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Fight Aging! Newsletter, March 25th 2019
This study defines a new clinically relevant concept of T-cell senescence-mediated inflammatory responses in the pathophysiology of abnormal glucose homeostasis. We also found that T-cell senescence is associated with systemic inflammation and alters hepatic glucose homeostasis. The rational modulation of T-cell senescence would be a promising avenue for the treatment or prevention of diabetes. Intron Retention via Alternative Splicing as a Signature of Aging https://www.fightaging.org/archives/2019/03/intron-retention-via-alternative-splicing-as-a-signature-of-aging/ In recent years researchers have inv...
Source: Fight Aging! - March 24, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

How To Stay Positive While Caregiving: Practical Tips and Suggestions
Dear Candid Caregiver: My dad is in the middle stages of Alzheimer’s disease. Meanwhile, my mom is recovering from cancer surgery, and the prognosis isn’t good. I’m trying my best to be a good caregiver for both of them and stay positive while doing it, but it’s hard. I recognize that we’re fortunate in that my parents are able to hire an agency that supplies a rotation of in-home caregivers. The other side of it is that I have a brother and a sister, both living hundreds of miles away from our parents and me, so they can’t help out much.  Read the full article on HealthCentral for tips on how...
Source: Minding Our Elders - March 20, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

The Cruelty of Managed Medicare
By HANS DUVEFELT MD Jeanette Brown had lost twenty pounds, and she was worried. “I’m not trying,” she told me at her regular diabetes visit as I pored over her lab results. What I saw sent a chill down my spine: A normal weight, diet controlled diabetic for many years, her glycosylated hemoglobin had jumped from 6.9 to 9.3 in three months while losing that much weight. That is exactly what happened to my mother some years ago, before she was diagnosed with the pancreatic cancer that took her life in less than two years. Jeanette had a normal physical exam and all her bloodwork except for the sugar num...
Source: The Health Care Blog - March 18, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Medicare Hans Duvefelt Managed Care Source Type: blogs

Health Care Price Tags Won ’t Find You the Best Doctor
This article originally appeared on STAT here. 
Source: The Health Care Blog - March 12, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Technology Hospitals Physicians health care pricing Michael Millenson Quality of care transparent pricing Source Type: blogs

#CareTalk February 2019: Medicare for All?
The latest edition of #CareTalk is out. CareCentrix CEO, John Driscoll and I explore Medicare for All and other big topics. Here’s what we covered: (0:35) Is “Medicare for All” quickly becoming a litmus test for Democratic presidential candidates? (2:45) What should be made of the recent moves of home health agencies around primary care? (5:00) Are pharma rebates to blame for increased drug pricing? (8:00) President Trump promised a whopping $50 million a year for childhood cancer. What would you do with all that money? (8:32) Will adding the full list price of drugs in ads make a difference? (9:03) Will Do...
Source: Health Business Blog - February 28, 2019 Category: Health Management Authors: dewe67 Tags: Podcast Policy and politics #medicareforall Caretalk Source Type: blogs

Wall Emergency, Even If Legal Under Existing Law, Violates the Separation of Powers
Our Constitution divides federal power into three branches of government: the legislative, the executive, and the judicial. One of the powers given exclusively to the legislative branch (Congress) is to spend money, or to appropriate money for the executive branch to spend, in enforcing the law (which is the president ’s power and indeed duty). Specifically, Article I, Section 9 (the Appropriations Clause) says that “No Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law.” And of course, the purposes for which Congress can exercise this “power of the purse” are enume rated in ...
Source: Cato-at-liberty - February 15, 2019 Category: American Health Authors: Ilya Shapiro Source Type: blogs

Checking Boxes
By HANS DUVEFELT MD  I pay $500 per year for UpToDate, the online reference that helps me stay current on diagnostic criteria and best treatment options for most diseases I might run into in my practice. They also have a rich library of patient information, which I often print out during office visits. I don’t get any “credit” for doing that, but I do if I print the, often paltry, patient handouts built into my EMR. That was how the rules governing meaningful use of subsidized computer technology for medical offices were written. If I describe in great detail in my office note how I motivated a patient to quit smoki...
Source: The Health Care Blog - February 1, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians EMR Hans Duvefelt primary care Source Type: blogs

