Podcasts about onychomycosis

Onychomycosis is not an urgent condition, but it can present through urgent care.    Check out the recent BPAC page, reviewed by Prof Amanda Oakley     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Dermatophytomas in onychomycosis: a scoping review of prevalence, diagnosis, and treatment. Lipner SR, Vlahovic T, Ghannoum MA, Elewski B, Joseph WS. Journal of the American Podiatric Medical Association. 2024 Mar 1;114(2).Assessing risk amid uncertainty inside and outside the dermatology clinic. Vanderweil SG, Yang C, Pagani K, Chuprin J, Bernhard J, Harris JE. JAAD. 2023 Jul 1;89(4):864.

PodChatLive 145: Why can't Ian pronounce Dermatoscopy, treating plantar warts, and orthotic deformation testing Contact us: getinvolved@podchatlive.com Links from today's episode: Nike CEO's LinkedIn profile Reliability and Validity of the Orthotic Deformation Test Cantharidin (1%), podophyllin (5%), and salicylic acid (30%) formulation in recalcitrant plantar warts Diagnostic Accuracy of Dermatoscopy Versus Microbiological Culture and Polymerase Chain Reaction in the Diagnosis of Onychomycosis

PodChatLive 144: Does RED-S exist, plantar fascia stiffness, and onychomycosis treatment alongside nail polish Contact us: getinvolved@podchatlive.com Links from this episode: Concealing Meets Healing in the Treatment of Toenail Onychomycosis: A Review of Concurrent Nail Polish Use With Topical Efinaconazole 10% Solution Efficacy and tolerability of extracorporeal shock wave therapy in patients with plantar fasciopathy: a systematic review with meta-analysis and meta-regression Plantar Fascia Thickness and Stiffness in Healthy Individuals vs Patients With Plantar Fasciitis Does Relative Energy Deficiency in Sport (REDs) Syndrome Exist?

If you're dealing with candida, you understand the time and effort it takes to get it under control. Luckily, we've compiled some key facts, causes and myths about treatment that many don't know,  which may boost your healing! Listen now!   Timestamps: 00:00 Intro 01:13 Key symptoms 04:24 How common is it? 05:28 Treatment difficulties 09:39 Fatigue & brain fog 11:30 Testing 16:46 Treatment options 22:52 Die-off

This episode dives into Onychomycosis, commonly known as nail fungus. We'll explore how these fungi affect your toenails, causing discoloration, thickening, and crumbling. Don't worry! We'll cover various treatment options, from topical solutions to oral medications, and even laser treatments. Plus, get tips on preventing nail fungus through good foot hygiene. Join Dr. Niket Sonpal, he'll help you tackle onychomycosis and reclaim your healthy toenails. July 8, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

Effects of additional oral fosravuconazolel-lysine ethanolate therapy following inadequate response to initial treatment for onychomycosis: A multicenter, randomized controlled trial. Naka W, TsunemiY. The Journal of Dermatology. 2024 Mar 14.Total Chemical Matricectomy with 88% Phenol: A Prospective Case Series of 37 Patients. Matter A, Di ChiacchioNG, IorizzoM, Di ChiacchioN. Dermatologic Surgery. 2024

Join us as we go through the JEADV Editor's Picks of March 2024: (1) Reasons for Failure of Scabies treatment in traditional French Guiana communities (2) A neglected Onychomycosis (3) Long-term control of severe Alopecia Areata with Jak Inhibitors in sight (4) Progress in assessing Hidradenitis Suppurativa severity   Read the Editor's Picks here: https://onlinelibrary.wiley.com/doi/10.1111/jdv.19789   Link to video version: https://www.youtube.com/playlist?list=PL2DbuyADMP5mFx4sZqS_vQtdTGOGIbwb1   You are invited to participate in our survey to improve the show. Your feedback is valued and appreciated to allow us to better serve our audience: https://eadv.org/eadv-podcast-survey/

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Onychomycosis ⁠⁠⁠from the Dermatology section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

This week, Kate, Mark, Gary and Henry discuss viral loads and risk of HIV transmission, tetracyclines and dental staining in kids, metformin to prevent long COVID in obese and overweight adults, and the effectiveness of terbinafine pulse therapy for ugly toenails

"Distinct patient characteristics and pathogenesis of fingernail only vs. fingernail and toenail onychomycosis in a retrospective single-centre academic study." Miller, Rhiannon C., and Shari R. Lipner. Journal of the European Academy of Dermatology and Venereology (2022)."DNA damage and somatic mutations in mammalian cells after irradiation with a nail polish dryer." Zhivagui, Maria, et al., Nature Communications 14.1 (2023): 276.

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"Topical cyclosporine hydrogel preparation: A new therapeutic option in the treatment of nail psoriasis." Gallo, Giuseppe, et al. Dermatologic Therapy (2022): e15917."Strategies for the Enhancement of Nail Plate Permeation of Drugs to Treat Onychomycosis." Gupta, Aditya K., et al. Journal of the European Academy of Dermatology and Venereology (2022).

