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Sen McCain's'No' Vote Threatens Graham-Cassidy Bill Sen McCain's'No' Vote Threatens Graham-Cassidy Bill
Like many medical societies and other healthcare groups, the senator said he couldn't vote yes for the bill without seeing a CBO report on how it would affect healthcare coverage and insurance premiums.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - September 22, 2017 Category: Internal Medicine Tags: Family Medicine/Primary Care News Alert Source Type: news

Many Drug Companies Fail to Conduct Timely Postapproval Safety Checks Many Drug Companies Fail to Conduct Timely Postapproval Safety Checks
In the rush to approve new medicines, the U.S. Food and Drug Administration often requires drug companies to study possible side effects and alternative doses for medicines once they hit the broader market.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 22, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Few Older Patients Aware of Deprescribing
Although the majority surveyed are aware of medication harms (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 22, 2017 Category: Respiratory Medicine Tags: Cardiology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Internal Medicine, Nephrology, Neurology, Nursing, Pharmacy, Psychiatry, Pulmonology, Rheumatology, Urology, Anesthesiology & Pain, Journal, Source Type: news

When Do You Check Orthostatic Blood Pressure? ADA Clarifies When Do You Check Orthostatic Blood Pressure? ADA Clarifies
Dr Arefa Cassoobhoy highlights one of the week's important news stories for primary care.Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 22, 2017 Category: Consumer Health News Tags: Internal Medicine Commentary Source Type: news

Childhood - Onset IBD May Raise Risk of Cancer
Researchers think chronic inflammation in gastrointestinal tract may be driving force (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 21, 2017 Category: Cancer & Oncology Tags: Family Medicine, Gastroenterology, Internal Medicine, Nursing, Oncology, Pathology, Pediatrics, Journal, Source Type: news

Just One E-cigarette Might Raise Adrenaline in the Heart Just One E-cigarette Might Raise Adrenaline in the Heart
Smoking just one e-cigarette might expose users to enough nicotine to trigger an adrenaline surge in the heart that can contribute to high blood pressure and other health problems, a small experiment suggests.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 21, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Hidden Respiratory Dangers at Home
Household bleach may not lead to COPD, as recently reported in the lay press, but a number of respiratory dangers are present in many US homes. (Source: ConsultantLive)
Source: ConsultantLive - September 21, 2017 Category: Internal Medicine Authors: Jonathan Ilowite, MD Tags: Respiratory Diseases Source Type: news

Monoclonals and Migraine: What the Primary Care Physician Needs to Know
Monoclonal antibodies that inhibit calcitonin gene-related peptide could revolutionize preventive migraine therapy. Here's what you need to know. (Source: ConsultantLive)
Source: ConsultantLive - September 21, 2017 Category: Internal Medicine Authors: Peter McAllister, MD Tags: Special Report Pain Migraine Source Type: news

Monoclonals and Migraine: What the Primary Care Physician Neesds to Know
Monoclonal antibodies that inhibit calcitonin gene-related peptide could revolutionize preventive migraine therapy. Here's what you need to know. (Source: ConsultantLive)
Source: ConsultantLive - September 21, 2017 Category: Internal Medicine Authors: Peter McAllister, MD Tags: Special Report Pain Migraine Source Type: news

High Rate of Anemia Seen After Weight - Loss Surgery
Anemia much more common among patients who did not have close follow - up with weight - loss surgeon (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 21, 2017 Category: Cancer & Oncology Tags: Endocrinology, Family Medicine, Internal Medicine, Nursing, Oncology, Surgery, Journal, Source Type: news

Angola: Health Sector in Bolongongo Strengthened With Three New Physicians
[ANGOP] Bolongongo -Three Angolan physician specialized in internal medicine were hired and reinforced Wednesday's health sector in the Bolongongo municipality, Cuanza Norte province. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - September 21, 2017 Category: African Health Source Type: news

Insurer Market Power Lowers Providers ’ Prices
Evidence seen for specialists in markets with high provider, insurer concentration (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - September 21, 2017 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

