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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Recently, a family physician colleague asked me to explain why the Affordable Care Act requires private health insurers to provide first-dollar coverage for preventive services that the U.S. Preventive Services Task Force assigns an "A" or "B" (recommended) rating, but allows public insurers (Medicare and Medicaid) to determine if and how they will cover these services. Until recently, the question hadn't come up, since Medicare has agreed to cover pretty ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old man is evaluated for a 1-year history of cough with mucoid sputum and a 6-month history of mildly progressive dyspnea. He has a 12-pack-year history of smoking. He has no history of asthma, allergies, skin disease, or liver disease. On physical examination, vital signs are normal. Pulmonary examination discloses decreased breath ...

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Top stories in health and medicine, June 13, 2014From MedPage Today:

  1. Michigan Ties Behavior Change to Medicaid. Delayed by state lawmakers, Michigan did not expand Medicaid until the day after the federal online insurance exchange closed March 31 -- a move advocates feared would undermine signups.
  2. Feds Don't Track Some Hospital Complications. An analysis released Thursday identified dozens of potentially ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old woman is evaluated for a 6-month history of nonproductive cough. She has no history of recurrent upper respiratory tract infections and has never smoked cigarettes. She has no fever, dyspnea on exertion, hemoptysis, heartburn, or wheezing. She has worked in the same office for 7 years and has lived in ...

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I argue with my father a lot. He works as an intensivist at a community hospital in Indianapolis while I am about to graduate from a highly academic internal medicine program in Chicago. Needless to say, we have very different perspectives. He sometimes expresses views similar to those written in an article, “When I Was a Resident: How Duty Hour Rules Are Creating a Lost Generation of Physicians." I started ...

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From MedPage Today:

  1. Carbs May Lower Risk of Prostate Cancer. A diet rich in complex carbohydrates and fiber had a significant favorable association with prostate cancer risk.
  2. Obama Stands Pat for Now on VA, Shinseki. President Obama said in a news conference Wednesday that he is awaiting a preliminary report due next week on healthcare problems at Department of Veterans Affairs facilities before taking ...

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From MedPage Today:

  1. MERS Watch: WHO Calls for Calm. The Middle East coronavirus (MERS) is not yet a "public health emergency of international concern," the World Health Organization says.
  2. Shingle Risk High in Lupus, RA, COPD. Patients with autoimmune diseases and certain other chronic conditions are at increased risk for shingles.
  3. Asthma Risk Up With Early Antibiotic Use. Kids treated with antibiotics ...

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From MedPage Today:

  1. Reaching Out to Smokers Boosts Quit Rates. Simply offering smoking cessation treatment proactively to all the smokers in a healthcare system meaningfully boosted the quit rate, a VA trial showed, while details emerged on provisions for coverage of such interventions in the Affordable Care Act (ACA).
  2. Lung Cancer Screening Versus Smoking Cessation? When the Medicare advisory panel voted against covering lung ...

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From MedPage Today:

  1. No Link Between Pot Use and Stroke Risk. There was no evidence that marijuana use was associated with an increased risk of ischemic stroke in adolescents and young adults.
  2. MERS Watch: First U.S. Case Reported. Health officials have confirmed the first U.S. case of the Middle East coronavirus.
  3. FDA Panel Nixes OTC Singulair. Montelukast (Singulair) should not be allowed ...

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