ACOG Practice Bulletin148: Thyroid disease in pregnancy and ACOG Practice Bulletin 149: Endometrial Cancer

by jmiller on June 26, 2015

ACOG issued two new Practice Bulletins  (Obstet Gynecol, April) .  The thyroid bulletin expresses concerns over uncontrolled thyrotoxicosis and hypothyroidism having adverse pregnancy outcomes. It also impacts fetal development.  In addition, medications that affect the maternal thyroid gland can cross … learn more

An official ATS/AACN/ACCP/ESICMSCCM Policy Statement: Responding to requests for potentially inappropriate treatments in Intensive Care Units

by jmiller on June 25, 2015

Concludes:  “The multisociety statement on responding to requests for potentially inapproprate treatments in intensive care units provides guidance for clinicians to prevent and manage disputes in patients with advanced critical illness.“  Am J Resp Crit Care Med, June 1)  learn more

Cannaboids for medical use: A systematic review and meta-analysis

by jmiller on June 25, 2015

Concludes: “There was moderate-quality evidence to support the use of cannabinoids for the treatment of chronic pain and spasticity.  There was low-quality evidence suggesting that cannabinoids were associated with improvements in nausea and vomiting due to chemotherapy, weight gain in … learn more

ICD-10 Countdown: Education Opportunities

by Medical Staff Office on June 24, 2015

While there have been multiple delays, all signs now point to October 1, 2015, for ICD-10 implementation. It is critical that your clinical documentation meet ICD-10 requirements so that we are coding appropriately for billing accuracy, among other reasons. We … learn more

Interventional radiology: A half century of innovation

by jmiller on May 13, 2015

“The evolution of modern interventional radiology beganover half century ago with a simple question. Was it possible to use the same diagnostic imaging tools that had revolutionizedthe practice of medicine to guide the real-time treatment of disease? This disruptive concept … learn more

Recent advances in brain and spine imaging

by jmiller on May 12, 2015

Advanced MR imaging techniques have found extensive utility in the clinical practice of neuroradiology. A variety of these techniques are incorporated into imaging protocols for routine use, specific applications to particular disease entities, or as problem-solving tools on an ad … learn more

Thank you, AAMC Nursing Staff!

by jmiller on May 11, 2015

At the Nurse’s Dinner last week, I had the unexpected pleasure of receiving  the “AAMC Nursing Colleague Excellence Award”.  It is an honor and a privilege to receive this award and to work with such a fabulous nursing staff.  Thank … learn more

What’s the evidence for evidence based medicine?

by jmiller on May 11, 2015

“What’s in a name?  The answer begins with the name, which physicians find both amusing and insulting, as if in the dark ages before EBM, physicians practiced without evidence.  EBM’s power comes in part, from branding. The art and alchemy … learn more

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