As a medical student nearly two decades ago, I remember how excited I was to begin my rotations on the wards. After two intense years in the classroom, I felt that I had a good fund of knowledge that I could finally apply in a clinical setting. Still, very soon after beginning my ward rotations, I noticed that while I was able to adequately manage my patients’ symptoms, I could ...

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Brought to you by MedPage Today. 1. Off-Label Chemo Common for Mets. Off-label prescribing of chemotherapy agents is common in the metastatic setting and a substantial proportion of it goes beyond National Comprehensive Cancer Network (NCCN)-accepted practice. 2. FDA Panel Starts to Tackle Avandia Safety. A controversial study of the cardiovascular safety of one-time diabetes blockbuster rosiglitazone (Avandia) has proven difficult for FDA ...

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Brought to you by MedPage Today. 1. Sleep Disorders when Kids Have Night Terrors. Sleep disordered breathing, periodic limb movement, and mood disturbances are common comorbidities in pediatric patients with parasomnias. 2. Veggies Are Key to Long Life. People who followed a vegetarian diet had a lower risk for death from any cause, and men in particular also saw benefits for cardiovascular mortality. 3. ...

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Brought to you by MedPage Today. 1. Uniform Quality Measures Sought for an SGR Repeal. Doctors need quality measures from a single source and more avenues to qualify for value-based payments under a post-Sustainable Growth Rate (SGR) reimbursement system. 2. Triptans Go-To Migraine Drugs Even in Pregnancy. Monday's FDA announcement that pregnant women should not take valproate sodium and related drugs to prevent ...

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Brought to you by MedPage Today. 1. Docs Need to Speak Up on Gun Control. Physicians need to do a better job at promoting the data that supports stronger gun-control laws. 2. Most Adults Ignore Fitness Recommendations. Just over 20% of U.S. adults get as much aerobic and muscle-strengthening exercise as recommended in government guidelines. 3. Chaotic Home Impacts HbA1c in ...

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Brought to you by MedPage Today. 1. Diabetes 'Cure' After Weight Loss Surgery Lasts Long Term. Bariatric surgery may keep type 2 diabetes at bay for good. 2. Car Emissions Tied to Rare Pediatric Cancers. Children born to mothers who lived within a mile of heavy traffic while pregnant were at higher risk of developing any of three childhood cancers. 3.
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After a long day on the internal medicine ward at St. Elizabeth’s Medical Center, I rushed across town to lead that evening’s two-hour group diabetes visit at Union Square Family Health Center in Somerville, MA.  So when my preceptor asked me if I’d lead the group on a field trip after the two-hour visit, it was the last thing I wanted to do. Although we had discussed taking our Brazilian patients ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 67-year-old woman is evaluated for a 2-day history of severe muscle weakness. The patient experienced significant weight gain and developed hypertension and type 2 diabetes mellitus 2 years ago. She also reports developing muscle weakness of the lower extremities 6 months ago. Her diabetes is only partially controlled by metformin; her blood glucose ...

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Office-based medical practice is changing fast. The government is providing incentives to those practices that use electronic prescribing and electronic records systems and will soon penalize those that don't. Health reform will shortly deliver many newly insured patients to your office. A host of new patient care models aimed at making healthcare more team-based are emerging. Reimbursement tied to outcomes will demand a greater level of patient management and engagement ...

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This series is brought to you by MedPage Today. 1. Sandy's Impact on Clinical Trials Still Being Felt. When Hurricane Sandy shut down a number of its hospitals, New York University researchers worked overtime to keep clinical trials going, but enrollment in new trials is down, according to investigators. 2. Diabetes: Control Better, But Still Short of Goal. More patients with diabetes are meeting targets than ...

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