Episode 21 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:"The March Against Onychomycosis: A Systematic Review of the Sanitization Methods for Shoes, Socks, and Textiles." Gupta, Aditya K., Aaron J. Simkovich, and Deanna C. Hall. Journal of the American Podiatric Medical Association 112.4 (2022)."Improvement of pterygium inversum unguis and Raynaud phenomenon with interdigital botulinum toxin injections." Kim, Daniel J., and Ian D. Odell. JAAD Case Reports 26 (2022): 79-81.

Episode 19 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:"Opportunities to improve guideline adherence for the diagnosis and treatment of onychomycosis: analysis of commercial insurance claims data, United States.” Gold, Jeremy AW, et al. Journal of the American Academy of Dermatology (2022): S0190- 9622."Twitter as a tool for nail education." Nickles, Melissa A., et al. JAAD international 8 (2022): 64-65."Characteristics, Associated Diseases, and Management of Gram negative Toe-web Infection: A French Experience." Goiset, Anne, et al. Acta Dermato-Venereologica 99.12 (2019)

Dystrophic toenails are a common presenting concern in a podiatric practice. In this episode, Dr. Nicole DeLauro shares her insights on diagnostic and therapeutic pathways to address this condition.

Episode 62: Onychomycosis (nail fungus). Future doctors Gabrielle and Jeanette discuss with Dr Arreaza the diagnosis and treatment of onychomycosis, AKA nail fungus.By Gabrielle Robinson, MS3, and Jeanette Adereti, MS3Ross University School of MedicineFacilitated by Hector Arreaza, MDThis is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.What is onychomycosis?-Onychomycosis is a fungal infection that resides in the finger and toenails. The nails become discolored, have onycholysis (painless separation of nail bed), splitting of nail bed, thickened. There are various causes of onychomycosis and examples include the following: dermatophytes, yeast, non-dermatophyte molds.-Onychomycosis occurs in 10% of the general population. Microbiology:Dermatophytes such as Tinea rubrum, account for most onychomycosis infections (~60-70%) while candida account for most of yeast causes of onychomycosis. Non-dermatophyte molds include fusarium, aspergillus, acremonium, scytalidium, Scopulariopsis brevicaulis. The type of organism involved has an association for the type of infection it causes. Yeast infects fingernails preferentially while the dermatophytes prefer to infect toenails. Diagnostic testing including culture, KOH preparation and PAS staining can help with confirming fungal infection, but culture not required for empiric treatment with oral terbinafine. Severity of onychomycosis:-Mild-moderate: ≤50 percent involvement of the nail and sparing the matrix/lunula-Moderate-severe: involving >50 percent of the nail or involving the matrix or lunula, including further spread throughout nail.-It's common to have multiple nails affected at the same time. Toenails and fingernails can both be affected. Remember to check all nails in your patients. Nails can show signs of local but also systemic diseases. Risk factors:-Health conditions: Diabetes, immune suppression, venous insufficiency, peripheral artery disease, or even just having slow growth of the nails. This makes sense because there is decreased blood flow to those areas resulting in decreased immune surveillance of that area. Patient s with PAD are at risk for onychomycosis. Nails normally grow slower in male. Hormones play a role in that growth.-Exposure: smoking, trauma to the nail, sports, wearing sweaty shoes, being barefoot in communal areas such as swimming pools, college showers, jail house showers, and gyms.-Dermatological diseases: tinea pedis (athletes' foot), excessively sweaty hands (hyperhidrosis), psoriasis-Other factors: old age, having family members whom the patient shares a living space with, bunion (hallux valgus). Effects on mental healthUnfortunately, the infection takes a toll on the patient because the infection is unsightly it results in psychosocial disturbances. The patients may not want to wear sandals, get pedicures, or shower during gym class if they are school age. These types of feelings can cause patients to not want to go to work or do things they enjoy due to feelings of embarrassment. ManagementTreatment of dermatophyte onychomycosis is guided by causative organism, severity, treatment availability, and cost.Oral agents-Oral treatment is generally the gold-standard for onychomycosis due to shorter course and greater efficacy compared to topical. -Oral terbinafine is the preferred oral agent. Itraconazole can be used in patients not able to tolerate/respond to terbinafine.-Terbinafine and itraconazole both work by blocking important enzymes in fungal synthesis.-A randomized double-blind trial showed that terbinafine is more effective outcomes and better long-term cure rates than itraconazole.-Adult dosing of terbinafine: fingernail onychomycosis =250 mg per day for 6 weeks. Toenail onychomycosis= 250 mg per day for 12 weeks.-Some side effects of oral terbinafine include headache, dermatitis, GI distress, taste disturbances, and liver enzyme abnormalities. Adverse effects of Itraconazole include headache, GI disturbances, liver enzyme abnormalities.-In patients receiving continuous therapy, monitoring of transaminase levels is typically performed at baseline and repeated at six weeks if therapy will continue beyond six weeks. A medication interaction check is recommended before starting treatment with oral agents. -Mycotic cure rates of 76% for terbinafine, 63% for itraconazole with pulse dosing, 59% for itraconazole with continuous dosing, and 48% for fluconazole, topical cure rate is about 40%.