouraged them to work hard, be good to others and believe in themselves.
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"I identify with the women in the film because I am a woman, and because I am a black woman, and because I am on the front line fighting for equality for all people," Emery said in an interview. "What I love most about the women in the film is that they have not allowed the -ism vortex to hinder or destroy them, whether it's racism, sexism or, in my case, disability.
"What I also love about them is their strong faith in God," she said.
The cast includes such notables as Dr. Joycelyn Elders, the first black U.S. surgeon general, who is retired but still active in public health; Dr. Jennifer Ellis, one of six black female cardiothoracic surgeons in the U.S.; and Dr. Claudia Thomas, the first black female orthopedic surgeon.
"My focus was to get through medical school, and I was not going to let anything anyone said or did get in my way," Elders says in the film. "I was just so tough, nothing stuck to me and it just rolled off."
But even today, Elders remembers a hurtful episode from decades ago when she was an intern and tried to place an IV line in a 7-year-old white boy. This police chief's son called her the "N" word.
"My impulse was obviously to say something back but I thought, this is a 7-year-old boy and I am his doctor," Elders recalled in an interview. "I had to learn a lot of this. My first responsibility is to do the best job I can as a physician and take the best care of these patients as I possibly can and not let my feelings and reactions get in the way."
Emery, who wrote, directed and produced the film, is also the author of "Against All Odds: Celebrating Black Women in Medicine." In 2016, Emery and Elders teamed up to start a "Changing the Face of Medicine Initiative," which includes showcasing the film and book to try to increase the number of black doctors in the U.S.
Though Emery has a neuromuscular disease and diabetes, her health challenges didn't keep her from being involved in all aspects of the filmmaking, including all interviews with the cast.
"The best filmmakers are those who know how to put together a great team," Emery said. That team included cinematographer Bobby Shepard (director of photography for the movie "Freedom Riders").
"When you have an expert eye like that, you get a depth, you get a color, you get the best of the business. So I can tell a story, but he made telling a story look great," Emery said.
Emery also said she wanted to make the film a healing one, from the spunky music that marks its beginning scenes to the black high schoolers who speak hopefully about their future careers. It ends with an inspiring "Amen," sung by JoAnna Rhinehart.
The doctors in the film often recount their struggles with humor.
"I was at a conference a couple of days ago and it was just assumed that I was not the surgeon," said Ellis, the cardiothoracic surgeon. "They finally said, 'Who's going to be doing the operation?' I said, 'Uh, that would be me honest to goodness.'"
But Thomas, the orthopedic surgeon, said racism continues to be "the biggest stumbling block."
"Those who didn't go through the '60s, civil rights era, don't have perspective on what we had to go through. Some people even believe and buy into that 'post-racial' statement," Thomas said. "There's nothing post-racial in this country. Race matters. It's the first thing they see when people look at you."
The film points out that only about 4 percent of physicians are black (up from 2 percent in 1969), though 13.3 percent of Americans are black. One way to boost those numbers could be mentoring black youths, these doctors note.
The film also emphasizes the importance of black doctors for black patients, explaining that studies have shown patients tend to relate better to doctors who look like them and that can help improve their health outcomes.
Dr. Monica Peek, an associate professor of medicine at the University of Chicago, has experienced her share of racism as a black female doctor, though her parents "gave me the gift of resilience and just sort of believing I was good enough." She called the film "compelling," highlighting the trailblazers who have made the struggle easier and their counterparts today.
"We have come a long way in a very short period of time," Peek said. "I certainly acknowledge that my path has been exponentially easier because of the challenges and sacrifices made by black women physicians before me."
Peek said she thinks her own black female patients are more willing to follow her advice because she, too, is black.
"I think their ability to feel like they have an advocate who is on their side and helping them navigate the health care system has improved their ability to engage in their health management."
That bond has been an inspiration to both Peek and her patients.
"When I walk in the door, people have hugged me and said, 'I'm so proud of you baby,'" Peek said.
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'Black Women in Medicine' relays struggles, triumphs of doctors - Chicago Tribune
On Feb. 3 we celebrated National Women Physicians Day (NWPD) in honor of Dr. Elizabeth Blackwells birthday, the first female physician to graduate medical school in the United States. On this day we remember the enormous contributions made by many women who have paved the way for us while we reflect on these many advances we still see room for improvement.
Gender bias
Implicit gender bias is still present in medicine and there is a continued need to push for gender equality and empowerment of women in their professional and personal lives.
Many women physicians can recount instances in their training and even as attendings when they have been made to feel less than their counterparts. This bias at times is subtle: being called a nurse by patients, not being heard equally at meetings with administrators; and sometimes it is blatant: such as being overlooked for promotions or experiencing gaps in pay.
It can be as simple as being interrupted or not recognized for a thought or an idea. I have felt so many times that I have said something in a meeting but it is not heard until a male colleague repeats it.
Women physicians who start a family are sometimes looked as not being devoted to their profession or not putting in their fair share of time and effort. I have heard many women say how some of their co-residents have made them feel guilty for maternity leave and attendings who are reticent to ask for needed time off. Most women physicians choose to work right up until their time of labor not only to have a longer maternity leave but also to prevent being looked at as being lazy.
