Chiropractic Care Tied to Significant Reduction in Opioid Scripts Chiropractic Care Tied to Significant Reduction in Opioid Scripts
Patients who visit a chiropractor for low-back and neck pain are less likely to receive prescription opioids than their counterparts who go to other healthcare providers, new research suggests.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 19, 2019 Category: Internal Medicine Tags: Neurology & Neurosurgery News Source Type: news

Healthcare for All in a Land of Special Interests Healthcare for All in a Land of Special Interests
We know there has to be a better way to deliver healthcare in the US, but how to get there from here? Dr George Lundberg offers a review of the options, including the feasibility of implementing them.Medscape Internal Medicine (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 19, 2019 Category: Internal Medicine Tags: Internal Medicine Commentary Source Type: news

Light Activity Lowers Cardiovascular Risk in Older Women Light Activity Lowers Cardiovascular Risk in Older Women
The prospective trial, which used objectively measured movement, found that the performance of regular household tasks was associated with significant reductions in cardiovascular risk.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 19, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

5 HCV Cases: How Would You Proceed?
Sample:  A 36-year-old former IV drug user tests positive for chronic HCV and wants to know the likelihood of cure if she completes treatment. How should you counsel her? (Source: ConsultantLive)
Source: ConsultantLive - March 18, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Hepatitis C Quiz Source Type: news

Average of 8.8 Inactive Ingredients Found in Oral Medications
Overall, 92.8 percent of oral solid medications contain at least one potential allergen (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 18, 2019 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

New AHA/ACC CVD Primary Prevention Guideline New AHA/ACC CVD Primary Prevention Guideline
As expected, the new document recommends generally against aspirin in primary prevention, and aims to make a'one-stop shop'for clinicians.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 18, 2019 Category: Internal Medicine Tags: Cardiology News Source Type: news

Characteristics of Menopause: What Impact on Risk of CHD?
A new study found that age at menopause accounts for 10% of the link between menopause and coronary heart disease. Get more details in this quick slideshow.   (Source: ConsultantLive)
Source: ConsultantLive - March 16, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Women ' s Health Source Type: news

Substance Use and Abuse: An Update
Brief summaries highlight the latest developments and research findings regarding this serious and growing health problem. (Source: ConsultantLive)
Source: ConsultantLive - March 15, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Alcohol Abuse Alcohol/Drug Dependence SiteTerms/www.cannabissciencetech.com/Medical Marijuana (MMJ) Substance Use Disorder Source Type: news

Large Range of Menopausal Symptoms Affect Quality of Life
A new study assessed which aspects of common menopausal symptoms (ie, vasomotor, physical, psychosocial) are the strongest predictors of poor quality of life. (Source: ConsultantLive)
Source: ConsultantLive - March 15, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Women ' s Health Source Type: news

Socially Complex Patients: More Resources Help Docs, Too Socially Complex Patients: More Resources Help Docs, Too
Two recent studies suggest that addressing social determinants of health not only helps patients but also improves physician job satisfaction.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 15, 2019 Category: Internal Medicine Tags: Internal Medicine News Source Type: news

Internet Use and Preventive Health Among Older Couples Internet Use and Preventive Health Among Older Couples
How does the internet use of older adults and their partners influence their preventive health behaviors?The Gerontologist (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 15, 2019 Category: Consumer Health News Tags: Internal Medicine Journal Article Source Type: news

Relative Risk for Alzheimer Disease Is Multigenerational Relative Risk for Alzheimer Disease Is Multigenerational
Going beyond first-degree relatives to include grandparents, cousins, and other distant family members may provide a clearer picture of an individual's risk for Alzheimer disease, new research shows.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 14, 2019 Category: Internal Medicine Tags: Neurology & Neurosurgery News Source Type: news

One - Month Regimen Noninferior for Preventing HIV - Related TB
One - month rifapentine, isoniazid noninferior to nine months of isoniazid alone (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - March 14, 2019 Category: Respiratory Medicine Tags: Infections, AIDS, Internal Medicine, Pharmacy, Pulmonology, Journal, Source Type: news

CDC: 2000 to 2017 Saw Increase in Mortality Due to Dementia
Age - adjusted death rate was 66.7 deaths per 100,000 U.S. population in 2017 (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 14, 2019 Category: Psychiatry Tags: Family Medicine, Geriatrics, Internal Medicine, Neurology, Psychiatry, Journal, Source Type: news

