From MedPage Today:

  1. Botulinum Toxin for Postop Afib? Injecting botulinum toxin into the fat pads around the heart after bypass surgery might stave off postoperative atrial fibrillation.
  2. Leadless Pacing Shows Promise, But Hits Snags. Longer-term results from the first-in-man study of the Nanostim leadless pacemaker showed the device continued to work as expected, but a post-marketing study in Europe has been temporarily halted following ...

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A few days ago I decided that since I have been officially retired for two months, it was time to change my profile on the LinkedIn social network.  After all, the purpose of that network is to link business and professional people to potential opportunities and ideas.  I needed to let contacts know that I am no longer with the university where I practiced for the last seven years, while ...

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Last summer I met with a patient in my clinic who had come to the hospital with leg weakness and his CT scans showed widespread cancer. His type of cancer is rare and treatable with a pill, which he had been taking for about a month. He was tolerating it without too much trouble. During our first visit, he was insightful but overwhelmed. “I know how sick I am -- just ...

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From MedPage Today:

  1. Nasogastric Tube May Be Obsolete for GI Bleeds. Placement of a nasogastric tube for determining treatment of patients with upper gastrointestinal bleeding may be unnecessary since almost all these patients will eventually undergo an endoscopic procedure.
  2. ASCO Issues New Breast Cancer Tx Guidelines. The American Society of Clinical Oncology has released two new sets of clinical practice guidelines for the treatment ...

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Heisenberg uncertainty principle:  A principle in quantum mechanics holding that increasing the accuracy of measurement of one observable quantity increases the uncertainty with which another conjugate quantity may be known. Perhaps it is because I just got back from Albuquerque, a city which has become like a second home to me, that I have Heisenberg on my mind. For the one or two of you out there who are not Breaking ...

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“The plastic surgeons tell me that women who like to swim do much better with reconstruction than with prostheses,” says a young breast surgeon at our weekly breast cancer tumor board, the working conference where we discuss every new breast cancer patient before starting treatment. There’s a slight note of surprise in her voice; to her, it’s simply another consideration when advising women before mastectomy. For decades, the only option after a ...

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His wife thinks he looks like Tom Cruise.  There is a resemblance, I can see him riding a motorcycle off the side of a burning building, jaw fixed, eyes on fire, ready to save the damsel ... only he is not so short.  Funny, brilliant and genuine, we have known each other for exactly two decades, sharing the growth of our families, the anxieties of middle age, and the vicissitudes ...

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About 25km outside of Sao Paulo, Brasil, in a small city called Barueri, lies the grave of my mother’s cousin. Henrique was the Brasilian version of Mr. T -- a larger than life character, he spent his days on the pitch as the starting goalie of a local football club. “Senhor Henrique” was well known.  He had three major trademarks:

  1. His favorite words to opposing players were “tenho pena de tolo” ...

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Oncolore: Challenging conventional wisdomIncreasingly, cancer care is becoming more evidence-based and personalized. But there are still a lot of areas where we need to question the conventional wisdom. How much of what we learned during training is based upon evidence versus anecdote and assumption? When I finished medical school, internship was challenging but very rewarding. It helped me recognize much better when people are really ...

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From MedPage Today:

  1. 'Healthy Obese' Have More Arterial Plaque. The notion that people can be "fat but fit" is being challenged by a study showing a high prevalence of subclinical coronary atherosclerosis -- as measured by CT coronary artery calcium (CAC) scores -- in obese subjects with no evidence of metabolic syndrome.
  2. Lung Docs Stunned by Coverage Decision. When low-dose CT screening for lung ...

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