I am not a doctor. I am not a medical researcher or lab technician. I have never watched a complete episode of Grey’s Anatomy. But I am a Type 1 Diabetic. I am just one of 25.8 million Americans with Diabetes. We're all kinda experts on managing chronic disease. Because, really, outside of a doctor’s visit every 6 months or so, we’re the ones doing all the work. No one taught us how to do this. A meeting or two with a dietician isn’t enough, the behavioral changes necessary for those with a chronic disease are wholly unsupported in our current medical system. We have to do something. 7 out of 10 deaths in the US are caused by a chronic disease, and between heart disease and diabetes alone we are, as a nation, hemorrhaging money. Many of these conditions are preventable through lifestyle changes that no doctor can write a prescription for. Doctors like to talk about charts and graphs, blood tests and medicine. Let’s start talking about the patient, the person, instead. Let’s make a disease that you have for life something that’s simply managed every day. Let’s get isolated patients together, talking, trading tips and tricks.
This document discusses the pancreas, including its blood supply, lymphatic drainage and role in producing enzymes. It covers congenital abnormalities of the pancreas as well as diseases like acute and chronic pancreatitis. Acute pancreatitis can result from factors like alcoholism, medications or trauma. Chronic pancreatitis is associated with long term damage and can lead to complications like pseudocysts. The document also discusses pancreatic cysts and neoplasms, including serous and mucinous cystadenomas. It provides an overview of pancreatic adenocarcinoma, including risk factors, staging and prognosis.
The document describes the PancreAssist System, a bioartificial pancreas device meant to improve blood glucose control for insulin-dependent diabetics. It consists of pancreatic islets housed within an implantable, reseedable membrane device. In animal studies, the device improved blood glucose control and reduced the need for exogenous insulin without immunosuppression. The development plan is to establish collaborations to further the technology and bring the product to market for brittle diabetics and others with unmet needs.
The pancreas is a gland located in the abdomen that produces digestive enzymes and hormones. It is composed primarily of acinar cells that make up the exocrine portion, as well as clusters of endocrine cells called islets of Langerhans. The islets contain alpha, beta, delta, PP, and epsilon cells that produce glucagon, insulin, somatostatin, pancreatic polypeptide, and ghrelin, respectively. Pancreatic diseases include pancreatitis, pancreatic cancer, and diabetes mellitus.
This document discusses pancreatic diseases and techniques for imaging the pancreas. It lists indications for pancreatic imaging such as assessing congenital pancreatic lesions, equivocal findings, suspected pancreatitis, evaluating pancreatic neoplasm resectability, and biliary or post-traumatic injuries. The techniques discussed include magnetic resonance cholangiopancreatography (MRCP) to image pancreas divisum, interstitial pancreatitis, necrotizing pancreatitis, and using imaging to diagnose high-grade non-Hodgkin's lymphoma of the pancreas.
The pancreas is a 15-20cm long organ located in the retroperitoneum. It has a head, body, and tail. The pancreas contains exocrine tissue that produces enzymes to aid digestion and endocrine tissue clustered in islets of Langerhans that produce hormones like insulin and glucagon. The pancreas develops from dorsal and ventral buds that fuse during embryogenesis. It receives blood supply from various arteries and drains into veins like the portal vein. The pancreas secretes enzymes and bicarbonate to digest nutrients in the small intestine. Removal of the pancreas results in diabetes and digestive issues due to lack of enzymes.
This document summarizes acute pancreatitis, including its definition, causes, symptoms, pathogenesis, complications, diagnostic tests, severity scoring systems, and management. Acute pancreatitis is characterized by inflammation of the pancreas and is most commonly caused by gallstones or alcoholism. It presents with severe epigastric pain and other gastrointestinal symptoms. The pathogenesis involves premature activation of digestive enzymes within the pancreas that can lead to autodigestion. Complications include pseudocysts, abscesses, necrosis, and systemic complications like shock. Diagnosis involves blood tests showing elevated pancreatic enzymes and imaging tests. Severity is assessed using scoring systems like Ranson criteria, APACHE II, and CT severity index. Treatment focuses on fluid
The document discusses diseases of the pancreas, including congenital anomalies, endocrine and exocrine pancreatic diseases, acute and chronic pancreatitis, and pancreatic tumors. It provides details on the causes, pathophysiology, clinical presentation, diagnosis, and treatment of each condition. Key points include the role of gallstones and alcohol as common causes of acute pancreatitis, the use of CT and lab tests to diagnose and determine severity, and supportive care along with surgical or endoscopic interventions for severe cases.
This document provides an overview of diseases of the pancreas. It begins with the anatomy and physiology of the pancreas and then discusses specific diseases including diabetes mellitus, pancreatitis, neoplasms (benign and malignant tumors), cysts, and pseudocysts of the pancreas. For each disease, it provides details on causes, clinical presentation, diagnostic evaluation, and treatment. The document contains teaching slides with images, tables, diagrams and text to comprehensively cover various pancreatic diseases for educational purposes.
This document discusses the pancreas, including its blood supply, lymphatic drainage and role in producing enzymes. It covers congenital abnormalities of the pancreas as well as diseases like acute and chronic pancreatitis. Acute pancreatitis can result from factors like alcoholism, medications or trauma. Chronic pancreatitis is associated with long term damage and can lead to complications like pseudocysts. The document also discusses pancreatic cysts and neoplasms, including serous and mucinous cystadenomas. It provides an overview of pancreatic adenocarcinoma, including risk factors, staging and prognosis.
The document describes the PancreAssist System, a bioartificial pancreas device meant to improve blood glucose control for insulin-dependent diabetics. It consists of pancreatic islets housed within an implantable, reseedable membrane device. In animal studies, the device improved blood glucose control and reduced the need for exogenous insulin without immunosuppression. The development plan is to establish collaborations to further the technology and bring the product to market for brittle diabetics and others with unmet needs.
The pancreas is a gland located in the abdomen that produces digestive enzymes and hormones. It is composed primarily of acinar cells that make up the exocrine portion, as well as clusters of endocrine cells called islets of Langerhans. The islets contain alpha, beta, delta, PP, and epsilon cells that produce glucagon, insulin, somatostatin, pancreatic polypeptide, and ghrelin, respectively. Pancreatic diseases include pancreatitis, pancreatic cancer, and diabetes mellitus.
This document discusses pancreatic diseases and techniques for imaging the pancreas. It lists indications for pancreatic imaging such as assessing congenital pancreatic lesions, equivocal findings, suspected pancreatitis, evaluating pancreatic neoplasm resectability, and biliary or post-traumatic injuries. The techniques discussed include magnetic resonance cholangiopancreatography (MRCP) to image pancreas divisum, interstitial pancreatitis, necrotizing pancreatitis, and using imaging to diagnose high-grade non-Hodgkin's lymphoma of the pancreas.
