Horse chestnut seed extract has been shown to have some effect when used orally for symptomatic treatment of chronic venous insufficiency, such as varicose veins. It may also be useful for relieving pain, tiredness, tension, and swelling in the legs. It contains a number of anti-inflammatory substances, including escin, which reduces edema and lowers fluid exudation by decreasing vascular permeability. …
Did you get a pustule at your blood draw site? Consider Behcet’s Syndrome.
The original description of Behçet’s syndrome included recurring genital and oral ulcerations and relapsing uveitis. This disease is also associated with cutaneous hypersensitivity; 60%–70% of patients will develop a sterile pustule with an erythematous margin within 48 hours of an aseptic needle prick. It is more common in Japan, Korea, and the Eastern Mediterranean area, and affects primarily young adults. The …
A Medically-Supervised Self-Tracking Program Might Work Better for Migraines #quantifiedself
There’s a growing body of research supporting the methodologies we use in our medically supervised Quant Coach Program here at My Doctor Medical Group. If you get violently ill every time you go on a roller coaster, what do you do? Unless you are a peculiar breed of masochist, you likely avoid roller coasters at all costs. The avoidance of …
Bone Broth: #Paleo Goodness or Lead Toxicity Risk?
The consumption of bone marrow and bone broths have become more commonplace, and even hip, with the rise in popularity of the Paleo Diet, Perfect Health Diet and GAPS Diet. Bone broths are meant to be a staple in evolutionary-type diets as a rich source of calcium and other minerals. It is made by submerging bones and any other uneaten …
How much will a sprained ankle cost me in the ER? Somewhere between $4 and $24110. #costsofcare
You sprain your ankle badly, and aren’t sure if it’s broken or not. It’s 6pm on a Friday evening, so you head to the ER to have it x-rayed. At triage you ask “how much might this cost me?” Typically, nobody working in the hospital at that moment will be able to even take a guess. A new study out …
Bitter Pill: Why Medical Bills are Crushing Us. Investigative reporting at its best from Stephen Brill. #costsofcare
Required reading for everyone who lives in the United States, or who is thinking about doing so: Stephen Brill delivered an amazing piece of investigative journalism last week on the U.S. health care system in Time Magazine. Hopefully everyone will read it before they develop a serious illness, but regardless it lays bare some of the reasons why the health care …
How can I find out if I have celiac disease?
I often see patients who are concerned about gluten sensitivity or celiac disease. Indeed, that is a common problem and many people do feel better if they removed processed foods, and gluten in particular, from their diet. The problem is that it matters how you go about investigating your body’s response to gluten. What is celiac disease? Celiac disease is …
Why the #QuantifiedSelf Movement Will Continue to Make Inroads in Medicine
Excerpt from an article on The Medtech Pulse blog: “Many of the people who come to my office…have come because modern medicine has failed them in some way, or they have used up its power to help them and they know not what else to do.” —Rachel Naomi Remen, MD A couple of weeks ago, at Stanford Medicine X, Paul Abramson MD …
Dr. Abramson’s Talk at Medicine X 2012 on Self Tracking in Medical Care
I gave a talk on implementing self tracking in my medical practice at the Medicine X 2012 Conference at Stanford on September 28, 2012. A bit of perspective on the health care system and its shortcomings provided an introduction to a new model of care involving a Quant Coach as an integral member of a medical team, with the patient …
Are you taking vitamin D supplements? Some suggestions.
Many patients come to me on vitamin D supplements, and there have been a lot of opinion pieces for and against vitamin D supplementation lately. Without getting into the data too deeply, it seems likely that vitamin D3 supplemention is probably going to turn out to be beneficial up to a point, but that over-supplementing is probably harmful even before …
















