From MedPage Today:

  1. Big Changes to Heart Devices OK'd Without New Data. Many of the high-risk implantable cardiac devices in use today were approved through a supplement pathway that does not require new clinical data on the safety and effectiveness of changes made to the products since their original approval.
  2. 'Email Metastasis' Costs Hospitals Millions. If 30 seconds were spent per e-mail, the annual ...

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Most of us would agree that health care costs are too high in America.  They must be controlled or else we won’t have a sustainable health care system here.  And we should acknowledge that, on average, all doctors in America are paid higher than their overseas counterparts.  But we should also agree that expenses for doctors to earn a degree, maintain that degree and licensure, and pay their malpractice premiums ...

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From MedPage Today:

  1. Gout: Obesity's Stealth Disease. Once known as "the disease of kings," gout today clearly is a disease of commoners as well, and although it's on the rise.
  2. Can Statins Delay Death in Diastolic HF? Statins may have a role in reducing mortality in patients with heart failure and preserved ejection fraction (HFpEF).
  3. MS: Slow Progression With Vitamin D? Patients ...

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The unidentified cause of one mans hypertension: Racism Meet Damien, my Facebook friend, photographer, and IT guy. This morning, he messages me: “I would like to make an appointment.” I reply: “For?” “High blood pressure.” I offer to see him, but he never comes in. Weeks later, he writes, “I got busy Pam. How are you? High blood pressure pills keep making me sick. I am doing the best I can. On bad days ...

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From MedPage Today:

  1. Statins Linked to Less Delirium in the ICU. Delirium risk was lower for critically ill patients kept on their preexisting statin therapy.
  2. Few Docs Ready for Stage 2 'Meaningful Use'. Roughly one physician in eight has an electronic health record (EHR) system capable of supporting most requirements for Stage 2 of the "meaningful use" program.
  3. Cut Nicotine in Cigarettes, ...

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From MedPage Today:

  1. Two More Levels to Check for Diabetes Risk? Fructosamine and glycated albumin levels could help predict risk of diabetes and microvascular complications, particularly when glycated hemoglobin (HbA1c) levels aren't reliable.
  2. ICU Infections Persist Even With Disposable ECG Wires. Single-use electrocardiogram leads didn't help prevent intensive care unit (ICU) infections compared with standard reusable ones.
  3. Hospitalization Often Avoidable in GI ...

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Obamacare has promised to provide all of us with quality medical care that is affordable and accessible. The very name of the law is the Affordable Care Act, which I have maintained will be short on both affordability and quality care. Most of the country agrees with me. The postponement for a year of the corporate mandate to provide insurance in businesses with at least 50 full time employees was a ...

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From MedPage Today:

  1. HHS Makes It Official: 2.2 Million ACA Enrollees. Federal health officials reaffirmed Monday what had previously been reported, which is that nearly 2.2 million people have signed up for private health insurance under the Affordable Care Act (ACA).
  2. JNC 8 Dissenters Don't Want to Ease BP Thresholds. Not all of the panel members appointed to the Eighth Joint National Committee (JNC ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 68-year-old man is evaluated for exertional chest pain of 3 months' duration. He describes the chest pain as pressure in the midsternal area with no radiation that occurs with walking one to two blocks and resolves with rest or sublingual nitroglycerin. No symptoms have occurred at rest. Medical history is significant ...

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Recently, while on a locums assignment in a very small, rural hospital, I cared for a gentleman with chest pain.  His discomfort seemed classic for an MI, but his EKG did not. So I treated him as normal with aspirin and nitrates, and waited for his cardiac markers to come back from the lab.  In the interim, his chest pain worsened.  Sure enough, he developed an anterior MI.  The tombstones ...

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