As we address the issue of quality in healthcare, there is much to be learned from other industries. I believe our current approach, though, is a dangerous one, one that won’t yield the desired results. Thus far, we’ve approached quality assurance as if healing were an industrial process, a process similar to those that yield cars, air conditioners, or even cheeseburgers. But in an age where science, technology, and health policy ...

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From MedPage Today:

  1. Two More Levels to Check for Diabetes Risk? Fructosamine and glycated albumin levels could help predict risk of diabetes and microvascular complications, particularly when glycated hemoglobin (HbA1c) levels aren't reliable.
  2. ICU Infections Persist Even With Disposable ECG Wires. Single-use electrocardiogram leads didn't help prevent intensive care unit (ICU) infections compared with standard reusable ones.
  3. Hospitalization Often Avoidable in GI ...

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Recently, I treated a young patient with diabetes in the hospital. Throughout her young life she had struggled with glucose control, and on this day her struggle left her in a state of diabetic ketoacidosis (DKA). DKA is a life-threatening condition that diabetics often face when their body is  unable to uptake enough glucose, leading to utilization of fat and consequential build up of acidic ketones, which cause blood levels ...

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From MedPage Today:

  1. Talk to Patients About Alcohol Use, CDC Urges. Roughly 84% of U.S. adults have never discussed alcohol use with a healthcare professional.
  2. Cancer Stats Show Progress, Hint at Challenges. A steady decline in cancer mortality has added up to a 20% reduction over the past 2 decades, the American Cancer Society reported in its annual review of cancer statistics.

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From MedPage Today:

  1. Tort Reform Alternatives Face Hurdles. Many barriers exist to implementing approaches to medical liability that could serve as alternatives to federal tort reform, a series of studies funded by the Agency for Healthcare Research and Quality (AHRQ) found.
  2. Recommendation of Doc Key to HPV Vaccine Use. Recommendations from physicians might be one of the best ways to increase use of the ...

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From MedPage Today:

  1. Stop Smoking, Cut Cataract Risk. The cataract risk associated with smoking slowly fell after ceasing tobacco use, although not to the level of a never-smoker.
  2. Surgery Tied To Better OS in Huge Liver Tumors. Surgical resection of huge hepatocellular carcinomas was linked with better survival outcomes versus transarterial chemoembolization (TACE).
  3. Possible Diabetes Tx Target Uncovered. Researchers have discovered a ...

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Today’s question is a simple one. How many patients can a physician see in one day and still be thorough? Don’t get me wrong; I’m all for efficiency. But we need to recognize when efforts at efficiency become “medical sloppiness” or, frankly, malpractice. With health care policy and insurance reimbursement what they are today, it’s not uncommon to encounter physicians seeing forty, fifty, and even sixty or more patients a day ...

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I was on call this past weekend, rounding at about 8am on the cardiology floors, and a woman I didn't recognize approached me.  She asked if I remembered who she was, and was quick to tell me that if I didn't it was ok.   She had had bariatric surgery about 6 months previously, and I had seen her in the office for a pre-surgical consultation. She went on to tell ...

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From MedPage Today:

  1. Fewer Mammograms Mean More Positive Nodes? The frequency of mammography may not have an impact on the size of tumors when they're discovered, but fewer screens may be associated with more lymph node positivity.
  2. Diabetes: More Than Type 1 and Type 2. Diabetes is a much more heterogeneous disease than the current system of classification implies.
  3. Diverticulosis Progression Rare. ...

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From MedPage Today:

  1. ADHD: Brain Iron May Be Marker. Low Fe levels in the brain may signal the presence of attention-deficit/hyperactivity disorder (ADHD).
  2. Pancreatic Risks No Greater With Victoza. The treatment of type 2 diabetes with liraglutide (Victoza) didn't lead to a greater rate of acute pancreatitis or pancreatic cancer compared with other anti-diabetic drugs.
  3. Lung Cancer: CT Screening Ready, Patients Not ...

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