The pancreas is a 15-20cm long organ located in the retroperitoneum. It has a head, body, and tail. The pancreas contains exocrine tissue that produces enzymes to aid digestion and endocrine tissue clustered in islets of Langerhans that produce hormones like insulin and glucagon. The pancreas develops from dorsal and ventral buds that fuse during embryogenesis. It receives blood supply from various arteries and drains into veins like the portal vein. The pancreas secretes enzymes and bicarbonate to digest nutrients in the small intestine. Removal of the pancreas results in diabetes and digestive issues due to lack of enzymes.
This document summarizes acute pancreatitis, including its definition, causes, symptoms, pathogenesis, complications, diagnostic tests, severity scoring systems, and management. Acute pancreatitis is characterized by inflammation of the pancreas and is most commonly caused by gallstones or alcoholism. It presents with severe epigastric pain and other gastrointestinal symptoms. The pathogenesis involves premature activation of digestive enzymes within the pancreas that can lead to autodigestion. Complications include pseudocysts, abscesses, necrosis, and systemic complications like shock. Diagnosis involves blood tests showing elevated pancreatic enzymes and imaging tests. Severity is assessed using scoring systems like Ranson criteria, APACHE II, and CT severity index. Treatment focuses on fluid
The document discusses diseases of the pancreas, including congenital anomalies, endocrine and exocrine pancreatic diseases, acute and chronic pancreatitis, and pancreatic tumors. It provides details on the causes, pathophysiology, clinical presentation, diagnosis, and treatment of each condition. Key points include the role of gallstones and alcohol as common causes of acute pancreatitis, the use of CT and lab tests to diagnose and determine severity, and supportive care along with surgical or endoscopic interventions for severe cases.
This document provides an overview of diseases of the pancreas. It begins with the anatomy and physiology of the pancreas and then discusses specific diseases including diabetes mellitus, pancreatitis, neoplasms (benign and malignant tumors), cysts, and pseudocysts of the pancreas. For each disease, it provides details on causes, clinical presentation, diagnostic evaluation, and treatment. The document contains teaching slides with images, tables, diagrams and text to comprehensively cover various pancreatic diseases for educational purposes.
Pancreatic Biliary Cancer by Dr Mahipal reddyguest407122
The document discusses pathology, risk factors, clinical presentation, diagnosis, staging, and treatment options for pancreatic cancer and cholangiocarcinoma. For pancreatic cancer, the most common type is infiltrating ductal adenocarcinoma. Risk factors include age, smoking, diabetes, and diet. Symptoms include abdominal pain and weight loss. Diagnosis involves imaging like CT/MRI and biopsy. Treatment involves surgical resection if possible or chemotherapy with gemcitabine if unresectable. For cholangiocarcinoma, risk factors include inflammation and parasites. Symptoms are usually painless jaundice. Diagnosis involves imaging and ERCP. Surgery is the main treatment if resectable but prognosis is unclear
This document summarizes various types of pancreatic tumours. It describes pancreatic ductal adenocarcinoma as the most common exocrine pancreatic cancer, accounting for 85% of cases. Risk factors and clinical features are provided. Other exocrine tumours discussed include acinar cell carcinoma, cystic pancreatic neoplasms such as microcystic cystadenoma and mucinous cystadenoma. Neuroendocrine tumours such as insulinomas are also summarized. Rare tumour types like anaplastic carcinoma, giant cell tumour and intraductal papillary mucinous neoplasms are described.
Pancreatic neuroendocrine tumors (PNETs) are rare tumors that account for 2-3% of pancreatic tumors. They are often slow growing and have a better prognosis than pancreatic ductal adenocarcinoma. PNETs express neuroendocrine markers and do not arise from islet cells, but rather from ductal stem cells. They can be functional and secrete hormones, or non-functional. Imaging plays an important role in diagnosis, staging, and monitoring treatment response according to RECIST criteria. The 7th AJCC edition incorporates PNET staging with exocrine pancreatic tumors.
The panel discussion summarized:
1) Serum amylase and lipase levels are reliable markers for acute pancreatitis during pregnancy.
2) MRCP is the best imaging modality for evaluating the bile duct for choledocholithiasis in pregnancy due to lack of radiation exposure, though EUS provides the highest accuracy.
3) Therapeutic ERCP can be performed safely in pregnancy with precautions to minimize radiation exposure to the fetus, and is safest during the second trimester.
George, a 40-year-old male with a history of chronic alcoholism and gallstones, presented with severe abdominal pain after starting sulfasalazine for ulcerative colitis. Lab results showed elevated amylase, lipase, and white blood cell count. The physician's diagnosis was acute pancreatitis, likely caused by sulfasalazine triggering the condition. Due to the severity of symptoms and lab abnormalities, the patient should be admitted to the ICU and given IV fluids, analgesics, and monitored closely for complications of acute pancreatitis.
The pancreas is a gland behind your stomach and in front of your spine. It produces juices that help break down food and hormones that help control blood sugar levels. Cancer of the pancreas is the fourth-leading cause of cancer death in the U.S.
People all over the world are increasingly connected to the internet wherever they are. But what does this mean for our future? We Are Social explores this question with 10 fresh provocations designed to inspire imagination and innovation.
Pancreatic endocrine tumors are rare, occurring in approximately 5 per 1,000,000 people per year. The most common types are insulinomas, gastrinomas, vipomas, and glucagonomas. Insulinomas typically present with hypoglycemic symptoms and are usually benign and solitary. Gastrinomas present with peptic ulcer disease and weight loss and are often malignant. Vipomas cause severe watery diarrhea and hypokalemia. Glucagonomas result in necrolytic migratory erythema, weight loss, and diabetes. Diagnosis involves laboratory tests and imaging like CT or MRI. Treatment depends on the type but may include surgery, chemotherapy, or symptom management. Progn
This document discusses the pancreas, including its blood supply, lymphatic drainage, enzymes, and various diseases. It covers congenital anomalies of the pancreas as well as acute and chronic pancreatitis. Acute pancreatitis has many risk factors and can be a serious medical emergency. Chronic pancreatitis results from longstanding pancreatic duct obstruction and has vague abdominal symptoms. The document also discusses pancreatic cysts, neoplasms, and pancreatic adenocarcinoma, the most common pancreatic cancer, which often spreads to the liver and lungs.
Acute pancreatitis is inflammation of the pancreas that results from premature activation of pancreatic enzymes. It commonly presents with severe upper abdominal pain requiring hospital admission. The pathophysiology involves release of enzymes that damage pancreatic and surrounding tissues through increased capillary permeability, cell membrane destruction, and fat necrosis. Treatment focuses on fluid management, nutritional support, pain control, and supporting other organ systems to prevent complications like respiratory failure and multi-organ dysfunction.
The document discusses pancreatic neuroendocrine tumors. It covers types like insulinomas, gastrinomas, vipomas, glucagonomas, and somatostatinomas. For each type it discusses incidence, location, clinical features, diagnostic tests, management options like surgery or medication, and prognosis. It also covers non-functional pancreatic neuroendocrine tumors and tumors associated with MEN1 syndrome. Surgical resection is the primary treatment when possible but some types are often metastatic at diagnosis.
