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Patient-Clinician Communication: ASCO Clinical Oncology Consensus Guideline

by jmiller on December 12, 2017

This practice guideline (Journal of Clinical Oncology, Nov 1) recommends “that in addition to providing guidance regarding core communication skills and tasks that apply across the continuum of cancer care, recommendations address specific topics, such as discussion of goals of … learn more

“‘Physician Heal Thyself’ Isn’t Working” – Editorial by Dr. Adrian Park in Annals of Surgery

by jmiller on November 16, 2017

Congratulations to Dr. Adrian Park for having his second publication in one year in the top prestigious surgery journal, Annals of Surgery.  Dr. Park’s editorial is a commentary on the work of Dr. Chantal Alleblas, appearing in the same issue, … learn more

In the news: New ACC/AHA High blood pressure guidelines lower definitiion of hypertension

by jmiller on November 14, 2017

“High blood pressure should be treated earlier with lifestyle changes and in some patients with medication.  Blood pressure categories in the new guideline are:  Normal:  Less than 120/80 mm Hg; Elevated:  Systolic between 120-120 and diastolic less than 80learn more

In the news: Alcohol and cancer: a statement of the American Society of Clinical Oncology

by jmiller on November 14, 2017

“Alcohol is causally associated with oropharyngeal and larynx cancer, esophageal cancer, hepatocellular carcinoma, breast cancer, and colon cancer.  Even modest use of alcohol may increase cancer risk, but the greatest risks are observed with heavy, long-term use.”  (Journal of Clinical … learn more

“Effect of a single dose of oral opioid and nonopioid analgesics on acute extremity pain in the emergency department” and editorial “Opioid vs nonopioid acute pain management in the emergency department”

by jmiller on November 14, 2017

Article concludes:  “For patients presenting to the ED with acute extremity pain, there were no statistically significant or clinically important differences in pain reduction at 2 hours among single-dose treatment with ibuprofen and acetaminophen or with 3 different opioid and … learn more

Ten steps the federal government should take now to reverse the opioid addiction epidemic; Reframing the opioid epidemic as a national emergency

by jmiller on October 25, 2017

Two “Viewpoint” papers (NEJM, Oct 24/31) on the opioid epidemic:  briefly, the ten steps are:  improving surveillance of possible opioid addiction; improving reporting of and response to opioid-related overdoses and fatalities; promoting more cautious prescribing for acute pain; changing labeling … learn more

Urinary incontinence in women: a review

by jmiller on October 25, 2017

This Clinical Review (JAMA, Oct24/31) concludes:  “Urinary incontinence is common in women, although few seek  care despite many effective treatment options.  Clinicians should priotitize urinary incontinence detection, identify and treat modifiable factors, incorporate patient preference into evaluation and treatment, initiate … learn more

Delirium in hospitalized older adults

by jmiller on October 25, 2017

Clinical Practice article (NEJM, Oct 12) focuses on delirium presenting the clinical problem; strategies and evidence; management; prevention; guidelines; and conclusions and recommendations.  “Agitation should be managed with non-pharmacologic strategies first.  Physical restraints should be avoided.  Antipsychotic agents should be … learn more

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