Magnesium Levels Tied to Dementia Risk
Both too high and too low of levels tied to increased dementia risk (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - September 21, 2017 Category: Psychiatry Tags: Family Medicine, Geriatrics, Gynecology, Internal Medicine, Neurology, Nursing, Pathology, Psychiatry, Journal, Source Type: news

Type 2 Myocardial Infarction Definition Impacts Prognosis
Use of method that does not require coronary artery disease linked to lower mortality rate (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 20, 2017 Category: Respiratory Medicine Tags: Cardiology, Internal Medicine, Critical Care, Emergency Medicine, Nursing, Pulmonology, Journal, Source Type: news

Pharma's Influence on Diabetes Prescribing: Good or Bad? Pharma's Influence on Diabetes Prescribing: Good or Bad?
A recent study of pharmaceutical marketing in Washington, DC, concluded that this spending was correlated with prescribing of newer agents to treat diabetes. But is that necessarily a bad thing?Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 20, 2017 Category: Consumer Health News Tags: Internal Medicine Expert Interview Source Type: news

Naloxegol Has No Effect on Opioid Dose in Opioid - Tied Constipation
Centrally - mediated analgesia was maintained during treatment with naloxegol in noncancer pain, OIC (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 20, 2017 Category: Cancer & Oncology Tags: Gastroenterology, Internal Medicine, Oncology, Pharmacy, Geriatrics, Anesthesiology & Pain, Journal, Source Type: news

Attempts to Prevent Tongue Swallowing Hinder Resuscitation
In 17 videos, initial intervention after athlete collapse was attempt to prevent tongue swallowing (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 20, 2017 Category: Respiratory Medicine Tags: Cardiology, Family Medicine, Internal Medicine, Critical Care, Emergency Medicine, Nursing, Pediatrics, Pulmonology, Journal, Source Type: news

General, Central Obesity Linked to Specific Breast Cancer Risk
General obesity, indicated by BMI, more strongly linked to ER + /PR + subtype (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 20, 2017 Category: Cancer & Oncology Tags: Gastroenterology, Gynecology, Internal Medicine, Nursing, Oncology, Pathology, Pulmonology, Radiology, Surgery, Urology, Journal, Source Type: news

Medicine in the Headlines: When Your Patients Ask
HRT, tattoos, insurers exacerbating the opioid epidemic, prolonged sitting, plus a new COPD drug: here's a recap of 5 of the week's key news reports. (Source: ConsultantLive)
Source: ConsultantLive - September 20, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Addiction COPD Source Type: news

How Are Residents Handling Longer Shifts? How Are Residents Handling Longer Shifts?
First-year residents have been able to work up to 80 hours per week since July. How do you think it's affecting care?Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 20, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

How Are the New Longer Shifts for First-Year Residents Working? How Are the New Longer Shifts for First-Year Residents Working?
First-year residents have been able to work up to 80 hours per week since July. How do you think it's affecting care?Medscape Reader Polls (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 20, 2017 Category: Intensive Care Tags: Internal Medicine News Source Type: news

Total of 0.21 Years Lost Due to Opioid - Related Poisoning Deaths
Drug - related poisoning deaths up from 2000 to 2015, with most of the increase due to opioid deaths (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 20, 2017 Category: Respiratory Medicine Tags: Family Medicine, Geriatrics, Internal Medicine, Neurology, Nursing, Pathology, Pharmacy, Psychiatry, Pulmonology, Rheumatology, Surgery, Anesthesiology & Pain, Journal, Source Type: news

Domestic violence homicide rate drops with stricter gun law, study finds
When domestic violence offenders are required to relinquish their guns, instead of simply being barred from owning firearms, the risk that those offenders may kill their partners goes down, a new study finds.The paper, described in the Annals of Internal Medicine, highlights a simple method for... (Source: Los Angeles Times - Science)
Source: Los Angeles Times - Science - September 19, 2017 Category: Science Authors: Amina Khan Source Type: news

