In the midst of seeing a patient, I got a call from another physician, my dad's new cardiologist. "Looks like he is going to need CABG (open heart surgery) since he has four major blockages." I was expecting this call, and this result, based on his history of diabetes and at least one month of chest pain. It was still shocking to hear. I walked back into the exam to continue the ...

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medpagetodayFrom MedPage Today:

  1. Predicting Death in Advanced Cancer. Late-occurring signs of declining neurocognitive function proved to be highly specific and highly likely markers of impending death in patients with advanced-stage cancer.
  2. JAK-3 Drug Effective in RA, but Safe? The oral selective JAK-3 inhibitor decernotinib was associated with significant improvements in symptom relief ...

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As much as I have given the "ologists" and other members of the dysfunctional U.S. health care system a hard time in previous posts, it’s only fair that I call out bad family medicine as well. I have a great example. I recently saw patient who is relatively new to the area who had seen another family physician in my community. He is 39-year-old male, and his only significant potential health ...

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medpagetodayFrom MedPage Today:

  1. Diabetes Patients on BP Meds at Lower Risk. Lowering blood pressure in patients with type 2 diabetes was associated with decreased mortality risk in a meta-analysis of 40 randomized trials.
  2. ACA: Beyond 'Repeal And Replace'. Repeal and replace" has been the rallying cry for Republicans since the Affordable Care ...

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We all accept that we can't vote until we are 18 and can't order alcohol -- at least legally -- until we are 21. We know that if we speed 60 mph in a 45 mph zone, we risk a traffic ticket or accident. We get used to these numbers and pretty much know the risks if we break them. However, the practice of medicine is becoming more and more ...

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medpagetodayFrom MedPage Today:

  1. Exposure to Secondhand Smoke Cut in Half. The number of people exposed to secondhand smoke dropped by half over the last decade, but one in four nonsmokers, or some 58 million people, are still exposed.
  2. Patients Mum on Work-Related Asthma. While 46% of employed adults had asthma that was ...

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medpagetodayFrom MedPage Today:

  1. An Ounce of Exercise, a Pound of Rehab. I first became aware of this "revolutionary" post-MI intervention as an intern -- I was shadowing Bernard Lown, MD, the Nobel Prize winner, inventor of the defibrillator and introducer of lidocaine into medical practice.
  2. Lower Lung Cancer Risk Seen in Nonsmokers ...

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Her heart was failing; her ejection fraction was unmeasurable.  Her hip was broken, and she developed a pulmonary embolism post-operatively.  She was painfully close to death.  Yet at some point, the hospital finished and spit her out at the nursing home. She was confused. I tried to take the best history that I could.  Her answers where usually no more than a single word.  Her physical exam revealed a desperately weak woman, ...

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medpagetodayFrom MedPage Today:

  1. U.S. Seniors Losing Grip on Muscle Strength. The first national survey on grip strength in older adults found that 5% of those over 60 had weak muscle strength, and 13% had intermediate strength.
  2. Low MI Risk in Patients With Non-MI Chest Pain. Patients treated in emergency departments (EDs) for ...

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medpagetodayFrom MedPage Today:

  1. Is This Tattoo Worth a 1,000 Needle Pricks? Researchers at the University of California San Diego believe they have a feasible, noninvasive method for monitoring serum glucose: a temporary tattoo.
  2. Systolic Pressure Signals Risk in Young. Isolated systolic hypertension in young and middle-age adults was associated with an increased ...

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