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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From MedPage Today:

  1. HealthCare.gov Works for 'Vast Majority,' White House Says. The Obama administration met its self-imposed deadline to have most of the issues with the HealthCare.gov web portal through which consumers can sign up for health insurance under the Affordable Care Act working ironed out by Nov. 30, officials with the Centers for Medicare and Medicaid Services (CMS) said.
  2. Death Risk Lower With ...

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As a family doctor based in Brooklyn, New York, who has served the needs of my community since completing residency in 1982, I find myself with a unique privilege and opportunity to observe disease and wellness, the effects of lifestyle, policy and the collective efforts of myself and others, as we attempt to keep our patients well and affect the statistical bottom line. I’m typing this as I also think ...

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From MedPage Today:

  1. Alzheimer's Gene Effects Show Up in Infancy. Infants and toddlers with the Alzheimer's disease-associated APOE4 genotype already showed distinctive patterns of brain structure relative to other young children.
  2. ADHD Prevalence Still Rising, CDC Says. Rates of parent-reported diagnoses of attention deficit-hyperactivity disorder (ADHD) continued their upward trend through 2011.
  3. FDA Opens Door to Wider Avandia Prescribing. The FDA has ...

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Diabetes is an emerging national crisis.  It is the leading cause of heart disease and stroke and the 7th leading cause of death in the United States. According to recent data from the Centers for Disease Control and Prevention (CDC), an estimated 25.8 million people are affected with diabetes with a staggering 79 million more living at high risk for the disease, a stage known as pre-diabetes. Unfortunately, about a third ...

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Children who live with diabetes, like all children with chronic diseases, learn to grow up rather quickly.  In order to survive, they must learn how to manage a disease with which most adults struggle. In particular, not only must children completely change their diet, but they also have to deal with checking blood sugars daily, time and dose insulin shots, all while trying to fit into a world where they ...

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From MedPage Today:

  1. Statins Get High Marks in New Cardiac Prevention Guidelines. The American College of Cardiology (ACC) and American Heart Association (AHA) released four new guidelines dealing with the prevention of cardiovascular disease (CVD) by better assessing risk and by managing cholesterol, lifestyle, and weight.
  2. Mutation Linked to Resistance in Breast Cancer. A mutation on the estrogen receptor altered tamoxifen bindings and conferred ...

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