The joy has been sucked out of medicine. Here’s why.

November 27th, 2015 by admin

She came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, but the interaction still ended up reducing his salary. You see, that patient’s only medical interaction that year was for this ankle sprain, and the provider was therefore held accountable for all of her primary care needs. Since she had not received a mammogram that year, or received a diabetes screening, he incurred an end-of-the-year penalty for failing to meet these quality standards.

Is it any wonder that many providers — primary care physicians, physician assistants, and even many beleaguered specialists — are increasingly dissatisfied with their jobs? What is happening to medical practice and what can we do to bring the joy back to being a health care provider?

am early into a one-year quest to connect with leading thinkers from inside and outside medical care, so I can better understand why many clinicians are miserable in their careers, and much more importantly, what can be done to help them thrive at work even though an increasing number of outside parties are looking over their shoulder, assessing the quality of the care they provide.

These increasingly burdensome rules and regulations are making it hard to enjoy medical practice these days. Several decades ago, physicians largely practiced as autonomous professionals, governed by standards developed by their professional peers. Physicians underwent intense and prolonged training to develop the knowledge and skills to know how best to help patients with their problems. And the world generally stood back and accepted, on faith, that most physicians would provide excellent care to most of their patients.

Click here to read all of this article originally posted on

Posted in Practical Medicine, practical health care | No Comments »

Many People Who Think They Are ‪Allergic‬ To ‪Penicillin‬ May Safely Take It

November 7th, 2015 by admin

By Julienne Roman,

Researchers found that most people who are told that they are allergic to penicillin were mistakenly diagnosed as such based on initial reactions instead of a confirmatory test.

This mistaken perception led many to opt for more dangerous antibiotics and other treatments for their infections. Researchers pointed out that the patients who were thought to be penicillin-allergic had to take other antibiotics that put them at greater risk for acquiring complications such as colitis and the development of more antibiotic-resistant strains.

Study authors therefore stress the need to specifically test for penicillin allergy on suspected patients.

“Anyone who has been told they are penicillin allergic, but who hasn’t been tested by an allergist, should be tested,”said Dr. David Khan from the University of Texas Southwestern Medical Center.

He added that if patients are determined to be allergic, doctors will be able to determine which treatment options are most suited with the full confidence that it is the best course of action for the patient. But if the tests turned negative, then the patient will be able to take a drug that is just as effective as most antibiotics while being safer and more cost-effective.

Researchers studied data from patients who were reportedly allergic to penicillin but when tested were actually found to be negative. The team later found that the patients could be treated safely with the mentioned antibiotic even through intravenous injection.

“There is often thought to be a higher risk in patients who get intravenous penicillin, but we did not find this to be the case,” Khan added.

The misconception often stems from wrongly interpreting symptoms that manifest after taking the drug as signs of an allergic reaction. This mistake happens about 90 percent of the time among patients.

Penicillin side effects that include nausea and vomiting, mild diarrhea or headache commonly occur while taking the drug but do not herald an allergic reaction or are considered dangerous enough to halt continued taking of the drug.

Ever since its discovery, penicillin still remains a popular antibiotic because of its effectiveness and relatively low level of toxicity on healthy human cells. It comes in several different, non-interchangeable forms, and each one is often used to treat different infections.

However, there are people who are allergic to the drug, and people who report developing a rash, itching or difficulty of breathing while using the drug are advised to report these findings to a physician for a confirmatory test.


Posted in Medical Innovation, Practical Medicine | No Comments »

Members of Congress Put Costly Drugs in Their Crosshairs

November 7th, 2015 by admin
  • by Shannon Firth

WASHINGTON — Prescription drug prices are getting more attention on Capitol Hill, with two senators from opposite sides of the aisle announcing plans to investigate while House Democrats declared they were forming a task force on the issue as well.

Sen. Claire McCaskill (D-Mo.) and Sen. Susan Collins (R-Maine) this week announced a bipartisan probe into drug costs, according to a press release from McCaskill’s office. The senators are requesting drug pricing information from four companies whose products’ prices have recently spiked: Valeant Pharmaceuticals, Turing Pharmaceuticals, Retrophin, and Rodelis Therapeutics.

