The guy was a curmudgeon. That’s all you could say about him. His blood pressure and diabetes were dreadful, and he insisted there wasn’t anything he could do about it. The meds were too expensive; the diet was far too limiting; he had no pleasures in life other than food. He lived alone, hated his job, saw few people, had no friends -- so he told me at every visit. His visits ...

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From MedPage Today:

  1. USPSTF Praised for Preeclampsia Guidance. When it comes to whether or not to treat women at high risk for preeclampsia with low-dose aspirin therapy, the U.S. Preventive Services Task Force (USPSTF) guidelines are spot on.
  2. Early Signs of Stroke Missed in Many Cases. Many strokes may be missed in emergency departments (EDs) in the days before the problems become obvious.

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From MedPage Today:

  1. Diet Rich in Beans, Lentils, Peas Lowers LDL. People who consumed a serving a day of dietary "pulses" -- such as beans, chickpeas, lentils and peas -- significantly reduced their low-density lipoprotein (LDL) cholesterol.
  2. Dad's Extra Pounds Tied to Kid's Risk for Autism Disorders. Paternal obesity was strongly associated with increased risk for several autism spectrum disorders in children.

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Headlines soared recently with the CDC report that the number of children with autism diagnoses had increased by 30% in the past 2 years. “Reality is there are many children who are having serious struggles because they can’t communicate well and have a hard time being with people,” Dr. Chuck Cowan clearly stated to me this morning. Like a bell on a quiet night, I feel parents need to hear this most: ...

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If you are among the thousands of doctors who make their living as intensive care physicians, there is no normal work day with predefined hours or routine. Interruptions are the norm. Your day starts early in the morning, meeting with the ICU nursing staff and respiratory therapists long before morning rounds. Difficult clinical issues are reviewed as you and your team apply critical thinking on the challenging problems of the ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 24-year-old woman is evaluated for a 3-week history of painful muscle spasms and twisting movements in the neck and trunk. She says that her neck feels as if it is being pulled backward. She also reports general restlessness and an inability to keep still. Her medical history is notable for asthma, ...

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From MedPage Today:

  1. BP Control May Cut Second Stroke Risk in Half. Stroke patients do a poor job of consistently controlling their blood pressure, but those who do may cut their risk of having another stroke in half.
  2. Debulking, IP Chemo Best for Ovarian Ca. Optimal surgical debulking and intraperitoneal (IP) adjuvant chemotherapy afforded patients with advanced ovarian cancer the best outcomes in a ...

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From MedPage Today:

  1. Brain Structure Disrupted in Autistic Kids. Autopsied brains of autistic children showed "patches of disorganization" not seen in otherwise healthy children.
  2. Weight-Loss Surgery: It's Not Just About Stomach Size. An increase in bile acids, not just smaller stomach size, helps promote weight loss and better glucose control after vertical sleeve gastrectomy (VSG).
  3. Small, Frequent Meals Don't Rev Metabolism. Dieters ...

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From MedPage Today:

  1. Water Labor OK, Water Birth Risky, Groups Say. Immersion in water during the early stages of labor might benefit mothers-to-be by decreasing pain and shortening delivery times, but giving birth in water has no proven benefits and poses potentially serious risks to the baby, according to a statement from the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists ...

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The smell of the grass, the crack of the bat and the roar of the crowd ... baseball season is back. As spring training gets into full swing, a new Major League baseball rule takes effect. Though contact will still be allowed at home plate, base runners will no longer be allowed to intentionally run into a catcher. The rule is intended to protect players from injuries, especially head injuries. Concussions ...

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