From MedPage Today:

  1. Unwise to Use Your Head in Soccer? "Heading" the ball in soccer is associated with clear risks of brain injuries diagnosed clinically and through biomarkers, primarily because heading increases collisions with other players.
  2. Epidural Beats Remifentanil for Pain Relief. Remifentanil patient-controlled analgesia (RPCA), which has been reported to have equal pain relief to epidural analgesia (EA) in previous studies, did not ...

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My eldest son, the first-born of a set of extremely premature triplets, died a few minutes after he was born. Defying the odds I remained pregnant with my other two boys for 24 days. After holding him for some time in the delivery room, the same room where I myself had delivered hundred of babies and passed them on to families beaming with tears of joy, I was asked about his ...

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Brain death is death. This is one of the definitions of death. Even in Texas. Because brain death is death, a do not resuscitate (DNR) order or invalidating a DNR are both meaningless, because you don’t do procedures on dead bodies. This is why taking someone off a ventilator who is brain dead is not homicide, assisted suicide, or even following a DNR, it is simply the cessation of forcing air ...

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Numerous strategies by antiabortion groups to curb women’s constitutional right to abortion are frequently reported in the news, and come as no surprise. However, a recent development illustrates novel circumstances in which people are using legal maneuvers to conspire to restrict medical decisions by patients and their families even when the right to abortion is not at issue. On January 8, 2014, a front-page story in the New York Times Read more...

“Welcome back. How was your trip? Or exile … you were away for a long time.” “Almost a year,” my nine o’clock patient answered. A woman just over forty, she looked tan and physically strong. Her short hair was peppered with gray, different from the last time I saw her. She had gone abroad on assignment for a magazine and a film production company, and before she left, she had joked ...

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From MedPage Today:

  1. Will Docs Write Rx for Apps? Doctors can now write scripts for the first prescription-only app -- but the question remains whether they'll pick up a prescription pad to write for mobile technology.
  2. What an Emergency Department Report Card Tells Us. The press release promised that a new report would answer the question: "Are your state's emergency rooms making the grade?"

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Obamacare has promised to provide all of us with quality medical care that is affordable and accessible. The very name of the law is the Affordable Care Act, which I have maintained will be short on both affordability and quality care. Most of the country agrees with me. The postponement for a year of the corporate mandate to provide insurance in businesses with at least 50 full time employees was a ...

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From MedPage Today:

  1. HHS Makes It Official: 2.2 Million ACA Enrollees. Federal health officials reaffirmed Monday what had previously been reported, which is that nearly 2.2 million people have signed up for private health insurance under the Affordable Care Act (ACA).
  2. JNC 8 Dissenters Don't Want to Ease BP Thresholds. Not all of the panel members appointed to the Eighth Joint National Committee (JNC ...

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The infant mortality statistics are out again. This always depresses me because: 1) The rates are atrociously high, and, 2) There is so much legislation passed to restrict abortion in the name of “life,” but politicians and judges seems awfully silent on infant mortality. In the United States 6.4 infants out of every 1,000 born will not reach their first birthday. This is more than 24,000 infant deaths a year. The United States is also ...

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The exam room and hospital bedside are usually non-partisan zones. Though there have been exceptions -- anti-nuclear activists Dr. Benjamin Spock and Dr. Bernard Lown come to mind -- physicians tend not to be particularly political people. And even when they are, their politics don't usually intersect with their clinical work. When President Reagan was shot and joked with surgeons, "I hope you're all Republicans," the response from one doctor (a Democrat) ...

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