“We need to get to the bottom of why we’re seeing huge spikes in drug prices that seemingly have no relationship to research and development costs,” McCaskill said, in the statement.

According to the release, the investigation will look into:

  • “Substantial price increases on recently acquired off-patent drugs”
  • “Mergers and acquisitions within the pharmaceutical industry that have led to dramatic increases in off-patent drug prices”
  • “The FDA’s role in the drug approval process for generic drugs, the agency’s distribution protocols, and, if necessary, its off-label regulatory regime”

The Senate Special Committee on Aging has scheduled an initial hearing on this issue for Dec. 9.

At a press briefing on Wednesday, Rep. Lloyd Doggett (D-Texas) announced the formation of the “Affordable Drug Pricing Task Force.”

House representatives said they hope to advance legislation that would enable Health and Human Services Secretary Sylvia Burwell to negotiate Medicare prices and to force drug companies to be transparent about the cost of making their products.

Doggett cited the now infamous example of Turing Pharmaceutical’s Daraprim (pyrimethamine), a drug for treating infections common in patients with cancer and AIDS. After the company acquired the drug 3 months ago, the price went from $13.50 to $750 per tablet. On Tuesday, the company said it would lower the price by the end of the year, but did not say by how much.

“But exorbitant drug prices are not about one wrongdoing, or one drug, or one class of drugs; they are a systemic problem that involve a wide range of manufacturers,” said Doggett while standing at a podium flanked by posters of Turing’s CEO Martin Shkrelivilified by the media for his tone-deaf comment that his actions would benefit society — and Michael Pearson, CEO of Valeant Pharmaceuticals.

Click here to read the rest of this article


Posted in Dependable Information, General Interest, Medical Innovation, Practical Medicine | No Comments »

Antibiotic use during pregnancy no longer a cause for concern

November 3rd, 2015 by admin

The findings of the largest investigation of its type give the all-clear to macrolide antibiotic use during pregnancy. According to the investigation’s findings, macrolides do not negatively influence the unborn child’s development.

Antibiotic use during pregnancy has been much discussed. Could we finally have a definitive answer?

Thousands of pregnant women across America are prescribed antibiotics during their term; around 4 out of 10 expectant mothers will use them at some point during their pregnancy.

Along with penicillin, macrolide antibiotics are the most commonly used medications in the general population, including pregnant women.

Macrolides are a group of drugs, generally antibiotics, which include erythromycin, fidaxomicin, azithromycin and clarithromycin. They have a slightly wider antimicrobial spectrum than penicillin and can be used in cases where a penicillin allergy is present.

The current study was led by Anick Bérard, PhD, of the University of Montreal in Canda and its affiliated CHU Sainte-Justine Children’s Hospital, and Hedvig Nordeng, of the University of Oslo in Norway.

The team looked at macrolides and their potential adverse pregnancy outcomes, including birth defects. Bérard says:

“With penicillin, macrolides are amongst the most used medications in the general population and in pregnancy. However, debate remained on whether it is the infections or, in fact, the macrolides used to treat them that put women and their unborn child at greater risk of adverse pregnancy outcomes, including birth defects.”

Previous investigations into macrolide safety during pregnancy have produced contradictory results. Some studies have claimed an association between macrolides and cardiovascular malformations. Other studies have drawn links between the use of macrolides during pregnancy and an elevated chance of epilepsy and/or cerebral palsy.

These findings and others in the same vein have led to an avoidance of prescribing macrolides to pregnant women in several Scandinavian countries.

Click here to read all of the article from Medical News Today


Posted in General Interest, practical health care | No Comments »

Kidney Stone Patient Guide

September 8th, 2015 by admin


Kidney Stones

Painful Mineral Deposits in Urinary Tract

Kidney stones are formed from a combination of minerals and waste materials. The stones may not cause symptoms until they move from the kidneys through the ureters and into the bladder.

Even small kidney stones can cause intense pain until they pass out of the body. Larger stones may lodge in the urinary tract, leading to infection.