-Recurrence of infection ranges 10-50% (reinfection or persistent infection). Patients need to wait for up to 1 year to see full effect of treatment. Treatment is highly recommended in patients with diabetes, treatment in other patients is cosmetic.CompliancePatient compliance is difficult because while taking oral medications, you cannot drink alcohol, and this becomes a problem due to the length of the treatment.Topical agents-Efinaconazole, Amorolfine, Tavaborole, Ciclopirox-Patients who have contraindications to systemic antifungal therapy, who are at risk for drug-drug interactions with systemic antifungal drugs, or who prefer to avoid systemic treatment can be treated with topical therapy. Similarly, to oral agents, these medications work by blocking important processes in fungal synthesis. These agents come in solutions or nail lacquer. Possible side effects include local skin irritation or ingrown nails.Alternatives-Less common therapeutic interventions for onychomycosis include oral antifungal agents other than terbinafine and itraconazole, laser therapy, photodynamic therapy, and surgical nail removal.-Patients with pain or discomfort from infected nails may benefit from removal of hyperkeratotic nail debris. Application of topical urea under occlusion can help with debridement of the nail and symptom improvement.-Recurrence after treatment of onychomycosis is common.Prevention:Now that we have gone over a lot of material about onychomycosis, we should discuss how we can prevent these types of infections from occurring.  Having good “foot hygiene” can help reduce the of infection and re-infection.Wash your hands and feet frequently, especially after encountering someone who is infected.  Clip nails straight across and file afterward making sure to sterilize clippers before and after each use.  Do not share nail clippers with others.If you have a history of sweaty feet, consider using sweat absorbing socks or wearing “breathable shoes” to prevent sweat from accumulating.Throw out old shoes or disinfect them using antifungal powders.Wear sandals in communal shower areas and at the pool.Pay attention to the cleanliness of your nail salon.Joke: Do you want to know how a person with toenail fungus feels? Just step into their shoes.Conclusion: Now we conclude our episode number 62 “Onychomycosis (nail fungus).” Future doctors Robinson and Adereti gave a very good summary about symptoms, diagnosis, and treatment of this common infection. Remember, not all patients need to be treated, but patients with diabetes or other risks are highly encouraged to receive treatment to prevent future complications. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Gabrielle Robinson, and Jeanette Adereti. Audio edition: Suraj Amrutia. See you next week!__________________________References: Goldstein, Adam O et al, Onychomycosis: Epidemiology, clinical features, and diagnosis, Up to Date, last updated: Apr 30, 2019. https://www.uptodate.com/contents/onychomycosis-epidemiology-clinical-features-and-diagnosis?search=onychomycosis&source=search_result&selectedTitle=2~92&usage_type=default&display_rank=2. Bai, Jennifer, MD, Consult Corner: Laceration through the nail bed, American Society of Plastic Surgeons, January 1, 2020. https://www.plasticsurgery.org/for-medical-professionals/publications/plastic-surgery-resident/news/consult-corner-laceration-through-the-nail-bed. Goldstein, Adam O et al, Onychomycosis: Management, Up to Date, last updated: Nov 20, 2020. https://www.uptodate.com/contents/onychomycosis-management?search=onychomycosis&source=search_result&selectedTitle=1~92&usage_type=default&display_rank=1. Rodgers P, Bassler M. Treating onychomycosis. Am Fam Physician. 2001 Feb 15;63(4):663-72, 677-8. Erratum in: Am Fam Physician 2001 Jun 1;63(11):2129. PMID: 11237081. https://www.aafp.org/afp/2001/0215/p663.html. Mayo Clinic, Patient and Health Information, Nail Fungus, https://www.mayoclinic.org/diseases-conditions/nail-fungus/symptoms-causes/syc-20353294

Episode 7 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:Colunga-Pedraza IJ et al. Nail involvement in psoriatic arthritis patients is an independent risk factor for carotid plaque. Annals of the Rheumatic Diseases Published Online First: 24 June 2021.Gupta AK et al. Terbinafine 10% solution (MOB-015) in the treatment of mild to moderate distal subungual onychomycosis: A randomized, multicenter, double-blind, vehicle-controlled phase 3 study. J Am Acad Dermatol. 2021;85(1):95-104.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-222   Overview: Join us for this episode as we discuss a recent Cochrane review of the safety and effectiveness of topical treatments for toenail onychomycosis, and review when and how to prescribe these agents for patients.   Episode resource links: Topical and device-based treatments for fungal infections of the toenails. Cochrane Database Syst Rev. 2020; (1): CD012093 Guest: Robert A. Baldor MD, FAAFP   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-222   Overview: Join us for this episode as we discuss a recent Cochrane review of the safety and effectiveness of topical treatments for toenail onychomycosis, and review when and how to prescribe these agents for patients.   Episode resource links: Topical and device-based treatments for fungal infections of the toenails. Cochrane Database Syst Rev. 2020; (1): CD012093 Guest: Robert A. Baldor MD, FAAFP   Music Credit: Richard Onorato