Acute pancreatitis is a potentially lethal condition that requires careful treatment and management. It involves sudden inflammation of the pancreas that can lead to the release of digestive enzymes within the abdomen. These enzymes can damage normal tissues, especially fat, and cause inflammation. The document discusses definitions of acute pancreatitis and classifications based on severity. Mild cases involve only inflammation while more severe cases can lead to pancreatic necrosis and organ failure. Treatment depends on the classification and complications. The pathogenesis involves trypsinogen activation within pancreas cells leading to autodigestion and an inflammatory response.
The document discusses the anatomy and sonographic appearance of the pancreas. It describes the pancreas' location and relationships to nearby structures like blood vessels. The normal sonographic features include homogeneous echotexture and absence of duct dilation. Common pathologies like pancreatic cancer and pancreatitis are also summarized, noting how they can appear on ultrasound with features like duct obstruction or diffuse swelling. Ultrasound is established as a useful initial imaging method for evaluating the pancreas.
The document discusses the pancreas and insulin. It notes that the endocrine function of the pancreas is performed by clusters of cells called islets of Langerhans, which contain four main cell types that secrete different hormones. It focuses on insulin, describing its source in beta cells, chemistry, levels in plasma, synthesis, metabolism, actions in regulating carbohydrate, protein and fat metabolism, and how its secretion is regulated primarily by blood glucose levels.
The pancreas functions as both an exocrine and endocrine gland. As an exocrine gland, it produces buffers and enzymes that help digest carbohydrates, fats, and proteins in the small intestine. As an endocrine gland, it produces the hormones insulin and glucagon which regulate blood glucose levels. Diseases that can affect the pancreas and its function include diabetes mellitus, pancreatitis, and pancreatic cancer. Diabetes occurs when the pancreas does not produce enough insulin or the body does not properly use insulin.
The pancreas is an organ located in the abdomen that has both endocrine and exocrine functions. It produces hormones like insulin and enzymes that help digest food. Some diseases of the pancreas include pancreatitis, pancreatic cancer, and diabetes. The pancreas is important for regulating blood sugar levels and breaking down nutrients from food.
1. Neuroendocrine tumors (NETs) arise from neuroendocrine cells throughout the body and share features like secretory granules and hormone production. Pancreatic NETs (PNETs) comprise 1-2% of pancreatic tumors.
2. PNETs can be functional, producing symptoms from hormone hypersecretion, or nonfunctional. Major functional types are insulinomas, gastrinomas, VIPomas, and glucagonomas. Nonfunctional PNETs are usually larger and have worse prognosis than functional tumors.
3. Treatment involves surgical resection for localized disease. For advanced or metastatic disease, options include somatostatin analogs, hepatic artery embolization, targeted drugs, and
The document discusses the anatomy, physiology, histology, and various pathologies of the pancreas including acute and chronic pancreatitis, pancreatic neoplasms, and congenital abnormalities. It provides details on the etiology, pathophysiology, diagnosis, imaging, severity assessment, and differential diagnosis of acute pancreatitis. Key factors in assessing severity include clinical risk factors, scoring systems, biological markers, computed tomography severity index, and presence of necrosis.
The pancreas is a 6 inch long organ located behind the stomach that produces enzymes and hormones to regulate blood sugar. It is responsible for insulin production and plays an important role in metabolism. Risk factors for pancreatic cancer include smoking, age, gender, chronic pancreatitis, and some industrial chemicals. Alcohol consumption can also negatively impact pancreatic health.
This document summarizes Dr. Patrick Garrett's presentation on reversing type 2 diabetes through lifestyle changes in 2 months. Dr. Garrett has extensive education and experience in functional medicine and clinical nutrition. He outlines how type 2 diabetes has become an epidemic due to changes in diet and lifestyle over the past 30 years. However, type 2 diabetes is reversible by changing one's diet to a low-glycemic, whole foods diet, incorporating regular exercise, managing stress, and optimizing nutrition and inflammation levels in the body. Several case studies are presented showing patients who reversed their diabetes through these lifestyle interventions in as little as 2 months.
Pancreatic Biliary Cancer by Dr Mahipal reddyguest407122
The document discusses pathology, risk factors, clinical presentation, diagnosis, staging, and treatment options for pancreatic cancer and cholangiocarcinoma. For pancreatic cancer, the most common type is infiltrating ductal adenocarcinoma. Risk factors include age, smoking, diabetes, and diet. Symptoms include abdominal pain and weight loss. Diagnosis involves imaging like CT/MRI and biopsy. Treatment involves surgical resection if possible or chemotherapy with gemcitabine if unresectable. For cholangiocarcinoma, risk factors include inflammation and parasites. Symptoms are usually painless jaundice. Diagnosis involves imaging and ERCP. Surgery is the main treatment if resectable but prognosis is unclear
This document summarizes various types of pancreatic tumours. It describes pancreatic ductal adenocarcinoma as the most common exocrine pancreatic cancer, accounting for 85% of cases. Risk factors and clinical features are provided. Other exocrine tumours discussed include acinar cell carcinoma, cystic pancreatic neoplasms such as microcystic cystadenoma and mucinous cystadenoma. Neuroendocrine tumours such as insulinomas are also summarized. Rare tumour types like anaplastic carcinoma, giant cell tumour and intraductal papillary mucinous neoplasms are described.
Pancreatic neuroendocrine tumors (PNETs) are rare tumors that account for 2-3% of pancreatic tumors. They are often slow growing and have a better prognosis than pancreatic ductal adenocarcinoma. PNETs express neuroendocrine markers and do not arise from islet cells, but rather from ductal stem cells. They can be functional and secrete hormones, or non-functional. Imaging plays an important role in diagnosis, staging, and monitoring treatment response according to RECIST criteria. The 7th AJCC edition incorporates PNET staging with exocrine pancreatic tumors.
The panel discussion summarized:
1) Serum amylase and lipase levels are reliable markers for acute pancreatitis during pregnancy.
2) MRCP is the best imaging modality for evaluating the bile duct for choledocholithiasis in pregnancy due to lack of radiation exposure, though EUS provides the highest accuracy.
3) Therapeutic ERCP can be performed safely in pregnancy with precautions to minimize radiation exposure to the fetus, and is safest during the second trimester.
George, a 40-year-old male with a history of chronic alcoholism and gallstones, presented with severe abdominal pain after starting sulfasalazine for ulcerative colitis. Lab results showed elevated amylase, lipase, and white blood cell count. The physician's diagnosis was acute pancreatitis, likely caused by sulfasalazine triggering the condition. Due to the severity of symptoms and lab abnormalities, the patient should be admitted to the ICU and given IV fluids, analgesics, and monitored closely for complications of acute pancreatitis.
The pancreas is a gland behind your stomach and in front of your spine. It produces juices that help break down food and hormones that help control blood sugar levels. Cancer of the pancreas is the fourth-leading cause of cancer death in the U.S.
