How safe are probiotics?
Amid the increasing rise of probiotic use in Western society, a recent journal article asks whether we should evaluate the products' safety with a little more scrutiny.
What are the possible dangers?
Over the years, dozens of case reports have underscored the potential hazards of probiotic supplementation. Risks include fungemia and bacteremia — the presence of fungi or bacteria in the blood, respectively.
Individuals with compromised immune systems are most at risk, including the very young and old. These organisms have evolved to infect, after all.
Because many probiotic trials do not report adverse events sufficiently, the exact scope of this problem is not known.
Aside from the risk of opportunistic infections sparked by probiotic consumption, there is the potential threat of low quality and contaminated products.
Although the United States Food and Drug Administration (FDA) have stringent safety rules for the manufacturing of supplements, these are not always followed.
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Are your ambitions to become a physician assistant? Well then you should join the Physician Assistant Student Club on campus! They are a club organized of pre-physician assistant students who share the same aspiration of working in health care as a physician assistant. Their goal is to build a community of prospective PA students that offers guidance towards becoming a physician assistant. They hope to provide an environment in which prospective PA students can build relationships and network with others who share the same interests.
Friedrich Harkort 🖤❤️💛
(February 22, 1793, Hagen - March 6, 1880), known as the "Father of the Ruhr," was an early prominent German industrialist and pioneer of industrial development in the Ruhr region.
In 1819, he founded the first industrial workshop at Castle Wetter. An early proponent of railroads, he proposed the construction of a railway line from Cologne to Minden in 1825, which eventuated as the Cologne-Minden trunk line, completed in 1847. In 1826 he built a small test track, as a monorail following a design of the Englishman Henry Robinson Palmer.
What are the potential side effects of CBD oil?
Reported side effects of hemp oil with CBD are generally mild and uncommon and can include tiredness, loose stools, and mild changes in appetite and weight (either increased or decreased). Both hemp oil with CBD (hemp flower-bud extracts) and purified CBD (CBD isolate) have been shown in both animal and human clinical studies to be remarkably safe and well tolerated. Prolonged use is not associated with an increased risk of side effects. In research studies, up to 1500 mg of purified CBD per day has been used to address various medical illnesses without reported harmful effects including changes in heart rate, blood pressure, temperature, oxygen and carbon dioxide levels, electrolyte balance, gastrointestinal function, psychomotor functions, or sleep cycles. Prolonged use at high doses has not shown potential for abuse of CBD. In fact, a clinical study published in 2018 found that recreational polydrug users did not show abuse potential with use of CBD. Long-term studies have not evaluated potential changes in hormonal balance or long-term adverse changes in liver function, though prolonged use of CBD enhances metabolism of certain drugs. The biggest drawback of using CBD oil regularly is that some people report tolerance with extended use, requiring progressively higher doses of CBD oil to gain the same benefits. Stopping CBD oil suddenly, however, has not been associated with withdrawal effects. After an interval of several weeks to several months of not using CBD oil, benefits will again occur at a lower dose.
(click link in bio or dm me) .
Hi. I’m a petite, asian, female, and yes I’m your surgeon. I’m not the typical face of someone who does microsurgery and injects eyes, but #iamyourdoctor . Yes, these scrubs look a little big on me (why don’t they make sterile gowns smaller than XXL?). But I’m not stepping into someone else’s clothes. I worked hard for these extra baggy scrubs of attending-hood. And yes, I have small hands…isn’t that perfect for microsurgery though?
A few patient comments over the last couple weeks: • My doctor is too pretty to do surgery…she should a model.
•So when will I meet my surgeon? (after spending 20 mins examining and explaining surgery risk/benefits)
•I came to you since you might have a “gentle” touch (when talking about eye injections).
•You’re just a baby!
•Are you old enough to drive a car?
As a new attending, I’ve get daily comments about how young or feminine I appear. While I realize that most of my patients mean it in the nicest of ways, it doesn’t come without feelings of undermining my credentials and hard work.
I love my patients, especially for entrusting their vision in my hands , and appreciate them for accepting I may not look like their typical eye surgeon.
Thank you to @teawithmd and @nataliecrawfordmd starting a great conversation about the diversity in age, sex and race in medicine. Would love to hear your experiences!
There are many terms used in the aesthetic world, some which may have very similar meanings but completely different. Body contouring is more used for skin tightness and shaping. Fat reduction is referred to actually reducing fat, toning the body more. After giving further examination your physician would be able to recommend what be a better option for you.
