The Most Effective Therapies for Treating Bipolar Disorder
You’ve been diagnosed with bipolar disorder, or maybe your loved one has. And you’re wondering, what’s the best treatment? What actually works? What the heck do I do? Because bipolar disorder is a chronic, complex condition, managing it can feel overwhelming and downright confusing. But thankfully there are effective, research-based treatments that really work. Medication is the mainstay of treatment. However, the best way to treat bipolar disorder is with a comprehensive approach, which includes “ongoing psychosocial interventions to help maintain health and to respond to breakthrough symptoms whe...
Source: Psych Central - May 24, 2019 Category: Psychiatry Authors: Margarita Tartakovsky, M.S. Tags: Bipolar Disorders General Psychotherapy Self-Help Treatment Bipolar Disorder bipolar disorder treatment Cbt IPSRT managing bipolar disorder opposite action Source Type: news

Babylon GP at Hand evaluation delivers mixed verdict
The long-awaited evaluation of digital primary care provider GP at Hand has uncovered a high level of the patient churn, raised questions about the model’s sustainability, but also revealed contented users and doctors, as well as a positive impact on A&E attendance. (Source: HSJ)
Source: HSJ - May 24, 2019 Category: UK Health Source Type: news

CCG challenges Babylon's application to be primary care network
NHS Hammersmith and Fulham CCG is unable to decide whether to approve Babylon GP at Hand’s primary care network until it seeks‘additional assurances’.  According to the CCG’s primary care commissioning committee (PCCC), because GP at Hand’s patients are from a wide geographical area, it is not yet possible to make a decision about the proposed primary care network.  NHS England has previously stipulated primary care networks (PCNs) must be based around local boundaries. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - May 23, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

California Poised to Extend Medicaid to Undocumented Immigrants California Poised to Extend Medicaid to Undocumented Immigrants
The governor proposes enrolling young adults only. Other bills would cover all undocumented immigrants who qualify for Medi-Cal.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 23, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Just 7% of practice managers are GP surgery partners, survey reveals
Only 7% of practice managers are partners in their practice, although more than eight in 10 think they should be given the opportunity, research has shown. The study, carried out by the London School of Hygiene and Tropical Medicine in 2017 and funded by the Health Foundation, found that only 95 of 1,285 practice manager respondents were business partners. However, 82% thought they should be able to become one.Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - May 23, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

Ten million in rural areas now lack basic services like GP surgeries, hospitals and nursing homes
As many as 10million people in rural Britain live in 'healthcare deserts'. They struggle to get access to GP appointments, community hospitals and nursing homes. (Source: the Mail online | Health)
Source: the Mail online | Health - May 23, 2019 Category: Consumer Health News Source Type: news

Clinically Relevant Drug-Drug Interactions in Primary Care Clinically Relevant Drug-Drug Interactions in Primary Care
Review common and predictable drug interactions associated with antimicrobials, warfarin, amiodarone, antihypertensives, and opioids.American Family Physician (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 23, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

The Quality of Antibiotic Prescribing for Patients With CKD The Quality of Antibiotic Prescribing for Patients With CKD
Are CKD patients being prescribed safe and appropriate doses of antibiotics in primary care?Nephrology Dialysis Transplantation (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 23, 2019 Category: Consumer Health News Tags: Nephrology Journal Article Source Type: news

Holding PCPs Accountable for Readmissions May Be Misguided Holding PCPs Accountable for Readmissions May Be Misguided
Readmission rates varied very little between individual primary care physicians so rewards for changing practice may not make sense, a study found.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 23, 2019 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Do physicians properly advise women with dense breasts on cancer risk?
(Mary Ann Liebert, Inc./Genetic Engineering News) A new study has shown that more than half of physicians -- primary care doctors and specialists -- may be unaware that dense breasts are associated with an increased risk of breast cancer, and nearly half reported not being aware of laws requiring physicians to inform women about mammography-related breast density risks and supplemental screening options. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 23, 2019 Category: International Medicine & Public Health Source Type: news

CDC Updates TB Recommendations for Health Care Workers
The CDC has updated its guidelines for TB screening, testing and treatment for health care personnel and published the revised guidance in a May 17Morbidity and Mortality Weekly Report. (Source: AAFP News)
Source: AAFP News - May 22, 2019 Category: Primary Care Source Type: news

Academy Lauds Lawmakers as Champions of Family Medicine
During the 2019 Family Medicine Advocacy Summit in Washington, D.C., the Academy recognized Reps. Brad Schneider, D-Ill., and Elise Stefanik, R-N.Y., with Congressional Primary Care Champion Awards. (Source: AAFP News)
Source: AAFP News - May 22, 2019 Category: Primary Care Source Type: news

