Top stories in health and medicine, October 27, 2014From MedPage Today:

  1. Nurse Beats Ebola. Fourteen days after she felt her first symptoms, Nina Pham, RN, has conquered Ebola.
  2. 'Bad' Fats Down but Not Out of Diets. Trans and saturated fat consumption have dropped, but not far enough to meet recommended levels for heart health, and omega-3s have plateaued too low.

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Top stories in health and medicine, October 21, 2014From MedPage Today:

  1. Study Links Enterovirus in Kids to T1D. Enterovirus infection may be tied to the development of type 1 diabetes.
  2. LVAD Patient Education Misses the Mark. Patient information on left ventricular assist devices (LVAD) is biased in favor of the device, and is suboptimal for helping people determine their pros ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old man is evaluated during a follow-up visit for urinary frequency. He reports no hesitancy, urgency, dysuria, or change in urine color. He has not experienced fevers, chills, sweats, nausea, vomiting, diarrhea, or other gastrointestinal symptoms. He feels thirsty very often; drinking water and using lemon drops seem to help. He ...

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Top stories in health and medicine, September 8, 2014From MedPage Today:

  1. Dialysis Drug OK'd for Marketing. A new phosphate binder has been cleared to treat hyperphosphatemia in chronic kidney disease (CKD) patients on dialysis.
  2. Medicare ACOs See Benefits Despite Issues. Participants in Medicare's accountable care organization (ACO) programs have had their share of frustrations, but their enthusiasm for the ACO ...

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

  1. Moving Target for BP Guidelines. The current blood pressure target recommendations may need to be revisited in hypertensive patients with coronary artery disease who are 60 years and older.
  2. Transcatheter Mitral Valve Repair Rivals Surgery. Survival rates with catheter-based mitral valve repair are comparable to classic surgery and better ...

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Internal medicine requires knowledge, deduction, and many skills: history taking, physical examination, analyzing diagnosis tests. When confronting a new patient problem, we use our brains to work on finding a diagnosis. Much like police detectives, we would like to have brilliant diagnostic epiphanies, but often we make our diagnoses by painstakingly collecting all the clues and doing the necessary boots on the ground work. We had a woman admitted to our ...

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We tell ourselves many things about our health each day, every day, all day long. The vast majority are unintentional, uninspired and blunt. A particularly sinful dessert brings admonishment, “You should not have eaten that.” Panting after two flights of stairs call for an exasperated, “I am out of shape!” Receiving a diagnosis prompts mental overdrive of “What if I don’t survive this?” thoughts. Learning my diagnosis of chronic kidney disease ...

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Top stories in health and medicine, June 4, 2014From MedPage Today:

  1. Advice to Docs Might Not Come From a Fellow Human. Long Island dermatologist Kavita Mariwalla knows well how to treat acne, burns, and rashes. But when a patient came in with a potentially disfiguring case of bullous pemphigoid -- a rare skin condition that causes large, watery blisters -- she was ...

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I wish I could share the photo of my 4mm boomerang shaped kidney stone.  I labored for 2 months, back in early 2009 to pass it, the second stone in 5 years. During my ordeal with these stones, I had the following health care encounters, tests, medicines, lab and imaging tests.

  1. at least 5 sets of blood work, with CBC and chemical profiles, parathyroid studies
  2. several urine tests, including urinalysis and urine culture, ...

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From MedPage Today:

  1. No Benefit for Testing ICD at Implant. Even though testing at the time of implantation of an implantable cardioverter-defibrillator (ICD) is safe, it doesn't add any benefits.
  2. Nephrologists Take Fistulas Into Their Own Hands. Every year, Rick Mishler creates about 250 fistulas in patients' arms, stitching artery to vein so they can have a chance at successful dialysis.
  3. Lack ...

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