The keto diet has recently garnered much fame for its apparent ability to improve diabetes and obesity – results so impressive the Journal of the American Medical Association recently highlighted the diet and thereby christened it as something more than a low-carb craze. However, not all the evidence supports such a positive outlook, leading the diet to straddle the increasingly blurred lines between faddist snake ...

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Recently, a journalist with NPR asked her audience if sleeping with your baby is as dangerous as doctors say.  In short, yes, it is very dangerous. In the article, Michaeleen Doucleff repeatedly trivializes the danger of parents co-sleeping with their baby.  She uses anthropological evidence to reassure parents that sleeping with their infant is safe if parents don’t drink, smoke, or use illicit drugs.   She makes light of ...

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People with liver failure and cirrhosis die every year because there are not enough livers available. Who should receive the treasured life-saving organ? There is an organ allocation system in place, which has evolved over time, which ranks patients who need liver transplants. Without such a system, there would be confusion and chaos. How can we fairly determine who should receive the next available liver? What criteria should move a ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 68-year-old man is evaluated at a follow-up appointment. He has a 7-year history of heart failure secondary to ischemic cardiomyopathy. Over the past 6 months, he has had three hospitalizations for exacerbations of his heart failure. He currently has exertional dyspnea while getting dressed, and his maximal activity level is ...

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Kate Spade. Anthony Bourdain. Two celebrity icons splashed the headlines recently as both figures committed the unthinkable act of suicide. Both left behind young daughters and significant others reeling in the background wondering what had just happened. Kate Spade was the colorful fashionista of purses and dresses. Anthony Bourdain was the connoisseur of delectable eats traveling the world. How could such successful personas mask the pain hidden within? Even Robin ...

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I had not one, but two suicidal teen patients today. This is only one day after I had an eight-year-old suicidal patient come to see me. Three weeks ago, a 17-year-old female walked in, she had hung herself in her closet one month earlier — saved only by the timely breaking of the crossbar of her closet — passed out on the closet floor by her mother. A 16-year-old male ...

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As I begin my overnight pediatric emergency department shift, there is one patient waiting to be seen: “Six-year-old male with autism, alleged sexual assault.” In year one of my pediatrics residency, I have not yet managed a sexual assault case, it is time to learn. I sign up to see the patient and move to find them in the sub-waiting room. As I come around the corner, I find a family ...

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Many people in our country, or I should say in this world, have been shocked and devastated by recent celebrity suicides. Many wonder how can someone whose life looks so perfect be depressed? Well, people are starting to recognize that anyone, no matter how successful, how rich or how attractive can experience severe depression. Many of our well-known adages acknowledge the fact that anyone can be vulnerable to depression. We have ...

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Quality of life matters. This straightforward assertion gets complicated when we discuss the treatment of depression. Depression is common, part of a family doctor's daily schedule; it can affect anyone, although certain groups are at higher risk. There have been many hypotheses as to why we as a species are susceptible to depression (and its frequent companion, anxiety), but in the day to day practice of medicine, those proposed etiologies end ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Chronic pain is a silent epidemic Chronic pain is a significant public health burden, but one that is not talked about enough. In 2011, the Institute of Medicine estimated that approximately 100 million Americans suffer from chronic pain. But chronic pain is not just ...

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