The existence of a family itself creates a bias the perception of not wanting to work too hard. When I returned from maternity leave after a C-section I found my schedule switched from outpatient to a busy inpatient service. I questioned this switch with my chief who bluntly informed me, If you are not ready, just extend your leave. I did not.
On medical rounds I felt uncomfortable excusing myself to pump for fear of being considered not a team player. On one of my first job interviews I was told that I probably wanted to work part-time because I had young children. These biases are not always overt, they are understated, and not always present in just men but also found in other women physicians. The image of the ideal physician as an older white male who never leaves the hospital, stays late, works through sickness and puts his work before family has been conditioned into our society. It must change.
Empowering women
These shortages in our profession exist but many academic programs, hospital institutions and private practices have created environments that allow women physicians to flourish in their careers. Such environments have built in support systems and have invested in professional development for leadership positions.
NWPD aims to recognize that these measures are needed early on to make medicine a more welcoming field for all women. This endeavor needs to begin during pre-medical education with female mentors to help young women aspire to become physicians.
I believe medical school resources and schedule flexibility should be made available to assist those with children or in pregnancy. Residency programs should focus on giving women residents equal opportunity to be part of leadership positions and chair committees. Male-oriented programs need to work on cultivating an environment where women feel accepted. Hospitals and private practice should support equal pay for equal work, have defined pathways for promotions or partnerships and have fair representation of women in leadership positions to further model professional growth.
When given the opportunity to frame their own careers, have autonomy over their schedules and feel invested in their futures, women physician are more likely to be productive and successful. I want to encourage equality in opportunities available to both genders, which will lead to better physicians who can serve their communities wholeheartedly.
Samya Mohammad, DO, is an osteopathic rheumatologist in North Carolina and a member of Physician Moms Group.
The views of contributors are their own and are not the views of The Hill.
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There is still gender bias in medicine | TheHill - The Hill (blog)
Physician practices described as membership medicine have been springing up across the country during the past decade. These practices, in which patients pay a monthly or annual retainer to their doctor or medical office for a contracted bundle of services, offer an alternative model for physicians who hope to spend less time on paperwork and more time with patients.
Jay Keese, executive director of the Direct Primary Care Coalition and a lobbyist with Capital Advocates in Washington, D.C., says those who switch from medicine-as-usual to membership medicine typically reduce their patient panel size from about 2,500 to 600.
Patients in membership medicine practices typically pay about $60 per month for the bundle of services, which are usually standardized within a practice and not individually negotiated, Keese says. With 600 patients, that adds up to a pretty good revenue stream, and you can probably cut down on administrative personnel, resulting in cost savings, he says.
In addition to benefitting from improved income stream, more time with patients and less paperwork, those who have gone the membership medicine route say theyre happy they dont need to participate in the Quality Payment Program established under the Medicare Access and Chip Reauthorization Act of 2015 (MACRA).
Eric Potter, MD, who practices internal medicine and pediatrics in Franklin, Tennessee, under the name Sanctuary Functional Medicine, was pleased when the business consultant who helped him set up his business told him that the new Medicare reimbursement program didnt apply to his new practice.
How much time do we need to spend documenting things rather than just taking care of patients? he says. Given how relatively new and unregulated membership medicine is, he adds, Its a little like cutting down the forest and building a log cabin. You feel like a little bit of a frontiersman.
Kylie Vannaman, MD, a primary care physician and co-founder of Health Suite 110 in Overland Park, Kansas, says shes also glad to be avoiding MACRA. Otherwise, when dealing with Medicare, doctors have to spend time on paperwork and checking boxes to prove what kind of care [theyre] giving, rather than actually giving care, she says. Its exhausting, and not worth it.
Benefits of Membership
Among the benefits of membership medicine is the flexibility it affords in communicating with patients, because physicians no longer need to figure out how theyre going to bill for a visit, Keese says.
Texting over secure text applications is very prevalent. Youre really raising the level of the experience, so the relationship between the doctor and the patient is less defined by a visit, he says. You can have a consult using technologyphone, e-mail, any of these thingsrather than having to come in and see the doctor.
Vic Wood, DO, a primary care doctor in Wheeling, West Virginia, is among the earliest practitioners of membership medicine, having opened a practice in 2003 after reading in Medical Economics about a type of membership practice called concierge medicine (see sidebar for definitions).
He initially aimed his program, which he calls Primary Care One, at the working poorthose making a bit more than minimum wage and incomes below the poverty linebut after the Affordable Care Act passed and many of his initial patients became eligible for Medicaid, Woods population shifted to more affluent patients whose deductibles had risen over the years.
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Here's why membership medicine is gaining physician attention - ModernMedicine
What should you keep to hand for minor medical emergencies? Composite: Getty/Alamy
A&E is full to bursting, GPs are stretched to breaking point there has never been a better time to treat ourselves. But, when you are unwell, the symptoms are usually at their worst in the middle of the night and that is when you discover that your so-called medicine cabinet is woefully understocked. Its the equivalent of opening the fridge when you are starving and finding nothing but a row of mouldy condiments. So whats worth keeping, chucking and buying?
