What good coaching has to do with medicine Every once in a while a topic comes up that takes me back to the origins of this blog. At its core, DrJohnM aims to merge the worlds of athletics, health and medicine. The glue, the secret sauce, is mastery of the obvious. As an athlete and doctor, I get to see how both plans parallel each other. Katie Compton is an American ...

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Allowing EMTs to perform an ECG should not be controversial I live in Louisville, KY, which is the epicenter for heart disease in the United States. My state ranks 49th out of 50 states for heart attack mortality. This is a complex issue with many contributing factors, including access to care, patient education, health insurance, cooperation between EMS and hospitals, among others. The thing is: heart disease is our number one ...

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This series is brought to you by MedPage Today. 1. Mental Health Big Player in Obama's Gun Plan. Mental health issues were in the spotlight Wednesday in the executive orders President Obama signed and proposals he issued for Congress, all aimed at curbing violent gun deaths. 2. New Hour Rules Not Necessarily Helping Interns. New duty hour regulations meant to limit fatigue and promote patient safety ...

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This series is brought to you by MedPage Today. 1. Groups Want Delay in Meaningful Use Rules. Some leading medical groups have called on the Department of Health and Human Services (HHS) to delay implementation of Stage 3 of meaningful use of electronic health records (EHRs), saying providers are still trying to implement Stages 1 and 2. 2. Migraines Hike Women's Risk for Heart Problems. Women who have ...

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This series is brought to you by MedPage Today. 1. Depression After Stroke Boosts Death Risk. Similar to patients with myocardial infarction (MI), depression is associated with worse outcomes in patients with stroke. 2. Doc Shortage May Be Smaller Than Projected. The projected shortage in the nation's primary care physician work force may be overstated, and any that does develop can be eliminated with ...

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Recently, my middle school daughter has been learning about the use of the scientific method in science class.  In her school laboratory, she and the other sixth graders learn how to ask a question, perform background research, formulate a hypothesis, design and execute an experiment to test the hypothesis, and ultimately synthesize conclusions.  She is being taught to accurately record and interpret data;  the concept of manipulating data to suit ...

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This series is brought to you by MedPage Today. 1. Antibiotic Tied to Higher Risk of Miscarriage. Use of the antibiotic clarithromycin (Biaxin) in the first trimester of pregnancy is associated with an increased risk of miscarriage. 2. AHA Adds Its Weight to NSAID Risk Message. The American Heart Association (AHA) has joined the newly formed Alliance for the Rational Use of NSAIDs, a ...

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Surprise! It turns out that if every woman in the US got a mammogram every year, almost exactly the same number of them would still die of breast cancer. Why? Watch this video. Read this by TBTAM. Bottom line: mammograms don’t find aggressive cancers soon enough (by definition, you can’t), while too many of the cancers they do find were never going to be fatal anyway. This is ...

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Several physicians contribute regularly to BMJ. One of my favorites is a GP in Glasgow named Des Spence. Through their writings, I have gained a glimpse of the challenges faced by GPs in the UK, and the broader culture in which they work. In two of his columns this summer, he railed against various early detection movements in the UK. In one column, he protests against Alzheimer’s disease advocates who ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old man is evaluated during a routine examination. Medical history is significant for a myocardial infarction 3 years ago, dyslipidemia, hypertension, tobacco use, and drinking two alcoholic drinks per day. Medications are an ACE inhibitor, a statin, a β-blocker, and aspirin. He participates in cardiac rehabilitation, exercising four to five times per week. On ...

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