Growth of retainer medicine follows simple economic principles
Posted by: admin on: July 6, 2011
Recently there were vigorous discussions about retainer medicine. In both discussions the “opposition” opined that every time an internist (or more recently family physician) leaves the CMS (Center for Medicare and Medicaid services)/private insurance grid patient access decreases. They imply that outpatient generalists have a moral responsibility to continue seeing too many patients and spending inadequate time with each patient.
The growth of retainer practices follows simple economic principles. Patients want to buy physician time; physicians are more fulfilled when they spend more time with patients.
A primer on brand name drugs and generics
Posted by: admin on: July 5, 2011
There are some serious misunderstandings out there about the difference between name-brand drugs and generics, as well as some bizarre assumptions about the merits of newer drugs.
As a society, we’re addicted to drugs. Almost all of them are legal, and we’re not abusing them per se, but we want them desperately. The problem is that so many of the new prescription drugs we take are no better than old drugs that are less expensive. Since new drugs are almost always more expensive, we’re wasting money.
Failure to thrive – initial management
Posted by: admin on: July 5, 2011
Introduction
Failure to thrive is a descriptive term for those children less than 5 years of age who have poor weight gain.
Classically failure to thrive has been described as weight less than the 3rd centile on two or more separate occasions, or weight which crosses two centile lines over time. While such findings should alert clinicians to look for a significant problem, it is important to remember that at least 5% of healthy normal children will fulfill these criteria and that many healthy children don’t follow the apparent growth trajectories suggested by the lines on the charts. It is common for there to be no specific cause found for a child’s apparent poor weight gain. A well looking child with normal neurodevelopmental progress, who shows apparent isolated poor weight gain, without specific cause evident from history, examination and some simple investigations, will have an excellent prognosis for future healthy wellbeing and development.
Intensive care unit (ICU) infections can lengthen hospital stays
Posted by: admin on: July 5, 2011
- More than half of patients in intensive care units (ICUs) worldwide are suffering from infections, which lengthen their hospital stays and increase their mortality rate, according to research published in the Journal of the American Medical Association
- According to the Infectious Diseases Society of America, basic practices for prevention of Methicillin-Resistant Staphylococcus aureus (MRSA) in acute care settings include:
- Conducting an MRSA risk assessment
- Implementing an MRSA monitoring program
- Promoting compliance with Centers for Disease Control and Prevention or World Health Organization hand-hygiene recommendations
Read the rest of this entry »
New Guidelines for Handling Food Allergies- Developed by National Institute of Allergy and Infectious Diseases (NIAID).
Posted by: admin on: July 4, 2011
- The guidelines were developed for healthcare professionals.
- In addition to important background information about food allergy, the guidelines contain 43 clinical recommendations that can help doctors determine whether you have food allergy and if you do, then customize your care. The guidelines provide the following information.
- Definitions of food allergy and disorders associated with food allergy.
- Descriptions of the development of food allergy and conditions associated with food allergy. Read the rest of this entry »
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