Maximal counting number <10 or counting time <7 seconds identified patients with a room‐air pulse oximetry <95% with sensitivity of 91% and 83%, respectively. Maximal counting number <7 or counting time <5 seconds identified patients with a room‐air pulse oximetry <90% with sensitivity of 87% and 82%, respectively. — Read on onlinelibrary.wiley.com/doi/full/10.1002/clc.22586 Old school medicine at work. … Continue reading Assessment of Respiratory Distress by the Roth Score – Chorin – 2016 – Clinical Cardiology – Wiley Online Library
Just in case you haven't switched over to following the new blog at Pillar PC here's a link to the newest post. Need help from a few thousand new friends?
As many of you know, Trinity Direct Primary Care is changing. I've emailed about this several times over the last couple months. Here's a recap and an update. Trinity Direct Primary Care (TDPC) is separating from its parent company. The partners of Trinity Medical Associates (TMA), PC have decided to grow in a direction that … Continue reading Name changes and new opportunities.
What can't you get at Walmart? Apparently nothing. The retail giant has begun opening retail medical clinics in major metropolitan areas with the expectation that more Americans are going to need access to primary care services. The retailers see 10,000 baby boomers aging into Medicare coverage each day Walmart's First Healthcare Super Center Opens To … Continue reading Walmart adds primary care services, right next to automotive
Posted below are two reports generated from the Freestyle Libre LibreView website. They show the average relative change in my blood glucose with each meal of the day. The first report was during the high carb, standard American diet experiment in July. The second report is from the nutritional ketosis diet I just blogged about … Continue reading Mealtime patterns
Over the last week I've documented my progress into nutritional ketosis through a ketogenic diet. Yesterday, I added intermittent fasting to that process. Here are the results. As most of you know, I have advocated for low carb high fat nutrition to reverse metabolic disease since I began practicing it myself in 1999. My understanding … Continue reading Nutritional Ketosis and Intermittent Fasting
I didn't get a chance to update the daily posts yesterday as the start of school, high school sports practice, and school supply shopping made for a long day. Regardless, the data hasn't changed much. I had about 29 net carbs Sunday and 22 net carbs Monday. This produced very stable blood sugar results as … Continue reading Nutritional Ketosis, Days 5 & 6
Low carb nutrition prompted a 20 lb weight loss along with a reduction in blood pressure even after they had a 20% reduction in medication in these 154 diabetic and insulin resistant individuals that was sustained over two years on average. https://www.mdpi.com/1660-4601/16/15/2680/htm Abstract : Hypertension is the second biggest known global risk factor for disease … Continue reading 154 people can’t be wrong
Saturday was day 5 of my journey journaling nutritional ketosis for my patients. It was a pretty busy day where I staffed Trinity's walk-in clinic and then had lots of home chores to get to before school starts next week for the kids. Breakfast was three eggs fried in ghee and a half dozen chicken … Continue reading Nutritional Ketosis, Day 5
I wanted to share this week's email from Peter Attia, MD. It's a fascinating read about the protective benefits of extreme fasting in mice when they were subjected to a lethal dose of radiation. As he notes in his writing, what happens in mice cannot be directly translated to humans. We're different species but it … Continue reading Fasting, Irradiation, and Cancer