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Game Changer-Evidence Supporting Treating Acute Venous Thromboembolism As An Outpatient

In the September 17, 2014 JAMA journal, a well documented evidenced-based review on the management of acute venous thromboembolism shows that in the majority of clinical cases the most recent guideline management strategy for this condition needs revision. What I am saying is...
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May Is High Blood Pressure Education Month

The AMA this week featured an article reminding us that we can prevent 1 of 3 deaths from cardiovascular disease, the number one killer in America. Awareness of hypertension (high blood pressure) is important for reducing mortality from stroke, kidney disease and other vascular...
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Patents on “reinvented” medications lead to higher insurance premiums

Earlier this week a patient of mine showed me another reformulation of Minocycline- this time for a mouth rinse for periodontal disease. It was going to cost her 240 dollars for one treatment and there was no data to share on effectiveness for the treatment. Her encounter...
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It Is Time To Speak Up About The Medicare Payments To Doctors Data Dump

The siege against the doctors continues.  For decades some have been asking the government to report what they have been paying the individual doctors for Medicare services.  Well, they finally did that and the Wall Street Journal was there to report it.  What I find fascinating...
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It is Busy Season in Fort Myers Florida

As I was winding down my office business today I realized I haven’t blogged for a bit of time. There have been plenty of things to blog about in the recent weeks but I have been “pulling back” as I contemplate the latest events. Today I went back to my practice...
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New Anticoagulants Prove to be Safe and Effective

In the recent February edition of Cardiology today a large data set (meta-analysis) that incorporated over 70,000 people supported the favorable risk-benefit profile for the new anticoagulants compared to warfarin. There were significant reductions in stroke, intracranial...
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Medical Marijuana Back in the News – This Time For Seizures

This past week or so America is reading about how parents are carting up their kids and moving to Colorado in order to receive “Medical Marijuana” for seizures. I just watched the video on USA today and honestly, the one child who reportedly is having hundreds of seizures a day...
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The Benefits of Omega-3 Fatty Acids

Omega -3 fatty acids are in the news a lot lately. This recent posting indicates brain atrophy with aging is linked to low measured omega-3 fatty acid levels in the body. Recently I was made aware of a small study showing that krill oil appears to have superior absorption for the...
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Immunology Breakthrough Has Big Implications

In May, the Wall Street Journal published an article that describes a new breakthrough in the field of immunology. The breakthrough is that antibodies work inside of cells as well as outside of them.  This discovery has huge implications for antiviral treatments and gene therapy...
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Negative News for Multivitamins: Are There Reasons to Question Conclusions from the Media?

My readers know that in my view, nutrition is everything when it comes to general health and wellness (well nearly everything).  Globally there is population evidence suggesting that people who eat a diet emphasizing vegetables and fruits (and thus high density...
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