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Hospital-Based Medicine

News, opinions and meeting coverage in hospital-based medicine.

Scoring System for Lung Cancer Screening Debuts

Radiologists to get tools for grading suspicious lesions.

Knee Surgery Linked to Higher OA Risk

Can meniscus repairs actually worsen joint damage?

Duplication Error May Make Giants

Novel mutation may underlie some cases of gigantism.

Mammograms: Less Pain, Risk-Based Screens?

Breast cancer screening after 40, a more comfortable mammogram.

RSNA: Pituitary May Link Brain Injury and PTSD

Hormone treatment might be useful.

New Treatments for High Potassium on the Horizon

But ultimate success is far from guaranteed.

I-PASS Handoff System Leads to Decline in Medical Errors

Mnemonic device helps for oral and written handoffs.

FDA Advisers Tackle Epidural Steroid Shots

Focus on adverse neurologic effects.

Stent Graft Keeps Vascular Access Clear

Should change practice, study leader says.

Gout Patients Wind up in the Hospital Unnecessarily

Single-center study estimates frequency of preventable admissions.

New Antibody Found in Membranous Nephropathy

Antibodies against THSD7A may be behind some cases.

Investigative Combo Pill Effective Against HCV Infection

Treating refractory HCV without ribavirin onboard.

No Need for Cancer Watch in Cirrhotic Wilson's Disease

Hepatocellular carcinoma is too infrequent to merit regular surveillance.

The Happy PCP: $400K/Yr and Home in Time for Dinner

Primary care doc earns a specialist's income without working overtime.

Are There Fewer 'Tasty' Meals After Bariatric Surgery?

Taste buds may be diminished by weight-loss surgery.

Two Gastric Balloons May Be Better than One

A dual-balloon intragastric device helped patients shed more pounds.

Munchausen by Proxy: A Case Study of Abuse

This patient saw doctors in five different states.

Kidney Stones Up Fracture Risk

Risk is strongest in adolescent men and women in their 30s.

Frozen or Powdered: Fecal Transplant Works in C. Diff

Donor stool need not be fresh for treating C. diff.

Insulin and Insulina: Bridging the Gap

Physicians need to be aware of patients' beliefs about medicinal plants.

NAMS Launches Menopause App

MenoPro calculator helps design optimal therapy for individual patients.

Case Study: Fecal Transplant Clears K. Pneumoniae

Treatment of teenage girl suggests another use for fecal microbiota transplant.

Taming the In-Basket

We need to help our programmers send us only the messages we really need to see.

FDA Panel Torn on Watchman Device

Calls the device safe, but splits on its efficacy.

Aphrodisiac Aids Genetic Type 2 Diabetes

About 4% of diabetes patients may benefit from yohimbine.

Vitamin D Blog: No Help in the ICU

Boosting vitamin D levels doesn't help ICU patients.

Portenoy Opioid Talk Sparks Controversy

Opioid advocate Russell Portenoy's invitation to an upcoming NIH workshop is under fire.

Review: Telcare Glucose Meter

An easy-to-use glucose monitor uploads data to the cloud for ready access.

The Bottomline: Cardiac Telemetry

Can a 'wise' choice save $4.8 million in a single year?

Metformin and TSH: Is There a Link?

Canadian study suggests raises questions about metformin use in diabetics with underlying hypothyroidism.

Multiple Sclerosis Risk Tied to Some OCs

BOSTON -- Women using combined oral contraceptives containing norethindrone or levonorgestrel were substantially more likely to develop multiple sclerosis than those not on "The Pill."

Azithromycin Linked to Belly Blockage in Infants

WASHINGTON -- Infants who received azithromycin (Zithromax) in the early days of life were at an increased risk for developing infantile hypertrophic pyloric stenosis (IHPS), researchers reported here.

C. diff. Differs by Season and Region

WASHINGTON -鈥� March is the month when hospitals see more Clostridium difficile infections, and the Northeast is the region that leads the nation in the difficult to treat infection, researchers reported here.

Ebola Response: Slowed by a 'Perfect Storm' of Setbacks

WASHINGTON -- The world was taken by surprise by the West Africa Ebola outbreak and has been scrambling ever since to catch up, with many setbacks and only a few bright spots in the picture, international experts said at the Interscience Conference on Antimicrobial Agents and Chemotherapy.

Vancomycin May Protect Against C. Diff Recurrence

WASHINGTON -- Prophylaxis with oral vancomycin (Vancocin) appeared to protect at-risk patients from experiencing a recurrence of Clostridium difficile infection, researchers reported here.

ESC: Mixed Results with Steroids in TB Pericarditis

BARCELONA -- Adding steroids to anti-tuberculosis treatment for patients with tuberculous pericarditis can reduce the risk of complication and the resulting hospital admission, but adding prednisolone to tuberculosis treatment did not reduce the risk of death, researchers said here.

Doctor's Memoir Exposes Dark Side of Medicine

Sandeep Jauhar puts his life on stark display to illustrate harmful financial intrusions into medicine in his newest book.

Doctors' Spouses: What's Not to Like?

When it comes to domestic life for physicians, things have changed since an oversexed and gory 1971 film with Gene Hackman called "Doctors' Wives" featured as one of its taglines, "Doctors' wives have everything. Except husbands."

Derms Want NP/PA Practice Limits

NPs and PAs who bill Medicaid as independent practitioners are more likely to bill for a dermatology visit than for any other office-based service -- so much so that in 2012, 55% of their Medicaid billings were for derm codes, to which dermatologists claim scope of practice violations.

Glucometer Control Test Underused in Diabetes

ORLANDO -- Control solution for ensuring the proper function of glucose meters didn't appear to be a priority among physicians, pharmacists, or patients, researchers reported here.

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