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Great news - I hope you and Dr. D do resume you make a great team. For me Keto has been a god send. Went keto two years ago, dropped 90lbs and got control of my eating for the first time in my life. Also its amazing what it did for my health. I think it would be a great podcast to have Dr. Ken Berry or similar pro keto guy on for a counter view to you and Santana's position. If you are not familiar with Dr. Berry's book Ill link below:
https://www.amazon.com/Lies-My-Doctor-Told-Second/dp/162860378X
I def agree that keto is not right for everyone but a lot of changed lives out there...
I'll check out the new podcast I hope you guys discussed or will discuss energy systems again. I love listening to Santana walk through that hole ATP system stuff...still haven't figured it all out but I think I learn more each time I hear it.
Mastering Communication with Seriously Ill Patients
Excellent book written by some influential folks in contemporary palliative care. It's of course geared toward patients with life-limiting illness (primarily cancer), but the overall approach is broadly applicable I'd say.
Using albuterol in HyperK, you’re gonna need somewhere close to 20mg, which is why it’s not frequently used. Kayexalte would be a great choice for reducing K.
When I studied for my FP-C, I remember studying the proportions of reducing pH, BiCarb and K+. When one changes so does the other.
Remember though, the K+ in HyperK is extracellular and adding Sodium BiCarb and Calcium is what moves it intracellular. If it’s not true HyperK we’re not accomplishing much. These EKG’s takes years of study.
This book is probably the most well put together book on EKG’s. When I was a new medic I studied it a fair bit and it was a tremendous resource. Unfortunately I’ve forgotten most of what I read- that level of detail requires constant refreshing, and in AirMedical, I just don’t have the chance to need to use it so much, so I’ve forgotten it.
You didn’t say what your hight is :))
But is always better to focus on what you are eating first if you want to get in shape. I truly believe the Calorie in/ Calorie out strategy is bull$hit. Cut the simple sugars and doughy stuff completely. Also watch out for hidden sugars, most sauces have lots of sugar. Don’t drink sodas, there is a lot of sugar. Eat eggs, meats, leafy vegetables, half cooked vegetables, beans, cottage cheese and plain yogurt (check for hidden sugars) are really awesome, barley or buckwheat porridge is good. Don’t starve yourself, this will just make you feel miserable.
Check this book: https://www.amazon.com/Lies-My-Doctor-Told-Second/dp/162860378X
Also a video where the author was talking: https://youtu.be/cXbKMwdLz5M
About running — don’t push yourself to hard!!! Combine running with walking, do 2 min running 5 minutes walking, repeat 3-5 times, every week increase running time decrease walking time by 30 sec or how you feel that fits you.
Hope you will reach your goal to a health life, good luck!
You're not useless! You just have some bad luck. Have you got access to affordable healthcare? You could have Fibromyalgia, maybe be on the Autism spectrum yourself but high functioning. Would be really helpful if you can get a proper diagnosis, then treatment but I understand its costly and may be out of reach. Don't know whether it would help but there's a good book my physiotherapist got me to read called 'Explain pain'. It's really expensive but I managed to download a free copy online (but I cant remember where). Some libraries may have it.
Even in Australia the wait list for public pain clinic is over a year, worse now due to covid.
Are there any community centres or free short courses where you live? Even something like coding, web design, anything where you can maybe work from home in your own hours?.
You could maybe become a tutor, this way you can control how many hours or days you work. Could be just 2 hrs per week helping a kid with their homework.
Explain Pain (8311) https://www.amazon.com/dp/0987342665/ref=cm_sw_r_cp_api_glt_fabc_HBWAPJ1GNHC152TPWFP0
This book is amazing. The kindle version is poorly done though. I have to blow it up on my computer screen to read it.
I’m sure you’re being facetious, but yes your doctor is wrong; misinformed rather than lying though most likely.
See here for other things your doctor is probably wrong about.
I am a cancer survivor so I am delighted with the progress made in treating cancer. That said, if you want a depressing read I suggest "The First Cell" https://www.amazon.ca/First-Cell-Human-Pursuing-Cancer/dp/1541699521
It turns out that (unsurprisingly) many novel therapies have little effect on survival. This is to be expected, if you think about it, but it is used to convince people that since so many of the novel therapies are in the US, the US somehow has the best medical care.
