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Total 170 results found since Jan 2013.

Top stories in health and medicine, January 12, 2015
From MedPage Today: Statins and RA: No Joint Benefit. The use of statins does not reduce onset of new joint pain or stiffness in middle-age or older women but their use is associated with poor physical functioning and poor self-rated health. Expert Groups Clarify HPV Testing Recommendations. Primary cervical cancer screening with a test for human papillomavirus (HPV) DNA represents a reasonable and effective alternative to cytology or co-testing with cytology and the HPV assay. Is ESRD Finally on the Decline? New cases of end-stage renal disease in the U.S. have declined for the third year in a row, potentially signaling...
Source: Kevin, M.D. - Medical Weblog - January 12, 2015 Category: Journals (General) Authors: Tags: News Heart Infectious disease Nephrology Rheumatology Source Type: blogs

Top stories in health and medicine, January 5, 2015
From MedPage Today: For Better Medication Outcomes, Help Patients Do the Math? One-third of patients in private rheumatology practices can’t follow dosing instructions for ibuprofen correctly, and one-fifth can’t follow instructions for methotrexate. Metformin: A Great Lakes Disaster? There is more than one way to measure prescription drug use in modern society. Flu Deaths Hit Epidemic Threshold. The CDC is reporting that the flu season is well and truly underway, with the proportion of deaths attributed to pneumonia and influenza reaching the epidemic level. Meniscus Lesions Tied to Neuropathic Pain in Knee ...
Source: Kevin, M.D. - Medical Weblog - January 5, 2015 Category: Journals (General) Authors: Tags: News Source Type: blogs

The flu vaccine is imperfect, but please get it anyways
This year’s flu vaccine, as you likely know, is taking a drubbing. The contention is that CDC flubbed, and didn’t get quite the right flu strains in the mix. That is apparently true, although more the “fault” of the influenza virus and its natively wily ways, than of the CDC. Either way, the drubbing is disproportionate to any flubbing. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - December 19, 2014 Category: Journals (General) Authors: Tags: Meds Infectious disease Primary care Source Type: blogs

Top stories in health and medicine, December 19, 2014
From MedPage Today: High-Dose Flu Vaccine Better for Frail Elderly. For frail older people living in long-term care, a high-dose inactivated influenza vaccine is a better option than the standard drug. Look into SGLT2 Fracture Risk, Researchers Urge. Look deeper into the potential relationship between SGLT2 inhibitors and bone fractures. JIA Parents Lose Significant Work Time. Parents of a child with juvenile rheumatoid arthritis (JIA) missed nearly triple the work hours as parents whose child did not have the disease. Ebola Response on Track: WHO. The response to the Ebola epidemic is on track to meet U.N. targets. You...
Source: Kevin, M.D. - Medical Weblog - December 19, 2014 Category: Journals (General) Authors: Tags: News Diabetes Endocrinology Infectious disease Rheumatology Source Type: blogs

Top stories in health and medicine, December 9, 2014
From MedPage Today: Ankylosing Spondylitis: More Than Just the Spine. Extra-articular disease manifestations that can have substantial impact on quality of life are common among patients with ankylosing spondylitis. Does Flu Vaccine Reduce Kids’ ED Visits? The CDC recently announced it expects a more severe flu season this year, but a study in the January issue of Pediatrics was unable to find a correlation between influenza vaccination rates for children under 5 years old and a decline in children hospitalized for influenza-related illness. Benefits Pile Up for Epilepsy Surgery. For most patients with drug-refract...
Source: Kevin, M.D. - Medical Weblog - December 9, 2014 Category: Journals (General) Authors: Tags: News Infectious disease Neurology Rheumatology Source Type: blogs

Ebola! But don’t forget about the flu.
Ebola virus has grabbed headlines since the epidemic started in West Africa nearly a year ago. The death toll is estimated at 4,500 people, and the epidemic continues to spread. One person infected in Liberia returned to Texas with the disease and died, infecting maybe 2 health care workers. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - October 31, 2014 Category: Journals (General) Authors: Tags: Physician Infectious disease Source Type: blogs

