Imagine a world where consumers all knew about the latest developments in preventive health. Earlier this month the Advisory Committee on Immunization Practices (ACIP) released the 2010 immunization schedules. Revised annually, the immunization schedules are what doctors in the U.S. use to decide who should be immunized against what diseases. Far from esoteric, the schedules pertain to every single person living in the United States. If the H1N1 pandemic and subsequent ...

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Originally published in MedPage Today by John Gever, MedPage Today Senior Editor A Massachusetts anesthesiologist accused of fabricating data in studies of pain drugs will plead guilty to federal criminal charges under an agreement with prosecutors. Scott Reuben, MD, a well-known pain researcher at Baystate Medical Center in Springfield, Mass., was charged with one count of healthcare fraud. Early last year, the hospital ...

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by George Van Antwerp In the pharmacy and pharmacy benefit manager (PBM) business, there are lots of reasons to reach out to a physician: * Drug-drug interactions * A chemically equivalent version of the drug prescribed is available * A therapeutically equivalent version of the drug prescribed is available * The prescribed drug is not covered * A prior authorization is required * The patient is required to try an alternative drug first (step therapy) * The prescribed ...

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Originally published in MedPage Today by Kristina Fiore, MedPage Today Staff Writer Physicians may be too quick to medicate children suspected of having attention deficit hyperactivity disorder (ADHD). The etiology of the disease is not well understood, and while some cases may have neurological causes, children may respond to psychotherapy instead, Esther Fine, PhD, a psychoanalyst in private practice in Los Angeles, told ...

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Originally published in MedPage Today by Michael Smith, MedPage Today North American Correspondent As 2009 ended, an estimated 55 million Americans had been infected with the H1N1 pandemic flu and roughly one in five Americans had been vaccinated against the disease, the CDC said. The immunization data works out to about 61 million people, the agency said in an early release issue ...

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Here are two vignettes illustrating the failure of doctors to master the obvious and maybe a window onto the future struggles to control medical costs. A 90-year old is referred for care due to "end stage dementia." End-stage dementia is medical speak and as such does not really convey the appropriate imagery. It means a skeletal man, in a wheelchair or mostly in bed, with diapers, who has does not know ...

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Originally posted in MedPage Today by Todd Neale, MedPage Today Staff Writer The use of morphine may prevent the development of post-traumatic stress disorder (PTSD) in military personnel injured in combat, an observational study showed. Those who received the drug during resuscitation or trauma care were about half as likely to later develop PTSD (OR 0.47, P<0.001), according to Troy Lisa Holbrook, PhD, ...

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Originally published in MedPage Today by Todd Neale, MedPage Today Staff Writer Patients suffering an acute ischemic stroke are about 20% more likely to receive clot-busting therapy with tissue plasminogen activator (tPA) if they arrive at the hospital on the weekend, a retrospective study showed. However, there was no difference in rates of inhospital mortality based on the time of admission, Abby ...

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Originally published in MedPage Today by John Gever, MedPage Today Senior Editor Psychiatrists who prescribe drugs for their patients today usually give more than one at a time, often with little scientific basis, researchers said. About 60% of patients with psychiatrist office visits leading to a drug prescription received at least two medications in 2005-2006, according to government survey data analyzed by Ramin ...

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Originally published in HCPLive.com by Victor G. Dostrow, MD The Internet is filled with reports of remarkable cognitive enhancement with various nostrums. Many are not regulated, and the pages are typically associated with glowing testimonials and a link to sign up for uninterrupted (and uninterruptible) delivery of the miracle substance. More to the point of this post, other blogs, reports, and forum comments opine as to notable benefits of taking prescription medications marketed ...

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