People all over the world are increasingly connected to the internet wherever they are. But what does this mean for our future? We Are Social explores this question with 10 fresh provocations designed to inspire imagination and innovation.
Pancreatic endocrine tumors are rare, occurring in approximately 5 per 1,000,000 people per year. The most common types are insulinomas, gastrinomas, vipomas, and glucagonomas. Insulinomas typically present with hypoglycemic symptoms and are usually benign and solitary. Gastrinomas present with peptic ulcer disease and weight loss and are often malignant. Vipomas cause severe watery diarrhea and hypokalemia. Glucagonomas result in necrolytic migratory erythema, weight loss, and diabetes. Diagnosis involves laboratory tests and imaging like CT or MRI. Treatment depends on the type but may include surgery, chemotherapy, or symptom management. Progn
This document discusses the pancreas, including its blood supply, lymphatic drainage, enzymes, and various diseases. It covers congenital anomalies of the pancreas as well as acute and chronic pancreatitis. Acute pancreatitis has many risk factors and can be a serious medical emergency. Chronic pancreatitis results from longstanding pancreatic duct obstruction and has vague abdominal symptoms. The document also discusses pancreatic cysts, neoplasms, and pancreatic adenocarcinoma, the most common pancreatic cancer, which often spreads to the liver and lungs.
Acute pancreatitis is inflammation of the pancreas that results from premature activation of pancreatic enzymes. It commonly presents with severe upper abdominal pain requiring hospital admission. The pathophysiology involves release of enzymes that damage pancreatic and surrounding tissues through increased capillary permeability, cell membrane destruction, and fat necrosis. Treatment focuses on fluid management, nutritional support, pain control, and supporting other organ systems to prevent complications like respiratory failure and multi-organ dysfunction.
The document discusses pancreatic neuroendocrine tumors. It covers types like insulinomas, gastrinomas, vipomas, glucagonomas, and somatostatinomas. For each type it discusses incidence, location, clinical features, diagnostic tests, management options like surgery or medication, and prognosis. It also covers non-functional pancreatic neuroendocrine tumors and tumors associated with MEN1 syndrome. Surgical resection is the primary treatment when possible but some types are often metastatic at diagnosis.
Acute pancreatitis is a potentially lethal condition that requires careful treatment and management. It involves sudden inflammation of the pancreas that can lead to the release of digestive enzymes within the abdomen. These enzymes can damage normal tissues, especially fat, and cause inflammation. The document discusses definitions of acute pancreatitis and classifications based on severity. Mild cases involve only inflammation while more severe cases can lead to pancreatic necrosis and organ failure. Treatment depends on the classification and complications. The pathogenesis involves trypsinogen activation within pancreas cells leading to autodigestion and an inflammatory response.
The document discusses the anatomy and sonographic appearance of the pancreas. It describes the pancreas' location and relationships to nearby structures like blood vessels. The normal sonographic features include homogeneous echotexture and absence of duct dilation. Common pathologies like pancreatic cancer and pancreatitis are also summarized, noting how they can appear on ultrasound with features like duct obstruction or diffuse swelling. Ultrasound is established as a useful initial imaging method for evaluating the pancreas.
The document discusses the pancreas and insulin. It notes that the endocrine function of the pancreas is performed by clusters of cells called islets of Langerhans, which contain four main cell types that secrete different hormones. It focuses on insulin, describing its source in beta cells, chemistry, levels in plasma, synthesis, metabolism, actions in regulating carbohydrate, protein and fat metabolism, and how its secretion is regulated primarily by blood glucose levels.
The pancreas functions as both an exocrine and endocrine gland. As an exocrine gland, it produces buffers and enzymes that help digest carbohydrates, fats, and proteins in the small intestine. As an endocrine gland, it produces the hormones insulin and glucagon which regulate blood glucose levels. Diseases that can affect the pancreas and its function include diabetes mellitus, pancreatitis, and pancreatic cancer. Diabetes occurs when the pancreas does not produce enough insulin or the body does not properly use insulin.
The pancreas is an organ located in the abdomen that has both endocrine and exocrine functions. It produces hormones like insulin and enzymes that help digest food. Some diseases of the pancreas include pancreatitis, pancreatic cancer, and diabetes. The pancreas is important for regulating blood sugar levels and breaking down nutrients from food.
1. Neuroendocrine tumors (NETs) arise from neuroendocrine cells throughout the body and share features like secretory granules and hormone production. Pancreatic NETs (PNETs) comprise 1-2% of pancreatic tumors.
2. PNETs can be functional, producing symptoms from hormone hypersecretion, or nonfunctional. Major functional types are insulinomas, gastrinomas, VIPomas, and glucagonomas. Nonfunctional PNETs are usually larger and have worse prognosis than functional tumors.
3. Treatment involves surgical resection for localized disease. For advanced or metastatic disease, options include somatostatin analogs, hepatic artery embolization, targeted drugs, and
The document discusses the anatomy, physiology, histology, and various pathologies of the pancreas including acute and chronic pancreatitis, pancreatic neoplasms, and congenital abnormalities. It provides details on the etiology, pathophysiology, diagnosis, imaging, severity assessment, and differential diagnosis of acute pancreatitis. Key factors in assessing severity include clinical risk factors, scoring systems, biological markers, computed tomography severity index, and presence of necrosis.
The pancreas is a 6 inch long organ located behind the stomach that produces enzymes and hormones to regulate blood sugar. It is responsible for insulin production and plays an important role in metabolism. Risk factors for pancreatic cancer include smoking, age, gender, chronic pancreatitis, and some industrial chemicals. Alcohol consumption can also negatively impact pancreatic health.
This document summarizes Dr. Patrick Garrett's presentation on reversing type 2 diabetes through lifestyle changes in 2 months. Dr. Garrett has extensive education and experience in functional medicine and clinical nutrition. He outlines how type 2 diabetes has become an epidemic due to changes in diet and lifestyle over the past 30 years. However, type 2 diabetes is reversible by changing one's diet to a low-glycemic, whole foods diet, incorporating regular exercise, managing stress, and optimizing nutrition and inflammation levels in the body. Several case studies are presented showing patients who reversed their diabetes through these lifestyle interventions in as little as 2 months.
This document outlines the course content and assignments for SCI 220 Human Nutrition. It includes discussion topics on diagnostics, Create-a-Plate activities, and a weekly exam covering chapters 1-3 on nutrition guidelines, food choices, and digestion. Students are asked to participate in online discussions by sharing their diagnostic experiences, meal plans meeting criteria like high fiber or whole grains, and resources for topics requiring further study.
The American diet is a disaster. It's the cause of many diseases. In this keynote speech, Ken Leebow provides the knowledge to assist in moving away from the Western diet.
The document discusses various topics related to health, nutrition, and weight loss. It provides quotes from experts on topics like the standard American diet being unhealthy, the role of food in chronic disease, and complexity of weight loss. It also shares tips for healthy eating like choosing whole foods, eating more plants, and focusing on satiety and taste rather than deprivation.
