Brought to you by MedPage Today. 1. More Evidence Fecal Transplant Clears C. Diff. Fecal transplant for Clostridium difficile infection is a safe and effective treatment and can alter patients' fecal microbiota to resemble that of donors over time. 2. CT Lung Screens Catch Most Cancers. The National Lung Screening Trial found that CT scans were highly sensitive in detecting lung cancer in ...

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The cabdriver pulled up to take me to the community hospital where I work several weeks each year. Settling into the back seat, I made my request before he reached the intersection: "Could you please take 93 South?" He was quick to ask me why, and I hesitated. I had taken this route dozens of times and had usually found it to be faster than the alternative, I said, but ...

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“J.T.” is 92 and clearly a soul who lives to the beat of a different drummer. She has no children and her closest relative is a niece who she despises. Despite this the niece oversees her care, sending in a full time aide and her personnel assistant to run the household. J.T. will not come to the office for a visit. If I call and make an appointment to see ...

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Women are undertreated and underserved when it comes to cardiovascular disease and stroke.  Now, more than ever, this may even be more important due to several recent studies that have been published recently. Several investigations have demonstrated two troublesome facts. In certain areas of the country, life expectancy for women is decreasing and women who smoke are much more likely to have lung cancer than men who smoke.  These facts argue ...

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The legal risks of prescribing the AliveCor ECG With the announcement that the FDA granted 510(k) approval for the AliveCor EKG case for the iPhone 4/4S, the device became available to "licensed U.S. medical professionals and prescribed patients to record, display, store, and transfer single-channel electrocardiogram (ECG) rhythms." While this sounds nice, how, exactly, does one become a prescribed patient?  Once a doctor prescribes such a device, what are his ...

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Brought to you by MedPage Today. 1. Hospitalists Work Longer, Patients Stay Longer. Long work hours for hospitalists led to longer patient stays and unnecessary orders. 2. Automated BP Device Not Cutting It. An automated BP cuff billed as an in-office substitute for ambulatory monitoring may substantially underestimate pressures. 3. No Hike in Mass. Hospital Use Post Health Reform. Healthcare reform ...

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I almost fell off my chair.  It was bad enough that he showed up to the ER.  But what happened next really blew my mind.  He fell and bruised a rib.  The pain in his left chest had obvious enough origins.  But triage had put in for an electrocardiogram and the interpretation apparently scared the resident.  The attending took a look, and shook his head. "Left bundle branch block.  Better call ...

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This is a topic that comes up from time to time for often spirited discussion. The most recent example comes in a a couple of articles in the New England Journal of Medicine. One was a research paper; the other was a pro and con discussion. The research paper studied cardiac arrests that happened outside the hospital. The authors tested the premise that allowing families to watch the efforts of ...

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Bobby was admitted to the hospital once again with overwhelming fatigue and shortness of breath. Yet this 37 year old farmer looked the picture of health. He grew up on a farm rising before dawn, milking cows and working long days in the fields with hay or corn. He was never seriously ill as a child and was a good football halfback in high school. But this was his third admission ...

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“You have to be affable, available, and able,” a senior general internal medicine physician taught me during my final year of residency. “Trust me,” he added, “when you’re in practice, you will love easy consults.” A consult – short for “inpatient consultation” – occurs when physician caring for a hospitalized patient requests another physician to evaluate the patient and provide recommendations.  Typically, both physicians are paid – one for providing overall ...

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