From MedPage Today:

  1. ACA Signups Hit 7 Million Mark. More than 7 million Americans -- the avowed goal for 2014 enrollment -- have signed up for coverage through the Affordable Care Act's health insurance exchanges.
  2. Mixed Results in NSCLC, SCLC Trials. Two-thirds of patients with recurrent, mutated non-small cell lung cancer (NSCLC) responded to an investigational agent that selectively targets mutant cells and spares ...

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From MedPage Today:

  1. How to Replace IV Nitroglycerin in the Shortage. For the last month, Nadia Awad, PharmD, and her ED team at Somerset Medical Center in New Jersey, have struggled with a shortage of nitroglycerin.
  2. FDA Panel Gives Nod to New Antibiotics. Two new antibiotics aimed at acute skin and skin structure infections each got unanimous approval Monday from an FDA advisory committee.

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From MedPage Today:

  1. Ketoacidosis High in Type 1 Diabetes. The incidence of potentially dangerous diabetic ketoacidosis remains high for young patients with type 1 diabetes, but has decreased significantly for those with type 2 disease.
  2. Gout Drug Tames the Heart. Colchicine may be as effective at reducing multiple recurrences of pericarditis as it is in treating acute episodes and first recurrences.
  3. Cushing's ...

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From MedPage Today:

  1. Statins Tied to Boost in Men's Sexual Function. Statins appeared to improved erectile function to a clinically meaningful degree.
  2. Is 'Spring Ahead' a Heart Risk? In Michigan, the "spring forward" onto daylight saving time -- thus losing an hour's sleep -- appears to be associated with a temporary spike in heart attacks.
  3. Diet Soda -- Is This a Heart ...

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Apps used to monitor blood pressure need better design Here's a design approach that I really, really dislike: the scrolling wheel that is often used for number entry in iOS apps. I find that the scrolling wheel makes it very tiresome to enter numbers, and much prefer apps that offer a number pad, or another way to touch the number you need. (Or at least decrease the number at ...

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From MedPage Today:

  1. BP Control May Cut Second Stroke Risk in Half. Stroke patients do a poor job of consistently controlling their blood pressure, but those who do may cut their risk of having another stroke in half.
  2. Debulking, IP Chemo Best for Ovarian Ca. Optimal surgical debulking and intraperitoneal (IP) adjuvant chemotherapy afforded patients with advanced ovarian cancer the best outcomes in a ...

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From MedPage Today:

  1. Can the Health App Wild West Be Tamed? Mobile health applications can have a big impact on people's health and lifestyle habits and gather vast amounts of personal data -- all without any oversight. Is this a problem?
  2. Hypertension, Obesity Tied to Kidney Cancer. Increases in blood pressure and body mass were associated with greater risks of kidney cancer in U.S. ...

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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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A small case with big implications almost escaped my notice this week.  The Boston Globe reported a case in which a family sued after a 23-year-old man died after being diagnosed with a lung infection. According to the Globe, the young man went to one of the Boston Emergency Rooms complaining of cough, fever, and chest pains.  Ok, stop right there all you armchair diagnosticians.  What does this man most ...

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From MedPage Today:

  1. Docs Unprepared for Payment Reform. A pair of recent reports call into question the ability of physician practices to embrace health reform efforts.
  2. Even a Few Drinks Tied to Poor Birth Outcomes. Women who consumed low levels of alcohol before conception and during pregnancy were more likely to have adverse birth outcomes such as low birth centile, low birth weight, and ...

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