From MedPage Today:

  1. Driving High on List for Stroke Survivors. Stroke survivors seldom seek formal evaluation of readiness to get back behind the wheel, even if they have significant limitations in other daily activities.
  2. Viral Infection May Dull Mind. Mental sharpness appeared dulled with a history of exposure to five common viruses, with a possible signal for faster cognitive decline as well.

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From MedPage Today:

  1. ICD-10 Follies: Transition Could Cost Practices Big Bucks. Transitioning to the new ICD-10 coding system could cost some physician practices millions of dollars.
  2. Fix Narrow Networks, ACP Tells HHS. The federal government, states, and health insurance companies should take a harder stance on expanding unduly narrow provider networks, the American College of Physicians (ACP) wrote to the government Tuesday.

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From MedPage Today:

  1. Blacks Lag on HIV Continuum of Care. Fewer than half of the 500,000 black Americans living with HIV have been given a prescription for antiretroviral medications, and only about a third have suppressed the virus.
  2. 12 Things to Know About the SGR Repeal Bill. Democratic and Republican leaders in both houses of Congress have finally agreed on a bill that would ...

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In medicine today diagnostic testing and advanced imaging is readily available and widely utilized in most every clinical setting.  Many physicians have given up the stethoscope and physical exam in favor of an echocardiogram and a CT scan.  Fear of missing something pervades every emergency department and has resulted in hundreds of thousands of unnecessary testing costing billions of dollars in healthcare expenditures. Of course, the driving causes of increased testing ...

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Cardiologists are causing patients to get cancer. It’s true. Cardiologists routinely perform angiograms on patients who have no heart disease whatsoever. As shown in this Harvard newsletter, each angiogram exposes the patients to about 7 mSv of radiation. Add in the myocardial perfusion imaging at another 25 mSv of radiation and you have enough radiation to cause cancer in an otherwise healthy individual. And cardiologists routinely subject patients with normal coronary arteries ...

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Cardiovascular disease -- including coronary atherosclerosis and cerebrovascular disease -- remains the number one cause of mortality in the United States. One out of three people in this country will die of cardiovascular causes.  Although I can’t say that the other top causes of mortality are particularly attractive -- cancer, chronic lung disease, accidents and dementia -- premature cardiovascular death can certainly be very devastating and it makes sense to do ...

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How should patients determine the quality of their doctor? This is an interesting question that has now reached mainstream media status as evidenced by a Wall Street Journal article by Laura Landro, a very accomplished veteran health care reporter. With the best and brightest going in to medicine, the requirement for more rigorous training than anywhere else in the world by (some might say) "exceptional, world class" medical educators and longstanding ongoing mandated continuing medical ...

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Would you tell me, please, which way I ought to go from here? That depends a good deal on where you want to get to. I don't much care where – Then it doesn't matter which way you go. - Lewis Carroll In the new world, payers will increasingly ask before reimbursing medical imaging: why did you bother finding out? This is why we must pay attention to clinical trials. An instructive case is in the ...

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“I used to be strong, I wrestled the bull,” Sumner Ball said, “but now I can’t even wrestle the rooster.” On the far side of eighty-years-old, he looked lively and trim, and his weathered face hinted at a smile as his blue eyes peered straight into mine. “I think these cholesterol pills are hurting my muscles,” he declared. “I don’t think they’re good for me.” “Is it your back?” I scanned through his last ...

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From MedPage Today:

  1. Adrenal Masses May Carry Heart Risk. Patients with adrenal incidentalomas may have worse cardiovascular outcomes if their tumors secrete even low levels of cortisol.
  2. TAVI Increases Use of Valve Surgery, Too. Despite concerns to the contrary, the introduction of transcatheter aortic valve implantation (TAVI) into everyday practice has not decreased the number of patients undergoing surgical valve replacement.
  3. Obama ...

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