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Questioning Medicine
Questioning Medicine
Category: Medicine
Location: Florida
Followers (30)
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May 21, 2019 04:56 PM PDT

afib- new guidelines!
https://www.google.com/search?q=2019+American+Heart+Association%2C+American+College+of+Cardiology+and+the+American+Rhythm+Society+focused+update+from+their+2014+guidelines+for+the+management+of+patients+with+atrial+fibrillation&rlz=1C1CHFX_enUS708US708&oq=2019+American+Heart+Association%2C+American+College+of+Cardiology+and+the+American+Rhythm+Society+focused+update+from+their+2014+guidelines+for+the+management+of+patients+with+atrial+fibrillation&aqs=chrome..69i57.1079j0j7&sourceid=chrome&ie=UTF-8

FIT test has high sensitivity and specificity for crc and it gets more people to do colon cancer screening and lets be honest it is only a good test or a good drug if people actually do it

https://www.ncbi.nlm.nih.gov/pubmed/30802902

afib can wait to be converted and over 50% of the time will convert on its own
https://www.nejm.org/doi/full/10.1056/NEJMoa1900353

good news for you lazy people listening to this on the couch you can still inprove your all cause mortality with increase exercise in your midlife crisis.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2727269

if a person has an arterial blood clot they dont always have cancer but most likely they have cancer and we have not found it... yet

http://www.bloodjournal.org/content/133/8/781?sso-checked=true

UTI and foley cath- probably dont need to replace the foley cath give the correct antibiotic

https://www.ncbi.nlm.nih.gov/pubmed/30094820

May 09, 2019 02:00 PM PDT

https://www.bmj.com/content/364/bmj.l42 skip breakfast- it doesn't help you 'lose weight'


https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2723074 Automated BP cuffs are the new rage and for good reason they are about equal to awake ambulatory blood pressure

https://www.ncbi.nlm.nih.gov/pubmed/30653040 if you have a pt. going to surgery for their knee because of osteoarthritis-- let it be and DONT do an injection.

https://www.thelancet.com/journals/lanhae/article/PIIS2352-3026(18)30191-1/fulltext if you have a choice-- give apixaban


https://jamanetwork.com/journals/jama/article-abstract/2719307 you can not pay physicians for readmission but then they will try and game the system and in the pt. misses out and dies more often-- oops

https://jamanetwork.com/journals/jama/article-abstract/2727448 tramadol increase mortality! WOW shocker-- maybe this isn't real but it is really is worthing making us stop to think.

April 22, 2019 06:48 PM PDT

shared decision making for lung cancer rarely happens in the community and when it does happen 2/5 said no thanks to cancer screening
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2720126

vit d. - does not work on a bus it doesn't work with white women or black women anyone
https://www.ncbi.nlm.nih.gov/pubmed/29905969

achilles tendon rupture- if you go to surgery NNT for rerupture of 1 and 66 but risk of infection 1/33
https://www.bmj.com/content/364/bmj.k5120

Topical pain creams dont work for chronic pain- BUT low risk of side effects and still getting almost 2 point decrease on 10 point scale-- I will take it!
https://annals.org/aim/article-abstract/2724041/compounded-topical-pain-creams-treat-localized-chronic-pain-randomized-controlled

Alirocumab is still way too expensive
https://www.ncbi.nlm.nih.gov/pubmed/30597485

concussion in an athlete-- get them to the sub-symptom heart rate
https://jamanetwork.com/journals/jamapediatrics/article-abstract/2723523

April 16, 2019 07:18 PM PDT

https://www.emrap.org/episode/rightonprime/introduction RIGHT ON PRIME IF YOU NEED CME

10% likely isn't high risk but it certainly deserves more than 0.6% of people on statins so don't forget your statins
https://annals.org/aim/article-abstract/2725144/characteristics-high-cardiovascular-risk-1-7-million-chinese-adults

Oxycodone "the best high of all" https://link.springer.com/article/10.1007/s11916-019-0751-7

Smart phones are actually being smart
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32993-3/fulltext

You lose weight and want to keep it off you better keep moving
https://onlinelibrary.wiley.com/doi/full/10.1002/oby.22373

Dont be that guy that gives 1.2million extra days of antibiotics
https://www.bmj.com/content/364/bmj.l440

March 14, 2019 06:38 PM PDT
February 23, 2019 05:31 PM PST

https://annals.org/aim/article-abstract/2719218/long-term-outcomes-among-patients-discharged-from-hospital-moderate-anemia#an_fo_ho Anemia is not being fixed 6months after hospitalization but that is okay because they are not going back to the hospital or dying

https://jamanetwork.com/journals/jama/fullarticle/2679928 Have the shared decision making conversation with your pt about mammograms!

https://www.youtube.com/watch?v=UZlY6Q4m-MM MAMMOGRAM THEATER

https://www.nejm.org/doi/full/10.1056/NEJMoa1710926 Oral antibiotics for osteo instead of IV-- yep it looks like times are a changing!

https://jamanetwork.com/journals/jama/article-abstract/2721178
Aspirin time of death 2/23/2019!

February 10, 2019 03:31 PM PST

My view of some of the top articles and medical headlines from 2018.

February 02, 2019 07:48 PM PST

Mechanical thrombectomy, FDA and concussion. HPV vaccine and more on this episodes covering top articles from 2018.

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