Most kidney stones pass on their own over several days, but some are too large and must be broken up with sound waves or be surgically removed. Patients who have kidney stones are at higher risk for future stone formation. Dietary changes and medications can help lower this risk.

Cause Intense Pain Over Several Days Until Passed Out of the Body

Kidney stones are a common urinary tract disorder, accounting for many emergency room visits in the United States each year.

Risk Factors

Kidney stones are almost twice as common in men as in women. Age is also important; the risk for men increases after age 40 years, while women are more affected during their 50s. Even children can develop kidney stones; teenage girls have the highest risk.

At any age, a diet high in salt, sugar, and protein increases the risk. Drinking an insufficient amount of water may also contribute to stone formation. Overweight or obese people are at higher risk, as are those with a family or personal history of kidney stones. Certain drugs, as well as diseases of the kidneys, gastrointestinal tract disorders, hyperparathyroidism, and gout, all increase the risk for kidney stone formation.

Posted in Dependable Information, General Interest, practical health care | No Comments »

Allergy Season 2015: Experts Predict Severe Allergy Symptoms, But A Shorter Season

March 22nd, 2015 by admin


There was no short supply of sniffles, sneezing, or stranger side-eye on the subway this winter (sorry about that) — and allergy season may be a similar scene. Experts predict the 2015 season will be more severe than years past.

Dr. John Basso, chief of allergy and immunology at Nyack Hospital in New York, told USA Today “the prolonged moisture in some regions this winter may have laid the groundwork for a bad season.” Basso explained a warm, dry spring following a wet winter is a recipe for high pollen counts. But if we were to have a wet spring, pollen might not be such a problem.

Pollen levels over the past few years have been unusually elevated, the overall season starting earlier and lasting longer. This year, Dr. Tanya Laidlaw, director of Translational Research in Allergy at Brigham and Women’s Hospital in Boston, told Tech Times the classic oak, birch, and maple trees will be late to pollinate — so there’s a chance seasonal allergies will be cut short by at least a few days.

Still, it’s becoming increasingly difficult for experts to predict what exactly is in store for allergy sufferers. Global warming is considered to be partly responsible for the unpredictable shift, the increased carbon dioxide and climate change stimulating pollen growth. This then makes pollen more prevalent and potent.

This is why experts have started recommending sufferers take any medication and otherwise precaution before the onset of spring allergies. Basically, experts find sufferers are better off when they plan a preemptive strike against miserable symptoms.

“It’s a really good idea to start early, because if you have your armamentarium on board protecting you, the medication will be a lot more effective and you’ll feel better,” Dr. Laura Mechanic, chief of allergy at White Plains Hospital, told USA Today. “A lot of people who wait end up suffering longer and on even more medication for a longer period of time.”

If your allergies aren’t bad enough to warrant a prescription, there are other ways to reduce symptoms. Eating healthy foods can reduce symptoms; cleaning air conditioning and furnace filters every three months can minimize pollen and mold in the air; and wearing sunglasses when outside keeps irritants away, reducing itchiness and redness.

Bonus: Several apps are available for smartphones now to help sufferers better manage and even predict the severity of their symptoms. For example, ZYRTEC® AllergyCast delivers a GPS-based allergy forecast for today and tomorrow, as well as the day’s top allergens based on a person’s location. Check out four other options here.

Article reprinted from Medical Daily


Posted in General Interest | No Comments »

It’s important to have folic acid in your system during early stages of pregnancy when your baby’s brain and spinal cord are developing

February 16th, 2015 by admin

Folic acid is a pregnancy superhero!

Taking a prenatal vitamin with the recommended 400 micrograms (mcg) of folic acid before and during pregnancy can help prevent birth defects of your baby’s brain and spinal cord. Take it every day and go ahead and have a bowl of fortified cereal, too.

What Is Folic Acid?

Folic acid, which is also called folate, is a B vitamin. The best food sources of folic acid are fortified cereals. Folic acid plays an important role in the production of red blood cells and helps your baby’s neural tube develop into her brain and spinal cord.

When Should I Start Taking Folic Acid?