Dr. Julie Grundberg discusses Plantar Fasciitis, Onychomycosis, Bunions, and Morton's Neuroma. Plantar Fasciitis is a common cause of heel pain involving inflammation of a thick band of tissue on the bottom of your foot connecting the heel bone to your toes. Onychomycosis is a fungal infection of the nails that causes thickening and separation from the nail bed. Bunions are a bump that forms on the joint at the base of the big toe when the big toe pushes against the second toe. Morton’s Neuroma is the thickening of the tissue around a nerve leading to the toes. About Julie Grundberg, DPM Dr. Julie Grundberg is a Des Moines native. After graduating from Dowling and Drake, she received her medical education and joined the DMOS team in 2000. Dr. Grundberg specializes in all foot and ankle injuries which includes but is not limited to ulcers, warts, plantar fasciitis, diabetic nail care, ingrown toenails, and other athletic injuries. Outside of her passion for helping others get back onto their feet, Dr. Grundberg enjoys recreational activities such as snow and water skiing, boating, and traveling with her family. This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.

Episode 4 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:Review of COVID-19 – related nail changes- visit www.nailexperts.org to access list of articlesHan et al. Deep neural networks show an equivalent and often superior performance to dermatologists in onychomycosis diagnosis: Automatic construction of onychomycosis datasets by region-based convolutional deep neural network. PloS one 13.1 (2018): e0191493.

Episode 2 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:Iorizzo et al. Isolated nail lichen planus: An expert consensus on treatment of the classical form. J Am Acad Dermatol 2020 Dec;83(6):1717-1723.Stewart et al. Effect of onychomycosis and treatment on patient-reported quality-of-life outcomes: A systematic review. J Am Acad Dermatol 2020 [Online Head of Print]

Dr. Ebell and Dr. Wilkes discuss the POEM titled ' Terbinafine and itraconazole are most effective for toenail onychomycosis '

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Donna: Hello Dr. Cabral Team,I just had a consultation call with Erica and already sent an email of questions; I didn't want to over do it but I have just a few more. I'm about to start the CBO protocol and wanted to know if it is allowed to wash my greens in vinegar water if rinsed well? Also, is it okay to add pure cocoa powder to the morning nutritional support shake during the protocol?Respectfully, Donna C Monique: Hello, when I was 16, I was diagnosed with rheumatic fever- which enlarged my heart. However, my heart eventually went back to size. Fast forward to my early 30's where I was diagnosed with RA. I tried a lot of natural remedies including raw vegan but eventually it got so bad that I was hospitalized. Therefore, I saw a conventional doctor and have been on traditional RA meds since. Fast forward again to my 40s, a little after a year of having my first child, I was diagnosed with PH/PAH. I was told I have a lot of connective tissue that leans heavily on RA but I do have the RNP gene that connects Lupus to PH. With PH - in addition to pills, I have an IV drug that pumps into my heart 24/7. My question is, considering PH is a terminal condition that "doesn't have a cure" and it only affects 10% of people in the world, how can your program assist me?Thank you! Leah: I am a student of the IHP course. I am nearly done with level 1 and looking forward to level 2! I am a 42 yo mother of six with a history of EBV and early Hashimotos, which I healed through functional medicine testing and protocols. I continue to make gains in rebalancing my body one step at a time. My question for today (although I have so many!) is about oxalates. How do you manage high oxalate levels? Both my son and I have high oxalates as shown on our OATs. Are green supplement drinks a contributor to high oxalates levels, such as the fruit and vegetable blend or others? (I have used Newsun green drink in the past before I knew about Equilibrium Nutrition). Another son (17 yo), who has not had an OATs yet, and has small amounts of blood in the urine with no protein or other imbalances detected. Would the fruit and vegetable blend be ok for his kidneys, even if his oxalates are high? I have been told to compensate for high oxalate levels by avoiding high oxalate foods or to take calcium citrate when eating these foods, but I would rather rebalance without limiting so many foods or trying to sneak calcium citrate into everyone’s food who won’t swallow capsules, especially for an indefinite length of time. What can I do to improve the body’s ability to handle oxalates and in general lessen the stress on the kidneys? Bettina: Dear Stephen Cabral Thank you once again for great podcasts, love them :-)I just heard an old podcast of your (540), and you mention toothpaste and mouthwash.I was wondering if you have tried toothpowder from Primal Life Organics. If not, I hope that you will try it and give your opinion on it sometime in the future :-) Another brand for Oral care is Living Libations I would love to hear your opinion on these products as well. I thank you so much in advance :-)Best regards,Bettina Lynn: I work with people that will only use Standard Process supplements. How does the DNS and Standard Process compare? The argument is that Standard Process is food and you are not taking anything extra that you may not need. Thanks Paula: What are your thoughts on mangosteen powder? I’ve heard it’s an amazing superfood with numerous benefits! Michael: I definitely have onychomycosis and maybe even some slight tinea cruris, most likely from getting dressed from my infected nails. Could you please direct me where to regain my health? Much Thanks. Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions!  - - - Show Notes & Resources: http://StephenCabral.com/1569 - - - Get Your Question Answered: http://StephenCabral.com/askcabral   - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -   Dr. Cabral’s Most Popular Supplements: > “The Dr. Cabral Daily Protocol” (This is what Dr. Cabral does every day!) - - - > Dr. Cabral Detox  (The fastest way to get well, lose weight, and feel great!) - - - > Daily Nutritional Support Shake  (#1 “All-in-One recommendation in my practice) - - - > Daily Fruit & Vegetables Blend  (22 organic fruit & vegetables “greens powder”) - - - > CBD Oil  (Full-spectrum, 3rd part-tested & organically grown) - - - > Candida/Bacterial Overgrowth, Leaky Gut, Parasite & Speciality Supplement Packages - - - > See All Supplements: https://equilibriumnutrition.com/collections/supplements  - - -   Dr. Cabral’s Most Popular At-Home Lab Tests: > Hair Tissue Mineral Analysis (Test for mineral imbalances & heavy metal toxicity) - - - > Organic Acids Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Thyroid + Adrenal + Hormone Test  (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Adrenal + Hormone Test (Run your adrenal & hormone levels) - - - > Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Omega-3 Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > Stool Test (Use this test to uncover any bacterial, h. 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In episode 440, Mike and James yet again invite Adrienne to go over all the evidence for treating toenail onychomycosis.  We find that ~ 40% more people get better on oral treatments than on placebo. For topicals the number is closer to 10%. Topicals should likely only be used if there is

