Doctors need more quiet time After you've written on a blog for a long time, you begin to ask yourself why.  Oh sure, there are the great opportunities for a single person to make a point, to act as a tiny tugboat trying to push a corporate mothership in a slightly different direction, but you begin to realize that there are very few times that actually ...

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Top stories in health and medicine, September 19, 2014From MedPage Today:

  1. Ebola Response: Fighting the Last Outbreak? The dramatic U.S. commitment of 3,000 military personnel is arguably the biggest contribution yet to the fight against the West Africa Ebola outbreak.
  2. Microbleeds May Up Afib Mortality. The presence of cerebral microbleeds was associated with an increased risk of death from both ...

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“He’d feel okay about not replacing the pacemaker’s battery when it ran down, he said. But turning it off, he said, would be 'too active.' Later he would tell me that it would have been “like putting a pillow over your father’s head.” These are the words of Katy Butler in her book Knocking on Heaven’s Door – The Path to a Better Way of Death in which she writes about her ...

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Top stories in health and medicine, September 17, 2014From MedPage Today:

  1. Exercise Keeps BP Steady Despite Age. A progressively rising blood pressure trajectory is not an inevitable part of aging in men who remain active and maintain high levels of cardiorespiratory fitness.
  2. AAFP Wants GME $$ Decoupled From Hospitals. Graduate medical education (GME) should mostly take place in the community ...

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“Doctor, what do you think of alternative medicine?” a patient with chronic fatigue syndrome asked me the other day. She was interested in doing something more for her severe fatigue. “Would acupuncture help me?” I paused and, as I have done many times before, answered that my training and most of my clinical experience has been in Western, allopathic medicine. (Ironically, the word “allopathic” was first used as a derogatory term ...

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Top stories in health and medicine, September 16, 2014From MedPage Today:

  1. GLP-1 Plus Insulin Betters Glycemic Control. The combination of GLP-1 agonists and basal insulin beat other type 2 diabetes treatments at lowering HbA1c and improving glycemic control.
  2. Obamacare Does Little to Cut Kids' Uninsured Rate. The uninsured rate for kids under age 18 hasn't budged under the health law, ...

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If a doctor doesn’t do excess testing, he isn’t going to be able to live An excerpt from Doctored: The Disillusionment of an American Physician. After the blowup with Rajiv, I committed myself to changing my standoffish ways. Rajiv had been urging me for some time to meet socially with his physician friends in a relaxed atmosphere away from the hospital, and so there I was a few weeks later at a doctors’ party in Manhasset, a tony ...

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Top stories in health and medicine, September 8, 2014From MedPage Today:

  1. Dialysis Drug OK'd for Marketing. A new phosphate binder has been cleared to treat hyperphosphatemia in chronic kidney disease (CKD) patients on dialysis.
  2. Medicare ACOs See Benefits Despite Issues. Participants in Medicare's accountable care organization (ACO) programs have had their share of frustrations, but their enthusiasm for the ACO ...

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Top stories in health and medicine, September 5, 2014From MedPage Today:

  1. Potent Statin Offers No Help After Cardiac Surgery. The powerful lipid-lowering drug rosuvastatin (Crestor) -- also purported to be an effective anti-inflammatory agent -- was powerless to prevent postoperative cardiac surgery complications such as atrial fibrillation.
  2. Questioning Medicine: The Pain Management Fiasco. I spent my intern year at a ...

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Top stories in health and medicine, September 4, 2014From MedPage Today:

  1. Battle Over Abortion Clinic Restrictions Heats Up. The nation's fight over abortion continues unabated, but the battleground has shifted -- instead of seeking to limit who can obtain abortions, the latest legal attacks on abortion now focus on who can perform them.
  2. CDC Head: Ebola Likely to Worsen. The ...

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