Costly Drugs to Weigh on U.S. Employers' Expenses in 2018 - Survey Costly Drugs to Weigh on U.S. Employers' Expenses in 2018 - Survey
U.S. employers are bracing for higher health care expenses in 2018 as spending on new drugs to treat diseases such as cancer, multiple sclerosis and hepatitis C is expected to rise more than 7%, according to consultancy firm Mercer.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 19, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Gates Foundation Invests $40 Million in UK Immunotherapy Company Gates Foundation Invests $40 Million in UK Immunotherapy Company
The Bill and Melinda Gates Foundation is to invest up to $40 million in privately held British biotech company Immunocore to support its development of immunotherapies for infectious diseases.Reuters Health Information (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - September 19, 2017 Category: Allergy & Immunology Tags: Internal Medicine News Source Type: news

Half of Repeat Antibiotics in Australia Extend Initial Rx
More than one in five occur at least one month after the initial prescription (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 19, 2017 Category: Respiratory Medicine Tags: Family Medicine, Infections, Internal Medicine, Nursing, ENT, Pathology, Pediatrics, Pharmacy, Pulmonology, Urology, Journal, Source Type: news

CPAP Telemonitoring Improves 90 - Day Adherence
However, remote automated education program alone did not significantly improve adherence (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 19, 2017 Category: Respiratory Medicine Tags: Family Medicine, Geriatrics, Internal Medicine, Nursing, Pulmonology, Journal, Source Type: news

Deaths, Cardiac Arrest Not Rare in Triathlon Participants
Incidence of death or cardiac arrest 1.74 per 100,000 participants; higher incidence in men, with age (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 19, 2017 Category: Respiratory Medicine Tags: Cardiology, Family Medicine, Geriatrics, Gynecology, Internal Medicine, Emergency Medicine, Nursing, Pathology, Pulmonology, Journal, Source Type: news

Extended Thromboprophylaxis Safe, Effective After Liver Surgery
Severe complication rate 5.6 percent, with no 90 - day mortalities (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 19, 2017 Category: Cancer & Oncology Tags: Gastroenterology, Internal Medicine, Oncology, Pharmacy, Surgery, Journal, Source Type: news

Monthly Feedback Linked to Improved Colonoscopy Quality
But no improvement observed with quarterly feedback (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 19, 2017 Category: Cancer & Oncology Tags: Family Medicine, Gastroenterology, Internal Medicine, Nursing, Oncology, Pathology, Journal, Source Type: news

ACP Does Not Support Legalization of Assisted Suicide
Legalization would affect trust in the patient - physician relationship, and in the medical profession (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - September 19, 2017 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pathology Source Type: news

Potentially Inappropriate Meds Common in Home Health Patients Potentially Inappropriate Meds Common in Home Health Patients
A high prevalence of potentially inappropriate medication use among Medicare home health nursing patients puts this population at significantly increased risk for hospitalization, a study found.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 19, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Expected Burden of Lung Cancer High for People Living With HIV
PLWH who adhere to antiretroviral tx but smoke are substantially more likely to die from lung cancer (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 19, 2017 Category: Cancer & Oncology Tags: Family Medicine, Infections, AIDS, Internal Medicine, Oncology, Pathology, Pulmonology, Journal, Source Type: news

Oregon's Death With Dignity Act: Two Decades of Data Oregon's Death With Dignity Act: Two Decades of Data
Twenty years after the law's passage, researchers find consistencies and changes in its use.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 18, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

ACP Affirms Opposition to Physician-Assisted Dying ACP Affirms Opposition to Physician-Assisted Dying
Despite legalization of physician-assisted dying in additional states in 2016, the College sees the practice as a violation of physicians'duties.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 18, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Let's Beat Big Tobacco Let's Beat Big Tobacco
We need to offer practical alternatives to smoking cigarettes, says Dr Lundberg, and now we can.Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 18, 2017 Category: Consumer Health News Tags: Internal Medicine Commentary Source Type: news

Narrow Networks in ACA Marketplace for Mental Health
Plan networks include 11.3 percent of all mental health care providers in given state - level market (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - September 18, 2017 Category: Psychiatry Tags: Family Medicine, Geriatrics, Gynecology, Internal Medicine, Neurology, Nursing, Psychiatry, Journal, Source Type: news