The document discusses the importance of health and healthy eating. It provides tips for eating more whole foods like fruits and vegetables while limiting processed foods, sugar, and unhealthy fats. Experts are quoted emphasizing that lifestyle factors like diet are major contributors to disease more so than genetics. Maintaining a healthy diet is presented as key to losing weight and improving health markers like blood pressure and cholesterol levels.
FDA 2013 Clinical Investigator Training Course: Clinical Discussion of Specia...MedicReS
FDA 2013 Clinical Investigator Training Course: Clinical Discussion of Special Populations
Ryan P. Owen, Ph.D.. Office of Clinical Pharmacology, Office of Translational Sciences,CDER
Creating Health and Balance in Today's Classroom is a three credit graduate course for teachers available from the Regional Training Center in partnership with The College of New Jersey and Gratz College in PA and MD. This PPT represents just a few highlights from the course.
For more info go to www.theRTC.net or call 800-433-4740
This document contains research conducted by Alex Walker on veganism. It includes primary research through interview questions asking people if they could live a vegan lifestyle and what appeals/doesn't appeal about being vegan. It also contains secondary research such as articles on why go vegan and the ethics of being vegan. Other research includes vegan recipes, videos promoting veganism, and an infographic on dairy industry facts. The document aims to provide information to create a leaflet promoting the positives of a vegan lifestyle and alternatives.
The pancreas is a gland behind the stomach that secretes digestive enzymes and hormones like insulin. Acute pancreatitis occurs when these enzymes become activated inside the pancreas, damaging the tissue. Risk factors include heavy alcohol use, gallstones, viral infections, medications, and genetics. Symptoms include severe abdominal pain radiating to the back along with nausea, vomiting, and fever. Treatment focuses on hospitalization, IV fluids, pain management, and sometimes surgery to remove damaged tissue.
The document discusses acute pancreatitis, including its causes, symptoms, and treatment options. It causes include alcoholism, gallstones, viral infections, medications, and trauma. Symptoms include severe abdominal pain, nausea, vomiting, and fever. Treatment involves hospitalization, IV fluids, pain medications, and sometimes surgery to remove necrotic pancreatic tissue. The document also provides information on foods that can help support a healthy pancreas and prevent acute pancreatitis.
This document discusses irritable bowel syndrome (IBS). It begins with learning objectives and facts about IBS, including that it is a chronic condition with unknown cause and lifetime prevalence over 20%. Symptoms include changes in bowel habits and abdominal pain relieved by defecation. Diagnosis is one of exclusion through ruling out other conditions. Treatment involves lifestyle changes like diet and stress management as well as pharmacological options like probiotics, fiber supplements, and antidepressants. The document concludes with a case study example of diagnosing IBS.
Case discussion is an effective way to instil biochemistry into the minds of young medical students. Here, Dr Karthikeyan discusses vitamins. Don\t forget to watch the YouTube video inside
This patient has recurrent abdominal pain or discomfort at least one day per week in the last three months associated with two or more of the following criteria: 1) related to defecation, 2) associated with a change in frequency of stool, 3) associated with a change in form (appearance) of stool. This meets the Rome IV criteria for irritable bowel syndrome.
Being courageous with caution,
resolving high risk pregnancy escalation
Women are increasingly classified as ‘high risk’ in pregnancy.
Advanced maternal age is not the only ‘cause’, as women of all ages have gastric banding and sleeving; and emotional residue of a life lived with inappropriate nutrition, inadequate sun exposure and insufficient regenerative rest as co factors.
In addition to apparent placental insufficiency and clotting factors, multiple pregnancies from assisted reproductive technologies, added to prior health problems including Stuck Blood manifestations, all leave a trail of fetal testing and scanning, medical watchful waiting and parental worry.
Past the usual expected pregnancy nausea lasting the first trimester – some women may be confronted with a grueling inability to nourish themselves, their pregnancy and their baby.
Supporting the middle heater prior to pregnancy will make all the difference. Beyond prevention, we can avert potential crises of fetal foundation failure, should a woman arrive initially with debilitating problems.
Various non-needling techniques can be employed in pregnancy with safety and great efficacy to rescue an otherwise doubtful full term pregnancy and healthy baby.
Bleeding superficial veins, cupping residual cold from the belly (remove what is stopping normal Yang Qi expression), Gua Sha techniques, sacral cupping, and deep pelvic needling plus enlisting dad’s help at home using moxa to support maternal Yang Qi, we can radically improve the Stuck Qi and Blood that may have preceded pregnancy that is now creating massive pregnancy dramas.
Extensive case histories with photographic slides of veins bled and tongues will be give, plus all working on each other.
Heather has been active in clinically pertinent acupuncture education for over 30 years. She began her healing practice in Brisbane 35 years ago, after graduating in 1979 from ACA (Syd) in Brisbane.
Heather works at the interface of causative factors in her quest for excellence both for her family and her patients, mixing biochemistry (nutrition and naturopathy) with energy techniques.
She meets the challenges of the modern world and shares them with others as her heartfelt passion.
OBESITY: the "elephant" in the global threat waiting room.Stan Curtis
Smarter-planet? city-by-city...community-by-communit ...ChooseMyPlate! The Antropocene Era reframes Malthus: its about PEOPLE & better patterns. Pareto showed us the POWER LAWS. Now better science help ChooseMyPlate (thx, DrAnn@LifeBalance)!
The document discusses the pancreas and acute pancreatitis. It provides information on the functions of the pancreas, causes of acute pancreatitis including heavy drinking and gallstones, symptoms like abdominal pain, and treatments like hospitalization, IV fluids, and surgery. It also lists foods that can help support a healthy pancreas like sweet potatoes, figs, and berries.
The document discusses veganism in the UK. It states that the number of vegans in the UK has increased 350% over the past 10 years, from 150,000 in 2006 to 542,000 currently. This rapid growth makes veganism one of the UK's fastest growing lifestyle movements. The increase is driven by young people making more ethical and compassionate choices. The CEO of The Vegan Society said it is fantastic that over half a million people in Britain are vegan and choosing not to contribute to animal suffering.
The document discusses the pancreas and acute pancreatitis. It provides information on the functions of the pancreas, causes of pancreatitis including alcohol use and gallstones, symptoms like abdominal pain, and treatments like hospitalization and stopping food/fluids. It also lists foods that can help support a healthy pancreas like sweet potatoes and figs, and provides diagrams showing the similarities between their structures and the pancreas.
The document discusses veganism in the UK. It notes that the number of vegans in the UK has increased 350% over the past 10 years, from 150,000 in 2006 to 542,000 currently. The CEO of The Vegan Society attributes this growth to people becoming aware of the health and environmental benefits of veganism as well as the treatment of animals in the meat and dairy industries. Young people aged 15-34 make up 42% of vegans, suggesting continued growth as this demographic group adopts more ethical and compassionate diets.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
2. Hi, I’m John
Photo by Chris Acuna OMG – Your Pancreas Just Texted / Page 2
3. and I am
not a doctor
Photo by flickr user trp0 OMG – Your Pancreas Just Texted / Page 3
4. I am not a hospital
administrator
Photo by Dan McCullum OMG – Your Pancreas Just Texted / Page 4
5. I have never even
seen an episode of
Grey’s Anatomy
Photo by ABC & The Walt Disney Company OMG – Your Pancreas Just Texted / Page 5
6. but I am a diabetic
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 6
7. but I am a diabetic
along with 25.8 million
other people in the U.S.