Laser Nail Therapy - Cure Your Nail Fungus Today! http://www.lasernailtherapy.com (800) 672-0625 Onychomycosis is an unsightly and contagious Nail Disease that infects the inside and beneath the nail. The infection causes the nail to be discolored, thickened, and brittle. In some cases, it can interfere in wear shoes and cause pain when walking. Successfully treating Onychomycosis is difficult and results are heavily dependent on patient compliance. PinPointe footlaser is the first clinically proven laser to treat nail fungus in a single visit with none of the adverse effects seen with topical or oral alternatives. During treatment, the laser targets and destroys the fungi without causing damage to the nails or the surrounding skin. Most patients feel only warmth during the treatment. The entire treatment including both feet requires less than 30 minutes. Although the infection is destroyed, improvement in the nail appearance is seen as the nail grows out in about 4 to 6 months. Clinical Studies show that after a single treatment, more than 70 percent of patients treated experience sustained improvement and new clear nail growth. If you have nail fungus or it’s symptoms, give us a call at (800)672-0625 to schedule a Free Consultation with our doctors or visit our website at http://www.lasernailtherapy.com

Laser Nail Therapy - Cure Your Nail Fungus Today! http://www.lasernailtherapy.com (800) 672-0625 Fungal infections on the body are categorized under an umbrella term called tinea. The different types of fungal infections are: Athletes foot, Yeast infections, Jock itch, Ringworm, and Nail fungus. Onychomycosis aka nail fungus Lives off keratin of the nails and can be found on both hands and feet resulting in discoloration and change of texture in the nails. Since these infections are contagious, athlete's foot can spread to the nails and begin a nail fungus infection and vice versa. If you have nail fungus, you may contact us to schedule a FREE CONSULTATION with one of our doctors.

Let’s face it, we have a formidable competitor nowadays, challenging our diagnoses and treatment algorithms on a daily basis. You know him/her/it well as Dr. W.E. Google (interpreted as Worst...

