Every year, it is estimated that more than 126,000 hospitalizations and nearly 17,000 deaths in this country are linked to overuse of over-the-counter (OTC) pain medicine ingredients -- specifically acetaminophen and NSAIDs (nonsteroidal anti-inflammatory drugs). In my own practice, it’s not uncommon to find patients who are taking two to four times the recommended doses. This can have tragic results. Recently, we had a young woman with liver failure. She had been ...

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From MedPage Today:

  1. Two HCV Drugs Stronger Than One. A combination of the two newest drugs approved for hepatitis C virus (HCV) suggests that a strength of one overcomes a weakness of the other.
  2. % of Type 2 Diabetes Left Undiagnosed Declines. A lower percentage of type 2 diabetes cases is going undiagnosed than was the case in the past couple of decades.

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From MedPage Today:

  1. A Different Take on .health Domains. Top level domains (TLD) like .doctor, .med, and .health will certainly provide for a memorable way to promote one's practice website as compared with what exists today in domain name choices.
  2. EMA Also Reviews Testosterone. The European Medicines Agency has initiated a review of testosterone therapies, joining the FDA in investigating potential cardiovascular side effects.

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A recent ProPublica expose co-published with the Boston Globe typifies a growing gotcha genre of health journalism that portrays doctors as the enemy in a struggle for honesty and openness in medicine. These reports make unfounded leaps in their efforts to subject doctors to levels of skepticism once reserved for politicians and lawyers. They’re going to end up doing patients a disservice. For this particular hunting expedition ProPublica set its sights on ...

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From MedPage Today:

  1. Simple, Short HCV Regimen Has High Cure Rate. A single pill once a day for 8 weeks is enough to cure more than 90% of hepatitis C virus (HCV) patients with relatively uncomplicated disease.
  2. Substance Abuse Tx Problematic Despite ACA. The nation's health law has promised sweeping changes to help millions of people with drug or alcohol addiction get treatment. Many ...

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“I’m so sorry, but it looks like the cancer has spread.” As I heard these words come out of my mouth, I knew that in a split second, a new reality was created in the mind of the patient that I was talking to. I looked at his face and saw that he was trying to remain strong, but in his demeanor, it was apparent that dreams were crushed and that ...

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From MedPage Today:

  1. FDA Staff Doubts Colon Cancer Blood Test. FDA staff expressed serious reservations about using an investigational blood biomarker test as a colorectal cancer screen, citing poor specificity and unanswered questions about other purported advantages.
  2. Weight Gain Soon After Birth Tied to Diabetes Risk. New moms who add extra pounds to baby weight within a year of giving birth increase their risk ...

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When I meet a new patient, I’m frequently astounded by the health care he has received. I’ve met patients with absolutely no cardiac symptoms who have been receiving EKGs every six months for years. I’ve had patients brag to me about their annual executive physicals in which myriad tests including treadmill stress tests and chest x-rays were routinely performed. Patients get head-to-toe CT scans under the mistaken hope that they ...

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While it is unusual for gastroenterologists to see colorectal tumors in patients under the age of 50, and even more uncommon before the age of 40, it does happen, so patients need to be aware of their risks. Colorectal tumors in young people are often detected either through symptom evaluation or because of a colonoscopy performed for an underlying risk factor, most commonly a family history of colorectal cancer (CRC). During ...

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From MedPage Today:

  1. Stool DNA Test Detects Colon Cancer. A stool DNA test detected significantly more colon cancers in average-risk patients as compared with a conventional fecal immunochemical test (FIT).
  2. 10 Ways to Safely Push Ketamine in the ED. A doctor recently took me on a ketamine trip, and I enjoyed it immensely.
  3. 'Rebound' Obesity Seen After ADHD Treatment. Children with attention-deficit/hyperactivity ...

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