Sleep and alertness in a duty-hour flexibility trial in internal medicine - Basner M, Asch DA, Shea JA, Bellini LM, Carlin M, Ecker AJ, Malone SK, Desai SV, Sternberg AL, Tonascia J, Shade DM, Katz JT, Bates DW, Even-Shoshan O, Silber JH, Small DS, Volpp KG, Mott CG, Coats S, Mollicone DJ, Dinges DF.
BACKGROUND: A purpose of duty-hour regulations is to reduce sleep deprivation in medical trainees, but their effects on sleep, sleepiness, and alertness are largely unknown. METHODS: We randomly assigned 63 internal-medicine residency programs in t... (Source: SafetyLit)
Source: SafetyLit - March 14, 2019 Category: International Medicine & Public Health Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news

Inclusion of Older Adults in NIH-Funded Clinical Trials Inclusion of Older Adults in NIH-Funded Clinical Trials
Are older adults being underrepresented in clinical studies due to upper age limits for recruitment and exclusion criteria that include illnesses and medications common in the older population?Journal of the American Geriatrics Society (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 14, 2019 Category: Consumer Health News Tags: Internal Medicine Journal Article Source Type: news

Short Regimen Noninferior for Rifampin - Resistant Tuberculosis
Short regimen of nine to 11 months noninferior to 20 - month regimen following WHO guidelines (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - March 14, 2019 Category: Respiratory Medicine Tags: Infections, Internal Medicine, Pharmacy, Pulmonology, Journal, Source Type: news

Homes With High Ventilation Rates Tied to Respiratory Issues
High rates of air exchange associated with chronic cough, asthma, asthma - like symptoms (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - March 13, 2019 Category: Respiratory Medicine Tags: Family Medicine, Internal Medicine, Allergy, Nursing, Pediatrics, Pulmonology, Journal, Source Type: news

Surgical thyroid removal improves Hashimoto ’s symptoms
According to data, published in theAnnals of Internal Medicine, thyroidectomy can decrease symptoms of Hashimoto’s disease better than medical therapy.Healio (Source: Society for Endocrinology)
Source: Society for Endocrinology - March 13, 2019 Category: Endocrinology Source Type: news

UC Health's Awosika no longer spends time dwelling on past
Dr. Bi Awosika, 38, is a hospitalist, assistant professor of medicine and associate program director with the internal medicine residency at UC College of Medicine, UC Health. She will be promoted to associate professor of clinical medicine, effective in September. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - March 12, 2019 Category: American Health Authors: Nikki Kingery Source Type: news

Wheeze, Food Allergies in Children Born via Cesarean Delivery Wheeze, Food Allergies in Children Born via Cesarean Delivery
Does cesarean delivery increase the risk of wheeze or food allergy in early childhood compared with vaginal delivery? Might breastfeeding mediate any observed association?American Journal of Epidemiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 12, 2019 Category: Consumer Health News Tags: Internal Medicine Journal Article Source Type: news

Dual Receipt of Opioids Tied to Increased Risk for OD Death
Those enrolled in both VA and Medicare Part D have higher odds of death from Rx opioid overdose (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 12, 2019 Category: Psychiatry Tags: Family Medicine, Internal Medicine, Pharmacy, Psychiatry, Anesthesiology & amp; Pain, Journal, Source Type: news

Few Physicians Using CMS Advance Care Planning Codes Few Physicians Using CMS Advance Care Planning Codes
CMS created codes to pay physicians and other qualifying providers for the discussions, but fewer than 3% of Medicare beneficiaries had a claim. Authors identify targets for improving use.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 11, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Cardiorespiratory Fitness Tied to Coronary Heart Disease Risk
Association between VO2peak and coronary heart disease crosses the fitness continuum (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - March 11, 2019 Category: Respiratory Medicine Tags: Cardiology, Internal Medicine, Pulmonology, Journal, Source Type: news

Anxiety, Depression More Likely for Adults With Atopic Dermatitis
Individuals with AD more likely to have been diagnosed with anxiety or depression in past year (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 11, 2019 Category: Psychiatry Tags: Dermatology, Family Medicine, Internal Medicine, Psychiatry, Journal, Source Type: news