Rural Study Explores Team-based Approach to Diabetes Care
Results of a study recently published in the Southern Medical Journal highlight the effectiveness of a team-based approach to managing diabetes in a rural primary care setting. (Source: AAFP News)
Source: AAFP News - May 22, 2019 Category: Primary Care Source Type: news

Gastric Bypass Ups Fracture Risk, Need for Long-term Management Gastric Bypass Ups Fracture Risk, Need for Long-term Management
Although gastric bypass surgery is linked to'myriad health benefits'for those with obesity, an increased fracture risk'is an important factor to discuss with patients,'says the lead author of new study.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - May 22, 2019 Category: Primary Care Tags: Diabetes & Endocrinology News Source Type: news

New Obesity Care Algorithm Addresses CVD, Diabetes, and Cancer New Obesity Care Algorithm Addresses CVD, Diabetes, and Cancer
New in this year's Obesity Medicine Association update, the document also explores how obesity causes cardiovascular disease, type 2 diabetes, hypertension, dyslipidemia, fatty liver, and cancer.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - May 22, 2019 Category: Primary Care Tags: Diabetes & Endocrinology News Source Type: news

Co-op app to ‘free up thousands of practices’
Co-op is set to expand a repeat prescription app that will free up‘thousands’ of practices in England, according to the retailer.  By autumn this year, patients will also be able to book and manage GP appointments via the app,‘helping to free up thousands of GP practices across England’, according to Co-op.  Currently, the app covers 67% of GP surgeries across England. Following negotiations it is expected to be available in 98% of GP surgeries by the autumn. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - May 22, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

Improving access out of hours: Evaluation of extended-hours primary care access hubs
This report discusses whether the Primary Care Access programmes improve service availability, patient access and patient outcomes. It also makes a broad assessment of cost implications for commissioners. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 22, 2019 Category: Consumer Health News Source Type: news

Do You Recommend a Ketogenic Diet to Your Patients? Do You Recommend a Ketogenic Diet to Your Patients?
Recent studies suggest benefits and risks to the popular low-carb diet.Medscape Reader Polls (Source: Medscape Diabetes Headlines)
Source: Medscape Diabetes Headlines - May 22, 2019 Category: Endocrinology Tags: Family Medicine/Primary Care News Source Type: news

Former Ohio State Team Doctor Sexually Abused at Least 177 Former Ohio State Team Doctor Sexually Abused at Least 177
A yearlong investigation concluded that the university knew of complaints as early as 1979 but allowed Richard Strauss to stay until 1998, when he retired with emeritus status.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 22, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

15-minute appointments are the ‘future of general practice’, says RCGP
The RCGP has called for manageable GP workload and 15-minute consultations in general practice by 2030 in its new‘Fit for the future’ report.  The report has set out the college’s vision for general practice in 11 years’ time, with the hope of making the profession‘fit for the future’. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - May 22, 2019 Category: Practice Management Authors: costanzapearce Tags: *** Editor ' s Pick Latest News Source Type: news

Poor Broadband Access in Rural Areas Limits Telemedicine Use: Study
A new study shows that broadband access in rural areas limits the ability of rural residents to use telehealth for accessing psychiatrists and primary care physicians. The research found that the same areas without enough psychiatrists and primary care physicians were also less likely to have sufficient internet speeds for video-based telehealth. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - May 22, 2019 Category: Rural Health Source Type: news

Myxedema Coma Precipitated by DKA After Total Thyroidectomy Myxedema Coma Precipitated by DKA After Total Thyroidectomy
This case demonstrates that diabetic ketoacidosis not only can be a potential contributor to myxedema coma, but may also mask typical clinical features.Journal of Medical Case Reports (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - May 22, 2019 Category: Intensive Care Tags: Family Medicine/Primary Care Journal Article Source Type: news

Heart failure less likely to be diagnosed in primary care
GPs need better access to diagnostic tests Related items fromOnMedica Test could tackle underdiagnosis of MI in women Hospitals fail women with myocardial infarction Oxygen therapy after heart attack does not prevent heart failure New ‘treadmill test’ can predict mortality Women less likely than men to achieve CHD targets (Source: OnMedica Latest News)
Source: OnMedica Latest News - May 22, 2019 Category: UK Health Source Type: news

Putting primary care networks into practice: form and function
Primary care networks (PCNs) promise to change the way GP services are delivered. They have a central role in meeting the NHS Long Term Plan ’s commitment to deliver better integrated local services that bring together primary care, community services, social care and the voluntary sector. (Source: NHS Networks)
Source: NHS Networks - May 22, 2019 Category: UK Health Source Type: news