Ebola: Local hospitals cannot be prepared
Recently at our community hospital, after we concluded a nearly two-hour standing room only Ebola preparedness meeting, I practiced donning and doffing the personal protective equipment (PPE) for Ebola cases. PPE is the protective wardrobe health workers wear when examining a patient with a contagious infectious disease. Each disease has a different level of transmission and requires an appropriate level of protection. I wear gloves 25 times a day to examine each patient I see. (Not all doctors do this; in my specialty of infectious diseases, though, it is prudent.) I dress in a gown a dozen times when entering a room of a...
Source: Kevin, M.D. - Medical Weblog - October 25, 2014 Category: Journals (General) Authors: Tags: Physician Hospital Infectious disease Source Type: blogs

Which is the right flu vaccine for you?
The best way to avoid the flu is spending the months from fall until spring in a solitary bunker, communicating with other people only electronically. The second best way is getting the flu vaccine. The Centers for Disease Control and Prevention (CDC) recommends the flu vaccine for everyone over 6 months who doesn’t have a specific contraindication to it. Because of the increasing number of different flu vaccines that are now available, this post highlights the three most commonly used flu vaccines, their indications and side effects. Continue reading ... Your patients are rating you online: How to respond. Manage your ...
Source: Kevin, M.D. - Medical Weblog - October 23, 2014 Category: Journals (General) Authors: Tags: Meds Cancer Infectious disease Medications Source Type: blogs

Treating hepatitis C with Sovaldi: Is it worth it?
One catch phrase in health care reform is cost-effectiveness.  To paraphrase, this label means that a medical treatment is worth the price.  For example, influenza vaccine, or flu shot, is effective in reducing the risk of influenza infection.  If the price of each vaccine were $1,000, it would still be medically effective, but it would no longer be cost-effective considering that over 100 million Americans need the vaccine. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - October 22, 2014 Category: Journals (General) Authors: Tags: Meds GI Medications Source Type: blogs

My son depends on herd immunity, so thanks for getting your flu shot
This weekend the kids and I had our influenza immunizations. There is always a difficult lead up as Oliver has severe anxiety around every medical procedure. An EKG (painless heart rhythm test) and a throat swab cause extreme fear and often tears and anything with a needle, well, let’s just say that’s on a whole different level of terror and emotional pain. I remind myself that his anxiety is a normal response to an abnormal situation. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - October 17, 2014 Category: Journals (General) Authors: Tags: Conditions Infectious disease Pediatrics Source Type: blogs

Ebola in the ER: What you should and shouldn’t worry about
As an ER doctor, right now I’m thinking a lot about Ebola — it’s in the news, in my inbox, and in questions from my patients.  Whether it’s an outbreak, a flu epidemic, or a bombing — we in the ER see them first, and so I’m always thinking about how we’ll be ready. So, what concerns me, and what doesn’t? Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - October 13, 2014 Category: Journals (General) Authors: Tags: Conditions Emergency Infectious disease Source Type: blogs

Curb the soaring costs of vaccines
Few medical interventions have been as successful as vaccines in improving public health. Whether they are childhood vaccinations, vaccines to prevent healthy adults from contracting influenza or the more recent HPV vaccine for adolescents, these preventive methods have resulted in dramatic benefits for individuals and the public. We have only to think of the eradication of smallpox and the virtual eradication of poliomyelitis to see the enormous benefits vaccines can bring. But at what financial cost — now and in the future? Continue reading ... Your patients are rating you online: How to respond. Manage your onlin...
Source: Kevin, M.D. - Medical Weblog - September 30, 2014 Category: Journals (General) Authors: Tags: Meds Medications Source Type: blogs

On The Pulse - 19th September 2014
Flu vaccination provokes satisfactory immunogenic response in pregnant women
Source: OnMedica Blogs - September 19, 2014 Category: Journals (General) Source Type: blogs

Ebola in the United States: A reason not to panic
If an ill patient, who unexpectedly has Ebola, landed in Memphis, it is likely that my partner or I would see him. We work as infectious disease doctors at the hospital closest to the airport. The Ebola patient would present with fever, nausea and vomiting, indistinguishable from a flu or a viral illness that hundreds of patients present with each day at our hospitals. But over a few days of the illness, the Ebola virus would take a devastating toll on my patient’s body. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - September 3, 2014 Category: Journals (General) Authors: Tags: Conditions Infectious disease Source Type: blogs

On the Pulse - 21st March 2014
Most cases of flu are asymptomatic
Source: OnMedica Blogs - March 23, 2014 Category: Health Medicine and Bioethics Commentators Source Type: blogs