Its certainly cheaper for the public purse if you self-treat. According to the Proprietary Association of Great Britain a trade association that represents UK manufacturers of branded over-the-counter (OTC) medicines, self-care medical devices and food supplements there have been more than 285m GP consultations and more than 10bn A&E visits for self-treatable conditions in the past five years. These have cost the NHS more than 10bn. However, if people had sought advice from a pharmacist in the first instance, they could have effectively treated these conditions themselves, saving them both time and hassle. Selfcare typically costs a person less than 3.50, but the cost incurred by the NHS is about 112 for each A&E treatment and 43 for a quick consult with a GP.
Of course, it goes without saying that if you are really concerned about your or your childs condition you should visit your GP, or, if you are extremely worried, your local A&E department.
The first step is to get a wall-mounted, child-proof, lockable medicine cabinet costing from around 12. The next step is to chuck out any drug that is unidentifiable, past its expiry date or is now redundant including contraceptive pills if you are pregnant and iron pills if you are no longer anaemic. OTC and prescribed drugs are frequent causes of overdose in young children. It is probably best to keep routine prescription medicines in a separate place so there is less scope for mistakes. OTC drugs should be stored in their original packaging at normal room temperature and humidity.
Thermometer A Which? report says that digital ear thermometers have largely replaced the old glass-and-mercury ones that were always hard to read, fragile and slow. Strip-type forehead thermometers arent recommended as they may not be accurate. Digital infrared no-contact thermometers are an option, too. Pointed at the forehead, they give a quick reading and can be used on small babies whose ears are too small for an ear thermometer.
Blood pressure monitor Home blood-pressure monitors are now cheap and accurate. If you feel faint or light-headed, suffer from headaches, suspect your blood pressure rises artificially when you are at the GP, or have a strong family history of high blood pressure, you can check and record serial readings at home and discuss the figures with your GP.
Peak-flow meter Anyone with asthma should have a peak-flow meter at home. It measures how effectively you can breathe out, and how severe the asthma is. Another useful gadget for anyone with breathing difficulty is a pulse oximeter that clips on to your finger and measures how much oxygen is getting around your body. Readings under 90% require medical attention.
Contact numbers The door of the cabinet is a good place to keep a note of key phone numbers; the GP surgery, an out-of-hours contact number, your local pharmacist (all numbers available on the NHS Choices website) and a reminder to dial 111 for non-emergencies and 999 for life-threatening situations.
CPR (cardiopulmonary resuscitation) chart A simple chart showing what to do if someone collapses and stops breathing is useful in an emergency. It is no substitute for going on a hands-on course but is a good reminder, and worth sticking on the door alongside the contact numbers.
Painkiller/treatment for fever Ibuprofen is often better for treating pain than paracetamol, and just as effective in bringing down a fever. Both are suitable for children and adults in appropriate doses. Ibuprofen is best taken after food to avoid indigestion, although all oral drugs work more quickly if taken on an empty stomach. The usual caveats apply; seek medical help if pain or fever dont settle, avoid ibuprofen if you have contraindications (medical reasons not to take it), such as a past gastric ulcer, and check it doesnt interact with medication, foods or supplements you are taking. It is cheaper and safer to buy unadulterated paracetamol or ibuprofen rather than combination preparations.
Allergy treatment Antihistamines are an essential part of any medical cabinet. Cetirizine wont make you drowsy, while chlorphenamine (Piriton) makes you sleepy. Shop around; one supermarket sells the same medication for either 9p or 38p a tablet depending on the size and type of packaging. For those with a prescription, its also worth keeping a spare blue asthma inhaler (Ventolin) in case an allergy triggers wheezing and shortness of breath.
Indigestion treatment Acid reflux causes an unpleasant burning in the chest, especially after eating. It is often worse when you lie down. A slug of an antacid, such as Gaviscon, to neutralise the acid, can work wonders. The caveat here is that severe chest pain can also herald a heart attack if you belch and the pain goes away, its probably acid. If you are sweating and short of breath, it could be your heart, and you should seek urgent advice.
First-aid kit It is impossible to anticipate all eventualities, so this is my personal advice on what else to stock: some clingfilm to cover burns and scalds (after cooling the affected area with lukewarm running water); antiseptic wipes to clean dirty cuts; steri-strips to hold together gaping edges of a wound; Mepore self-adhesive dressings to cover scabs or open sores; Sudocrem as an antiseptic cream for infected spots; Golden Eye drops for sticky eyes (conjunctivitis) and tweezers for splinters.
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A GP's guide to stocking your medicine cabinet - The Guardian
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We interview Dr Amel Seghouani, a remarkable woman at the top of her game. She is a nutritional and functional medicine therapist based in London. She has a brilliant academic record (Fully qualified and GMC registered medical doctor,she is also trained as a Naturopath,and is a BANT Registered Nutritional Therapist as well as a Certified Gluten Sensitivity Practitioner.Dr Seghouani also holds an MBA) but above all, it is her passion for supporting patients via a holistic approach that makes her stand out. She likes to get to the root cause of the problem and once there she will do everything she can to help her patients with a drug free approach. Her mission is to empower people so that they can take charge of their own health by understanding the power of nutrition and food as medicine.
