She was having excruciating pain in her pelvic area.  I pulled the sheets down cautiously and noted the bruising encircling the waist and inching towards the thighs.  I finished my exam and retreated to the nursing station of the skilled nursing facility to comb through the chart.  ER records, floor notes, consultations, but no x-ray of the pelvis. There was no mention of pelvic pain. The emergency room physician had dutifully ...

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Top stories in health and medicine, August 28, 2014From MedPage Today:

  1. I, Intern: Common Problems, Elusive Answers. Rebecca Karb, MD, crosses paths with patients in the Rhode Island Hospital emergency department who have ailments that she rarely saw as a medical student.
  2. Results Mixed With Home BP Monitoring. A hypertension self-management program reduced systolic blood pressure in high-risk patients, including ...

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Top stories in health and medicine, August 21, 2014From MedPage Today:

  1. Nutrition Experts Like 'Outdated' Foods Initiative. Public health specialists offered high praise for an initiative by a former Trader Joe's executive that will funnel unwanted produce into stores in low-income areas.
  2. Doctors' Spouses: What's Not to Like? When it comes to domestic life for physicians, things have changed since ...

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

  1. Advocacy Groups Take Obesity Naysayers to Task. Two obesity advocacy groups took to the pages of the Archives of Internal Medicine this week to castigate a report that questioned the legitimacy of obesity as a disease and cast an unfavorable light on new weight-loss drugs.
  2. Shoulder Pain: PT Works ...

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She seemed awfully angry and at the very least dubious that I couldn’t do more for her father. After 7 hours of surgery trying to salvage her father’s leg, I tried patiently to explain that this new (third) bypass we had just successfully completed was unlikely to provide her dad with a long-term solution. Ultimately, he would lose the leg, if we were lucky he’d have it for another year ...

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Top stories in health and medicine, July 28, 2014From MedPage Today:

  1. Time to End Lethal Injection? The third botched execution of a death row inmate in a year should serve as proof enough that lethal injection won't work as an execution modality.
  2. HIV Cure Still Years Away. The African journalist asked a simple, clear, and direct question: When, people want ...

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Top stories in health and medicine, July 25, 2014From MedPage Today:

  1. Vitamin D Megadoses Safe in Frail Elderly. Giving a very high dose of vitamin D -- 20,000 IU per week -- to older patients in nursing homes keeps them sufficient in the vitamin and appears to be safe.
  2. Medicare Tests Exceptions to 3-Day Rule. Medicare officials have allowed patients ...

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Family physician Mike Evans is famous for his terrific whiteboard videos, where he distills complex medical ideas to its most understandable essence.  Here, he tackles low back pain, a condition that most adults will experience sometime during their lives. Watch and learn how more tests for back pain isn't necessarily better.

As an early Google Glass explorer, I see many ways this and other wearable technologies will soon enhance patient care. Google Glass is “smart” eyewear that offers features similar to a “smart” phone: It can take photographs, video, make phone calls, display Internet-based information. The data is transposed onto the glass lens in the wearer’s field of vision. The device is activated by voice command or a touch to the tiny ...

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I recently got back from a brief trip to Florida. I went down there to celebrate my mother’s 85th birthday. As you might expect, her social circle has shrunk in recent years, but she did get a number of cards and calls from friends and family members. The cards were on display in her kitchen, and a few calls came in while I was there. One in particular pointed out some ...

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