Smoking During Pregnancy Doubles Risk Of Sudden Death For Baby, Study Says
(CNN) — Smoking even one cigarette a day during pregnancy can double the chance of sudden unexpected death for your baby, according to a new study analyzing over 20 million births, including over 19,000 unexpected infant deaths. The study, published Monday in the journal Pediatrics, analyzed data on smoking during pregnancy from the US Centers for Disease Control and Prevention’s birth/infant death data set between 2007 and 2011 and found that the risk of death rises by .07 for each additional cigarette smoked, up to 20 a day, a typical pack of cigarettes. By the time you smoke a pack a day, the study found, yo...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - March 11, 2019 Category: Consumer Health News Authors: Health – CBS Boston Tags: Health News Cigarettes Pregnancy Smoking Source Type: news

ACP hosts nation's largest annual gathering of internal medicine doctors
(American College of Physicians) Internal medicine physicians, subspecialists, medical students, and allied health professionals from around the world will gather in Philadelphia for the American College of Physicians' (ACP) Internal Medicine Meeting 2019 from Thursday, April 11, through Saturday, April 13, at the Pennsylvania Convention Center. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - March 11, 2019 Category: International Medicine & Public Health Source Type: news

A Patient with Chronic Pancreatitis, Requesting Demerol
A 47 y/o woman with cirrhosis, HCV, and chronic pancreatitis requests Demerol for the worst abdominal pain she has ever had. What's your diagnosis?   (Source: ConsultantLive)
Source: ConsultantLive - March 10, 2019 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: Gastrointestinal Disorders Source Type: news

American Academy of Dermatology, March 1 - 5
(Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - March 9, 2019 Category: Cancer & Oncology Tags: Dermatology, Family Medicine, Geriatrics, Infections, Internal Medicine, Allergy, Emergency Medicine, Oncology, Pathology, Pediatrics, Pharmacy, Conference, Source Type: news

5 Qs on COPD Mortality and Quality of Life
Answers to these 5 questions on new research may have you re-thinking treatment strategies for your COPD patients. (Source: ConsultantLive)
Source: ConsultantLive - March 8, 2019 Category: Internal Medicine Authors: Leo Robert Tags: COPD Quiz Source Type: news

Seniors Increasingly Suffering Fractures While Walking Dogs Seniors Increasingly Suffering Fractures While Walking Dogs
Older adults who walk their dogs on a leash have been breaking bones at an increasing rate, with women and hip bones most at risk, researchers say.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 8, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Confronting Transphobia in Healthcare Confronting Transphobia in Healthcare
Transphobia is pervasive in healthcare, according to those in the know, but is it possible to eliminate it through education? These resources will help.Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 8, 2019 Category: Consumer Health News Tags: Internal Medicine Article Source Type: news

CKD Risk Higher With Secondhand Smoke Exposure CKD Risk Higher With Secondhand Smoke Exposure
A new study finds that exposure to secondhand smoke may increase the risk of developing chronic kidney disease among nonsmokers.Medscape Medical News (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 7, 2019 Category: Internal Medicine Tags: Nephrology News Source Type: news

Direct-Acting Antivirals Tied to Lower Risk of Liver Cancer in HCV
A new study found that direct-acting antiviral treatment is linked to decreased risk of liver cancer, liver-related death, and all-cause mortality.   (Source: ConsultantLive)
Source: ConsultantLive - March 7, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Source Type: news

Direct-Acting Antivirals Not Linked to Liver Cancer Recurrence
Results of the largest study of its kind may help quell longstanding controversy surrounding the impact of DAA therapy on recurrence of HCC. (Source: ConsultantLive)
Source: ConsultantLive - March 7, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Source Type: news

Chronic Kidney Disease: 7 Questions for Primary Care
The primary care role in detection, management, and reducing the risk of progression of CKD continues to expand. Test yourself here on a basics in each category. (Source: ConsultantLive)
Source: ConsultantLive - March 7, 2019 Category: Internal Medicine Authors: Andrew D. Bowser Tags: Kidney Disease Source Type: news