Is It Ethical to Pressure Physicians to Refer In-House? Is It Ethical to Pressure Physicians to Refer In-House?
While most hospital-employed doctors seem unconcerned about directed referrals, the story is different for independent physicians.Medscape Business of Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 21, 2019 Category: Emergency Medicine Tags: Family Medicine/Primary Care Article Source Type: news

Poor Broadband Penetration in Rural Areas Limits Telemedicine
TUESDAY, May 21, 2019 -- Broadband penetration rates are considerably lower in the most rural counties, especially where access to primary care physicians and psychiatrists is inadequate, according to a study published online May 21 in the Annals of... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 21, 2019 Category: Pharmaceuticals Source Type: news

PCPs Discuss but Don't Document Social, Emotional Health
New research shows that although nearly six minutes of primary care office visits with complex patients was devoted to discussing social and emotional topics, little of this data was recorded in the EHR. (Source: AAFP News)
Source: AAFP News - May 21, 2019 Category: Primary Care Source Type: news

NIH Suspended Some Grants to Duke Amid Concern for Patient Safety NIH Suspended Some Grants to Duke Amid Concern for Patient Safety
Case followed misconduct finding in oncology research, and lung research that led to $112.5 million settlement with the US government.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 21, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Alert Source Type: news

Where's the Best Place for Your Child's Sports Physical Exam?
TUESDAY, May 21, 2019 -- Student athletes usually need a sports physical. And the best place for that exam is at their primary care doctor's office, according to updated guidelines from leading U.S. medical experts. " Whenever possible, the sports... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - May 21, 2019 Category: General Medicine Source Type: news

AAFP Warns Against Spread of Low-value Health Insurance
Responding to an HHS request for information, the Academy strenuously objected to the idea of encouraging the proliferation of health insurance plans that do not include important patient protections. (Source: AAFP News)
Source: AAFP News - May 21, 2019 Category: Primary Care Source Type: news

Primary care networks explained
A key part of the NHS long-term plan, primary care networks will bring general practices together to work at scale. But how will they be formed, funded and held accountable? And what difference will they make? (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Why Harris Teeter is partnering with this independent primary-care provider
Matthews-based Harris Teeter is under contract with OurHealth to provide its local employees and their dependents with primary medical care. OurHealth, an independent care provider based in Indianapolis, will provide these services to about 2,500 of Harris Teeter's Charlotte-area employees. Besides primary care, services include health coaching, an in-house lab, mail delivery and access to medication. “Being an incredible place to w ork and shop starts with having associates who feel their best… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 21, 2019 Category: Biotechnology Authors: Caroline Hudson Source Type: news

How extended hours access helped us prevent 4,776 A & E and MIU attendances
Former practice manager Clive Cropper tells Management in Practice how extended hours access helped a group of Staffordshire practices dramatically reduce unnecessary attendances at the local minor injuries unit  Offering an extended hours access (EHA) service has been mandatory in primary care since October 2018. Hide related content:  Show related contentGallery: read more (Source: Management in Practice)
Source: Management in Practice - May 21, 2019 Category: Practice Management Authors: Angela Sharda Tags: *** Editor ' s Pick Latest News Personal Practice Source Type: news

Forum for digital leaders in primary care
NHS England plans to launch a national network of chief clinical information officers, clinical information officers, chief nursing information officers and clinicians with a digital/IT portfolio within their CCG role. (Source: NHS Networks)
Source: NHS Networks - May 21, 2019 Category: UK Health Source Type: news

PCN briefcast: We ’ve got our bid in, so what now?
The 15 May submission date for primary care network submissions has come and gone. (Source: NHS Networks)
Source: NHS Networks - May 21, 2019 Category: UK Health Source Type: news

Out-of-Pocket Costs for MS, Other Neurology Meds, Soar Out-of-Pocket Costs for MS, Other Neurology Meds, Soar
Out-of-pocket costs for drugs used to treat neurologic diseases have increased sharply over the past 13 years, including a 20-fold increase for MS medications.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - May 20, 2019 Category: Primary Care Tags: Neurology & Neurosurgery News Source Type: news

Readmission Rates Vary Little Among Primary Care Doctors
MONDAY, May 20, 2019 -- There is minimal variation in readmission rates among primary care providers (PCPs), according to a study published online May 21 in the Annals of Internal Medicine. Siddhartha Singh, M.D., from the Medical College of... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 20, 2019 Category: Pharmaceuticals Source Type: news