Have any more questions about terms or procedures don’t quite understand? We’d love to try help answer them!
Monday health tips from a Family Medicine #physician
There are a few thing your body needs to feel its best
✶ healthy nutritious food
✶ fitness of some kind most days of the week
✶ water: 1/2 your weight in oz everyday
I like to keep it simple ❥
🔸All about Couscous🔸...
🍴It is a combination of semolina wheat and water, and is not a grain!
🍴There are several types of couscous, including Israeli couscous (aka pearl couscous) and Moroccan couscous.
🍴Whole wheat couscous is more nutritious that the regular variety - its made from whole wheat durum flour. 🍴The whole wheat variety contains5 to 6 grams of fiber per serving.
🍴It has been a dietary staple in North African countries, i.e. Morocco, for centuries.
🍴You can make your own couscous dish at home, or try this Curried Couscous with Roasted Cauliflower from @mendocinofarms 😋😋😋.
Thankful that @nataliecrawfordmd started this campaign because this has been on my mind since the start of residency. Then, I saw @teawithmd post about this and it struck a cord. I am asked at least once a week if I am old enough to be a doctor, which was a surprise to my colleagues when I told them that this regularly occurs. Because of this...
I wear make up to make myself look older. Those tired days where make-up isn't an option = LOTS of questions.
I wear my beloved Danksos (instead of running shoes) so that I have extra height just so I can feel taller and older.
I see patients scrutinizing my badge to make sure the face on the "doctor" badge matches mine.
I feel the need to wear my white coat as much as I can around patient care areas so patients are not confused that "I am your doctor." .
After all these years of training, it can definitely wear one down--it can make one doubt, even as a senior resident. I kindly smile and say "I am old enough."
I shouldn't have to do these things to prove to anyone my worth as a physician. But I do and it so frustrating. When a patient overlooks how young I look and that I am not just any small, Asian female, they realize that I have the heart and the mind to help them to the best of my abilities. And that I absolutely love what I do.
@nataliecrawfordmd said it best: "Prove that it doesn't matter what they think. You have spent many many years learning, working, training, becoming. It's your brain, your hands, your heart that matter. Not what you look like." Thankful for this kind, uplifting IG community! 🥰
Have y’all ever experienced a workout so intense you threw up!? I had a leg day (usually it’s a leg day) last week that was so dope I did have to run to the bathroom to get rid of my breakfast. 🙊 it happens. After my post the other day, @nberto1 reached out to ask why this happens to some people. I’ve been doing some reading and turns out there are lots of causes! 1. As I initially suspected, the vagus nerve comes into play for many on leg day. I often have patients who pass out or have a funky momentary heart rhythm while they make a bowel movement. Why? Because that “bearing down” squeeze of pressure as you clench your muscles can trigger a vagal nerve response. As you can see above, the vagus nerve innervates many of our body’s organs. Including the stomach. Some people experience this as nausea. If you think about it, heavy compound movements such as squats often require that same level of “bearing down” as relieving ones self. Repeated stimulation can result in vomiting.
2. Build up of lactic acid can also cause nausea. When oxygen supply is low, cells create energy for our body through an anaerobic pathway. The byproduct of this pathway is lactic acid, a build of of lactic acid in the blood can be another trigger for our very finicky vagal nerve.
3. The last main cause I found to nausea on leg day is fairly simple. Our bodies have a finite supply of blood and have to prioritize delivery to the most “needy” tissues first. When we work our muscles hard, blood flow often diverts away from our digestive tract to help aid our muscles, lungs and heart. This can slow digestion and result in nausea for some.
Soooo now you know! Next up will be a question about the anabolic window submitted but @cocoellexo if you have any burning fitness and medicine related questions, drop em below 👇🏻 or shoot me a DM! #medicalmuscle#fitness#medical#medicine#np#pa#physician#nurse#evidencebased#npc#ifbb#gymmyths#mythbuster#science#fitness#gym#workout#legday#bodybuilding#training#nutrition
"From Full-Time Physician to Half-Retirement at 45-Years-Old" is the latest Investor Profile on my blog (see link in my profile). It's about a medical doctor and blogger known online as DocG. ⠀
In this interview, you’ll get a glimpse into DocG's personal journey to financial independence. He invests in real estate (condos to be exact), and he also holds other traditional assets. ⠀
But even more valuable, I think you’ll gain some insight into DocG’s perspective on life. As a physician and director of a hospice care facility, he has an interesting view of what matters most in life. ⠀
Whether you're in the medical field or not, I think you'll learn a lot from this story. *Link in my profile*
“Keep dressing to kill”. I recently met with one of my badass female mentors. We discussed everything from earning respect in science, finding our “inner bitch” and our tendency to masculinize ourselves in an attempt to eliminate bias. After complimenting each other’s stilettos we finally decided that with opportunity comes responsibility: we will make our expertise irreplaceable and any bias introduced by the way we look on the outside will never overshadow the grit we’ve got on the inside. #womeninmedicine#physician#scientist#md
A 31 year old female presented LMCTH OPD with c/o redness, scaling and itching all over the body since 20 days. She developed erythema and scaling over trunk extremities,face,neck ,scalp and also including palms,soles and genitelia with itching on cutaneous examination. Known Psoriatic since 9 years.
