I recently fulfilled my civic responsibility by completing a stint on jury duty. Somehow I had never previously been summoned. Being the Law & Order junkie that I am, I was kind of awestruck by my first up-close exposure to the court system. I sat erect and at attention in the courtroom, listening to the judge charge us prospective jurors. I even became slightly teary when he spoke of the important role we ...

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From MedPage Today:

  1. SGR Repeal Passes House; Patch Still Expected. A full repeal of Medicare's sustainable growth rate (SGR) payment formula hit a snag Friday, but political insiders say another temporary stay from drastic cuts in Medicare reimbursement is likely on its way.
  2. Pap Test Down but Far From Out. To take license with Samuel Clemens' words, reports of the Pap test's ...

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From MedPage Today:

  1. Should Doc Groups Help Set Quality Measures? Physician groups are proud of a provision in recent legislation that repeals Medicare's doctor payment formula which allows specialty societies to help set quality measures.
  2. Teens Likely to Get Opioid Rx for Headaches. Nearly half of teens who visit a doctor complaining of headache pain walk away with a prescription for a narcotic painkiller.

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There was a very large lesion in his left frontal lobe, and no one knew what it was. He had been admitted earlier that day, after a neighbor found him in the hallway, confused and covered in urine.  Now he sat in his bed quietly, while we stared at his brain and the bright spot that didn’t quite resemble something. It can’t be tissue death from a stroke, insisted one resident. It ...

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From MedPage Today:

  1. Bariatric Surgery Beneficial in Type 1 Diabetes. Overweight patients with type 1 diabetes may make good candidates for bariatric surgery, but unlike with type 2 disease, the procedure doesn't offer a chance of remission.
  2. Young Adults Undertreated for High BP. Primary care physicians may be dropping the ball on getting young adults with hypertension the medication they need to control their ...

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From MedPage Today:

  1. Medicare Will Cover Rehab for CHF Patients. Medicare will cover cardiac rehabilitation services for patients with stable yet chronic heart failure.
  2. Long-Acting GLP-1: The Key to Adherence? The thinking behind long-acting GLP-1 agonists has been that fewer injections should translate to better outcomes -- particularly, better glycemic control -- because diabetic patients should be more compliant if they have to inject ...

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From MedPage Today:

  1. California Weighs Coverage for Illegal Immigrants. In a push to cover immigrants excluded from the nation's health reform law, a California state senator has proposed legislation that would offer health insurance for all Californians, including those living here illegally.
  2. Treating HCV -- Is the Price Right? New drugs on the horizon hold out the promise of being able to cure up ...

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From MedPage Today:

  1. Stroke Speeds Long-Term Brain Deficits. Stroke not only acutely attacks the mind, but also hastens its decline.
  2. Stroke: Initiative Cuts Time to tPA. An effort to shorten the time between when patients with acute ischemic stroke arrive at the hospital and when they receive intravenous thrombolytic therapy -- the door-to-needle time -- proved successful.
  3. More Women Choose Single Embryo ...

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Alzheimer’s disease is the uninvited guest that crashes all of my family gatherings. It relentlessly pursues my grandfather’s brain, unraveling more threads from the tapestry of his memory each year. Although it causes him no physical pain, it sows guilt, sorrow, frustration, and a sense of deep loss in all of us. Like all diseases, this one seems entirely unfair. My grandfather was a sharp attorney, a witty, silly champion of ...

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From MedPage Today:

  1. Early Magnesium Tx No Help for Acute Stroke. Magnesium sulfate didn't work as a neuroprotective agent in acute stroke when administered in the ambulance, but treating these patients in the pre-hospital setting is possible.
  2. Talk Tx for Insomnia May Save $$. Cognitive behavioral therapy (CBT) for insomnia could save healthcare dollars as it eases symptoms.
  3. Tamoxifen Found in Bodybuilding ...

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