In addition to my medical degree, I have studied naturopathy and nutrition in London and I am currently going through the certification programme with the Institute of Functional Medicine to keep myself up to date and increase my knowledge in this very scientific and rapidly evolving field.My training and experience in conventional medicine has taught me many things but unfortunately, it did not teach me to see the bigger picture, which is the holistic approach.
Medical doctors are clueless about nutrition and do not know more than the general public, our training includes very little and basic information often not linked to the illnesses and how to treat them unless it is with drugs.
2. Being a medical doctor and a pharmaceutical physician for many years, how come you found interest in natural health?
Ichose to be a medical doctor to help people improve their health and fight diseases. After many years in the conventional medicine field -or western medicine as some people like to call it and after almost 20 years of working with patients and then with pharmaceutical companies on many different drugs that I truly believed would change patients lives, I started to realise the numerous limitations of conventional medicine which are unfortunately widely accepted in our western society and by the fashionable medical scientific totalitarism.
3. What are these limitations ?
What is missing in the Western Medicine is , why do we get sick in the first place ? The body underlined role is to create balance ( that we call homeostasis in the scientific world). In the Conventional medicine, every illness is based on infectious model, it is unfortunately a Pill for an ill approach rather than treating the root cause of the disease to cure the patient.
4. Why do you think Western medicine is unable to get to the root cause of illnesses ?
At medical school we are not taught to look for the root cause of the disease which is the only way we can eradicate it, it sounds very logical isnt it? . I hate to say it but despite many years of studying physiology, pathophysiology and biochemistry we do not take a holistic look at the patient.
Western medicine has divided the body into organs and many specialities and subspecialties that will often not connect with each other.But hang on, I am not aware of any organ that functions in isolation to the rest of the body. So this approach is wrong but it is unfortunately the foundation of modern medicine.
Dont get me wrong, I am not denying at all the role of western medicine in dealing with acute disease and illnesses. However, anything chronic that will require a holistic approach is unfortunately a big challenge and results in a failure since its model is only designed to treat symptoms and symptoms are not the cause of the bodys imbalance.They are just a manifestation of it and can vary from one individual to another depending on their genetic and environmental make up.This is the reason why one size fits all of drugs companies, doesnt work.
5. What does nutrition offer ?
Nutrition is the basis of everything, we all know Hippocrates famous quote about letting food be your medicine and your medicine your food?
There are 2 main causes of sickness, the first one is malnourishment : It is our intake of vitamins and minerals that allows every cell to work and every organ to do its job so that we can breath and live to enjoy ourselves.The body is able to heal itself if the right ingredients are there : Essential vitamins and minerals. Unfortunately , people think of food like fuel, just calories needed to go through the day. Modern medicine is not the only one to blame, the ill-pill model has been created to suit consumers who are seeking for a quick fix and will unfortunately remain as long as the demand is still there.
6. How is your practice different from an MD practice ?
With functional medicine I came to learn how to look for the root cause and take a holistic understanding of the body rather than segmented, it is a patient centred care: Listen to the patient. Symptoms are great because they are a sign of a dysfunction in our body but when not well understood they can be very misleading as they can overlap in many cases, so the only driver is the patient story.
I now spend an hour with patients to understand their story and it makes a huge difference. I was amazed at how small dietary changes can change people. I would have never considered this with my conventional medical training.
7. Do you have anything to add ?
I love what I do and I truly believe discovering functional medicine has changed my life, I have a better understanding of my own body and I am better equipped to help others now.I am very grateful that I finally found the right way to achieve my mission which reminds me of Rumis quote :
8. How can people connect with you or contact you ?
I run a practice in North West London, people can contact me through my website :www.DrAmelS.com. I also run workshops on various important topics to help raise awareness about health issues and provide accurate, scientific cutting edge and easy-to-understand information that will help people to make sense of all conflicting information out there on the internet. Information on these workshops is available on my website.
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Wonder Woman: Nutritional & Functional Medicine Therapist Dr Amel Seghouani - Huffington Post
OMAHA, Neb. (WOWT) -- Cancer, in one way or another, touches all of us. This year there will be an estimated 1.7 million new cancer cases and 600,000 deaths in the United States. But a new clinical trial at Nebraska Medicine is being hailed as a cancer breakthrough.
The last 15 months have been some of Amy Cheeses darkest days.
It started with a swollen left arm. But doctors told her, You dont have a blood clot. You have a mass in your chest.
The Fort Collins, Colorado, third grade teacher had cancer.
Its horrible to lose someone you love and go through it. We did it with my mom, Amy said.
The traditional treatments were failing; the mass inside her chest wasnt shrinking.
Probably the size of big grapefruit, Dr. Julie Vose explained.
I think Ive had 10 [scans] and not ever did I hear really positive response, Amy said.
With options exhausted, she packed up and came to Omaha for a clinical trial at Nebraska Medicine to see Dr. Julie Vose.
A lot of our patients have come from around the region, because were the only ones with this therapy regionally, Dr. Vose said.
The clinical trial called Car T-Cell Therapy and works this way: first, Amy Cheeses blood is collected and her t cells are isolated.
We all have T cells to fight infection but in a cancer patient those cells go haywire.