Suffering Parents' Passing Can Bring Both Sorrow and Relief
Photo credit Claudia Dear Carol: Both of my parents were ill for years. Mom, who died two years ago, fought several types of cancer and then developed dementia. Dad, who died three months ago, had a massive stroke right after Mom’s death and his last years were full of physical and emotional pain. My brother and I grieve our parents, but we saw them wear out from health struggles and feel that they are now together in a better place, so there’s quite of bit of relief, as well. Knowing our parents are no longer suffering is part of the relief, but I’m also relieved that I can now spend more time with my husband ...
Source: Minding Our Elders - January 20, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Doing Too Much: Caregivers Can Deminish Dignity by Overdoing the Help
Photo credit iStock My friend and neighbor, Joe, was in his 80s. His wife, who had been his ears since he lost his hearing in his 30s, had died. The natural thing for me was to basically adopt Joe. I became his ears and his helper. My young sons joined me in helping out. Now grown, they've got many "Joe stories" that pop up during our casual conversations. The fact that Joe needed help was obvious. However, he was my first care receiver, other than my grandmother who lived with us when I was a teenager... Read the full article on HealthCentral about how pushing too much help can take away your loved one's dignity: Medicare...
Source: Minding Our Elders - January 16, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Dad's Decision Not To Be Treated for Cancer Upsets Daughter
Photo credit Matteo Vistocco Dear Carol: There’s probably no right answer to what I’m asking but I felt the need to write, just for comfort. My mother died when I was in my teens so Dad has been the only parent that I’ve had for more than 20 years. I have no siblings. Dad’s now in his seventies and has been diagnosed with prostate cancer. He’s beaten both melanoma and lung cancer in the past, but he tells me that this cancer should be slow growing and that he’ll probably die before it’s a problem so he doesn’t want to treat it. I want him to go full-on with every treatment possible. I watc...
Source: Minding Our Elders - January 13, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Commissioning Healthcare Policy: Hospital Readmission and Its Price Tag
By ANISH KOKA MD  The message comes in over the office slack line at 1:05 pm. There are four patients in rooms, one new, 3 patients in the waiting room. Really, not an ideal time to deal with this particular message. “Kathy the home care nurse for Mrs. C called and said her weight yesterday was 185, today it is 194, she has +4 pitting edema, heart rate 120, BP 140/70 standing, 120/64 sitting” I know Mrs. C well. She has severe COPD from smoking for 45 of the last 55 years. Every breath looks like an effort because it is. The worst part of it all is that Mrs. C just returned home from the hospital just days ago. The yo...
Source: The Health Care Blog - January 10, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Hospitals Medicare Anish Koka hospital readmissions HRRP MedPAC Source Type: blogs

Discover the Differences Between Palliative Care and Hospice
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion. View the slideshow on HealthCentral for added clarity about the differences between palliative care and hospice: MedicareFAQ – Medicare Resource Center Support a caregiver or ...
Source: Minding Our Elders - January 8, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Last Month in Oncology with Dr. Bishal Gyawali
By BISHAL GYAWALI MD  Long list of news in lung cancer September was an important month in oncology—especially for lung cancer. The World Conference in Lung Cancer (WCLC) 2018 gave us some important practice-changing results, also leading to four NEJM publications. The trial with most public health impact is unfortunately not published yet. It’s the NELSON trial that randomised more than 15000 asymptomatic people at high risk of lung cancer to either CT-based screening for lung cancer or to no screening and found a significant reduction in lung cancer mortality rates among the screened cohort compared with the contr...
Source: The Health Care Blog - January 4, 2019 Category: Consumer Health News Authors: matthew holt Tags: Research Bishal Gyawali Breast cancer Cancer drugs Clinical Trials health spending immunotherapy Lung cancer Oncology pembrolizumab Source Type: blogs