There's an article posted on medscape that I think could use some physician input.
It was posted yesterday. Already at almost 700 comments with NPs and PAs flooding it.
https://www.medscape.com/viewarticle/966059?src=mbl_msp_iphone&ref=text
This is a resource intended to be used by medical professionals. I have friends in the medical field who send me article that say myocarditis and side effects are rare… but the articles they send me require a subscription and I can’t see what studies they’re referencing. Does anyone know anything about this magazine/resource? Do they do their own studies? Are the studies they quote from reputable sources? Do they seem biased?
We will be answering your questions related to health equity from 12:00-3:00p ET (17-20 UT), especially those that have been brought to light during the pandemic. Here's a little bit about each of our backgrounds and how to find us online.
- Dr. Fatima Cody Stanford is a fellowship trained obesity medicine physician scientist at Massachusetts General Hospital (MGH) and Harvard Medical School (HMS). She is the Director of Diversity for the Nutrition Obesity Research Center at Harvard and the Director of Anti-Racism Initiatives for the Neuroendocrine Unit at MGH. Twitter @askdrfatima
- Dr. John Whyte is a physician, author, and Chief Medical Officer @WebMD. He's passionate about changing how we think about health. Twitter @drjohnwhyte
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- Medscape is the leading online global destination for physicians and healthcare professionals worldwide, offering the latest medical news, expert perspectives, and relevant professional education and CME. Twitter @Medscape @MedscapeCME
In the new Clinical Advances in Elevating Health Equity learning center, we take a deeper look into the current state of health care, from structural inequalities to individual patient care. This resource will share interviews, expert commentaries, CME opportunities, and new insights that aim to improve health outcomes for all patients. Check it out: https://www.medscape.org/sites/advances/elevating-health-equity
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Hello, everyone!
I am just a lowly premed so hope that this question is allowed. Please remove if this is an inappropriate post. I recently attended a virtual lecture given by a PM&R doctor and was greatly inspired by the philosophy of the specialty and the stories about how profoundly one can impact a patient's life.
I have been pouring through threads here and on SDN trying to work out about how PM&R compensation compares to other specialties. I will be responsible for caring for my aging parents (who do not have a retirement or plan) and compensation is, unfortunately, pretty relevant to me. PM&R is conspicuously absent from the medscape compensation reports before 2016 or so and it looks like there was a nearly $30K jump in pay between 2018 and 2019. Is this just artifact from a small sample size? It is encouraging to see, but the most recent report does not appear to align with general sentiment, at least on SDN.
Thank you in advance for your insights.
https://www.medscape.com/viewarticle/949974 - Requires free acct: text below.
For 20 years, investigative journalist Gary Taubes has been turning the dogma of nutrition science upside down in a series of brilliantly detailed articles and books. Taubes' specialty is a form of historical excavation, painstakingly digging into the science and scientists who have created and sustained nearly a century's worth of failed conventional nutritional wisdom and policy.
Taubes is ideally suited to the role of unbiased medical outsider, for the simple fact that he does not come from biomedicine; he received a BS in applied physics from Harvard University and an MS in aerospace engineering from Stanford University, before obtaining a master's degree in journalism at Columbia University in 1981. He does not bring the misinformation baggage of a clinician, and he is not beholden to the National Institute of Health (NIH) or its committees for continuing grants or academic favors. He relies on no government or food industry ties and is able to deploy the full range of journalistic skills to study a complicated topic with as clear and critical eye as one can.
Those talents are on full display in his latest book, The Case for Keto: Rethinking Weight Control and the Science and Practice of Low-Carb/High-Fat Eating (Knopf, 2020), which offers yet more evidence that popular dietary misconceptions have led us down a perilous road. In his typically engaging style, Taubes illuminates our dietary relationship with fats and carbohydrates and what this may have to do with rising rates of obesity, diabetes, atherosclerosis, heart disease, cancer, and even dementia — conditions that in aggregate result in the deaths of about 75% of Americans (before COVID-19). In other words, his subject is a really big deal.
Myth-Busting Nutrition Science
To understand the importance of Taubes' work, let's play a quick game of "Truth, Myth, or It Depends" with 24 common dietary assumptions.
- Worldwide, obesity is a human health challenge topped only by tobacco addiction and, currently, COVID-19: Truth
- Consuming dietary animal fats and cholesterol in such foods as red meat, eggs, and butter is a key cause of [coronary arter
It’s a nearly $200,000 difference in fields like radiology
Chronic Pelvic Pain in Men
Updated: Mar 17, 2020
- Author: Richard A Watson, MD; Chief Editor: Edward David Kim, MD, FACS more...
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Etiology
Chronic pelvic pain syndrome (CPPS) in the male is actually not a syndrome, in that it is not a discrete, narrowly defined constellation of consistent symptoms and objective findings ultimately traceable to a single, known etiology. Rather, CPPS in the male is a catch-all category of convenience into which physicians arbitrarily group the heterogeneous admixture of cases in male patients that meet the following three criteria:
- Patients have a variety of long-standing symptoms, a significant number of which relate to anatomical structures located within an arbitrary radius of the prostate gland (somewhere below the umbilicus and above the mid-thigh)
- Physicians can find no objective explanation for the patients’ symptoms
- Physicians can offer no satisfactory treatment, let alone a cure, for the patients’ symptoms
Pontari and Ruggieri reviewed the numerous pathophysiologic mechanisms implicated as the potential etiologies of CPPS and concluded that, although the causes of CPPS remain unknown, the condition’s symptoms seem to arise from the interaction between psychological factors and immune, neurologic, and endocrine system dysfunction. [2]
The number of WBCs (pus cells) found in the prostatic fluid under microscopic examination—long considered the hallmark of this disease process—does not correlate with the degree of pain or with other symptoms experienced by patients with CPPS. Histologic signs of inflammation were found in only one third of all patients diagnosed with CPPS who underwent prostatic biopsy, according to Pontari and Ruggieri’s report, further suggesting an extraprostatic etiology for CPPS. This indicated that perhaps CPPS is not directly associated with the prostate or with inflammation within it, at least in some cases.
Special signaling molecules called cytokines, which are produced by WBCs (and by other cells), may play a role. While certain cytokines stimulate an inflammatory reaction, others inhibit inflammation. Moreover, the same cytokine may have either an inciting influence or an inhibiting influence at different sites under varying conditions.
Tissue necrosis factors, interleukins, interferons, and epithelial neutrophil-activating factors are but a few of these cytokines. To complicate matters, each of these terms indicates a whole, separate family of closely r
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