This story has become all too familiar. The patient enters the ER with crushing chest pain and their EKG shows an acute MI, (known today in the colloquial as STEMI, for ST-elevation myocardial infarction). The interventional cardiologist is summoned quickly and in less than 90 minutes from the patient's arrival across the ER door threshold, he or she is on a cardiac cath lab table, where a coronary stent is ...

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

  1. Obesity, T2D May Alter Gut Bacteria. The portfolio of gut bacteria in patients with obesity and type 2 diabetes may look different from that of healthy people.
  2. Ohio Amish Rethink Vaccines in Measles Outbreak. The Amish countryside in central Ohio looks like it has for a hundred years. There ...

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Top stories in health and medicine, June 23, 2014From MedPage Today:

  1. FDA: Testosterone Carries VTE Risk. Testosterone products can cause venous thromboembolism (VTE) even in patients without polycythemia, the FDA warned amidst ongoing cardiovascular risk assessment.
  2. Safety Foul-Up Exposes CDC Staff to Anthrax. A breakdown in safety procedures has exposed 84 CDC staffers in Atlanta to live anthrax.

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Top stories in health and medicine, June 20, 2014From MedPage Today:

  1. The Uninsured: 33 Million and Counting. In the last full year before the Affordable Care Act went into effect, more than 33 million Americans had been without health insurance for more than a year, according to CDC survey.
  2. Gross Anatomy: A Real Twisted Heart. It's nothing but heartache for ...

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Top stories in health and medicine, June 19, 2014From MedPage Today:

  1. Do Thiazides Trigger Metabolic Side Effects in Older Adults? Metabolic adverse events were relatively common among older, predominantly male veterans who started taking a thiazide diuretic for hypertension.
  2. Insurers Push Back Against Growing Cost of Cancer Tx. Some cancer patients and their insurers are seeing their bills for chemotherapy ...

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After I left my position as a staffer for the U.S. Preventive Services Task Force in November 2010, it was three years before I was tapped for another guideline post, this time at the American Academy of Family Physicians. Recently I joined the AAFP's Commission on Health of the Public and Science, which formulates guidance for family physicians on a variety of topics, including clinical preventive services. My appointment coincided ...

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Top stories in health and medicine, June 16, 2014From MedPage Today:

  1. The Hobby Lobby Case: The Stakes for Birth Control. One of the most watched issues before the Supreme Court this term may turn on the question of religious freedom. But it will also likely determine how women will be able to access a key provision of the Affordable Care Act -- ...

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After decades of bravely keeping them at bay, health care is beginning to be overwhelmed by “fast, cheap, and out of control” new technologies, from BYOD (“bring your own device”) tablets in the operating room, to apps and dongles that turn your smart phone into a Star Trek tricorder, to 3-D printed skulls. (No, not a souvenir of the Grateful Dead, a Harley decoration or a pastry for the Mexican Dia de ...

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Top stories in health and medicine, June 10, 2014From MedPage Today:

  1. AMA Mulls Gun Violence CME. As the AMA's House of Delegates was meeting in a downtown hotel here, 29 local residents were shot and four killed within a 10-mile radius.
  2. Most Breast Ca Patients Fall Short on Exercise. Two-thirds of breast cancer patients reported lower levels of physical activity ...

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Cardiovascular disease still remains the number one cause of death in women.  Heart attacks account for 24% and strokes 7% of all deaths.  Among minority women, these numbers are even higher.  The challenge remains that doctors traditionally have not identified women at high risk of stroke.  Internists and cardiologists do not routinely think of stroke prevention in women, and neurologists have been busy treating stroke victims and have had no ...

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