Three dermatology residents — Dr. Elisabeth Tracey, Dr. Julie Croley, and Dr. Daniel Mazori — discuss tips for clear communication with patients in this special resident takeover of the podcast. Beginning at 6:11, they talk about challenges with topical therapies and setting expectations with patients. “We, as dermatologists, can optimize patient management by being effective communicators,” said Dr. Croley. They provide communication strategies for improving compliance with therapy and ensuring patients have the correct instructions, as well as clarifying patient misconceptions and the importance of maintenance treatment. We also bring you the latest in dermatology news and research: 1. Topical ruxolitinib looks good for facial vitiligo in phase 2 study. About half of patients on the two highest doses had a 50% improvement after 6 months of treatment. 2. Patients concerned about clinician burnout. Almost three-quarters of Americans are concerned about burnout among health care professionals. 3. Antimalarial may be effective, safe for erosive oral lichen planus. Hydroxychloroquine sulfate may be an effective and relatively safe treatment option for moderate to severe oral lichen planus. Things you will learn in this episode: Review expectations of therapy with patients, such as an intense inflammatory response to topical 5-fluorouracil for actinic keratosis, to ensure that patients remain compliant with the therapy but also feel they can trust you as their physician. If patients are hesitant to use topical minoxidil because they are concerned with the length of time they’ll have to use it, use a metaphor for another lifelong commitment such as brushing your teeth. “What I started actually doing is calling topical minoxidil toothpaste for your hair,” said Dr. Mazori. Talk to patients about spot-treating with acne or applying topical medication appropriately for psoriasis. “A particular challenge in dermatology with topical medications is not just whether or not they use it or pick up the prescription but how they use it,” said Dr. Tracey. Talk to patients about underapplication of sunscreen. Recommend a physical blocker if patients express concerns about systemic absorption. Write down instructions to ensure patients have the relevant information. The teach-back method of communicating with patients often is taught in medical school and ensures that the patients have understood what you’ve said, but it doesn’t ensure that they retained it. Strategies such as having medical students write the instructions or copying notes from your electronic medical record to print for patients can help save time. Emphasize the importance of maintenance treatment for conditions such as intertrigo, seborrheic dermatitis, or onychomycosis to prevent recurrence. Give patients both the trade name and generic name to ensure they use the correct medication. Hosts: Elizabeth Mechcatie, Terry Rudd Guests: Elisabeth (Libby) Tracey, MD (Cleveland Clinic Foundation); Julie Ann Amthor Croley, MD (University of Texas Medical Branch at Galveston); and Daniel R. Mazori, MD (State University of New York, Brooklyn). Show notes by Melissa Sears, Alicia Sonners, and Elizabeth Mechcatie.   You can find more of our podcasts at http://www.mdedge.com/podcasts.    Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeDerm

Brent K., CEO of Valley Immediate Care, joins us again on my recent trip to Southern Oregon.  We sat down initially to discuss the My Urgent Care 365 subscription model they have been using over the past few years, the goals, target audience, strengths, and hurdles.  Midway through the chat we went on a wide tangent where we covered various topics including Aesthetics Medicine, Tattoo Removal, and the fallout of those who suffer from Human Trafficking.  I can't thank him enough for sitting down once again and letting us have this moment. Please leave comments on the site and please rate us on your podcast feed to get the word out! Thanks Brent! Terms Covered in Episode Oceans of Opportunity, 2019 UCA Urgent Care Convention & Expo My Urgent Care 365 Urgent Care - Walk-in clinics focused on the delivery of acute care in a dedicated medical facility outside of a traditional emergency room. Urgent care centers treat injuries and illnesses that are not serious enough to require an emergency department visit. U.S. Debt Ceiling, March 2019 ACA (Affordable Care Act, AKA “Obamacare,” passed in 2010) Medicare - Government provided healthcare insurance to those over 65, young people with disabilities, and people with end stage renal disease.  Overhead - The operating expenses of a business, including and not limited to rent, utilities, labor, taxes, supplies, etc Blue Cross/Blue Shield Association - One of the biggest health insurance groups in the United States consisting of 36 insurance companies started in 1929 as Blue Cross. Mother Fights for Lower Insulin Prices After Sons Tragic Death End of Life Care - Providing patient and family care when dealing with the physical, emotional, and mental phase at the end of life when dying. RN (Registered Nurse) - A health professional that has graduated from an associates or bachelor’s nursing program and has passed the required national exam who is registered to practice by a State Board of Nurse Examiners. MA (Medical Assistant) – A health professional that works along side a medical team in an inpatient or outpatient setting.  Training requirements vary from state to state with some allowing on the job training instead of completing a formal training program. CNA (Certified Nursing Assistant) - Takes care of patients under the supervision of Licensed Practicing Nurses and Registered Nurses in a facility. Morphine Drip - A supply of morphine (pain medication) generally given IV (intravenously) in a slow steady state, on patient demand at a set dose, or a combo of both. Deductible - The amount of money you are required to pay “out of pocket” (without assistance from insurance) until your insurance coverage kicks in. The deductible amount varies based on the plan and is generally inverse to the premium. Premiums - The monthly or per pay period cost to you to keep health insurance coverage whether you use it or not.  Healthcare Penalty for Lack of Coverage Diagnostics - Various tools (Imaging, labs, surgery, etc) to determine the nature and circumstance of a disease process on a patient. Copay - In the U.S. it refers to a payment defined in an insurance policy and paid by an insured person each time a medical service is accessed Morbidity - State of disease or injury. EverMed Direct Primary Care St Joe’s Sure Scripts How the Three Tiered Beer Distribution System Works List of Controlled Substances Benzos (AKA Benzodiazepines) - Class of psychoactive drugs commonly used as a sedative with many documented cases of addiction and overdose. Xanax, Ativan, and Valium are a few of the commonly known meds from this class.  Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system. Dermatology - The branch focusing on the skin, both treatment and prevention of disease. American Academy of Aesthetics Medicine Redemption Ridge Human Trafficking Hotline NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans.  They may work in a solo practice independently or they may work within part of a hospital system.  They graduate from a Master's or Doctorate level medical program. Botox Primary Care – Day to day healthcare given by a provider including health promotion, disease prevention, health maintenance, counseling, diagnosis and treatment of acute and chronic illnesses, and patient education. Depression Anxiety I-5 Corridor Electromagnetic Spectrum Visible Spectrum: Wavelengths and Colors Increasing the Number of Gray Shades in Medical Display Systems - How Much is Enough? Cool Sculpting Lysis - Breaking down of the membrane of a cell, by various manners, to compromise its integrity. Adipose Tissue - Medical term for fat. Under the skin is Subcutaneous Fat. Around organs is Visceral Fat. Bone Marrow contains Yellow Bone Marrow. Adipose tissue is also found intramuscularly and in breast tissue.  Liver Cleansing, How Stuff Works Flank - Aka “love handles” or sides of your trunk. May be more specifically referred to the back portion where the kidney’s are located, but at times used very generally.  Chiropractor - See Luther’s Episode! Peripheral Neuropathy SubQ Layer - Subcutaneous Tissue is the layer directly below the dermal (skin) layer, used mainly for fat storage. Commonly insulin is injected into this layer. Spider Vein Onychomycosis (Toe Nail Fungus) Nail Matrix Treatment of Onychomycosis (Discusses Terbinafine use too) Lisinopril - An ACE Inhibitor class of antihypertensive medication that is very commonly used to treat high blood pressure. When first starting it is advised to recheck kidney function to ensure the patient is tolerating it without unwanted side effects. Diuretics - Class of medications that induce urination, aka “water-pills,” as they help with excess free water. Often used for those with congestive heart failure and edema. My Urgent Care 365 Audiobooks.com SAS (Statistical Analysis System) - Software for advanced analytics, business intelligence, data management, and more. Price Fee Schedule for My Urgent Care 365 Fee for Service - Paying a fee for the service provided without the involvement of insurance.  Send Out Labs - Labs processed in another facility. May be down the street at another hospital, or flown to a cheaper lab in another state to be processed.  DME (Durable Medical Equipment) - Equipment used by the patient in a recovery or longterm state.  List of DME Covered by Medicare Orthotics - Medical device used to support a body part. Prosthetics - Medical device used to replace a body part. Walking Boot Thumb Spica Splinting Shoulder Abduction Pillow Rotator Cuff Tear Surgery Centers for Medicare and Medicaid Services Transparency Requirements FAQ No Way to Enforce Hospital Price Transparency Rule, CMS Says Department of Health and Human Services Radiology - Branch of medicine focusing on the interpretation and utilization of diagnostic imaging. Radiologist may read ultrasounds, CT scans, MRI images, and other forms of imaging while also utilizing them for some invasive procedures.   Tele Med - See our previous episode! Top Lobbying Spenders of 2018 Reimbursement - Payment for care provided.   “Hang a Shingle”     Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.

