How does heartburn turn into a multi-thousand dollar workup?  The simple answer: defensive medicine.  See how this scenario plays out daily in this latest episode from Healthcare Not Fair.

shutterstock_198931019 "Turn out the light, the party's over," sang color commentator Dandy Don Meredith on ABC's Monday Night Football when a seminal fourth quarter play occurred and the game was suddenly in the bag. For me, that's where it's at right now -- just a few ticks of the clock away First, for the American Heart Association then for the American Red Cross, ...

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Here is a behind-the-scenes peek into an operating room in the midst of Silicon Valley. Here, routinely there is a groundbreaking intersection of technology and medicine that's blurring the lines between what's possible today and what you'll come to expect as routine in the future. Imagine two experienced surgeons working side by side to replace a calcified, stenotic and tired aortic valve within a man's heart without ever having to cut into ...

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shutterstock_137498780 One of my favorite physician sayings is, "Don’t just do something, stand there!" Which means that it’s better to do nothing than to do something that doesn’t help. As I move through my career, I find myself agreeing. I am endlessly amazed at the number of things we do for no good reason, and that patients come to expect, also for ...

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shutterstock_89752360 I went to the doctor yesterday, my semi-annual visit, as it were. These days I see a nurse practitioner, a woman. Recently, she and the practice she is a part of moved into a renovated building, state-of-the-art, they are calling it. It almost sparkles in its newness. The practice is owned by one of the large hospital corporations in our city. See ...

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“A thousand times we die in one life. We crumble, break and tear apart until the layers of illusion are burned away, and all that is left, is the truth of who and what we really are.” The coronary care unit (CCU) rotation is a unique place. Postoperative cardiothoracic surgery patients among many other pathologies from heart failure to heart transplant fill the unit, and it is the job of the ...

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medpagetodayFrom MedPage Today:

  1. Overactive Bladder May Set Seniors Up for a Fall. A diagnosis of overactive bladder (OAB) significantly increased the risk of falls among a Medicare population.
  2. IBS: Peppermint Oil May Be a Treatment Option. A slow-release peppermint oil (IBgard) appeared to significantly reduce severe abdominal symptoms of irritable bowel syndrome ...

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medpagetodayFrom MedPage Today:

  1. Remote Monitoring, a New Paradigm for Cardiac Implanted Devices? Patients who used the remote monitoring (RM) function of their cardiovascular implantable electronic devices (CIEDs) had less healthcare utilization and better survival than those without RM according to a pair of studies.
  2. Migraine, Carpal Tunnel Syndrome Linked in Association Study. ...

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medpagetodayFrom MedPage Today:

  1. Newer Antiplatelet is Faster in Ad Hoc PCI. Ticagrelor (Brilinta) dropped platelet reactivity lower sooner when given on the table for patients going directly to revascularization after diagnostic angiography.
  2. Abandoned Painkiller Makes a Comeback. In 2006, in the midst of a growing opioid epidemic, the FDA approved the new ...

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medpagetodayFrom MedPage Today:

  1. Congress Wrestles With School Lunches. Federally funded programs to get kids to eat their vegetables at school -- not an easy task at home either -- got a hard look from a Senate panel at a hearing.
  2. Are E-Cigs a Gateway to Smoking? Lots of questions remain about the ...

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