North Texas Family Medicine Plano Excellent 5 Star Review by Abbey S. – Video

Posted on by


North Texas Family Medicine Plano Excellent 5 Star Review by Abbey S.
http://www.ntxfm.com/ (972) 599-2567 North Texas Family Medicine Plano reviews 5 Star Review Our Favorite Doctor! Dr. Kaplan is my families favorite doctor. He has great bedside...

By: Get Ranked Today, LLC

Read more:

North Texas Family Medicine Plano Excellent 5 Star Review by Abbey S. - Video

Annual Student Conference for Integrative Medicine (ASCIM 2015) – promo video – Video

Posted on by


Annual Student Conference for Integrative Medicine (ASCIM 2015) - promo video
Integrative Medicine Conference: Early Registration Open Now! Interested in whole-person medicine? Come to Student for Integrative Medicine #39;s (SIM) Third Annual Student Conference for Integrativ...

By: Professional Networking Committee

See the rest here:

Annual Student Conference for Integrative Medicine (ASCIM 2015) - promo video - Video

Why your doctor doesn't always tell you the truth

Posted on by

"Youve got a little bit of a problem down below" means "a grenades gone off in here".

"You may feel a bit of gentle prodding" means "I take a size 18 glove".

"Yes of course Ive done one of these before" means "Ive seen it on ER".

"Youve got a spot on the lung" means "youre going to die".

"Itll get a little worse before it gets a little better" means "youre going to die today".

"Its probably a virus" means "go away".

"Its probably a virus but wed better examine you anyway" means "you have fabulous breasts".

"Take this drug and your risk of death will be slashed by 40pc" means "if you swallow 1,825 of these over five years and at a prescription cost of 500, your risk of death would fall by 0.9pc. The recognised side effects are muscle damage, headache, abdominal pain, nausea, vomiting, hairloss, anaemia, dizziness, depression, nerve damage, hepatitis, jaundice, pancreatitis and hypersensitivity syndrome".

Doctors are human, so we make mistakes, act in our own best interests and give biased advice. One way to inoculate yourself against this is to seek out and understand the scientific evidence behind what we say, rather than taking it at face value. Senseaboutscience.org is a good place to start.

Five doctors often give five different opinions. Are four of them lying or just ill-informed? Remember also that disguising the truth is a two way street. Patients lie to doctors as much as we lie to you.

Read the original post:

Why your doctor doesn't always tell you the truth

Mauro Moscucci, M.D., Appointed Chief of Medicine at Sinai & Medical Director of LifeBridge Health Cardiovascular …

Posted on by

Contact Information

Available for logged-in reporters only

Newswise Baltimore, MD Mauro Moscucci, M.D., M.B.A., a board-certified specialist in internal medicine, cardiovascular disease and interventional cardiology, has joined LifeBridge Health as chief of medicine for Sinai Hospital and medical director of the LifeBridge Health Cardiovascular Institute.

Dr. Moscuccis clinical expertise, business leadership and commitment to quality patient care make him the ideal person to lead our medical teams now and into the future, says Amy Perry, president of Sinai Hospital and executive vice president of LifeBridge Health.

Moscucci will be leading the advancement of the LifeBridge Health Cardiovascular Institute, a comprehensive center that provides advanced patient-centered care and conducts groundbreaking cardiovascular research at Sinai and Northwest hospitals. The institutes integrated centers and programs are dedicated to preventing, treating and improving outcomes for heart disease, vascular disease and stroke.

This is an exciting time for the LifeBridge Health Cardiovascular Institute. Advances in medicine and technology, as well as new discoveries in genetics, are changing our approach to heart disease. We are committed to building on our strengths to become a destination center for the prevention and treatment of heart disease and related conditions, says Dr. Moscucci.

The LifeBridge Health Cardiovascular Institute is comprised of several centers working in coordination to provide individualized care to patients, including personalized medicine, less invasive treatments and support services.

The Beverly & Jerome Fine Cardiac Valve Center offers a multidisciplinary, individualized approach for patients with heart valve disease. The services include state-of-the-art minimally invasive and traditional valve replacement or valve repair and medical management for patients.

Specialists at the Ben and Zelda Cohen Heart Rhythm Center at Sinai Hospital diagnose and treat heart rhythm conditions, such as arrhythmias. They offer treatments such as cryoablation, using extremely cold temperatures to freeze tiny portions of heart tissue that are not functioning properly.

The Benjamin and Margaret Schapiro Cardiac Diagnostic Center merges the latest in medical technology and patient comfort, and it features five state-of-the-art catheterization labs.

Continued here:

Mauro Moscucci, M.D., Appointed Chief of Medicine at Sinai & Medical Director of LifeBridge Health Cardiovascular ...