Vivien Hudson and Michael Berg Of Ancillary Medical Solutions talk with Dr. Ron Olsen DPM who describes how primary care practitioners can incorporate the diagnosis and treatment of  onychomycosis (nail fungus).  This issue (11:32) The prevalence of onychomycosis in the general population and what that means for the primary care physician Diagnostic testing that can be performed within the office setting The economics of incorporating onychomycosis testing for the primary care physician   

In this episode we talk about the finger and toenail fungus known as Onychomycosis, and how to eradicate it.  

Management of Onychomycosis in Canada in 2014 http://www.ncbi.nlm.nih.gov/pubmed/25775640 Drug name: Brand: SA SA Criteria SA Approval period Direction SE Monitoring Ciclopirox 8% Penlac (nail lacquer) No Not covered N/A Nail lacquer: Apply bid to adjacent skin and affected nails daily. Remove with alcohol every 7 days (treat 4 weeks) dermatitis, dry skin, local burning sensation Efinaconazole […] The post Onychomycosis appeared first on Family Pharm Podcast.

There are several different ways an innocent, unsuspecting person can develop toenail fungus. Onychomycosis, or as most people without a PhD call it, toenail fungus, can creep it’s way into the nail through mold or even through obtaining a yeast infection in the toenail! No matter how you catch toenail fungus, almost always, the infections are often created through warm, wet environments which give the fungus a comfortable breeding ground to grow and expand, often infecting neighboring toes and fingers. Areas like saunas, swimming pools, locker rooms, gyms, even household showers are all hot spots for fungal infections to flourish. Just being in the same environment or shambling about the area can result with you developing the fungus as well! Why toes, you may ask? What about toes and toenails make them so susceptible to the fungus? Good question. Toes tend to be more vulnerable to the fungus due to the lack of circulation in the feet rather than the hands. Also, the moist, warm, darkness of your sneakers and tennis shoes are the perfect breeding ground for the fungus to grow. So unless you’ve been wearing shoes on your hands lately, your hands have a less likely chance to develop the fungus. But they can catch it! No one is immune to toenail fungus, anyone can catch it from your high school PE teacher to the president, but older adults are more at risk along with the elderly due to the decreased blood circulation to the feet. Also, as we continue to age, our nails tend to get thick making us more open to the possibility of nail infections. Did you know men are more at risk to toenail fungus infections than women? Even worse, this tendency can be passed genetically! Something to keep in mind ladies, next time you’re having the baby talk with your man, don’t forget to give his feet a good look over before you decide anything!

