Top stories in health and medicine, September 3, 2014From MedPage Today:

  1. Low Carb Beats Low Fat for Weight Loss, CV Risk. For weight loss and for reducing cardiovascular risk, cutting down on carbs was a more effective strategy than limiting fat intake in a randomized trial.
  2. States To Help Pay Obamacare Tax on Insurers. When Congress passed the Affordable Care ...

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As I begin another year teaching EKGs to our new residents, I find I am increasingly asking myself, "Where to teach?" I do not mean to imply a geographic sense to the word "where" (although this is difficult, too, as residents move from hospital to hospital in large health care systems like ours as they change rotations), but rather as more of a "level." What level do I teach our residents ...

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My brother and I, both optometrists, had a heart-to-heart discussion about the loss of one of our patients. We discovered he was not taking his medications as prescribed, which was leading to vision loss. When pressed, the patient said he had a choice of eating, supporting his family, or purchasing his medication. He was under the impression that the $150 price for his generic Lipitor was “about the same” at any ...

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MedPage Today recently tackled a very controversial issue in medical practice.  The piece explored the ongoing battle between dermatologists and allied health professionals (AHPs) over the performance of dermatologic procedures.  As independent NPs and PAs begin to bill for more and more procedures (thus potentially talking revenue away from board certified dermatologists) specialists are beginning to argue that the AHPs are practicing beyond their scope of practice. According to the 
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Top stories in health and medicine, August 28, 2014From MedPage Today:

  1. I, Intern: Common Problems, Elusive Answers. Rebecca Karb, MD, crosses paths with patients in the Rhode Island Hospital emergency department who have ailments that she rarely saw as a medical student.
  2. Results Mixed With Home BP Monitoring. A hypertension self-management program reduced systolic blood pressure in high-risk patients, including ...

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He left a little early to stop by the cath lab to see his patient before her procedure.  Cordial "hellos," "good mornings," and "any last questions?" were mentioned before she signed her consent.  The team was working feverishly to prepare her for her procedure.  "Have you met the anesthesiologist yet?" was next, and almost on cue, the anesthesiologist arrived and took over for a bit. He hurried upstairs to the conference ...

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Top stories in health and medicine, August 27, 2014From MedPage Today:

  1. 'Sleep Drunkenness' Common, But Rarely Unexplained. So-called confusional arousals -- awakenings without coming fully aware -- were reported in the past year by some 15% of respondents in a population-based survey, with nearly all such episodes associated with mental disorders or drugs known to affect sleep.
  2. The Siren Call ...

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Top stories in health and medicine, August 26, 2014From MedPage Today:

  1. Adrenaline: The Best and Worst of Drugs. Despite it being the first-line adrenergic drug for patients with cardiac arrest, few studies in humans have assessed epinephrine's effectiveness.
  2. Increase E-Cig Regulation, Says AHA. The federal government should ban the sale of e-cigarettes to minors just as it does cigarettes and ...

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Top stories in health and medicine, August 25, 2014From MedPage Today:

  1. Futile ICU Care for Some Delays Care for Others. Providing futile care to ICU patients delayed care for other patients awaiting transfer into the ICU, according to a 3-month study of ICU practices at two hospitals.
  2. Lupus and the Atomic Bomb? In the early 1950s, with the expanding arms ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 21-year-old man is evaluated during a medical examination for health insurance. The patient is a weight lifter. He has no medical problems and takes no medications or illicit drugs. On physical examination, blood pressure is 128/73 mm Hg, pulse rate is 56/min, and respiration rate is 16/min; BMI is 30. Increased skeletal ...

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