Getting back to exercise?

Exercise is ALWAYS good whatever your age. Most people complain they do not have time to exercise. It is NOT easy to get started exercising or getting back to it. Like most important things, it is better to have clear goals. Here are tips from the MedlinePlus library.

http://www.nlm.nih.gov/medlineplus/news/fullstory_122149.html

Trying to lose weight? Don't diet. Eat intuitively.

That would summarize for me this general internist's advice on weight loss. Sensible stuff.

http://www.drdialogue.com/2012/01/intuitive-eating-and-more.html

When you think of SLE (lupus), consult a rheumatologist

Robelle's experience draws attention to SLE, rheumatologists and a database for SLE patients.

http://www.mb.com.ph/articles/352059/project-builds-database-on-lupus

Ask your doc before changing your meds

I would like to share this guest post from KevinMD.com. It is a good reminder to communicate your plan to change your meds with your primary care physician.

http://www.kevinmd.com/blog/2012/02/saving-patients-internet-health-information.html

Triple-board again!

Good news! I am triple-board recertified in Internal Medicine, Rheumatology and Geriatric Medicine. It was a lot of work but well worth the effort. 

Next project (on-going) is incorporating more geriatric content in the UST Faculty of Medicine and Surgery curriculum with the eventual goal of training fellows in Geriatric Medicine. I will need all the help I could get on these.

Clean dish strategy for treatment of gout

Allopurinol may be discontinued after five years of treatment as long as certain conditions are met. These are: (1) allopurinol is given for at least 5 years after resolution of tophi OR for 5 years in those without tophi, (2) serum uric acid levels are maintained at less than 6mg/dL during allopurinol treatment and (3) serum uric acid levels are maintained at less than 7mg/dL after withdrawal of allopurinol.

 Fernando Perez-Ruiz, MD, PhD, from Hospital Universitario Cruces in Vizcaya, Spain, and colleagues tested the hypothesis that a less stringent target is necessary for long-term treatment of gout once urate crystal dissolution is achieved.
 

http://onlinelibrary.wiley.com/doi/10.1002/art.30649/abstract

Great advice for medical clerks

downloaded from md.utoronto.ca 2011Dec28

This student gives great advice on being a medical clerk. I wish I read this back when I was one.

https://abnormalfacies.wordpress.com/2011/11/28/clerkship-advice-internal-medicine/