Her cells are then sent to a California lab to be re-engineered.
Two weeks later, the cells are returned to Omaha and given back to the Amy to fight the lymphoma. WOWT 6 News was there the day she learned if it worked.
Continuing improvement. Its now 2.7 and that means complete remission, Dr. Vose told Amy.
Oh really. Wow.
The grapefruit mass putting pressure on her heart is nowhere to be seen.
I didnt think it was ever going to happen, said Amy. Thats what everybody wants to hear. Complete remission.
This was the original PET scan before treatment. This was all lymphomathe bright spots. And then this shows its all gone. After having bad news for so many months its so good to give patients great news, Vose said.
Amy Cheese quickly texted the news to her family and friends.
She read some of the replies for WOWT 6 News:
Baaw. Oh my gosh. I love you so much. Im so excited and shaking while teaching math.
Words, words, words. I cant find them.
My oldest said, Mom Im beyond happy.
While this is early in the cancer study, its hard to avoid thinking of others who could benefit.
Were hoping the same technology can apply to different types of cancers as well, Dr Vose said.
Amy Cheese, grateful for the treatment, is already thinking shell be back in her Colorado third grade classroom this fall.
This treatment at Nebraska Medicine is for patients with non-Hodgkins Lymphoma as well as acute lymphoblastic leukemia. Its hoped this research will, one day, translate to other cancer treatments.
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Cancer breakthrough in Nebraska Medicine clinical trial - WOWT
The Department of Medicine of the NYU Langone Medical Center is among the longest established in the U.S. and is the largest academic department in the NYU School of Medicine. It supports and oversees 10 subspecialty divisions and numerous programs and centers in its three-pronged mission of education, research and clinical care. We train medical students, residents and fellows in Internal Medicine and its subspecialties, with emphasis on the care of patients and on clinical investigation. The Department is recognized for its high standards of education, pioneering research, and superior clinical care, as well as its grounding in the humanities. We welcome your exploration of our web site, which represents who we are, what we do, and what we hold dear.
Each week the Department of Medicine presents a distinguished speakerrepresenting one of the sub-specialty divisions of the department. Please see the Medicine Grand Rounds Calendar for additional details.
Lecture may be viewable live online with speaker's permission.
When:Wednesdays, from 7:45am to 8:45am Where: Schwartz Lecture Hall E
For more information contact: Jennifer Mulliken, MD
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Robert Grossman,PhD, Professor of Medicine and Co-Chief Section of Computational Biomedicine and Biomedical Data Science has been named the Frederick H. Rawson Professor effective January 1, 2017. Dr. Grossman is an expert in data intensive computing and its applications to biology, medicine and healthcare. His research focuses on bioinformatics, data science, and data intensive computing. Dr. Grossman currently serves as Co- PI of the NCI Genomics Data Commons.
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After nearly two decades of unsuccessful attempts, researchers from the University of Chicago Medicine and the Cincinnati Childrens Hospital Medical Center have created the first mouse model for the most common form of infant leukemia. Their discovery, published in the Nov. 14, 2016, issue of Cancer Cell, could hasten development and testing of new drug therapies.
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This year Kovler Diabetes Center celebrates its 10th anniversary, capping a decade of cutting edge treatment and research that has made the University of Chicago Medicine a world leader in diabetes care.
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Although many cancer patients respond favorably to immunotherapies such as nivolumab and pembrolizumab, most patients do not. Blame for treatment failures is usually attributed to so-called cold tumors, those that do not attract T-cell infiltration and may lack key T-cell targetsthe mutated proteins known as neoantigens.
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I know that we can save many more women from dying from breast cancer, oncologist Olufunmilayo Olopade says, leaning forward in her chair. Olopade, who goes by Funmi, is sitting in her office at the end of a long day, surrounded by stacks of paper on her desk and shopping bags on the floor, but she sounds like she could be addressing the World Health Organization. The drugs are there, the women are out there, she says. Whats missing, in her view, is a will to diagnose and treat people, wherever they live.
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The number of deaths from breast cancer have declined significantly over the last several decades. However, many populations within the U.S. and across the globe have not benefited from these improvements in mortality as much as other groups have. This unequal burden of cancer felt by specific population groups, also known as disparities, is a major healthcare challenge and one that hits home. In Chicago, the most recent figures show the breast cancer death rate among black women is 40 percent higher than that of white women.
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The role of the gut microbiome in human health keeps expanding, but some microbes are slow to reveal their secrets.
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The University of Chicago Medicines Successful Aging and Frailty Evaluation (SAFE) Clinic, located in the nearby South Shore community on the South Side, cares for some of the most vulnerable patients throughout the city..
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Dr. Everett Vokes recently announced the creation of the new Section of Computational Biomedicine and Biomedical Data Science , making it the 15th subspecialty section within the Department of Medicine. The new Section will provide an intellectual home for faculty whose research interests encompass computational biomedicine; biomedical data science (data science and its applications to biology, medicine and healthcare), and biomedical informatics (bioinformatics, translational informatics, and clinical/medical informatics) and will be co-led by Robert L. Grossman, PhD and Andrey Rzhetsky, PhD.