Birth defects occur within the first 3-4 weeks of pregnancy. So it’s important to have folic acid in your system during those early stages when your baby’s brain and spinal cord are developing.

If you talked to your doctor when you were trying to conceive, she probably told you to start taking a prenatal vitamin with folic acid. One study showed that women who took folic acid for at least a year before getting pregnant cut their chances of delivering early by 50% or more.

The CDC recommends that you start taking folic acid every day for at least a month before you become pregnant, and every day while you are pregnant. However, the CDC also recommends that all women of childbearing age take folic acid every day. So you’d be fine to start taking it even earlier.

If you picked out your own prenatal vitamin, take it to your OB once you’re pregnant to make sure it has the recommended amounts of everything you need, including folic acid. All prenatal vitamins are not the same and some may have less or more of the vitamins and minerals you need.

Click here to read the rest of this article and to see how much folic acid you should take


Posted in General Interest, Practical Medicine, practical health care | No Comments »

How to take a child’s temperature

June 9th, 2014 by admin

Several methods for taking a child’s temperature quickly, accurately, and safely are available.

Devices used to measure body temperature in children include the digital thermometer (for rectal, oral, or underarm readings), the digital ear thermometer (tympanic membrane thermometer), the digital pacifier thermometer, and the forehead (temporal artery) thermometer.

Mercury thermometers are no longer considered safe because the glass can break and release the liquid mercury, which is highly toxic. Digital thermometers, which are safe and measure body temperature in seconds, should be used instead of mercury thermometers.
Never Leave a Child Alone While Taking Temperature

Taking a child’s temperature with a digital device is easy and quick, but the patient should never be left alone while the thermometer is in place. When a child has a fever, healthcare professionals recommend recording the time and temperature readings, along with any medication given to lower the fever. The following are descriptions of the different methods used to measure body temperature in children.

Click here > to learn more about Rectal, Oral, Axillary, Ear and Forehead Methods and here > to download the Pediatric Thermometry.pdf


Posted in General Interest | No Comments »

Fixing Healthcare Can Be As Close As Your Neighborhood Pharmacy

April 15th, 2014 by admin

by John Nosta

The clinical emergency is medicine itself

Demand for primary care services is projected to increase through 2020, due to the increasing aging and population as well as the expanded insurance coverage implemented under the Affordable Care Act (ACA). In other words, the demand for primary care physicians will grow more rapidly than the supply, resulting in a projected shortage of over 20,00 full-time physicians.

The value of your neighborhood pharmacy

Nearly 70% of Americans are on at least one prescription drug and over 50% of Americans are on at least two prescription drugs. Given the shaky assumption that these folks are actually taking their medicines, it’s fair to say that beyond the physician, the pharmacist plays a key role in the health dynamic. Currently pharmacists can provide many services to their patients–from information to specific medicines.  In fact, the pharmacy is often a first source of medical information for many.  Pharmacy services have evolved from strictly dispensing medications to offering services such as medication therapy management, medication education, improving medication adherence, administering immunizations, and health/wellness. In addition, pharmacists can now be found in specialty areas such as oncology, organ transplant and even psychiatry. RxWiki–an on-line patient information service–now extends the pharmacy experience into the digital landscape, offering patients on demand access to medication information, pharmacy transactions, and medication adherence. RxNetwork is another emerging company with a unique methodology to link the pharmacy and patient–providing real-time support from compliance to education.  RxNetwork’s patient relationship management solution bridges the pharmacy-patient communication gap and provides an efficient, non-disruptive solution for the pharmacies with a convenient, rewarding, motivating solution to their connected patients.

Click here to read the rest of this article by John Nosta in Forbes Magazine

Posted in General Interest, Medical Innovation, practical health care | No Comments »

University of Texas Medical Branch at Galveston scientists successfully grow human lungs in lab in 3 days

February 14th, 2014 by admin


Growing organs may seem like science fiction, but it’s the goal of medical researchers because so many people need organ transplants and many die waiting for one.

“The most exciting part is to shorten the time people have to wait for an organ transplant,” said UTMB Dr. Joaquin Cortiella.