Hospitals Finding New Ways to Integrate PAs and NPs Hospitals Finding New Ways to Integrate PAs and NPs
Advanced practice providers are finding new roles in telemedicine, behavioral health, and medical consults for surgeons. However, they are still being underused in many hospitals, experts say.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 7, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Longer Resident Hours Not Tied to Worse Outcomes Longer Resident Hours Not Tied to Worse Outcomes
New data can put the question of resident hours to rest, experts said.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 7, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Preoperative Frailty Linked to Surgical Outcomes, Costs
Incidence of major morbidity, readmission, mortality correlated with frailty classification (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - March 7, 2019 Category: Cancer & Oncology Tags: Cardiology, Gastroenterology, Internal Medicine, Oncology, ENT, Surgery, Urology, Geriatrics, Journal, Source Type: news

Loop Diuretics During Dialysis Reduce Hospitalization, Hypotension, Weight Gain
Keeping a loop diuretic on board during dialysis could be an effective, low-cost option to help improve patient outcomes, according to a new study. (Source: ConsultantLive)
Source: ConsultantLive - March 7, 2019 Category: Internal Medicine Authors: Andrew D. Bowser Tags: Kidney Disease Source Type: news

Mental Health Symptoms Common After Mild Brain Injury
Authors say findings show importance of follow - up care after emergency department visit (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 6, 2019 Category: Psychiatry Tags: Internal Medicine, Emergency Medicine, Neurology, Psychiatry, Journal, Source Type: news

Few Seniors Receive Regular Brief Cognitive Assessments
Report also reveals number of seniors living with Alzheimer disease projected to increase (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 6, 2019 Category: Psychiatry Tags: Family Medicine, Geriatrics, Internal Medicine, Neurology, Psychiatry, Institutional, Source Type: news

Hm 2019 hm 2019
Read clinically focused news coverage of key developments from HM 2019Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 6, 2019 Category: Consumer Health News Tags: Conference Coverage Source Type: news

New research finds no link between measles vaccine and autism
A 10-year study of more than 650,000 children found no link between the measles, mumps and rubella vaccination series given to children and an increased risk of autism. The study of Danish children born to Danish mothers published in the medical journal Annals of Internal Medicine agrees with earlier studies in concluding that there was no overall increased risk of developing autism among children who received the vaccine compared to those who did not, even if th ey had a sibling with autism, U.S.… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - March 6, 2019 Category: Pharmaceuticals Authors: Anne Stych Source Type: news

FDA Approves Esketamine Nasal Spray for Resistant Depression FDA Approves Esketamine Nasal Spray for Resistant Depression
The US Food and Drug Administration has approved esketamine nasal spray (Spravato, Janssen Pharmaceuticals) for treatment-resistant depression.FDA Approvals (Source: Medscape Internal Medicine Headlines)
Source: Medscape Internal Medicine Headlines - March 6, 2019 Category: Internal Medicine Tags: Psychiatry News Alert Source Type: news

Studies Look at Ways to Reduce Depressive Episodes in Obese
Integrated intervention associated with decline in body mass index, depressive symptoms (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - March 6, 2019 Category: Psychiatry Tags: Family Medicine, Gynecology, Internal Medicine, Nursing, Pharmacy, Psychiatry, Journal, Source Type: news

One More Time, With Big Data: Measles Vaccine Doesn ’ t Cause Autism
A 10-year look at more than 600,000 children comes at a time when anti-vaccine suspicion is on the rise again. (Source: NYT Health)
Source: NYT Health - March 5, 2019 Category: Consumer Health News Authors: JAN HOFFMAN Tags: Autism Measles Vaccination and Immunization Research Children and Childhood Mumps Parenting Annals of Internal Medicine your-feed-science Source Type: news

Why Patients Come to Primary Care: An 8-question Quiz
Take a minute to test your knowledge of the conditions and symptoms most likely to bring patients to your practice. (Source: ConsultantLive)
Source: ConsultantLive - March 5, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Practice Management Source Type: news

Why do patients turn to the internet for health information?
Lack of trust in physicians, lack of information about biologics, medicine substitutions and the search for alternative therapies are among the reasons patients turn to the internet, a new study shows. (Source: ConsultantLive)
Source: ConsultantLive - March 5, 2019 Category: Internal Medicine Authors: Whitney J. Palmer Tags: Ankylosing Spondylitis Source Type: news

Medicare Trims Payments to 800 Hospitals, Citing Patient Safety Incidents Medicare Trims Payments to 800 Hospitals, Citing Patient Safety Incidents
The penalties are part of a program set up by the Affordable Care Act to prompt hospitals to pay more attention to safety issues that can lead to injuries, such as falls or hospital-acquired infections.Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 5, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news