Just to point out that if you have Cystic Fibrosis your life expectancy in Canada is 10 years (10 years!) longer than if you are in the US. https://cysticfibrosisnewstoday.com/2017/03/16/study-show-canadians-with-cystic-fibrosis-live-10-years-longer-than-americans/
I am not an expert in CF care and maybe there are other reasons for this but 10 fucking years. That's huge!
Depends on the level of experience desired. Start with CAPC, Palliative Care Fast Facts website. Definitely try to do a palliative care rotation. There is a really excellent book I recommend mastering communication with seriously ill patients written by some of the best in the field and easy enough to read. If further interested consider a fellowship or attending workshops on communication skills. 🤓
People interested may find the book The First Cell equally interesting. The author, Azra Raza, was recently on a podcast from Peter Attia.
#121 – Azra Raza, M.D.: Why we’re losing the war on cancer
One of the major issues is that cancer research is done on the eternalized cancer cell lines Hepa2 which do not represent human cancer cells anymore because they mutated to survive in the in vitro environment.
Secondly the research in mice is giving us an untranslatable model for chemotherapy when it comes to efficacy and side effects for humans.
The so called advances that have been made in cancer treatment are in part thanks to quiting smoking in the last 30 years and some luck with rare types but overall we are only talking about marginal gains, progression free survival for a couple of months.
I'm sure these statements will be controversial in the oncology field so it would be good to balance that out with other point of views.
Hi, I do tongue-tie releases every day, and one of my friends pointed me to this post. I wrote a book on tongue-ties as well, so I understand what you are asking, as many others in this thread have no clue what you are talking about. (Book: https://www.amazon.com/Tongue-Tied-String-Impacts-Nursing-Feeding/dp/1732508208)
At that age, in my opinion, and in our practice, that is too often for aftercare stretches for a toddler. That's not realistic to stretch that often. We tell our patients to shoot for 2 times a day for stretches, so every 12hrs, and do it for 3 weeks. Minimum once a day if it's really difficult.
Use the bite block, back of a toothbrush, back of a wooden spoon, something to go between his teeth so he can't bite you. It's definitely a two-person job, but know that it's not forever. Just do the best you can to get in there, lift the tongue, you can push right on the diamond, and get out. So 5-10 sec tops per stretch. Then comfort him, and bribe him with something that would help him calm down.
Ask your provider if it's still difficult. Make sure they check the site again in a week because 90% of them grow back together at least partially and need a deeper stretch. Hang in there! It's really tough, but hopefully, it will be worth it and you will see some good results with speech, feeding, sleep, etc. if the procedure was done properly and he had those symptoms to begin with.
Dr. Baxter
According to this doctor, unless you have a kidney problem, you don't keed to watch your sodium. https://www.amazon.com/Lies-My-Doctor-Told-Second/dp/162860378X
https://www.amazon.com/12-Lead-ECG-Interpretation-Garcia-Introduction/dp/0763773514/ref=dp_ob_title_bk great book, goes through each wave step by step. lots of example EKGs in the book that reflect what they're trying to teach you in the chapter.
Very nice. Each of these is good in its own way but in my eyes the last one kind of stands out because:
- there's more than a handful reviews for it
- after reading a couple of them on goodreads, it's evident that the author embraces futurology to a degree, which I think is ~~necessary~~helpful when you're trying to open yourself up to possibilities. In this sense it somewhat resembles sci-fi, so it should also be easier to read.
- it's pretty affordable.
I think I'll end up getting her this one and recommending the others.
I can't thank you enough.
Some of these incidence rates are dramatically affected by screening. For example, it is estimated that fully 1/3 of all breast cancer diagnoses in the US over the past 30 years have been overdiagnosed. It is possible to detect cancers that will never affect someone's life, intervene and "cure" the cancer. This is the source of the so called controversy when it comes to PSA testing with prostate cancer. Even melanoma can be overdiagnosed; basically, if you biopsy enough suspicious moles, you will find some thin melanomas.
http://www.cochrane.org/CD001877/BREASTCA_screening-for-breast-cancer-with-mammography
http://www.amazon.com/Overdiagnosed-Making-People-Pursuit-Health/dp/0807021997
Maybe start with a textbook - consider getting a used copies and then follow up with cases from the very excellent EMS 12 Lead Blog
Allow me to recommend. The guy that wrote this book taught my EMB class. You'll never look at screening tests the same way again.
OMFG! Not only the book is real, it has an amazing five star rating in amazon. Also the videos in the website are top shelf WTF quality.