I have made several observations as to why developmentally challenged people are losing out in our health care systems. Given that there are 11 million children in the United States with an emotional, developmental or behavioral condition, we really can’t afford to neglect this important issue. My first observation is that primary care remains a chronically undervalued component of health care delivery in the U.S. Despite the 60 million Americans who ...

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The interview had lasted fifteen minutes so far, and we'd made minimal progress. I was a medical student doing a rotation at a physical medicine and rehabilitation clinic back in my home state, Wisconsin. It was the end of the day; to save time, the senior resident, Paul, had joined me in the exam room so that we could hear Leora's medical history together. A year earlier, Leora, in her mid-fifties, ...

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My heart sinks each time I see the subject line in this too common email I receive in my medical practice: “Sad news: Matthew was fine when he went to bed last night but his mother found him dead in bed this morning.” Matthew (not his real name) had epilepsy with seizures that persisted despite use of currently available antiseizure medications. We started Matthew’s evaluation when the latest antiseizure medication had been ...

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It was an ordinary summer day.  People were milling on the main thoroughfare, bikes zig-zagging through traffic, cafés and pubs spilling onto the sidewalk, patrons sipping their way through a lazy Friday afternoon. We were ordinary that day too.  Just another family, managing the hectic jumble of kids’ lessons, bills, our careers, endless streams of birthday parties, too little sleep and the occasional date night out. But it was all shattered with ...

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A woman experienced symptoms of a stroke: facial droop, dysarthria, arm weakness and reduced fine motor control.  She  recorded these symptoms in a real time video, which is now on YouTube.  Several days prior, she experienced similar symptoms that were dismissed by physicians.  After this episode, she was correctly diagnosed with a transient ischemic attack, and now on appropriate medications.  But I agree with Dr. Markku Kaste with the World Stroke ...

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One typically thinks of advances in medical science and technology as having unalloyed benefits. The ability to cure illness, the mitigation of pain and the possibility of making diagnoses that are more accurate are some of the uncontroversial results of medical progress. Yet as a new study of vegetative states demonstrates, such advances can raise ethical quandaries for physicians and the families of patients diagnosed as vegetative. The Read more...

Top stories in health and medicine, June 13, 2014From MedPage Today:

  1. Michigan Ties Behavior Change to Medicaid. Delayed by state lawmakers, Michigan did not expand Medicaid until the day after the federal online insurance exchange closed March 31 -- a move advocates feared would undermine signups.
  2. Feds Don't Track Some Hospital Complications. An analysis released Thursday identified dozens of potentially ...

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Top stories in health and medicine, June 11, 2014From MedPage Today:

  1. Feds Want Pregnant Women to Eat More Fish. Pregnant women should eat at least 8 ounces of fish each week, which puts a floor -- not just a ceiling -- on the amount of seafood these women should consume, the FDA and the Environmental Protection Agency (EPA) announced in a draft ...

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Top stories in health and medicine, June 6, 2014From MedPage Today:

  1. SSRIs May Worsen Hemorrhagic Strokes. The use of selective serotonin reuptake inhibitors (SSRIs) before a stroke may worsen the event for some patients.
  2. Medicare to Cover Sex Change Surgery. A Medicare decision to pay for sex reassignment surgery offers a teachable moment, says one reproductive endocrinologist who specializes in ...

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From MedPage Today:

  1. Unique Solutions for MS Gait Problems. With impaired walking ability generally considered the number one functional problem for multiple sclerosis (MS) patients, new approaches to assistive devices were described here, ranging from the mechanical to the furry.
  2. OK to Stop Statins in Terminal Illness. Stopping statins for terminal patients doesn't hasten death and may improve their quality of life.

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