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Cardiology MCQ Test 6
Time limit: 0 Quiz-summary 0 of 20 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Information This test series requires login for attempting. You can login easily with your Facebook account (Use the CONNECT WITH icon on the upper part of right sidebar displaying t...
Source: Cardiophile MD - October 27, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Pharmaceutical Companies and PBMs Helped to Create Our Opioid Crisis
I have blogged previously about the role of PBMs in shipping drugs to retail drug stores that placed suspiciously high drug orders (see:Drug Distributor McKesson Pays Record Penalty For Suspicious Opioid Orders). The role of the Sackler family, owners ofPurdue Pharma, in aggressively pushing Oxycontin is also now coming to light (see:The Sackler Family: best known for philanthropy, they made billions promoting Oxycontin;Report: Stamford company confirms DOJ probe). Let's face facts. You can't have a country-wide epidemic of prescription drugs without the connivance of some of the major corporations. Some of t...
Source: Lab Soft News - October 27, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Medical Ethics Pharmaceutical Industry Source Type: blogs

My 14 Year Old Cancer Patient May Be Addicted to Opioids. What Do I Do?
By JULIE KIM, MD I’m a pediatric oncologist, but cancer is not always the most serious problem my young patients face. Currently one of them, a 14-year-old boy, his mother, or both may be opioid addicts. I may be enabling their addiction. Tragically, their situation is not unique. Adolescent patients are at risk for addiction from opioid pain medications just as adult patients are. But pediatric patients are overlooked in this war against opioid addiction. No policies protect them or those caring for them. Usually pain is short-term, and only limited opioids are needed. Most providers, including those caring for children...
Source: The Health Care Blog - October 25, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cancer Julie Kim Opioids Source Type: blogs

Quality Improvement – The Science of Making Care Better for All
by Arif Kamal (@arifkamalmd)It seems everywhere a person turns, there ’s nonstop discourse regarding healthcare quality, particularly the relationship of meeting quality metrics to demonstrating lower costs and higher value. As palliative care further immerses itself into usual healthcare delivery, it behooves our workforce to adeptly apply quality improvement skil ls to translate our sense of “what is right” into the usual practice of “what is done.” Meeting these demands takes skills and practice, rooted in an evolving evidence base around quality improvement science.It may confuse some to hear that quality imp...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 23, 2017 Category: Palliative Care Tags: conference kamal quality Source Type: blogs

Coping with What You Can ’t Control
There are many things in life we can’t control—everything from tiny annoyances to tragedies. We can’t control if our grandmother gets cancer and passes away. We can’t control if we get cancer. We can’t control what others think, say or do. We can’t control what others think of us. We can’t control who our loved ones hang out with. We can’t control who we work with or who’s in charge. We can’t control Mother Nature, or today’s traffic. But, of course, we can control our reactions to all the things we can’t control. I’m sure you’ve heard that statement many, many times. And it’s true, of course....
Source: World of Psychology - October 16, 2017 Category: Psychiatry & Psychology Authors: Margarita Tartakovsky, M.S. Tags: General Health-related Inspiration & Hope Mental Health and Wellness Self-Help Stress control freak Controlling Behavior Coping Skills Disappointment Failure Perfectionism Resilience Source Type: blogs

My Cholesterol Improved
I have no idea what I did but my cholesterol is much better than it was a year ago. I don ' t know what I have done differently with my diet (I thought I had adopted a whole bunch of bad eating habits) but my total cholesterol dropped more than 50 points in the last year. Maybe I need a burger and fries for lunch today...That was the good news. The bad news is I have referrals to three different types of doctors - ENT, eyes, and a pharmacotherapist.The pharmacotherapist is going to review all the meds I am on. I like that idea. I have so many medications from so many doctors. My PCP is concerned about too many interact and...
Source: Caroline's Breast Cancer Blog - September 28, 2017 Category: Cancer & Oncology Tags: being healthy doctor appointments doctor questions Source Type: blogs

Palliative Care in the Time of Hurricane Harvey
by Ishwaria Subbiah (@IshwariaMD)Trouble BrewingBetween the network news and many institutional emails on hurricane preparations, we at MD Anderson knew were in for something ‘big.’ Harvey made landfall on August 25th as a Category 4 hurricane about 190 miles southwest of Houston. The outer bands brought rain without any major disruptions to our practice. As expected, upon landfall, Harvey rapidly weakened but stalled over Texas. The subsequent two days brought a level of rainfall best described as apocalyptic. The institution’s leaders activated the ‘ride-out’ team where the core essential physicians and staff r...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 27, 2017 Category: Palliative Care Tags: disaster hurricane subbiah The profession weather Source Type: blogs

I Travel In Elite Circles
Well I don ' t travel actually. But Lady Gaga of all people and I have something in common.We both have fibromyalgia.Her fibro is bad enough that she hascancelled the European leg of her latest tour. Because of pain and fatigue.Why do those terms sound so familiar to me?Think of it this way, if a famous personality who makes money by going on tour to sell more albums (or copies of songs downloaded - or however they count that these days) has to cancel, she must be in a lot of pain.I can relate. (I wish I had a European tour to cancel - as long as I went to a lot of beaches and my husband was there, and someone else carried...
Source: Caroline's Breast Cancer Blog - September 22, 2017 Category: Cancer & Oncology Tags: #LadyGaga fatigue fibromyalgia pain levels Source Type: blogs

