Eye surgery is a delicate business. It involves operating within an orb the size of a large marble to remove a cataract or repair a retinal detachment. Not only is superb eye-hand coordination a must, but also an awareness of the myriad other medical issues in the elderly population most in need of eye surgery. Traditionally, patients undergoing cataract surgery had a preoperative medical evaluation, including blood work, chest X-ray, and EKG, ...

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When thinking about the United States military, we conjure up images of Rambo and GI Jane, or Maverick and Iceman from Top Gun. The images are of lean, mean fighting machines who are ripped, fit and ready to take on America’s enemies. Movies are one thing, but reality paints a different picture. A recent report from The Heritage Foundation describes trouble ahead for the U.S. military. Based on 2017 Pentagon ...

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So much for repealing and replacing Obamacare. The Graham-Cassidy Senate bill is on life support. Members of the Senate death panel have made their decision, leaving their patient on palliative care to spend the last few days of life on heavy pain meds but without lifesaving treatments. Death is scheduled for the end of September when time runs out on the reconciliation rules which allow the Senate to pass legislation ...

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Obamacare repeal and replace is going nowhere, despite seven years of promises by Republican members of Congress. For the foreseeable future, it will remain the law of the land, along with rising insurance premiums and deductibles and fewer plans to choose from. It’s worth remembering the next time someone asks you for money to support Republican incumbents. What if the airline industry could light the runway toward fixing one of the ...

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Physicians are influenced by marketing. That's no surprise. So are most consumers, as evidenced by television and radio commercials, billboards, pop up ads and targeted ads for drugs on your computer screen. Big Pharma markets not only to physicians, but also directly to consumers. In a recent Washington Post op-ed, Dr. Nicole Van Gronigen made the case that Big Pharma successfully influences physician prescribing behavior via marketing. Specifically, drug ...

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By now, most readers already know that Senator John McCain has been diagnosed with a brain tumor -- specifically, a glioblastoma.  I take no pleasure is suspecting such a diagnosis, as I wrote a few days ago, based on a bit of medical logic and observation rather than what the media reported. This is a devastating diagnosis for the senator and his family, not the blood clot initially described, ...

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Senator John McCain recently had surgery to “remove a blood clot above his left eye” according to a CNN report. CNN, fortunately, didn’t have a chance to wade into their familiar territory of fake news because they had a practicing neurosurgeon, and CNN Chief Medical Correspondent, Dr. Sanjay Gupta on hand to discuss Senator McCain’s surgery. Despite the cheery description, “minimally invasive craniotomy,” this was brain surgery, opening the skull ...

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I was thinking of giving politics a break for my next column, instead focusing on some interesting news in the medical world. But alas, politics has permeated all aspects of life, whether professional sports or the latest TV series. Few television shows don’t have a same-sex couple or transgendered individual. Sports news can’t avoid discussions of race, climate change or gun control. What about the medical world? Is that too overrun ...

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Despite campaign promises from then candidate Donald Trump as well as from incumbent and new members of Congress to repeal and replace Obamacare, now almost six months into the Trump presidency, Obamacare is still the law of the land. Progress, albeit slow, was apparent this week as the Senate debated their version of a replacement, following the House doing the same two months ago. Are either if these bills a true ...

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President Trump campaigned on repealing and replacing Obamacare. Congress, when campaigning for reelection every two years, promised the same. Yet Congress can’t seem to get the job done. First, they needed the House, then the Senate, finally the White House. All delivered to GOP control by the voters. With the reasonable expectation of repeal and replace. Yet nothing from Congress but a dial tone. The House passed an Obamacare-lite bill, tweaking ...

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