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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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 71-year-old man is evaluated in the emergency department for new dyspnea on exertion. He has a 15-year history of type 2 diabetes mellitus and has had a number of changes in his medications over the past 12 weeks to improve glycemic control. His dosage of metformin has been increased to 1000 mg/d, glyburide ...

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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 transferred to the cardiothoracic intensive care unit (ICU) after undergoing repair of an abdominal aortic aneurysm. She has a 12-year history of type 2 diabetes mellitus. Her blood glucose level on arrival at the ICU is 289 mg/dL (16.0 mmol/L). Although no longer on a cardiopulmonary bypass pump, she remains intubated ...

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This series is brought to you by MedPage Today. 1. Painful Speed Bumps? Could Be Appendicitis. Diagnostic uncertainty surrounding appendicitis could turn into a small bump in the road, according to a study showing a high correlation between appendicitis and pain on driving over speed bumps on the way to the hospital. 2. Family Dinners Promote Healthier Eating. Having the family sit down together ...

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