$28 million was awarded to a patient for a late diagnosis of a pelvic tumor, an osteosarcoma. This rare cancer presented as a case of low back pain and sciatica. The patient claimed that if the osteosarcoma had been caught earlier that the subsequent surgery would have been avoided. Could doctors have done better in diagnosing more quickly? These cases strike fear into all primary care doctors. Which patient has a ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old man is evaluated for pain on the radial aspect of the right wrist that occurs with use of the thumb. The pain has been present for 2 weeks. He has never had this pain before and has not had any trauma. He works as a computer programmer and plays video ...

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medpagetodayFrom MedPage Today:

  1. Retooling the Health Hazard Survey. "Oral sex? Anal sex? Fetishes?" These are questions on the patient intake form at AlphaBetterCare, an LGBT-friendly primary care practice owned and operated by Howard Grossman, MD.
  2. Orthopedists' Financial Conflicts Can Hurt Patients, Surgeon Says. Financial conflicts of interest often drive physicians to perform ...

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medpagetodayFrom MedPage Today:

  1. Surgery Fails to Show Superiority in Shoulder Fractures. The trend of increased surgery for patients with displaced fractures of the proximal humerus may be inappropriate.
  2. Restricting Fructose Cuts Liver Fat in Kids. In just 10 days, restricting the amount of fructose children consumed through sugary drinks and juices resulted ...

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I read with interest the recent article written by Dr. Rourke Stay, "What ESPN doesn’t tell you about MRI in professional athletes,” and couldn't agree more.  The bigger issue, however, is what ESPN may leave out of broadcasts about sports injuries.  Prominent figures on the air often espouse their knowledge with enough charisma to convince even the most doubting fan that their opinion is more than just an armchair ...

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“Failure is not an option," people sometimes say. I don’t agree. I certainly have failed far more often than I have succeeded when I sought to do novel risky business adventures and/or create new products.  Without failure, I would never have learned the lessons of life or the lessons of business necessary to succeed in these spaces. As a physician and surgeon, I can tell you that failure is part of ...

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shutterstock_137251094 I have to admit, I’ve been excited to see radiology slowly infiltrate into the mainstream of sports.  Fifteen years ago, it was rare for the public to know when an athlete had an MRI. Now I hear people in the coffee shop saying: “Man did you see Derrick Rose go down last night?” “Yeah, we’ll just have to see what the MRI shows.” In ...

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medpagetodayFrom MedPage Today:

  1. What Is the Real Cost of a New Knee? Assuming current eligibility criteria for total knee arthroplasty (TKA), the per patient lifetime cost attributable to symptomatic knee OA is $12,400, which represents about 10% of total direct medical costs in patients with OA.
  2. Attitudes Affected Outcome in HIV Prevention ...

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“Katie, If you go into surgery, you’re going to miss patients.” It was three in the morning in the ED; the resident was feeling the strain of a 24-hour trauma call, and I was loving it. I had spent the past half hour with a lovely, older woman whose foot had gone through the floor of her vehicle in a crash. We chatted about where she had been traveling, and ...

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How informed are doctors? The answer is not obvious. Doctors know enormous amounts of data and have years of clinical experience. Many have solid science backgrounds and some conduct research keeping them at the top of their field.  Most rely on published studies to make their decisions on which products to use. However, only a small percentage of all published studies are level 1 studies: the studies with data that is ...

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