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Mashup Score: 0Common Sense Family Doctor - 3 month(s) ago
Common sense thoughts on public health and conservative medicine from Dr. Kenny Lin, a family doctor in Lancaster,
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Mashup Score: 0
A recent KFF Health News article highlighted misdiagnoses of type 2 diabetes in several Black female patients who actually had latent autoimmune diabetes in adults (LADA), a slowly progressive form of type 1 diabetes. Although the article suggested that the patients’ race may have played a role in delaying their LADA diagnoses, this condition commonly goes unrecognized in primary care. According to Dr. Jeff Unger in a 2010
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Mashup Score: 0A venerable family medicine journal exits the stage - 4 month(s) ago
Six years ago, I was promoted to the rank of deputy editor at American Family Physician. On the whole, I continue to find translating the latest scientific evidence into continuing medical education for family physicians and trainees to be satisfying and intellectually rewarding. As I pass the likely midpoint of my career, I have achieved all of my editorial goals, save one. In pursuit of that goal, in March 2023 I applied for the position of editor-in-chief at
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Mashup Score: 1Despite weak evidence, spinal cord stimulators are big business - 4 month(s) ago
A Cochrane for Clinicians article in the December 2023 issue of American Family Physician reviewed randomized trials assessing the effectiveness of surgically implanted spinal cord stimulation devices for the treatment of chronic low back pain. These devices come with a high price tag ($30,000) and
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Mashup Score: 1Why every screening test is a gamble - 4 month(s) ago
Originally published on Common Sense Family Doctor on January 6, 2015. ** I’m in Las Vegas for the first time in 15 years to attend the International Consumer Electronics Show, and earlier today participated in a panel of “early-adopter” family physicians discussing our perspectives on consumer (patient) health technology such as apps and wearable health data collection devices. I’m staying at one of Vegas’s many combination hotel and casinos, with a layout designed to funnel guests and other visitors through the gaming floor to get practically anywhere. While walking past a row of pulsating slot machines in the lobby this morning, I remembered the title of a terrific
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Mashup Score: 1What do the Air Force and family medicine have in common? AI - 4 month(s) ago
This year, I did a lot of reading about current and future applications of artificial intelligence (AI) in health care – for example, how it will reduce the grunt work of selecting future physicians; become a required competency in medical education; provide
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Mashup Score: 0The decline of VBAC: hearing hoofbeats, thinking zebras - 4 month(s) ago
Originally posted on Common Sense Family Doctor on March 10, 2010. Since then, the U.S. trial of labor after cesarean rate has risen from 14.4% to 19.6% and VBAC success rates have improved from 68.5% to 74.3%. ** My daughter, who turns two years old in June, is becoming something of a medical rarity. This isn’t because she is showing signs of a late-developing handicap or extraordinary ability for her age – it’s because she came into the world as a vaginal birth after Cesarean section (VBAC), delivered by a certified nurse midwife. Although more than three-quarters of women who choose a trial of labor over a repeat Cesarean section successfully deliver vaginally, studies showing slightly elevated risks of rupture or infection of the uterus with VBAC, pressure from insurance companies concerned about lawsuits, and
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Mashup Score: 0My favorite public health and health care books of 2023 - 5 month(s) ago
This year’s annual list of my favorite reads includes two works of fiction and eight real-life narratives about cancer, the history of medicine, rural family practice, and urban street medicine. As usual, I have listed them alphabetically by title rather than in any order of preference. For more great titles, feel free to peruse my lists from
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Mashup Score: 0Deliberate clinical inertia protects patients from low value care - 5 month(s) ago
Originally posted on Common Sense Family Doctor on July 28, 2019. ** Clinical inertia is usually considered to be a negative term, used to refer to situations in which clinicians do not appropriately initiate or intensify therapy for uncontrolled chronic conditions. For example, a
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Mashup Score: 0Will the high price of gene therapy for sickle cell disease put this cure out of reach? - 5 month(s) ago
On December 8, 2023, the U.S. Food and Drug Administration (FDA) approved Casgevy, the first gene therapy utilizing clustered, regularly interspaced short palindromic repeats (CRISPR) for the treatment of sickle cell disease in patients 12 years and older. Mimicking a protective mutation that causes fetal hemoglobin (HbF) to persist into adulthood, Casgevy uses the CRISPR-Cas9 enzyme to edit a patient’s own blood stem cells to intentionally disable a DNA “brake” on HbF production. The modified stem cells are transplanted back to the patient and result in the production of high levels of HbF, preventing the sickling of red blood cells and eliminating or greatly reducing future painful vaso-occlusive (VOC) crises. In an ongoing single-arm trial—
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Prenatal and congenital syphilis cases continue sharp rise in the U.S. https://t.co/jMRqVDha6c