Overly Conservative FDA Label Likely Prevents Use of Metformin in Many Type 2 Diabetics

Posted on by

Contact Information

Available for logged-in reporters only

Newswise PHILADELPHIAMany patients with type 2 diabetes in the United States may be discouraged from taking metformina proven, oral diabetes medicinebecause the U.S. Food and Drug Administration inappropriately labels the drug unsafe for some patients also suffering from kidney problems, researchers from Penn Medicine and Weill Cornel Medical College report this week in a research letter published in JAMA Internal Medicine.

Amending the overly conservative FDA labelwhich differs from professional society recommendationscould extend the drugs use in nearly 1 million more diabetic patients with renal impairment, say the studys authors, Sean Hennessy, PharmD, PhD, associate professor of epidemiology in Penns Center for Clinical Epidemiology and Biostatistics, and James H. Flory, MD, MSCE, of the division of Endocrinology at Weill Cornell Medical College.

Certain patients with type 2 diabetes and renal impairment are discouraged from taking metformin to treat their diabetes because of the fear of lactic acidosis, which is too much acid in body that can case acute kidney injury, sepsis, liver failure and heart failure. To determine which patients can handle the drug, the FDA recommends measuring their serum creatinine levels to see if their kidneys are working properlyhigher levels of creatinine are associated with poorer function. If it exceeds 1.4 mg/dL in women or 1.5 mg/dL in men, the FDA recommends against metformin.

But professional societies, such as the American Diabetes Association, say thats not the best measure of renal function, and that the FDA number is too conservative. They recommend taking the estimated glomerular filtration rates (eGFRs), a more modern tool that describes the flow rate of filtered fluid through the kidney. If a patient is above 30 mL/min (which equates to a serum creatinine level of roughly 2 mg/dL), the drug is safe to use. In other words, their kidneys are functioning properly enough to take metformin.

Metformin is the first-line drug that helps control blood sugar levels and is the only drug shown to improve cardiovascular outcomes. There are over 25 million people with type 2 diabetes today in the U.S., nearly 10 million of whom are taking the drug.

For the study, the authors sought to determine if there was gap in care because of the inconsistency between the professional recommendations and the FDA label. They examined data from 2007 to 2012 of patients taking only oral medication from the National Health and Nutrition Survey to assess how much metformin nonuse may be attributable to concern about safety. Serum levels and eGFR were examined as predictors of metformin use.

For patients with eGFRs between 30 and 60 mL/min, at which metformin use is contraindicated by the FDA but supported by professional guidelines, the metformin rates were between 48 and 57 percent. If the FDA relaxed their recommendation, the number of these patients taking metformin might increase by an additional 560,000, the authors report. For patients with GFRs greater than 60 to 90 mL/min, at which renal function is mildly impaired but the serum level is below the FDA cutoff, the rate was 80.6 percent. That could represent 425,000 additional patients on the drug if the FDA amended the label. Such numbers highlight missed opportunities for type 2 diabetic patients, the authors say.

The FDA is overdue to revisit the contraindication to metformin use in patients with mild to moderate renal insufficiency, said Hennessy, which is worsening the care of almost 1 million patients with type 2 diabetes in the U.S.

Go here to read the rest:

Overly Conservative FDA Label Likely Prevents Use of Metformin in Many Type 2 Diabetics

Meridian Health Welcomes Kenneth N. Sable, M.D. as President of Jersey Shore University Medical Center

Posted on by

Contact Information

Available for logged-in reporters only

Newswise Neptune, NJ January 5, 2015 Meridian Health welcomes Kenneth N. Sable, M.D., MBA, FACEP as the new president of Jersey Shore University Medical Center, the not-for-profit teaching hospital and home to K. Hovnanian Childrens Hospital the first childrens hospital in Monmouth and Ocean counties.

As president of Jersey Shore, Dr. Sable will assume lead administrative responsibility for the 658bed independent academic medical center, part of Meridian Health.

Dr. Sable most recently served as executive vice president and chief operating officer of Saint Peters Healthcare System in New Brunswick, NJ, where he led the renovation of the 26,000 square foot emergency department, created successful performance improvement plans and introduced innovative clinical integration models with physicians. He also renewed the hospitals academic relationship with Rutgers Robert Wood Johnson Medical School.

Prior to his role at Saint Peters, Dr. Sable was vice chairman for operations in the Emergency Department at Maimonides Medical Center in Brooklyn, NY, where he led a team of 500 and used his information technology background to design a clinician portal to the hospitals information systems, as well as an automated interactive process managing short stay admissions.

Dr. Sable earned his Doctor of Medicine from Robert Wood Johnson Medical School, rotating as a medical student at Jersey Shore, and a Bachelor of Science in Computer Science and Engineering from the University of Pennsylvania. He completed his residency in Emergency Medicine at Cooper University Medical Center in Camden, NJ, and holds an MBA from the University of Massachusetts.

