Primecuts – This Week In The Journals

June 2, 2014
Primecuts – This Week In The Journals

By Ian Henderson, MD

Peer Reviewed

In the week after honoring those who have passed while serving our country, the challenges facing our nation’s veterans have become increasingly evident. The recent controversy and frustrations with delayed care of veterans culminated on Friday with the resignation of Secretary of The Department of Veteran Affairs, Eric Shinseki . After an internal audit of the department’s health system showed chronic delays in care, manipulated waiting lists, and a scheduling scandal, President Barack Obama met with the Secretary on…

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Are Probiotics Effective In Preventing Clostridium Difficile Associated Diarrhea?

May 30, 2014
Are Probiotics Effective In Preventing Clostridium Difficile Associated Diarrhea?

By Theresa Sumberac, MD

Peer Reviewed

Antibiotic associated diarrhea is a common complication of antibiotic therapy, occurring in 5% to 39% of all patients receiving treatment. Nearly one third of these cases are attributed to the gram –positive spore forming rod, Clostridium difficile . A primary Clostridium difficile associated diarrhea (CDAD) is estimated to add $2871 to $4846 to in hospital costs while a recurrent infection is estimated to cost $13,655 to $18,067 . The emergence of the hyper-virulent NAP1/B1/027 strain of C. difficile together…

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Primecuts – This Week In The Journals

May 27, 2014
Primecuts – This Week In The Journals

By Matthew Vorsanger, MD

Peer Reviewed

As we spend time with family and friends on this beautiful Memorial Day weekend, we also ponder the senseless and tragic killings recently committed in Isla Vista, California. Between the interviews of experts, eyewitnesses, and acquaintances of the killer and the victims, we are left to wonder how these tragedies can be prevented in the future . With the health of our nation in mind, we also turn to recently published advancements in medical literature in this week’s PrimeCuts.…

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Gay Men, Barebacking and the New Little Blue Pill: The awkward interface of medicine and gay sex.

May 23, 2014
Gay Men, Barebacking and the New Little Blue Pill: The awkward interface of medicine and gay sex.

By Richard E. Greene, MD

Peer Reviewed

In July of 2012, the FDA approved the use of Tenofovir-Emtricitabine (Truvada, a single blue pill) daily as Pre-Exposure Prophylaxis (PrEP) in men with persistent risk for contracting HIV infection. The idea of PrEP has ignited a firestorm of concern among healthcare providers about how, when and in whom to use PrEP, if at all. Indeed, some believe that PrEP will usher in a new era of drug resistant new infections with HIV, or encourage men on…

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From The Archives: Metabolic Syndrome: Fact or Myth?

May 22, 2014
From The Archives: Metabolic Syndrome: Fact or Myth?

Please enjoy this post from the archives dated September 30, 2011

By Vicky Jones, MD

A 40-year-old female presented to her primary care provider with a chief complaint of weight gain over the past year.  She wants to be fully evaluated for any kind of medical disorder that could have caused it.  She has been seen by multiple specialists but no one can give her a “straight diagnosis”.  Their advice is for her to lose weight.  She insists she never had problems with her weight…

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Help Versus Hope: Acetylcholinesterase Inhibitors in Alzheimer’s Disease

May 21, 2014
Help Versus Hope: Acetylcholinesterase Inhibitors in Alzheimer’s Disease

By Jonathan Gursky

Peer Reviewed

Approximately 5.2 million Americans are currently living with Alzheimer’s disease (AD) , with this number expected to triple by the year 2050 . Alzheimer’s disease is now the sixth leading cause of death in the United States and accounts for $100 billion in healthcare expenditures each year . Nevertheless, the most devastating and far-reaching effects of Alzheimer’s disease hit close to home. While those with the disease progressively lose their memory, speech, and independence, it is the caretaker…

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Primecuts – This Week In The Journals

May 20, 2014
Primecuts – This Week In The Journals

By Mark Adelman, MD

Peer Reviewed

The Centers for Disease Control and Prevention CDC confirmed on May 12 that a second case of Middle East Respiratory Syndrome (MERS) was present in the U.S. This patient in Florida is a resident of Saudi Arabia, much like the first U.S. case of MERS, which occurred in a traveler from Saudi Arabia to Indiana that the CDC announced 10 days earlier. While the CDC cautions that vigilance is needed to recognize and respond to this emerging infectious disease,…

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Timekeeping

May 16, 2014
Timekeeping

By Nancy Hernandez

 

I did not know you until that time,

We scurried into your room

And found you pulseless, breathless, lifeless.

I was asked to keep

Time.

 

Fumbling for paper, I resorted to skin,

Marking the time we started to

Restore your blood flow.

Pumping in air,

Compressing your chest,

As you were infused with epinephrine,

I kept time.

 

Your story started pouring in,

You were post-op for an

Incision and drainage

Of your limb amputation site -

A diabetic’s fight.…

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