5 ways female genital mutilation undermines the health of women and girls
UNITED NATIONS, New York –“I have met many women who have suffered tremendously during labour,” said Dr. Kenza Aden, a general practitioner in Djibouti. This is because most of her patients – like about 78 per cent of girls and women aged 15-49 in Djibouti – have undergonefemale genital mutilation (FGM).  “I’ve even seen women bleeding to death,” she continued. “And that’s why I’m scared of getting married and having children.”  (Source: UNFPA News)
Source: UNFPA News - May 20, 2019 Category: International Medicine & Public Health Authors: grojec Source Type: news

Converting Analogue to Human Insulin: A Step-by-Step Guide Converting Analogue to Human Insulin: A Step-by-Step Guide
Drs Jay Shubrook and Anne Peters walk through the steps necessary to successfully convert a patient from analogue to human insulin.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 20, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Expert Interview Source Type: news

FP Delivers Best of Family Medicine Throughout Long Career
During his 65-year career as a family physician, Alexander D. " A.D. " Brickler II, M.D., has cared for a remarkable number of Tallahassee families and delivered more than 30,000 babies. The recently retired 90-year-old also helped deliver racially integrated health care to his Florida city. (Source: AAFP News)
Source: AAFP News - May 20, 2019 Category: Primary Care Source Type: news

Should Parents Use Their Deceased Child's Sperm to Create a Baby? Should Parents Use Their Deceased Child's Sperm to Create a Baby?
What are the ethical implications of using sperm from a beloved son after a fatal accident? Dr Art Caplan weighs in.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 20, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

Wrong-Patient Prostate Surgery; More Wrong-Patient Prostate Surgery; More
Erroneous report results in unnecessary procedure; surgeon made a mess of controlling infection, jury finds; defendants push back on allegations of substandard care.Medscape Business of Medicine (Source: Medscape Business of Medicine Headlines)
Source: Medscape Business of Medicine Headlines - May 20, 2019 Category: Pharmaceuticals Tags: Family Medicine/Primary Care Article Source Type: news

Honour for psychoanalysts role in general practice
Blue plaque honour for Michael and Enid Balint Related items fromOnMedica Online triage ‘not a solution’ to GP workload pressures Social prescribing workers to ease GP pressure More Scottish GPs needed to fight heart disease Recorded GP consultations could help improve care Patients find health information too complicated (Source: OnMedica Latest News)
Source: OnMedica Latest News - May 20, 2019 Category: UK Health Source Type: news

Primary care networks FAQ from NHS England
NHS England has published a number of frequently asked questions to support the publication of the GP contracting documents and the development of primary care networks. (Source: NHS Networks)
Source: NHS Networks - May 20, 2019 Category: UK Health Source Type: news

RCGP calls for bright ideas
RCGP is calling for submissions to the Bright Ideas Awards – the awards celebrate innovations in primary care that have led to improvement. (Source: NHS Networks)
Source: NHS Networks - May 20, 2019 Category: UK Health Source Type: news

How the new nursing associate role will break new ground
As the role of nursing associate grows in number, we need to understand it better. Danny Mortimer, chief executive of NHS Employers, introduces us this new role and how it ’s set to complement the NHS Long Term Plan’s workforce strategy Related items fromOnMedica Surge in young men applying to be nurses Nursing associates join the NMC register Good nurse leadership linked to safer outcomes Thousands of nurses have quit the NHS, new data shows Record number of registered nurses on NMC register (Source: OnMedica Views)
Source: OnMedica Views - May 20, 2019 Category: Primary Care Source Type: news

Home-based primary care's role in supporting the older old during wildfires - Wyte-Lake T, Claver M, Johnson-Koenke R, Dobalian A.
This study aimed to identify emergency preparedness protocols and procedures undertaken in advance of... (Source: SafetyLit)
Source: SafetyLit - May 18, 2019 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

CMS Reverses Course:'Protected' Drug Classes Still Covered CMS Reverses Course:'Protected' Drug Classes Still Covered
But the agency is reaffirming that step therapy is allowed for Part B drugs under Medicare Advantage.Medscape Medical News (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - May 18, 2019 Category: Allergy & Immunology Tags: Family Medicine/Primary Care News Source Type: news

North Carolina Attorney General Sues Juul for Targeting Youth North Carolina Attorney General Sues Juul for Targeting Youth
North Carolina's Attorney General filed a lawsuit against Juul Labs Inc on Wednesday, piling more pressure on the biggest U.S. e-cigarette maker that is already under intense scrutiny for its products'usage among teenagers.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 17, 2019 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Four Projects Aim to Shape Future of Family Medicine
The AAFP has launched new work that aims to move the needle for family medicine by focusing on administrative burden, public perception, advocacy and improving member interactions with the Academy. (Source: AAFP News)
Source: AAFP News - May 17, 2019 Category: Primary Care Source Type: news