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 7
8. there are 2 types of
diabetes
type 1 diabetes requires
injected medication
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 8
9. type 2 diabetes can
be managed without
medication
most diabetics are
type 2
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 9
10. I don’t want to
make a big deal
outta this...
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 10
11. I don’t want to
make a big deal
outta this...
but we’re kinda
experts
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 11
12. take this for
example
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 12
13. you see this
salad
meatloaf
potatoes
bread
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 13
14. we see this
8 carbs
15 carbs
45 carbs
25 carbs
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 14
15. and this
8 carbs
low glycemic index
15 carbs
medium glycemic index
45 carbs
25 carbs high glycemic index
high glycemic index
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 15
16. you see dinner
salad
meatloaf
potatoes
bread
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 16
17. we see disease
8 carbs
low glycemic index
15 carbs
medium glycemic index
45 carbs
25 carbs high glycemic index
high glycemic index
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 17
18. we understand how
blood sugar should
vary over a day
Photo by flickr user MissTessmacher OMG – Your Pancreas Just Texted / Page 18
19. and we know why
lab values like an
A1c are important
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 19
20. so we’re not doctors
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 20
21. so we’re not doctors
but we’re kinda experts
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 21
22. some of us are bigger
experts than others
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 22
23. 67%
of diabetics in the
US aren’t managing
their blood sugars
Source : Adults in the US above A1C goal of 6.5%, “State of Diabetes in America.”
AACE, 2005
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 23
24. that leads to a shorter
life and unpleasant
complications
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 24
25. we could blame it
on them
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 25
26. we could blame it
on them
we could say they’re
lazy or aren’t trying
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 26
27. we could blame it on
all 17 million who are
having problems
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 27
28. but that’s too
many people
having problems
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 28
29. but that’s too
many people
having problems
something is wrong
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 29
30. this is
Don Norman
he wrote The Design of
Everyday Things
Photo by Peter Belanger OMG – Your Pancreas Just Texted / Page 30
31. “When people
have trouble with
something, it isn’t
their fault—it’s the
fault of the design.”
Donald A. Norman
Photo by Peter Belanger OMG – Your Pancreas Just Texted / Page 31
32. the system has a
problem and it’s
time to fix it
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 32
33. 133 million
adults in the US
have at least one
chronic disease
Source : Centers for Disease Control and Prevention. Chronic Disease Overview page.
Available at: http://www.cdc.gov/nccdphp/overview.htm. Accessed January 10, 2011
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 33
34. each year chronic
disease costs the U.S.
1.3 billion
Source : “The Economic Burden of Chronic Disease on The United States.”
Milken Institute, October 2007.
Photo by David Beyer OMG – Your Pancreas Just Texted / Page 34
35. and each year
chronic disease is
responsible for
7 out of 10 deaths
Source : Kung HC, Hoyert DL, Xu JQ, Murphy SL. Deaths: Final Data for 2005.
National Vital Statistics Reports, 2008. http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf
Photo by D Sharon Pruitt OMG – Your Pancreas Just Texted / Page 35
36. can technology
help us manage
chronic disease?
Photo by Jay Reed OMG – Your Pancreas Just Texted / Page 36
37. can technology
help us manage
chronic disease?
something has to
Photo by Jay Reed OMG – Your Pancreas Just Texted / Page 37
38. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 38
39. doctors like to
talk about this
Photo by Kevin Walsh OMG – Your Pancreas Just Texted / Page 39
40. about how this
Photo by Abhishek Jacob OMG – Your Pancreas Just Texted / Page 40
41. is affected by that
Photo by Aki Hanninen OMG – Your Pancreas Just Texted / Page 41
42. in 21 minute
segments we talk
about our health
Source : “Primary Care Visit Duration and Quality.”
Archives of Internal Medicine. 2009;169(20):1866-1872.
Photo by Judy Baxter OMG – Your Pancreas Just Texted / Page 42
43. but the rest of
the time we’re
on our own
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 43
44. choosing whether
or not to order a
sugary drink
Photo by Phil Gyford OMG – Your Pancreas Just Texted / Page 44
45. or eat any of the
bread served
with dinner
Photo by Alan Chan OMG – Your Pancreas Just Texted / Page 45
46. doctors aren’t there
for any of that
Photo by flickr user larique OMG – Your Pancreas Just Texted / Page 46
47. i’m not saying
that doctors aren’t
important
Photo by flickr user larique OMG – Your Pancreas Just Texted / Page 47
48. doctors fill a vital
role, they diagnose
and prescribe
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 48
49. doctors fill a vital
role, they diagnose
and prescribe
but that isn’t enough
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 49
50. patients aren’t happy,
and aren’t doing well
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 50
51. patients aren’t happy,
and aren’t doing well
remember the 67%
that’s having trouble
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 51
52. 31% of diabetic 45 – 54
year olds in the US
are dissatisfied with
their medication
regimen
Source : Satisfaction with medication regimen, “Diabetics: Attitudes and Behaviors – US.”
Mintel, May 2010. Base : Internet users aged 18+ who have diabetes by gender and age.
.
Photo by flickr user webgrl OMG – Your Pancreas Just Texted / Page 52
53. 57% of diabetic 45 – 54
year olds in the US
are dissatisfied
with their diet or
eating plan
Source : Satisfaction with diet/eating plan, “Diabetics: Attitudes and Behaviors – US.”
Mintel, May 2010. Base : Internet users aged 18+ who have diabetes by gender and age.
.
Photo by Wally Hartshorn OMG – Your Pancreas Just Texted / Page 53
54. 64% of diabetic 45 – 54
year olds in the US
are dissatisfied
with their exercise
schedule
Source : Satisfaction with exercise schedule, “Diabetics: Attitudes and Behaviors – US.”
Mintel, May 2010. Base : Internet users aged 18+ who have diabetes by gender and age.
Photo by flickr user yuan2003 OMG – Your Pancreas Just Texted / Page 54
55. 57% 64%
31%
Photo by Till Westermayer OMG – Your Pancreas Just Texted / Page 55
56. it’s the two things
doctors can’t write
prescriptions for...
that patients are
having problems with
Photo by Chris Riebschlager OMG – Your Pancreas Just Texted / Page 56
57. turns out that saying
“Eat better and
exercise” isn’t working
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 57
58. and I don’t think we
ever thought it would
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 58
59. but it’s those 2 things
that are most effective
preventing diabetes
Photo by Chris Riebschlager OMG – Your Pancreas Just Texted / Page 59
60. 58% reduction for those
using diet & exercise
diet and exercise
reduce the chance of
developing type 2
Source : DPP, February 2002. Base : Overweight adults with impaired glucose tolerance.
