Should we follow a Mediterranean diet? We’ve known for quite some time that weight loss can reduce the risk of developing insulin resistance and type 2 diabetes. However, a healthy diet alone (without weight loss) may also help to reduce risk. In a recent Spanish study (published in the Annals of Internal Medicine), 3,541 men and women ages 55-80 at risk for diabetes were followed for ...

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From MedPage Today:

  1. SGR Repeal Cost Now Pegged at $121 Billion. The most recent congressional proposal to repeal Medicare's sustainable growth rate (SGR) payment formula would cost $121.1 billion over 10 years if enacted.
  2. Preoperative RT May Up Survival in Mesothelioma. A preoperative accelerated high-dose radiation therapy protocol for advanced mesothelioma has led to a 3-year survival more than twice what would have been ...

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From MedPage Today:

  1. Striking a Nerve: Bad Odor to This Fish Oil Study. A new analysis of fish oil and brain health "adds to the growing literature" connecting the two, its authors write -- but possibly less than any of the previous studies.
  2. HRT May Protect New Joints. Women who had total knee or hip replacements were significantly less likely to have implant failure ...

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I trained in internal medicine and cardiology at the tail end of the era of lifetime board certification by the American Board of Internal Medicine. In fact, my timing was perfect -- I was “boarded” in medicine in 1987, and in cardiovascular disease in 1989, which (I am pretty sure) were, respectively, the last years that the ABIM offered certificates without an expiration date in those disciplines. Late last year, I ...

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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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