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 KevinMD.com

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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

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Kidney Stone Patient Guide

September 8th, 2015 by admin

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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.

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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. For new parents go to babyidesign.com best baby carriers, to find the best carrier that will help support the babies body.

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

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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

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

February 14th, 2014 by admin

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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

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

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

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Understanding the role of pharmacists

January 23rd, 2014 by admin

Pharmacist Amy Schiveley talks with a customer at Lakeview Pharmacy

If your recent flu vaccine was administered at a pharmacy, you have already sampled the expanded role that pharmacists play in our health care today.

A flu shot, though, is just one of many patient-care services pharmacies across the country offer beyond filling prescriptions. From blood pressure tracking to Medication Therapy Management counseling, today’s pharmacists can be a resource for a wide range of information and advice.

In a Medication Therapy Management session, pharmacists can sit down with a customer and go through all of their medications, find out what is working and what’s not, review the purpose of each medication, explain how they work and more, according to Amy Schiveley, managing pharmacist at Lakeview Pharmacy, 516 Monument Square.

Pharmacists already provide some consultation when a customer picks up a prescription, Schiveley said, but MTM sessions take a more in-depth look at the entire medicine profile — including over-the-counter products and supplements — and help the patient better understand what they are taking, why they are taking it and how to take it.

“We go through all of it with a fine-toothed comb,” Shiveley said.

Pharmacists can also help patients understand the risks versus benefits of each medication; explore ways to reduce costs; and work with physicians and insurance companies to figure out what medication options are best for each person, she said.

Click here to read the rest of this article

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Dosage forms: introduction to pharmaceuticals

December 21st, 2013 by admin

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This article is a sufficient beginning to know everything about pharmaceuticals. If you are just starting to know about this amazing field, this is a good guide for you.

Drug is the substance used to cure, treat, restore the health state, or optimize a malfunction. Fundamentally, this substance is brought from plants or animals. Rarely, the drug is administered in its primary or crude form. In other words, the drug can be natural, synthetic, or semi-synthetic. The drug’s crude form passes by different processes to give rise to what is called dosage forms.

During manufacturing, the crude drug is called a pharmaceutical preparation. Dosage form is the crude drug in its final form after adding particular characteristics to it. The drug manufacture includes addition of additives; pharmaceutical ingredients.

The additives are mainly non-medicinal substances used for many purposes. They are added to enhance the drug form, quality, and efficacy.

They are used:

As solubilizing agents

For dissolving the drug in a solvent as in the formation of solutions

For dilution

To decrease or optimize concentration

As suspending agents

To suspend solid particles in a solution and form a suspension

As emulsifying agents

To dissolve water in oil or oil in water and produce an emulsion

As thickeners

To harden/thicken creams and ointments

As stabilizers

To maintain the stability of a pharmaceutical preparation

As preservatives

To protect the pharmaceutical preparations from contamination by microorganisms such as bacteria and fungi

As coloring agents

To give the drug a perfect appearance and attractiveness.

As flavoring agents

To hide a bad taste like the bitter taste. Moreover, flavoring agents are used to add a reasonably good taste to the drug and increase its palatability.

Click here to read the entire article

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Congressman and Medical Doctor Phil Roe Presents An Outstanding Obamacare Alternative

November 13th, 2013 by admin

Family Research Council discussion of the Republican Study Committee’s alternative to the Affordable Care Act, known as “Obamacare.”

Dr. Phil Roe, the Congressman representing Tennessee’s First Congressional District, will present an overview and answer questions about the RSC’s patient-centered and free market alternative, the American Health Care Reform Act. More information about RSC’s bill can be found here. Because of the federal government’s expansive role in structuring health care’s cost and coverage, this important discussion is relevant to all Americans. Dr. Roe has a valuable perspective as a medical doctor who understands the challenges facing America’s health system today.

Congressman Phil Roe represents the First Congressional District of Tennessee. A native of Tennessee, Phil was born on July 21, 1945 in Clarksville. He earned a degree in Biology with a minor in Chemistry from Austin Peay State University in 1967 and went on and to earn his Medical Degree from the University of Tennessee in 1970. Upon graduation, he served two years in the United States Army Medical Corps. Congressman Roe serves on two Committees, Education and the Workforce, and Veterans’ Affairs, that allow him to address and influence the many issues that are important to the First District students, teachers, veterans and workers.

Click here to watch this presentation on YouTube >>> Congressman Phil Roe: An Obamacare Alternative

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Children and sports: Choices for all ages

August 21st, 2013 by admin

by Mayo Clinic Staff

Children’s sports promote fitness, but not all children thrive in formal leagues. Help your child find the right sport and venue — school, recreation center or backyard.

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Want to give your child a head start on lifelong fitness? Consider children’s sports and other kid-friendly physical activities.

With your encouragement and support, chances are a few sports will spark your child’s interest. Fan the flame by taking your child to local sporting events and sharing your own sports interests with your child.

Consider age-appropriate activities

Your child is likely to show natural preferences for certain sports or activities. Start there, being careful to keep your child’s age, maturity and abilities in mind.

Ages 2 to 5


Toddlers and preschoolers are beginning to master many basic movements, but they’re too young for most organized sports. Keep in mind that toddlers who participate in organized sports also typically don’t gain any long-term advantage in terms of future sports performance.

At this age, unstructured free play is usually best. Try:

  • Running
  • Tumbling
  • Throwing
  • Catching
  • Swimming
Ages 6 to 9
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Click here to read the rest of this article from the Mayo Clinic

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