If you suffer from a mild or moderate infection, or prefer to avoid the risks of oral medication, your doctor can suggest topical treatment, such as an antifungal nail polish or ointment. The antifungal nail polish is applied on the nails and the nail cuticles daily. Every week you need take off the polish layers and begin a fresh application. If the treatment works, you should see a new, healthy nail growth from the base of the nail bed. The infected nail can be clipped away gradually. Routine daily use of an antifungal infused nail polish for about 12 months can clear some nail fungal infections, but because it has to penetrate the nail, it can be difficult to reach and destroy all the fungus. These treatments are time consuming and require high level of dedication from the patients, since even skipping few applications can result in remission of the infection. The treatments rarely work and most solutions in the market are not FDA approved to heal the infection (although they are effectively used to prevent the recurrence of infections). Your doctor can file the surface of your nail (debridement of the nail) to decrease the fungal load and lessen the surface of infected nail. The debridement can increase the effectiveness of the topical remedies. Over-the-counter antifungal nail ointments, are available at CVS, Walgreen’s and other local drugstores or pharmacies, but unfortunately they are not very effective. If you suffer from Athlete’s Foot then you should treat the athlete’s foot with antifungal cream to avoid reinfection. Laser nail fungus removal, using our cutting edge FDA cleared Laser, can change your appearance and give you the confidence to expose your feet again. Laser Nail Therapy Clinic offers you unparalleled expertise since we focus exclusively on nail fungus (Onychomycosis) removal. Our U.S.-licensed doctors, state of the art facilities, and uncompromising standards for excellence ensure that you will get the best treatment results modern technology can offer. With laser treatment, you don't have to deal with the consumption of oral medications or any side effects . Essentially, it is a safe & effective treatment -- seeing improvement after one treatment! Laser Nail Therapy Clinic is available to you 7 days a week from 9am to 7pm. Call to schedule a free consultation with one of our doctors at (800) 672-0625. Visit our website at http://www.lasernailtherapy.com/

Are you notorious for being the gal with acrylic nails? Or do you know someone that frequently gets them? You or someone you know may need to reconsider this cosmetic doing. Although acrylic nails are generally not problematic when put on correctly, long term use of them and improper placement causes not only damage to the nail but also a fungal infection to form. In fact, nail fungus is the most common problem that occurs from acrylic nails. Furthermore, the damage acyclic nails goes beyond nail fungus. Persistent use of the fake nails can damage the nail bed and potentially terminate the chance of nail regrowth. Acrylic nails also results in a discoloration of the nails, nail thinning/weakening, and a layering effect to begin (meaning that the nail begins to split and layer up rather than remain as one solid nail). Acrylic nails are put on incorrectly on average 50% of the time. One example is when the nails are put on with any water or moistening left beneath the acrylic on the surface of the original nail, the water becomes trapped within that surface between your own nail and the fake nail this entrapment becomes warm, moist, and dark, the exact environment in which bacteria and fungi grow and thrive in. Any gaps or openings left in the nail surfaces will more often than not, result in a nail fungus growth. It is important for those who decide to get acrylic nails put on that they visit a nail salon that are reputable and watch as the nail technician/manicurist puts on the nails, to make sure there is no water or moistening left on the nail surface before applying the acrylic. For more information, please contact our office at Medical Park Tower 1301 W. 38th St. Suite 707 Austin, TX 78705 (800) 672-0625 lyrics Laser nail fungus removal, using our cutting edge FDA cleared Laser, can change your appearance and give you the confidence to expose your feet again. Laser Nail Therapy Clinic offers you unparalleled expertise since we focus exclusively on nail fungus (Onychomycosis) removal. Our U.S.-licensed doctors, state of the art facilities, and uncompromising standards for excellence ensure that you will get the best treatment results modern technology can offer. With laser treatment, you don't have to deal with the consumption of oral medications or any side effects. Essentially, it is a safe & effective treatment -- seeing improvement after one treatment! Laser Nail Therapy Clinic is available to you 7 days a week from 9am to 7pm. Call to schedule a free consultation with one of our doctors at (800) 672-0625. Visit our website at http://www.lasernailtherapy.com/

In this podcast, Dr. Linda Stein-Gold presents on the use of Jublia for Toenail Onychomycosis. Her lecture was sponsored by Valeant and recorded at the 2014 SDPA Fall Conference in San Diego.

Host: Jennifer Caudle, DO In Family Medicine, treating foot conditions is common. Today's interview is focused on the diagnosis and treatment of 5 common foot diagnoses, including Onychomycosis, Ingrown Toenails, Bunions, Diabetic Foot Care and Plantar Fasciitis. In this segment, host Dr. Jen Caudle speaks with guest Dr. Maasi J. Smith, podiatric surgeon who received his Doctorate of Podiatric Medicine from Temple University's School of Podiatric Medicine in Philadelphia, Pennsylvania.

Adventures of a Pus Whisperer.