How did they do it? They started with a damaged lung.

“We removed all the cells all the material in it, and just left the skeleton of the lung, or the scaffold, behind — the pieces of the lungs that are no cells. That’s why it’s so white and pretty and there’s no blood in it, it’s very pretty looking. And then we added back cells from another lung that couldn’t be used for transplant but still had some viable cells in it,” said Dr. Joan Nichols, who leads the UTMB team.

But it took months until a UTMB medical student named Dr. Michael Riddle built a piece of equipment that sped up the process.

“He’s the one who went home and actually built using — I’m not kidding — a fish tank that he went and bought from a pet store, is what he built the first piece of equipment,” Dr. Nichols said.

“Took us about four months to take the cells from the lung to where all you have is a bio-scaffold, and we took that process down to about three days,” Dr. Riddle said.

UTMB scientists grew their first human lungs in the lab last year. Eyewitness News is the first to report it.

“It’s taken us a year to prove to ourselves that we actually did a good job with it. You don’t run out immediately and tell the world you have something wonderful until you’ve proved it to ourselves that we really did something amazing,” Dr. Nichols said.

Dr. Nichols says they hope to transplant the first set of lab-grown lungs in animals this year or next.

How soon could their lab-grown lungs be ready to save human lives? They aren’t sure, but estimate between 5 and 10 years, maybe longer.

Click here for a link to the original articlle and a news video


Find Christi on Facebook at ABC13-Christi Myers or on Twitter at@ChristiMyers13

(Copyright ©2014 KTRK-TV/DT. All Rights Reserved.)

Posted in Medical Innovation, practical health care | 1 Comment »