Photo by flickr user webgrl OMG – Your Pancreas Just Texted / Page 60
61. 58% reduction for those
using diet & exercise
diet and exercise
reduce the chance of
developing type 2
Source : DPP, February 2002. Base : Overweight adults with impaired glucose tolerance.
31% reduction for those
taking medication
Photo by flickr user webgrl OMG – Your Pancreas Just Texted / Page 61
62. the system isn’t
supporting those
lifestyle changes
Photo by Seattle Municipal Archives OMG – Your Pancreas Just Texted / Page 62
63. patients need to
be educated
Photo by Ruth Rogers OMG – Your Pancreas Just Texted / Page 63
64. doctors have tried a
few different things
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 64
65. 1/5 physicians use
group visits to educate
their patients
Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with
chronic conditions.” Center for Studying Health System Change, December 2009.
Photo by Andrew Forgrave OMG – Your Pancreas Just Texted / Page 65
66. 1/2 physicians use
nonphysician educators
Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with
chronic conditions.” Center for Studying Health System Change, December 2009.
Photo by flickr user CarynNL OMG – Your Pancreas Just Texted / Page 66
67. 3/4 physicians hand
out pamphlets
Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with
chronic conditions.” Center for Studying Health System Change, December 2009.
Photo by Justin O’Neill OMG – Your Pancreas Just Texted / Page 67
68. 3/4 physicians hand
out pamphlets
Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with
chronic conditions.” Center for Studying Health System Change, December 2009.
patients do not
need pamphlets
Photo by Justin O’Neill OMG – Your Pancreas Just Texted / Page 68
69. patients need
something motivating
and personable
Photo by Pewari Naan OMG – Your Pancreas Just Texted / Page 69
70. they need something
easy to expand to
people everywhere
Photo by Tim Moreillon OMG – Your Pancreas Just Texted / Page 70
71. patients need each
other
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 71
72. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 72
73. okay, so web 2.0
to save the day
Photo by Hans Põldoja OMG – Your Pancreas Just Texted / Page 73
74. okay, so web 2.0
to save the day
again
Photo by Hans Põldoja OMG – Your Pancreas Just Texted / Page 74
75. Photo by B Zedan OMG – Your Pancreas Just Texted / Page 75
76. it’s not much of a
stretch for these
patients
Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 76
77. 83% of internet users with
a chronic disease
have looked
online for health
information
Source : Health Information is a Popular Pursuit Online, “Health Topics.”
Pew Internet, February 2011. Base : U.S. internet users aged 18+
Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 77
78. 57% of e-patients with
a chronic disease
are looking at user-
generated health
information
Source : Use of Internet to gather Health Information, “Chronic Disease and the Internet.”
Pew Internet, March 2010. Base : U.S. internet users aged 18+
Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 78
79. there are some pretty
inspiring examples
Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 79
80. people are sharing
information
http://en.wheelmap.org/ OMG – Your Pancreas Just Texted / Page 80
86. there are a lot of
tools for diabetics
too
Photo by Jeff Vogt OMG – Your Pancreas Just Texted / Page 86
87. most of them seem
to focus on charts
and graphs
iPhone Apps : Diabetes Diary, Blood Sugar Diabetes Control OMG – Your Pancreas Just Texted / Page 87
88. testing blood sugar
and monitoring food
intake is important
iPhone Apps : Diabetes Manager, BGluMon OMG – Your Pancreas Just Texted / Page 88
89. but the charts and
graphs we end up
with aren’t
iPhone Apps : Diabetes Plus, Easy Diabetes OMG – Your Pancreas Just Texted / Page 89
90. patients end up
focusing on numbers
iPhone Apps : Vree For Diabetes, UTS Diabetes OMG – Your Pancreas Just Texted / Page 90
91. and not on the
behaviors that create
those numbers
iPhone Apps : Bant, Glucose Charter OMG – Your Pancreas Just Texted / Page 91
92. these siloed tools
are missing an
even bigger point
iPhone Apps : Diamedic, Glucose Buddy OMG – Your Pancreas Just Texted / Page 92
93. Photo by Steven Yeh OMG – Your Pancreas Just Texted / Page 93
94. Photo by Marieke Kuijjer OMG – Your Pancreas Just Texted / Page 94
95. you get the idea
Photo by flickr user BenSpark OMG – Your Pancreas Just Texted / Page 95
96. they’re missing
other people
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 96
97. being surrounded by a
culture of self-care is
the best way to change
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 97
98. that’s what makes
Weight Watchers work
Photo by Brian Rutledge OMG – Your Pancreas Just Texted / Page 98
99. and Alcoholics
Anonymous
Photo by Marius Watz OMG – Your Pancreas Just Texted / Page 99
100. these programs
don’t just work,
they work better
Source : “Weight loss with self-help compared with a structured commercial program: a randomized trial.”
New York Obesity Research Center, 2003. http://www.ncbi.nlm.nih.gov/pubmed/12684357
Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 100
101. it’s hard to reinvent
your life and habits
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 101
102. it’s hard to reinvent
your life and habits
especially when it
feels like no one else is
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 102
103. having supporters
doesn’t just make
change easier
Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 103
104. 50%
lower chance to have
another heart attack if
you have close friends
*Proven only for the year after first heart attack
Source : “Heart attack survivors half as likely to suffer further attacks if they have love and friends.”
Medical News Today, April 2004. http://www.medicalnewstoday.com/articles/7280.php
Base : Adults who had a heart attack within a year of the study
Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 104
105. diabetics have tried
to form their own
communities
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 105
106. on places like
twitter
http://twitter.com/#search?q=%23bgnow OMG – Your Pancreas Just Texted / Page 106
111. patients are
validating each other
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 111
112. user forums also have
a lot of helpful info
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 112
113. it’s where you
learn what to do
about this
Photo by Emilie Hardman OMG – Your Pancreas Just Texted / Page 113
114. and how to find
room for a glucose
tester on that
Photo by flickr user mayhem OMG – Your Pancreas Just Texted / Page 114
115. but it’s a little
bit like the wild
wild west
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 115
116. patients have to
sift through to find
meaningful content
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 116
118. 8% of internet users with
a chronic disease
participate in
online support
groups or forums
Source : Use of Online Support Groups, “Chronic Disease and the Internet.”
Pew Internet, March 2010. Base : U.S. internet users aged 18+
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 118
119. 8% of internet users with
a chronic disease
participate in
online support
groups or forums
Source : Use of Online Support Groups, “Chronic Disease and the Internet.”