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Matthew Sorrentino, MD, Professor of Medicine in the Section of Cardiology, has been appointed as Vice Chair for Clinical Operations effective immediately. In this new role, Dr. Sorrentino will assist in leading the Department of Medicines clinical programs and serve as the key departmental representative with the UCM and BSD on issues relating to the Departments outpatient, inpatient and offsite practices.
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Type 2 diabetes is an insidious disease because its most damaging effects dont show up for years. A patient may have her ups and downs from day to day, but the risk of heart disease, kidney disease, damage to the retinas and other circulatory problems builds over years with the accumulated stress of high blood sugar levels.
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Obstructive sleep apnea a disorder that affects nearly one out of four people between the ages of 30 and 70 is a common cause of high blood pressure. In the Aug. 17, 2016, issue of the journal Science Signaling, researchers based primarily at the University of Chicago describe the signaling cascade that leads to this form of hypertension and suggest ways to disrupt those signals and prevent elevated blood pressures.
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By probing the differences between two farming communitiesthe Amish of Indiana and the Hutterites of South Dakotaan interdisciplinary team of researchers found that specific aspects of the Amish environment are associated with changes to immune cells that appear to protect children from developing asthma.
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The Lowell P. Weicker, Jr. Clinical Research Center (CRC) Seminar Series On Methods in Clinical Research
Provided by University of Connecticut School of Medicine Office of Community and Continuing Medical Education and the Clinical Research Center
Intergenerational Effects of Maternal Trauma Exposure: Implications for Prevention
Damion Grasso, Ph.D Assistant Professor of Psychiatry and Pediatrics Department of Psychiatry University of Connecticut School of Medicine UConn Health
Date: Tuesday, January 10, 2017 Time: 12:00 Noon 1:00 P.M. Location: Low Learning Center UConn Health, Farmington, CT
WEB CAST: http://mediasite.uchc.edu/mediasite41/Play/9e64736be23c4f8baf50e2c8afe7fdbb1d (Note: No CMEs given for Web Cast viewing)
Light lunch and beverage provided from 11:30 AM-12:00 noon
Target Audience: Faculty, staff, residents, and students interested in clinical research
Learning Objectives: Participants will be able to: a) Identify developmental and psychosocial risk associated with maternal exposure to trauma and violence in offspring; b) Describe possible psychosocial and biological mechanisms through which trauma-related risk may be conferred from trauma exposed mothers to their offspring; c) Identify potential strategies for identifying risk and implementing preventive interventions in vulnerable populations
Accreditation: The University of Connecticut School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The University of Connecticut School of Medicine designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Conflict of Interest Policy: All faculty members participating in CME activities provided by the University of Connecticut School of Medicine are required to disclose to the program audience any actual or apparent conflict of interest related to the content of their presentations. Program planners have an obligation to resolve any actual conflicts of interest and share with the audience any safeguards put in place to prevent commercial bias from influencing the content.
The activity director, planning committee members, nor the speaker, Dr. Damion Grasso, has a financial interest/arrangement or affiliation with any organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation. Dr. Grasso will not be discussing the off-label use of any product.
This CME activity has no commercial support associated with it. Food and refreshments provided by the CRC.
Evaluations: Participants are required to complete an electronic evaluation in order to obtain CME Credits. An email from http://MyEvaluation.com with instructions will be sent to participants. Please complete the
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Paul S. Worrell, D.O.
Dr. Worrell graduated with honors from The University of Texas in Austin, prior to receiving his Doctorate in Osteopathic Medicine from the University of North Texas Health Sciences Center in Ft. Worth in 1980. As Associate Professor of Family Medicine, he has taught numerous medical students, nurse practitioner and PA students, interns and residents throughout his career.
When asked about his practice, Dr. Worrell repliedIve founded a clinic where I can treat the entire family. I cant tell you how rewarding it is to see three and sometimes even four generations of the same family. Knowing the entire family helps me to have a much more comprehensive understanding of the needs of each individual patient.
When asked about his treatment style, Dr. Worrell repliedI believe in taking a conservative approach to treating my patients. Surgery, and even certain drugs, should be the last alternative.
Dr Worrell has hospital affiliations with the following hospitals:
Aleshia is passionate about practicing preventive medicine. When asked why Family Medicine, she replied, It is an opportunity to augment lives from pediatrics to geriatrics. She graduated from Baylor University in 2009 with a Bachelor of Arts in Biology and a minor in Chemistry. She then went to Arizona to further her education by earning a Master of Arts in Biomedical Sciences from Midwestern University in 2010. Most recently, she graduated from the University of North Texas Health Science Center where she received a Masters in Physician Assistant Studies as of August 2015. In her past time she enjoys traveling, watching movies, fellow-shipping with others, girl talk and mission work.
