Propaganda and non-truths abound all around the Internet saying that mobile health apps are everything from a threat to Big Pharma to a way to save billions of dollars in healthcare costs.  There may be a future for mobile apps but a lot of work is yet to be done. Last year I led some market research into mobile apps across all demographic segments and several disease conditions.  While we did ...

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MKSAP: 22 year old man with type 1 diabetes mellitusTest your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 22-year-old man comes for a routine evaluation. He has a history of type 1 diabetes mellitus and began taking insulin glargine and insulin lispro 8 years ago. Two days ago, he participated in a marathon race. On physical examination, temperature is 36.4 °C (97.5 °F), ...

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Year: 1979 Setting: George Washington University Hospital Position: Intern In sharing my global health background, I would be remiss if I did not talk about some of my American experience. After all, Washington, D.C., is remote from Palo Alto and Paris! I am in my late 20s and an intern at George Washington University as an exchange student from Brazil. My mentor, Stanley Talpers, MD, has organized a rotating program for the interns, ...

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Physicians and other healthcare professionals often tell their patients with type 2 diabetes to avoid eating too much starch and sugar in order to keep their blood sugar from going too high. But if the patients follow that advice, they'll end up eating more fat and more protein, which could increase their risk of cardiovascular and renal complications. Worse yet, a high fat intake may actually keep the patients diabetic. It ...

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Medicaid patients with diabetes and hypertension need better outcomes. To achieve better outcomes, physicians need more consistent information on their patients’ real health behaviors. State legislators are pressing to get healthcare costs under control, while Medicaid administrators need to invest thinly stretched resources simultaneously in direct care and broad public health programs that will keep hospital readmissions down. As director of a network of managed primary care systems (Northern Piedmont Community Care) ...

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MKSAP: 78 year old woman is seen for management of her diabetes mellitusTest your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 78-year-old woman who resides in a nursing home is seen for management of her diabetes mellitus. The patient's blood glucose log shows levels ranging between 40 and 400 mg/dL (2.2 and 22.2 mmol/L). She otherwise feels well. She has been on insulin for more ...

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As diabetic patients and their physicians continue to work together to combat this metabolic disorder, researchers and medical organizations are uncovering new ways to fight this illness. With 26 million Americans currently battling the disease and 79 million already diagnosed with pre-diabetes, this disease poses a serious threat to our society and our overall healthcare system. With these startling statistics in mind, the Northern States Ambulatory Research Network (NORTHSTAR), a practice-based ...

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Quality indicators are used to measure the quality of health care delivered to patients. Quality indicators are used extensively in the VA health system, and efforts are underway in Medicare to tie reimbursement levels to performance on quality indicators. The motivations for using quality indicators are guided by the best of intentions. There are many problems with the quality of health care in the US, and quality indicators aim to improve ...

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I just returned home from mHealth Summit Meeting in DC which, in my opinion, is still one of the biggest and best mobile health conferences of the year. On the first day of the conference, I discussed the EndoGoddess App as a use case example of mobile health from the practicioner point of view. Sadly, the numbers of physicians in the mobile health entrepreneural space at mHealth Summit were still few and essentially unchanged ...

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Political correctness and sensitivity training are interfering with medicine and healthcare. In a recent article published in the journal, Pediatrics, a group of researchers published their findings regarding parental perceptions of the terminology that doctors use to describe childhood obesity (ages 2 to 18). The researchers found that it was undesirable to use the term "fat," "obese," or "morbidly obese" because they were stigmatizing, blaming, and the least motivating to ...

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