shutterstock_89752360 I went to the doctor yesterday, my semi-annual visit, as it were. These days I see a nurse practitioner, a woman. Recently, she and the practice she is a part of moved into a renovated building, state-of-the-art, they are calling it. It almost sparkles in its newness. The practice is owned by one of the large hospital corporations in our city. See ...

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“A thousand times we die in one life. We crumble, break and tear apart until the layers of illusion are burned away, and all that is left, is the truth of who and what we really are.” The coronary care unit (CCU) rotation is a unique place. Postoperative cardiothoracic surgery patients among many other pathologies from heart failure to heart transplant fill the unit, and it is the job of the ...

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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. Remote Monitoring, a New Paradigm for Cardiac Implanted Devices? Patients who used the remote monitoring (RM) function of their cardiovascular implantable electronic devices (CIEDs) had less healthcare utilization and better survival than those without RM according to a pair of studies.
  2. Migraine, Carpal Tunnel Syndrome Linked in Association Study. ...

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medpagetodayFrom MedPage Today:

  1. Newer Antiplatelet is Faster in Ad Hoc PCI. Ticagrelor (Brilinta) dropped platelet reactivity lower sooner when given on the table for patients going directly to revascularization after diagnostic angiography.
  2. Abandoned Painkiller Makes a Comeback. In 2006, in the midst of a growing opioid epidemic, the FDA approved the new ...

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medpagetodayFrom MedPage Today:

  1. Congress Wrestles With School Lunches. Federally funded programs to get kids to eat their vegetables at school -- not an easy task at home either -- got a hard look from a Senate panel at a hearing.
  2. Are E-Cigs a Gateway to Smoking? Lots of questions remain about the ...

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I recently read a discussion by three hypertension specialists, Drs. Jan Basile, Dominic Sica and David Kountz, on how to treat resistant hypertension. Resistant hypertension is blood pressure that remains above goal despite treatment with three drugs, from different classes, one of which must be a diuretic. 10 to 15 percent of patients with high blood pressure will have resistant hypertension. These are the people who always seem to have ...

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shutterstock_77642626 Earnest Tipp was very overdue for his blood pressure follow-up. Almost a year and a half overdue, as a matter of fact. The last few times I had refilled his medications, I had added “needs follow-up” to the signum on his scripts. The other day I finally saw him in my schedule. I thought about him all morning. A tall, muscular 90-year ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit. She has a history of well-controlled hypertension and type 1 diabetes mellitus. She is at 16 weeks' gestation with her first pregnancy. Prior to conception she was taking lisinopril, which was discontinued in anticipation of the pregnancy, and labetalol was initiated. Other medications ...

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medpagetodayFrom MedPage Today:

  1. CSF Biomarker May Predict Early AD Progression. Cerebrospinal fluid (CSF) levels of a certain brain protein may be a helpful predictor of progression to Alzheimer's disease.
  2. Diabetes More Likely in Children in Stressful Homes. Children who experienced psychologically stressful events faced a greater risk of developing type 1 diabetes ...

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