Skin Biposy :
# Microscopic Examination of the section revealed skin showing psoriform epidermal hyperplasia
# Confluent parakeratosis layered with neutrophils
# Spongiform pustules
# Dilated tortuous papillary blood vessels
Based upon the cutaneous examination and skin biopsy report the disease was diagnosed as psoriatic erythroderma.
Regarding diseased state: Psoriatic erythroderma represents the generalized form of the disease that affects all body sites,including the face, hands, feet, nails, trunk, and extremities.
A particularly inflammatory form of psoriasis that often affects most of the body making skin look burned. Regarding medication
Betamethasone cream: anti inflammatory
Liquid paraffin :Emollient
Avil: Anti histamine
Monocef: antibiotic as prophylaxis Folic acid: folate supplement
Note : Avoid alcohol and smoking as it may trigger the psoriasis.
Smoking has also been associated with more than a two fold increased risk of severe psoriasis. Avoid stressful situations when you can, and take extra steps to take care of yourself such as eating well, exercising, and getting enough sleep.
Regarding lifestyle modification, Bathing in very hot water or using abrasive cleaners can also make your psoriasis flare up. Take oatmeal baths they can help loosen the scaling and reduces itching.
Thank you @arbindevsapkota
La valoración prequirurgica o valoración preoperatoria consiste en el proceso de valoración clínica y paraclínica que precede a una cirugía, es indispensable contar con ella antes de someterse a un procedimiento quirúrgico, con esta valoración reducimos los riesgos y ayudamos a nuestros pacientes a recuperar su vida habitual tan rápido como cómo sea posible.
Dr. Francisco Anaya
Médico Internista y subespecialista en medicina Intensiva, contáctame‼️ Con gusto te atenderé oportunamente en mi consultorio:
🏥 CHG Hospitales (Calle de la nebulosa #2923 Jardines del Bosque)
📍ION Instituto de Oncología Nacional (City Tower Av. Mexico #2582 )
Estoy a tus órdenes!!!
“The eyes can’t see what the brain doesn’t know” Dr. Baron.
A phrase my clinical dean used to always tell me and still sticks with me. The more you read the more you know. This week this phrase proved right when I was able to diagnose something that I had never seen before and required urgent attention in one of my patients.
I believe in prioritizing reading before anything else during your school days and training.
This picture 👆🏻 is not the insta perfect study session. I don’t believe in those. I believe in doing what works best for me to get the job done.
I always go to Starbucks. Order the same thing. I don’t change coffee shops tbh.
Always in comfy clothing, don’t believe in this whole “always dress to impress” mantra, who am I impressing? The books.
I still study the same way I did back in high school, high light everything and scribble around the paragraphs.
My point of this post? Is the same thing I keep repeating over and over again, Knowledge is power. Prioritize that before everything especially if you are still in training. There’s a reason it’s called medical training. Remember that.
Last but not least, if you are feeling down about always having your head in the books. Remember, there are many people around the world who would loooove to be in your position. Plus it gets better and less stressful the further you are in your training.
Sun damaged skin. ⠀
☀️ UV damage to the dermis (collagen fibers, which should be Pink here) has changed the fibers to purple. These fibers are chemically changed to elastin fibers. .⠀
☀️ We call this solar elastosis. It makes your skin sag and look sallow. ⠀
During medical school, I used to workout from ~3:00-4:00 pm and eat dinner around 5:00 pm🍽. Dinner is my largest meal of the day, and I ate at that time because it’s just typically when I tend to get hungry 😋. Now things are obviously different, because having a job changes things. I always make sure to pack 👩🏽🍳a small but protein packed 🥩snack to eat on my way home from work. This way, when I get home, I’m not starving 🤬and don’t waste time before actually getting to the gym🏃🏽♀️. #mondaymotivation#gemgym