A patient undergoing a colonoscopy pressed "record" on his smartphone before being sedated, hoping to capture instructions from his physicians after the procedure.  What he heard instead was shocking: "In addition to their vicious commentary, the doctors discussed avoiding the man after the colonoscopy, instructing an assistant to lie to him, and then placed a false diagnosis on his chart." The incident cost his anesthesiologist $500,000 in the ensuing malpractice and defamation ...

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shutterstock_246882508 It all started with a routine fecal transplant. The case report was published earlier this year: a thirty-two-year-old female suffering from Clostridium difficile colitis resistant to multiple rounds of antibiotics was given a fecal transplant and quickly recovered from the debilitating bouts of diarrhea and abdominal pain that had plagued her for months. That wasn’t what made headlines, though. Using fecal transplants ...

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shutterstock_93662965 I was asked to consult on a 43-year old female with abnormal liver blood test results.  It took but a few minutes to determine that she was an alcoholic, which was the likely explanation for her abnormal blood results.  She drank several beers daily over several years. My diagnosis was alcoholism, but did the patient concur? “Do you feel that you are drinking ...

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Did you know that Peter Yarrow, of Peter, Paul & Mary, sang the Colonoscopy Song?  You do now, and here it is.

While I consider myself to be an ethical practitioner, I am not perfect, and neither is the medical profession. I will present a recurrent ethical dilemma to my fair and balanced readers and await their judgment. Our gastroenterology practice, like all of our competitors, has an open access endoscopy option. This permits a physician to refer a patient to us for a colonoscopy, without the need for an initial office visit. Patients ...

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Hepatitis C is one of the most common chronic infectious illnesses in the U.S. today and affects nearly 3.2 million Americans. Complications of hepatitis C infection include liver cancer as well as cirrhosis.  Many patients with chronic hepatitis ultimately develop liver failure and will die without liver transplantation.  In the last year,  a new drug class has entered the market and can produce cure rates in excess of 90 percent. These ...

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medpagetodayFrom MedPage Today:

  1. Overactive Bladder May Set Seniors Up for a Fall. A diagnosis of overactive bladder (OAB) significantly increased the risk of falls among a Medicare population.
  2. IBS: Peppermint Oil May Be a Treatment Option. A slow-release peppermint oil (IBgard) appeared to significantly reduce severe abdominal symptoms of irritable bowel syndrome ...

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medpagetodayFrom MedPage Today:

  1. Costly Hep C Tx Could Still Save Big Money. Treating genotype 1 (GT1) chronic hepatitis C (CHC) patients with ledipasvir/sofosbuvir (Harvoni) would result in an annual societal productivity gain of approximately $2.7 billion in the U.S.
  2. Workout May Ease Pain in Women With Fibromyalgia. A strong association exists between ...

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I recently was invited to participate in a research study, looking at the economic impact of a new drug for the treatment of Clostridium difficile infection. The new drug, called fidaxomicin, has been available for a few years and has proven efficacy in thousands of patients but is generally very expensive. The study will follow patients after their hospitalization and delve into analyzing the monetary costs associated with the medicine, ...

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shutterstock_100776622 Everyone likes to be recognized for a special achievement or accomplishment. Every career has special awards and commendations for everything. While there’s no reward that matches cold hard cash, many of these honorable mentions have no tangible value whatsoever. Pull into a fast food parking lot and you may see a parking space designated with a sign proclaiming, employee of the ...

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