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Medicine Mound is a ghost town in southeastern Hardeman County in West Texas. It consists of two buildings, the former Hicks-Cobb general store and the W.W. Cole Building, a combination bank, drugstore, gasoline station (with rusty pumps still standing), and post office. The Hicks-Cobb building has been turned into a regional history and cultural museum by its former owner, Myna Potts (born 1927), of nearby Chillicothe, the daughter of store co-owner Ira Lee Hicks (1886-1966). The museum is a personal testimony of Potts' life. It contains a large collection of photographs of area pioneers. Potts considers the preservation a way to honor the contributions of rural Americans.[1]
A sign proclaims: Medicine Mound: Population Zero, but the Texas road map claims fifty individuals live in the general area. Medicine Mound can be accessed southward from Chillicothe via Farm to Market Road 91, which connects with F-M Road 1167 at the ghost town and proceeds northward to U.S. Highway 287 several miles west of Chillicothe. The ghost town is southeast of the county seat of Quanah. southeast of Lake Pauline, and north of the Pease River.
Medicine Mound has received non-profit status and has been placed in the domain of the newly established Downtown Medicine Mound Preservation Group, a 501(c)(3) public charity.[2] Potts operates the museum on Saturday from 10 a.m. to 2 p.m., and by appointment through her Chillicothe telephone. There are four historical markers in Medicine Mound to commemorate the community itself, the Hicks-Cobb store, a Works Progress Administration sanitation project in the 1930s, and a small 19th century cemetery.[3]
Medicine Mound also features in several scenes of the Children's DVD 'Adventures of Bailey - Christmas Hero'.
Medicine Mound (singular) is named for four nearby cone-shaped dolomite hills called "Medicine Mounds" (plural), which rise some 350 feet above the surrounding plains. They were named by the Comanche Indians, who maintained that the mounds are the dwelling place of powerful, benevolent spirits, which can cure ills, assure successful hunts, and protect in battle. In an annual ritual the Comanche came to Medicine Mound with cedar incense taken from nearby Cedar Mound. The mounds are on private property but can be observed some five miles in the distance by vehicle.[4]
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Executive Medicine of Texas is a leader in preventative and proactive health. Their executive physical program is one of the most comprehensive in the country.Dr. Mark AndersonandDr. WalterGamanare co-authors ofmultiple publications, including their latest bookAge to Perfection: How to Thrive to 100 Happy, Healthy, and Wise. They are often called upon as experts and have appeared in hundreds of media spots, including CNN, TIME, Good Morning Texas, Good Morning Arizona, and many more. Drs.Gamanand Anderson, along withJudyGamanhost a nationally syndicated health and wellness radio show entitledThe Staying Young Show.
People travel from all around the globe to visit the physicians at Executive Medicine of Texas. From executives and professional athletes, to high profile individuals, its the level of service at and comprehensive approach at Executive Medicine of Texas that brings people back, year after year. The physicians dedication to corporate wellness and executive health also attracts Fortune 500 companies as well as small business owners.Their executive physicals, bio-identical hormone replacement program, age management services, and concierge programs are what has earned them numerous accolades including Best Docs in Texas by Newsweek Magazine and Healthcare Heroes by the Fort Worth Business Press. The physicians andstaffat Executive Medicine of Texas will make you feel right at home. No matter who you are, if you are ready to learn more about your individual health status and make steps towards a longer and healthier life, there is no better place to start than Executive Medicine of Texas
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Whether youre looking to become a physician, find a clinical fellowship or residency program, hoping to pursue a life of basic science research or aspiring to join one of the best medical art programs in the world, Johns Hopkins has what you are looking for. Our medical and graduate programs are ranked among the top in the nation and our teachers, scientists, and physicians are some of the worlds foremost experts in their fields. That's what gets people interested in coming to Johns Hopkins... but it's the culture here that gets people to stay. It's a culture of excellence and an aspiration to be the best in the world at what you do, mixed with friendliness, and a spirit of collaboration that make it all possible... and wonderful to be part of.
While we are steeped in history, having been the first institution of its kind to bring together patient care, research and education, youll find that we also have some of the most cutting-edge research happening here. We have biomedical engineers working side-by-side with surgeons developing mind-controlled prosthetic limbs; we have geneticists working with oncologists decoding cancer genomes and looking for drug targets; and we have students designing synthetic genomes to better understand the fundamentals of life. And you can be a part of this.
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A physician is a licensed health care professional who diagnoses, treats, operates, or prescribes for any human disease, pain, injury, deformity, or physical condition.
A physician assistant ("PA") is a licensed health care professional who provides medical care under the supervision of a physician. PAs provide a wide range of care within the area of practice of the supervising physician.
A specialist assistant provides medical care under the supervision of a physician in one of the four following specialty areas: orthopedics, acupuncture, radiology, or urology.
A New York licensed physician has completed a program of medical education and received the doctor of medicine (M.D.), doctor of osteopathic medicine (D.O.), or equivalent degree. While New York State requires a minimum of two years of postsecondary education prior to medical school, most applicants admitted to medical school have a minimum of a bachelor's degree. Medical programs include studies in basic and medical sciences.
New York licensed physicians have also completed a minimum of one year of postgraduate training in an approved residency program; graduates of unaccredited/unregistered medical schools must complete three years of residency training and pass a proficiency exam. In addition, licensed physicians pass a State-approved licensing examination.
Licensed New York physician assistants have graduated from a two-to-four year State-approved PA program; these programs often require two years of college-level course work prior to admission, although some programs allow entry directly from high school. In addition, PAs have passed a comprehensive licensing examination.