« Previous Entries

© 2015 Theme by Theme by NFZA Brought by - Designed by: | |
  • busty bikini girls
  • video teen creampie redhead
  • house wives who like to fuck
  • petite women dresses
  • chicks sucking dick for cash
  • rape abuse forced sex videos
  • little sisters butt naturists galleries
  • ex wife and girlfriend pics
  • girl on girl first time
  • lesbian sex free video europe
  • bitch sucks a good dick
  • sex group cum pics
  • free bizaar interracial
  • anal sex videos online
  • hentai anal
  • group sex u
  • old women young black men
  • blond missionary fuck videos
  • Lesbian grinding movies
  • ghetto gaggers video beauty dior
  • desperate wives naked
  • mcdonalds girls playboy pics
  • Sexy naked ebony
  • free and teenage girl
  • wife blowjob forum
  • who is blonde in satyricon videos
  • young big boobs teens
  • big boobs black girls
  • fucked his young smooth ass
  • skinny brown girls with big tits
  • trailers couples seduce teens
  • asian lesbian babes
  • homemade couples sex movies
  • interracial and free videos
  • wife secret pics
  • chubby young wife movies
  • sexy norwegian girl in the shower
  • emo teens fuck while parents gone
  • Sex videos in public
  • uk mature hardcore faye sandie
  • free dick pussy
  • john holmes linda wong interracial
  • young teen bikini pictures
  • opportunities for young japanese scholars
  • sexy girl pissing
  • black teens sites
  • anime pussy gets ripped
  • african men sex videos
  • fingering babes gallery
  • young teen boy vids sex
  • teen star video
  • star superhead giving blowjob
  • Nude pic of paris hilton
  • Hot stripper sex
  • how to find illegal pictures
  • Strong sexy girls
  • pictures of teens sucking cock
  • school girls hard nipples
  • free videos furry
  • hot lesbian babes nude
  • teen girls
  • hardcore free video download
  • small schoolgirl fuck
  • grandma loves to suck dicks
  • anal pov vids
  • mif lingerie oral sex
  • perfect pussy lips close up
  • black obsession video
  • Sex dancing girl
  • tits pictures free
  • Italy sex picture
  • free young naturist video
  • picaf free teen galleries
  • nude young daughter video
  • mature sex tube movies
  • sex change surgery pics
  • Pussy toy video
  • reality wife anal
  • sex booth videos
  • get my wife naked
  • high def pics european babes
  • thumbnails couples xxx
  • how does sex for girl feel
  • hardcore college teen cumshot
  • free videos babes
  • amatuer small tit teen videos
  • erotic letters to my wife
  • amateur asian teen transexual
  • younf teen sex videos
  • big ass videos free
  • raw teen fuck
  • videos girls having orgasm
  • terra patrik pussy
  • xxx gy fuck videos
  • bloodhound gang naked girls
  • fat naked girlsgirls
  • Vagina monologues online
  • free fart teen pussy
  • swinger club young wife
  • navy movie sex hot blue
  • huge booty ebony
  • black cum in white pussy
  • cute teens free galleries
  • full video reality scenes
  • clothing stores for petite women
  • sexy redhead giving oral sex
  • teens nude black in white pictures
  • mom slut fuck video
  • arab young girls
  • young teen tail
  • Sex quiz for couples
  • sexiest butt photos
  • pictures of girls losing their virginity
  • girl exercising naked
  • young amatuers big tits
  • young girls sucking off strangers
  • alien lives off of sex movie
  • Camel sex movie
  • pool party fuck
  • hot young milfs online vids xxx
  • xxx sex goess shemale
  • anemia and young girls
  • fkk young teen pussy free pics
  • teen anal threesome
  • voyeur girls self pics
  • pattaya sexy girls
  • Girls getting fucked while sleep
  • best streaming video fuck movies
  • greedy girl dvd
  • black mother daughter lesbean
  • teen free videos sex young
  • Hollywood naked video
  • Black girls naked pic
  • sex shemale movies
  • husband forces wife to eat pussy
  • wife forces husband to fuck babysitter
  • russsian sister video
  • Hot naked striptease
  • ebony girls interratial
  • black ass woman
  • Naked teen gymnasts
  • lingerie glamour model pics
  • girls gone wild sex starved torrent
  • Pretty girls everywhere
  • picture friends naked
  • young anime video
  • free big black booty movies
  • amateur adult tube video sharing
  • lady japan picture
  • nipples gallery free
  • busty blonde rides dick
  • Indian boobs squeeze
  • girls yuri video
  • slut wife fuck double
  • white gril vids
  • old mom anal hardcore
  • movies of girls biggest suirts
  • free teen japenese videos
  • Images of big tits
  • Xxx kiss girls
  • Dick in ass
  • real amatuer naked teen sluts
  • Hot girl china
  • dwarf girl
  • vietnam public sex video
  • free xxx movies surprise threesome
  • Dita von teese nude videos
  • home movie free
  • why dont i orgasm during sex
  • Pichers of hot girls
  • sexy wet african pussy
  • naked videos of jessica alba
  • touch your monkey pussy
  • teenage girl masturbates on toilet
  • Cum shot tranny
  • teen only vids
  • suck my dick in spanish
  • hentai young girls free tubes
  • huge tits and naked lesbians
  • couples in need of cash
  • japanese naked busty
  • voluptuous teens videos
  • sex instructions video online
  • rare black
  • busty teen young fattys sex hardcore
  • free sex video softcore
  • painful virgin pussy
  • brazilian teen cumshots
  • fireman anal fucking free video
  • teen girl abused during gangbang
  • girl sticking butt out
  • peg young simple regression analysis airline
  • wife true stories need sex
  • footage of a tight pussy bleeding
  • college amatuer videos
  • young bride sex
  • anal sex first time
  • free video uploading sites
  • young school girl anime
  • free seymore butts
  • ass pictures of charlotte stokely
  • claire leng pussy
  • pink haired star black cock
  • non sexual sex pictures
  • big boobs d video
  • pretty black girl web sites
  • boyfriend wants anal sex
  • softcore film movie
  • naked teen emos
  • virgins giving sex
  • men lick cunt videos
  • sarah big butt sex video
  • free young girl ass fuck movies
  • erotic clit torture reluctance videos free
  • young men old women sex videos
  • young teen doesnt consent
  • dreams about oral sex
  • free tantric sex videos
  • hot girls show tits vagina
  • baro girl music videos
  • brazilian pussy video thumbs
  • Sex teens photos