Pew Internet, March 2010. Base : U.S. internet users aged 18+
we can do better
than that
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 119
120. we need to remake
the tools that manage
diabetes
Photo by Jeff Vogt OMG – Your Pancreas Just Texted / Page 120
121. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 121
122. if diabetes is being
managed well
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 122
123. if diabetes is being
managed well
it needs to be
managed all
day long
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 123
124. it also has to be
managed forever
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 124
125. well, as many of
you know, forever
is a long time
Photo by Diane Hammond OMG – Your Pancreas Just Texted / Page 125
126. 95%
of blogs have been
abandoned
Source : http://www.nytimes.com/2009/06/07/fashion/07blogs.html
http://pasta.blogspot.com/ OMG – Your Pancreas Just Texted / Page 126
128. 65%
of this audience has
already broken their
new years resolutions
Photo by Amodiovalerio Verde OMG – Your Pancreas Just Texted / Page 128
129. 65%
of this audience has
already broken their
new years resolutions
i made that one
up but it sounds
totally believable
Photo by Amodiovalerio Verde OMG – Your Pancreas Just Texted / Page 129
130. people have
trouble managing
forever
Photo by flickr user abrinsky OMG – Your Pancreas Just Texted / Page 130
131. that’s why we have
phrases like one
day at a time
Photo by Rosa Say OMG – Your Pancreas Just Texted / Page 131
132. that’s why we have
phrases like one
day at a time
again, like Weight
Watchers or AA
Photo by Rosa Say OMG – Your Pancreas Just Texted / Page 132
133. and take it
step by step
Photo by ‘Step by Step’, Intro Credits of the Television Show OMG – Your Pancreas Just Texted / Page 133
134. management has
to be broken into
steps to work
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 134
135. some colleagues
and I have made
some first steps
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 135
136. we realized
three key things
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 136
137. we realized
three key things
patients are
isolated
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 137
138. we realized
three key things
patients are the current
isolated solutions
are clinical
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 138
139. we realized
three key things
patients are the current forever is
isolated solutions really hard
are clinical
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 139
140. we’ve created a concept
that attempts to address
these problems
patients are the current forever is
isolated solutions really hard
are clinical
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 140
141. your doctor can’t
come with you,
but your phone
can
create a “new
normal” with
a community
invested in better
self-care
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 141
142. our categories
are based upon
the things that
people already
talk about
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 142
143. you’re presented
with faces, not
with numbers
focused on
behavior moving
forward, not
looking back
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 143
144. a micro-network,
full of people
in similar
situations
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 144
145. commiseration
is an important
part of dealing
with diabetes
users prompted
to share the
situation behind
the sugars
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 145
146. users can gather
support to help
them get back on
track
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 146
147. achievable
goals offer more
rewards more
frequently
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 147
148. provides ideas
and encourages
snacking
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 148
149. allows users to
find the small
changes that can
fit in their lives
now, today
managing
diabetes forever
is too hard,
managing it
today we can do
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 149
150. users are
reminded that
they’re never
doing this alone
updating is
quick
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 150
151. celebrate
the small
victories that
lead to better
management
days aren’t open
ended, a user
can be “done”
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 151
152. the emotion is
what motivates
updates, but
the data is still
important
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 152
153. quickly compare
a week’s blood
sugar average
with activity
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 153
154. mini-goals ground
conversations in
what daily life is
really like
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 154
155. it’s just an idea, a step
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 155
156. it’s just an idea, a step
but that’s how you
start difficult things
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 156
157. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 157
158. we mostly talked
about type 2
diabetics today
Photo by Adrian Black OMG – Your Pancreas Just Texted / Page 158
159. we mostly talked
about type 2
diabetics today
they need more
tools, better tools
Photo by Adrian Black OMG – Your Pancreas Just Texted / Page 159
160. but there are patients
with heart disease too
Photo by flickr user illicit_monkey OMG – Your Pancreas Just Texted / Page 160
161. but there are patients
with heart disease too
and Crohn’s
Photo by flickr user illicit_monkey and Bryan Costin OMG – Your Pancreas Just Texted / Page 161
162. but there are patients
with heart disease too
and Crohn’s and
arthritis
Photo by flickr user illicit_monkey, Bryan Costin and Henry M. Diaz OMG – Your Pancreas Just Texted / Page 162
163. but there are patients
with heart disease too
and Crohn’s and
arthritis and MS
Photo by flickr user illicit_monkey, Bryan Costin, Henry M. Diaz and flickr user theqspeaks OMG – Your Pancreas Just Texted / Page 163
164. 45% of the U.S.
population
lives with at least
one chronic disease
Source : Center for Studying Health System Change, 2009.
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 164
165. 45% of the U.S.
population
lives with at least
one chronic disease
Source : Center for Studying Health System Change, 2009.
nearly 1 in 2 people
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 165
166. we need to create new
solutions, new tools
Photo by Jeff Vogt OMG – Your Pancreas Just Texted / Page 166
167. the way things worked
relied on appointment
based care
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 167
168. but chronic diseases
require a lot more
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 168
169. but chronic diseases
require a lot more
patients have to
manage their
disease every day
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 169
170. so patients need
a tool that is with
them every day
Photo by Farid Iqbal Ibrahim OMG – Your Pancreas Just Texted / Page 170
171. so patients need
a tool that is with
them every day
every moment
Photo by Farid Iqbal Ibrahim OMG – Your Pancreas Just Texted / Page 171
172. mobile phones
are already there
Photo by Wade Morgen OMG – Your Pancreas Just Texted / Page 172
173. mobile phones
are already there
and more people
use them to go
online each year
Photo by Wade Morgen OMG – Your Pancreas Just Texted / Page 173
174. 13%
more are online
with their phones
than last year
Source : Mobile Access 2010, “The use of non-voice data applications has grown significantly over the last year”
Pew Internet, July 2010. Base : Cell Phone Owners
http://pewinternet.org/Reports/2010/Mobile-Access-2010.aspx
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 174
175. we could continue to
deliver care three or
four times a year
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 175
176. or, we could offer
it continuously and
conveniently
Photo by Wade Morgen OMG – Your Pancreas Just Texted / Page 176
177. let’s make mobile
health solutions a
priority
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 177
178. problems
The current model There is a clinical
of care doesn’t emphasis on disease
support patients and numbers,
who must manage rather than on
chronic disease daily. lifestyle and patients.
Stigma or isolation
forces patients to
attempt behavioral
changes on their
own.
OMG – Your Pancreas Just Texted / Page 178
179. fixes
Add ontop of Facilitate the
appointment based discussions patients
care a continuous are already having.
‘soft touch’ using (Just make doing it
mobile. easier.)
Recording behavior Place the emphasis
and medication is a on bite-sized,
lot more interesting daily goals to help
if it’s social, rooted maintain patient
in emotion. engagement.
OMG – Your Pancreas Just Texted / Page 179
180. Kjell Reigstad
Libby Groettum
Kim Cortese
Michael Harper
Bryan Hamilton
Elliott Trice
Katy Thorbahn
Photo by Jeramey Jannene OMG – Your Pancreas Just Texted / Page 180
181. d
OM G – My Pancreas Just Texte
John Pettengill
Razorfish
Photo by Ethan Lofton OMG – Your Pancreas Just Texted / Page 181