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Medicine at Oxford
The Medicine course at Oxford provides a well-rounded intellectual training with particular emphasis on the basic science research that underpins medicine. We have retained a distinct three-year pre-clinical stage that includes studying towards a BA Honours degree in Medical Sciences, followed by a three-year clinical stage.
Despite recent expansion, the Medical School at Oxford remains relatively small, allowing students and staff to get to know one another and benefit from a relaxed and friendly atmosphere.
From becoming a GP to training as a brain surgeon, a vast array of speciality training pathways is available after obtaining a medical qualification, ranging from anaesthesia or emergency medicine through obstetrics or ophthalmology to paediatrics or psychiatry.
Of course, you need not remain confined to the surgery or the operating theatre: the lecture theatre or the laboratory could also beckon. Some of our graduates end up leading the education of the next generation of doctors or directing biomedical research. You dont need to know right now what you want to do when you qualify: the Medical School organises careers sessions for final-year clinical students and helps students learn about and apply for foundation house officer posts. BM BCh graduates are entitled to provisional registration with the General Medical Council (GMC) with a licence to practise, subject to demonstrating to the GMC that their fitness to practise is not impaired.
Gordon, who graduated in 2004, now works in the field of biotechnology. He says: Although I studied medicine as an undergraduate and qualified as a doctor in 2004, I have not remained working in clinical medicine in the NHS. Instead I have built my career in small high-growth biotechnology companies in the UK, California, and France. My time as an undergraduate at Oxford was hugely influential in seizing interesting scientific and business opportunities well outside the boundaries of a typical medical career in the NHS.
Brad, who graduated in 2004, currently works as a Forensic Psychiatrist with mentally disordered offenders at Broadmoor high security psychiatric hospital. Brad developed through tutorials at Oxford the strong academic knowledge base and confidence to challenge received wisdom. This has allowed him to diversify his clinical career to include roles in leadership and innovation in the NHS.
Students interested in this course might also like to consider Biomedical Sciences, Biological Sciences, Human Sciences or Chemistry.
We have retained a course with distinct pre-clinical and clinical sections that includes studying towards a BA Honours degree in Medical Sciences.
Applicants are initially admitted to the pre-clinical section of the course. Entry to the Oxford Clinical School is competitive; however, currently a joint admissions scheme (under review) is in place with the Universities of Cambridge and London to ensure that all suitably qualified Oxford pre-clinical students will be allocated a clinical school place within the scheme. The majority of students continue their clinical training in Oxford. Upon successful completion of clinical training and the award of the BM BCh degree, subsequent years are spent on Foundation and Specialist Training programmes.
Applicants are initially admitted to the pre-clinical stage of the course.
The first five terms of this course are devoted to the First BM. This addresses not only much of the science that underpins Medicine, but also the clinical problems that arise when systems fail. Students are introduced to the major systems of the body and study all aspects of their structure and function in health and also the principles of disease processes. Students are encouraged to develop an enquiring approach and to consider the experimental basis of the science in the course. Matters of clinical relevance are illustrated from the outset. There are clinical demonstrations in hospitals, and students make regular visits to GP tutors.
The First BM is followed by a four-term BA Honours course (the Final Honour School) in Medical Sciences. Students specialise in an area of biomedical science selected from one of five options. They will become adept at working from primary research literature, and will be encouraged to think both critically and creatively. Students will gain in-depth knowledge of their chosen option, as well as advanced technical skills at the laboratory bench and in scientific data handling and presentation.
The Principles of Clinical Anatomy course, delivered at the end of the third year, is designed to teach students clinically relevant aspects of anatomy that will be of immediate use in their clinical years.
During the pre-clinical stage of the course, the college tutorial system is a central feature: students see their tutors and are taught weekly in groups often as small as two. This teaching can be tailored to individuals needs and interests. Most University lectures, seminars and practical classes take place in the Medical Sciences Teaching Centre in the Science Area. Lecturers are drawn from Oxfords extensive pre-clinical and clinical departments, all of which have international reputations for excellence in research, and the courses are organised on an interdisciplinary basis so as to emphasise the interrelatedness of all aspects of the curriculum.
In addition to taking written and computer-based examinations, and submitting practical reports and an extended essay, students undertake a research project as part of their BA course. This will be in a field of interest to the student, and will offer valuable first-hand experience of scientific research. Students have the opportunity to undertake research in a laboratory from a wide range of departments within the University.
During the First BM, lectures and practicals occupy about half of the time, and the remainder is free for tutorial work, self-directed study and extra-curricular activities. During the BA course, formal lecturing is kept to a minimum, and students are mostly free to pursue their research and to prepare for tutorials and seminars. Strong academic support ensures that students manage their time effectively.
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Assessment
Courses
Assessment
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To progress to clinical training, at the end of Term 9 students take:
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Assessment
In December of the third year, students must apply to be accepted by a clinical school. Currently a joint admissions scheme is in place with the medical schools of London University to ensure that all suitably qualified Oxford pre-clinical students will be allocated a clinical school place within the scheme. Of those who choose to apply to the Oxford Clinical School, about 85% have been successful in recent years. Upon completion of the clinical stage of the course, the subsequent years are spent on Foundation and Specialist Training programmes.
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