-- IVC filter after a severe injury = it is ok to wait 7 days
antithrombotic therapy with afib after a pci and 1 year == just the DOAC
polypill for primary prevention just might work but likely need more research
the more you exercise the more you live-- seems like a basic concept and it is easy to understand but sadly hard to follow for many
dulaglutide can save non-fatal strokes and for just 20million dollars you can help the industry make a killing in this very flawed study
https://www.ncbi.nlm.nih.gov/pubmed/31550435 mono and athletes -- stick with 21 days
Hair Dye does not cause breast cancer
mailing the HPV kit is better because it increases screening rates
mailing hpv gets more people screened! Shocking!
patiromer might work but 70% of people don't need it cause they don't get hyperkalemia!
sleep 6-9 hours-- its good for your heart!
sertraline does not work for depression but it works for anxiety-- likely best to just hold off on the meds for most PCP depression
cutting medications makes people happy
if you delay blood cultures then O NOOOO cause antibiotics are really good and work really fast
maybe just maybe long gone are the days of letting any pregnancy get to 41 or 42 weeks!!!
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2748452 -- come one come all unless you are a kidney
https://www.ncbi.nlm.nih.gov/pubmed/31054907 SURPRISE!! Women prefer to do self swab rather than clinician swab
https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/hepatitis-c-screening1 If the pt. is breathing then you test for Hep C
https://jamanetwork.com/journals/jama/article-abstract/2748796 high dose vit d. might be harmful
https://www.nejm.org/doi/full/10.1056/NEJMoa1811744 Canagliflozin is here and so are the SGLT2 inhibitors--IMPRESSIVE
https://www.ncbi.nlm.nih.gov/pubmed/30347032 Terbinafine adverse effects are rare
https://www.ncbi.nlm.nih.gov/pubmed/31189511 Dulaglutide prevents MACE but at a high price tag
https://www.ncbi.nlm.nih.gov/pubmed/30853124 If you punch your buddy then get some buddy tape
https://www.ncbi.nlm.nih.gov/pubmed/31076416 prediabetes gibes me a headache
https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Access-to-Hormonal-Contraception Over the counter birthcontrol!!
Let's look at the numbers behind CAC! The best evidence is found here https://jamanetwork.com/journals/jama/fullarticle/2687224 but the largest study is found here https://www.sciencedirect.com/science/article/pii/S0735109715072253?via%3Dihub but in the end they use this https://en.wikipedia.org/wiki/Net_reclassification_improvement which might trick many people but I know it won't trick the smart people that listen to questioning medicine
https://www.ncbi.nlm.nih.gov/pubmed/30874755 - ACC/AHA and ESC are still not evidence based
http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.939.1670&rep=rep1&type=pdf -- only need to check every ten years-- it is the other risk factors that matter!
https://www.ncbi.nlm.nih.gov/pubmed/26680162 Signal to noise is around 1 in 10 yrs
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2739056 not all guidelines are equal, think for yourself. Some guidelines even do harm when you actually look at the evidence.
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2740207 doacs and surgery what do you do-- low risk surgery stop one day prior and start one day after surgery. with high risk surgery you stop two days prior and start two days after
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2747871?guestAccessKey=90abe76b-3a15-4b95-9b42-4f751c5fbe64&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=etoc&utm_term=081919 Pt in the hospital for a non-cardiac condition and they have a high bp== don't worry about it- no evidence for what one week of high bp will do but we do have evidence that starting medications while in an acute state will cause harm. just let it be!!
GINA guidelines- budesonide formoterol prn OR SABA plus ICS prn for stage 1 or for stage two still budesonide formoterol prn OR scheduled ICS twice daily with prn SABA