From MedPage Today:

  1. Driving High on List for Stroke Survivors. Stroke survivors seldom seek formal evaluation of readiness to get back behind the wheel, even if they have significant limitations in other daily activities.
  2. Viral Infection May Dull Mind. Mental sharpness appeared dulled with a history of exposure to five common viruses, with a possible signal for faster cognitive decline as well.

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There is little doubt that over the next few years we will see a wave of increasingly sophisticated point-of-care tools to help clinicians determine the costs and relative value of their medical recommendations. I welcome that day, but I do not intend to idly sit by waiting for it. Not all solutions need to be based on high-level algorithms or slick, user-friendly apps made for iPhones. Last month I came across a ...

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From MedPage Today:

  1. ICD-10 Follies: Transition Could Cost Practices Big Bucks. Transitioning to the new ICD-10 coding system could cost some physician practices millions of dollars.
  2. Fix Narrow Networks, ACP Tells HHS. The federal government, states, and health insurance companies should take a harder stance on expanding unduly narrow provider networks, the American College of Physicians (ACP) wrote to the government Tuesday.

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From MedPage Today:

  1. Mammography: Study Finds No Lives Saved. Annual mammography failed to reduce breast cancer mortality in women, ages 40 to 59, compared with physical examination or routine care, according to 25-year follow-up data from a Canadian screening program.
  2. Gestational Hypertension: Monitoring vs Delivery? Pregnant women with nonsevere hypertensive disorders between 34-37 weeks should be monitored closely rather than delivered immediately to avoid ...

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The day after the temperature dipped from 60 degrees to 25 degrees, I mistakenly left for work without a winter jacket. Rushing 50 yards to the hospital doors with my arms clung to my chest in the blistering cold, my tie flew over my shoulders, my teeth chattered, and my fingers went numb. That evening I began to sniffle. The next morning I had a sore throat, and the following day ...

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There’s a piece in the Atlantic entitled "The Psychology of Lululemon." I probably would not have read that article but for the fact that I was in Lululemon recently buying my wife some yoga clothes. This turned out to be an interesting read. The premise of the piece is that athletic clothing makes people want to work out -- that in some way, clothes have power over the wearer. Of course, I ...

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From MedPage Today:

  1. Blacks Lag on HIV Continuum of Care. Fewer than half of the 500,000 black Americans living with HIV have been given a prescription for antiretroviral medications, and only about a third have suppressed the virus.
  2. 12 Things to Know About the SGR Repeal Bill. Democratic and Republican leaders in both houses of Congress have finally agreed on a bill that would ...

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At least 12 college students have been diagnosed with Meningitis type B (MenB) this year, and cases like this may spread to other campuses unless the Food and Drug Administration intervenes.  While people of any age can contract the infection that affects the brain and spinal cord, children and people over 60 are more likely to contract the infection.  So, too, are college students because of their close contacts in dormitories and ...

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The Society for Healthcare Epidemiology of America (SHEA) guidelines for health care workers attire were recently published. Science Daily led with the headline "New Infection Control Recommendations Could Make White Coats Obsolete," which is rather misleading since the guidelines say no such thing. I won't reproduce the entire 15-page document here since the full text is available online. But here are some highlights along with my comments. The guidelines say that facilities may ...

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Hospitals are commonly thought of as the safest place to be for sick people. Patients have around-the-clock access to skilled care teams. Their vital signs are continuously monitored. A physician stops by every morning to check on them. While it all sounds safe, a hospital can be a very dangerous place to be. Here are four frightening risks hospitals pose, along with their causes and some easy-to-implement solutions that could save hundreds ...

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