Caution Warranted As VA Incorporates ICER Value Assessments Into Formulary Management Process
The Department of Veterans Affairs (VA) Pharmacy Benefits Management Services and the Institute for Clinical and Economic Review (ICER) recently announced a collaboration in which the VA will use the ICER’s drug assessments as part of its formulary development and price negotiations. This type of relationship might be normal outside of the United States (for example, in the United Kingdom, Germany, and Australia), where input from governmental health technology assessment organizations is used in determining health care coverage decisions. However, in the United States—with our multipayer health care system coverin...
Source: Health Affairs Blog - September 18, 2017 Category: Health Management Authors: Robert Dubois Tags: Costs and Spending Drugs and Medical Innovation Insurance and Coverage Payment Policy Population Health Department of Veterans Affairs drug pricing Institute for Clinical and Economic Review pharmaceuticals quality of care Veterans' He Source Type: blogs

What Does Your Pain Medication Hide?
Last weekend I was a total idiot and forgot to change my pain patch for so long my RA was causing me agony. But I also felt pain in other places that I did not expect. My RA pain was definitely the worst of all.What this little spurt of idiocy tells me that my pain meds, especially my pain patch, are working and do take care of my pain. This is a very nice thing to know. I am not living in pain (most of the time) because of them.But then what concerns me is what are my pains caused by. Okay, I am no idiot but I do know that what I felt in my hands and feet is caused by my RA. But then I have pain in other places that I did...
Source: Caroline's Breast Cancer Blog - September 7, 2017 Category: Cancer & Oncology Tags: doctor questions pain levels pain management Source Type: blogs

Why Did I Feel So Bad?
I have good days and bad days. Little changes, like a poor night ' s sleep, can cause me problems for a few days. I realize that. Forgetting medication can really mess me up. Last winter I had a horrible cold and forgot to take my Lyrica for a few days. Then I started feeling even worse - the Lyrica hangover.... But then I figured it out and went back on it and felt better instantly.I have been feeling bad off and on all week but mostly with in reason. Until yesterday. I woke up achy and sore. I didn ' t sleep well because I couldn ' t get comfortable. I had a throbbing headache. My hands were really sore on Friday - I cou...
Source: Caroline's Breast Cancer Blog - September 3, 2017 Category: Cancer & Oncology Tags: brain cells pain levels pain management Source Type: blogs

Dying at home: The problem hospices have with stolen opioids
Nothing seemed to help the patient — and hospice staff didn’t know why. They sent home more painkillers for weeks. But the elderly woman, who had severe dementia and incurable breast cancer, kept calling out in pain. The answer came when the woman’s daughter, who was taking care of her at home, showed up in the emergency room with a life-threatening overdose of morphine and oxycodone. It turned out she was high on her mother’s medications, stolen from the hospice-issued stash. 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 - August 31, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/melissa-bailey" rel="tag" > Melissa Bailey < /a > Tags: Meds Pain Management Palliative Care Primary Care Source Type: blogs

Doctoring Between The Lines
I don ' t know about anyone else but I have a primary care and then an oncologist, breast surgeon, endocrinologist, rheumatologist, pain management, orthopedic surgeon, meds therapist, social worker therapist, dentist, and periodontist. They all have their own specialties and focuses on specific portions of my body. But I swear they like to color outside the lines.Last week my rheumatologist started commenting on my regimen to control my acid reflux from my hiatal hernia. How does heart burn relate to my rheumatoid? And why did I need to explain it to her?In the past six months my pain management doctor has been messing wi...
Source: Caroline's Breast Cancer Blog - August 27, 2017 Category: Cancer & Oncology Tags: being a patient doctors Source Type: blogs

Fight Aging! Newsletter, August 21st 2017
This study didn't measure whether receiving the cardiosphere-derived cells extended lifespans, so we have a lot more work to do. We have much to study, including whether CDCs need to come from a young donor to have the same rejuvenating effects and whether the extracellular vesicles are able to reproduce all the rejuvenating effects we detect with CDCs." Cardiac and systemic rejuvenation after cardiosphere-derived cell therapy in senescent rats Cardiosphere-derived cell (CDC) therapy has exhibited several favourable effects on heart structure and function in humans and in preclinical models; however, the ...
Source: Fight Aging! - August 20, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Diabetes - a death sentence
The last time I posted, we had just been to the nephrologist. I wrote this:Gave him 3-5 years before he will need dialysis. That's interesting because only 2 years ago he was told that he needed dialysis then. I think this just confirms to me that labs really can't forecast what you do and don't need as they can quickly change for the good or the bad.Could I have been in any more denial? I think it finally hit both of us that that's exactly what we did - we made up excuses to "prove" the doctor was wrong.So what if he only has 3 - 5 more years before dialysis? And what if he still doesn't want dial...
Source: Wife of a Diabetic - August 19, 2017 Category: Endocrinology Source Type: blogs