Ken is a proven leader, outstanding clinician, and a great fit for the Meridian Health family. And, after conducting a national search, we are lucky to have found a leader who lives right in Monroe Township and is familiar with Jersey Shore to serve as the hospitals next president, says Steven G. Littleson, FACHE, Executive Vice President, Meridian Health and President, Meridian Hospitals Corporation.

About Jersey Shore University Medical Center: Jersey Shore University Medical Center, a member of the Meridian Health family, is a not-for-profit teaching hospital and home to K. Hovnanian Childrens Hospital the first childrens hospital in Monmouth and Ocean counties. Jersey Shore is the regional provider of cardiac surgery, a program which has been ranked among the best in the Northeast, and is home to the only trauma center and stroke rescue center in the region. Through the hospitals clinical research program, and its affiliation with Rutgers Robert Wood Johnson Medical School, Jersey Shore serves as an academic center dedicated to advancing medical knowledge, training future physicians and providing the community with access to promising medical breakthroughs. For more information about Jersey Shore University Medical Center call 1-800-DOCTORS, or visit http://www.JerseyShoreUniversityMedicalCenter.com.

About Meridian Health: Meridian Health is a leading not-for-profit health care organization in New Jersey, comprising Jersey Shore University Medical Center and K. Hovnanian Childrens Hospital in Neptune, Ocean Medical Center in Brick, Riverview Medical Center in Red Bank, Southern Ocean Medical Center in Manahawkin, Bayshore Community Hospital in Holmdel, and Meridian Partner Companies that include home health services, skilled nursing and rehabilitation centers, ambulatory care, ambulance services, fitness and wellness centers, and outpatient centers. In September 2014, Meridian Health and Raritan Bay Medical Center signed a Letter of Intent to merge. In October 2014, Meridian Health and Hackensack University Health Network signed a Memorandum of Understanding to merge. Meridian Health has consistently been rated among the top performing health systems in New Jersey for clinical quality, is one of the FORTUNE 100 Best Companies to Work For for five consecutive years, and is the recipient of numerous state and national recognitions for patient care and nursing excellence. Meridian Health is a member of AllSpire Health Partners, an interstate consortium alongside six of the nations leading health systems, to focus on the sharing of best practices in clinical care and achieving efficiencies. With more than 100 convenient locations, over 1,800 beds, nearly 13,000 team members, and affiliations with more than 2,000 of the areas finest physicians, Meridian Health is a leading health care provider in New Jersey, providing quality health services, facilities, and programs. For more information, please visit http://www.MeridianHealth.com.

Follow this link:

Meridian Health Welcomes Kenneth N. Sable, M.D. as President of Jersey Shore University Medical Center

Medical students use Seinfeld episodes to learn about psychiatric disorders

Posted on by

The popular sitcom Seinfeld may have finished in 1998, but its eccentric characters have found new life as a teaching aide for medical students.

Professor Anthony Tobia teaches his students about psychiatric disorders by making them appraise the characters' quirks in an exercise dubbed "Psy-feld", which he has run as a mandatory part of his course since 2009.

Third and fourth year students at Rutgers Robert Wood Johnson Medical School in New Jersey are required to watch two episodes a week and then discuss the behaviours in each.

Tobia has categorised all 180 episodes and every character in a database, nearly all of which can be used in teaching, he says.

When you get these friends together the dynamic is such that it literally creates a plot: Jerrys obsessive compulsive traits combined with Kramers schizoid traits, with Elaines inability to forge meaningful relationships and with George being egocentric.

It isn't just the principal characters who have interesting minds. Tobia has cited five of Elaine's boyfriends in a paper about the themes of delusional disorder, and told the website NJ.com that the show's antagonist Newman was "very sick".

Third year student Marlene Wang said that using a television programme brought teaching to life: In this way, it just gives you a more solid picture of the pathology rather than just giving you words.

Medicine has featured in several memorable Seinfeld scenes, most notably in its 60th episode The Junior Mint in which Jerry accidentally drops a sweet inside a body cavity watch how in this clip.

See the original post here:

Medical students use Seinfeld episodes to learn about psychiatric disorders

The Pandoras – About My Baby (I Could Write A Book) (1967 Liberty 55954) – Video

Posted on by


The Pandoras - About My Baby (I Could Write A Book) (1967 Liberty 55954)
The Pandoras were an all-female rock and roll band from BOSTON! 1964-1968,The members of this group were attending college in Boston at the time of this recording. Did not chart nationally,...

By: AMNON SUODAI

Read more:

The Pandoras - About My Baby (I Could Write A Book) (1967 Liberty 55954) - Video