How to Choose the Best Journal for Your Case Report How to Choose the Best Journal for Your Case Report
This article offers guidelines to help weed out the controversial ones.Journal of Medical Case Reports (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 18, 2017 Category: Consumer Health News Tags: Internal Medicine Journal Article Source Type: news

Mental Health, Dental Issues Top Avoidable ER Visits
Significant number of avoidable visits are for conditions the ER can't treat (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - September 16, 2017 Category: Psychiatry Tags: Family Medicine, Geriatrics, Internal Medicine, Emergency Medicine, Nursing, Psychiatry, Journal, Source Type: news

Skin Cancer Prevention Strategies Needed in Work Settings
High occupational UV exposure tied to two - fold increase in skin cancer risk (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 16, 2017 Category: Cancer & Oncology Tags: Dermatology, Family Medicine, Internal Medicine, Nursing, Oncology, Journal, Source Type: news

Physicians Tweeting About Drugs May Have Conflict of Interest
Physicians with financial conflict of interest often mention specific drugs for which they have a conflict (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 16, 2017 Category: Cancer & Oncology Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pathology Source Type: news

EHR Data May Beat Claims Data in Assessing Sepsis Incidence
Based on clinical data, no change seen in incidence of sepsis, combined outcome of death or discharge (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 15, 2017 Category: Cancer & Oncology Tags: Family Medicine, Infections, Internal Medicine, Critical Care, Emergency Medicine, Nursing, Oncology, Pathology, Journal, Source Type: news

Hospital Quality Independently Impacts Readmission Rates
Readmission rates differ for patients with similar diagnoses admitted to best versus worst hospitals (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 15, 2017 Category: Respiratory Medicine Tags: Cardiology, Family Medicine, Geriatrics, Internal Medicine, Critical Care, Emergency Medicine, Nursing, Pulmonology, Journal, Source Type: news

‘ Science Spin ’ Found Prevalent in Biomedical Literature
Nature of spin varies, with highest variability in prevalence of spin seen in trials (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 15, 2017 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

Doctors Spend Almost Six Hours Per Day on EHR Tasks
Clerical and administrative tasks including order entry, billing account for almost half of hours (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 15, 2017 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pediatrics, Psychiatry, Pulmonology, Radiolo Source Type: news

5 Top CKD Apps for Primary Care Physicians
Chronic renal disease is common in primary care settings and so are its comorbidities. In brief here, 5 apps you might want at hand. (Source: ConsultantLive)
Source: ConsultantLive - September 15, 2017 Category: Internal Medicine Authors: Ted W. James, MD Source Type: news

Does the Mole Always Come Before the Melanoma? Does the Mole Always Come Before the Melanoma?
Dr Arefa Cassoobhoy highlights one of the week's important news stories for primary care.Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 15, 2017 Category: Consumer Health News Tags: Internal Medicine Commentary Source Type: news

Assay Can ID M. tuberculosis Resistance Mutations
Assay detects mutations associated with resistance to isoniazid, fluoroquinolones, aminoglycosides (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - September 15, 2017 Category: Respiratory Medicine Tags: Infections, Internal Medicine, Pathology, Pulmonology, Journal, Source Type: news

FDA Approves First Biosimilar Drug for Cancer
Mvasi (bevacizumab - awwb) is biosimilar to Avastin (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 15, 2017 Category: Cancer & Oncology Tags: Gastroenterology, Gynecology, Internal Medicine, Nephrology, Oncology, Pharmacy, Pulmonology, Institutional, Source Type: news

Caffeine Tied to Lower Mortality in Women With Diabetes
Women who consumed caffeine from coffee had reduced risk of all - cause, cardiovascular deaths (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - September 14, 2017 Category: Cancer & Oncology Tags: Cardiology, Endocrinology, Family Medicine, Gynecology, Internal Medicine, Nursing, Oncology, Conference News, Source Type: news