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Longer looks: A doctor's dilemma on C-sections; apology for a death sparked a hospital's change

I was the obstetrician on hospital duty that Sunday morning, so I introduced myself and learned that the patient, pregnant with her first child, wished to have as few interventions as possible. Respecting her desire, we decided to reevaluate her in a few hours to see how her labor had progressed. But would she get her wish? ... the odds were greater than 1 in 4 that this woman would end up not with the natural delivery she wanted, but with a surgical delivery in one of the two operating rooms down the hall.

4 Nov 2011

First Edition: November 3, 2011

Today's headlines include reports about a bipartisan group of lawmakers who are urging the super committee to consider "all options."

3 Nov 2011

State Medicaid Directors seek to sway feds on eligibility rules

In a letter to the Centers for Medicare and Medicaid Services, the state officials made recommendations about new regulations and asked for coordination between federal and state leaders. Meanwhile, in other Medicaid news, a New York doctor gets a big payout from his whistleblower lawsuit, and the Lousiania program reports a shortfall.

3 Nov 2011

Pupil can constrict without any input from brain

You've seen it on television: A doctor shines a bright light into an unconscious patient's eye to check for brain death. If the pupil constricts, the brain is OK, because in mammals, the brain controls the pupil. Or does it? Now, researchers at Johns Hopkins have discovered that in most mammals, in fact in most vertebrates, the pupil can constrict without any input from the brain.

3 Nov 2011

CPM enters definitive merger agreement with HealthGrades

HealthGrades, the leading provider of information to help consumers make an informed decision about a physician or hospital and CPM, the leading provider of customer relationship management solutions for hospitals today announced a definitive agreement to merge the two companies.

3 Nov 2011

Americans overdosing on prescription pain killers

According to figures released by the Centers for Disease Control and Prevention (CDC) 40 Americans die from prescription painkiller abuse each day. Overdoses of opioid prescription drugs now kill more people in the U.S. than do overdoses from heroin and cocaine combined the report says. Twelve million Americans say they abused prescription drugs in the last year.

2 Nov 2011

Vitamin D does not confer benefits against mortality in postmenopausal women

Doctors agree that vitamin D promotes bone health, but a belief that it can also prevent cancer, cardiovascular disease and other causes of death has been a major health controversy. Consistent with advice issued last fall by the Institute of Medicine, a new study finds that vitamin D did not confer benefits against mortality in postmenopausal women after controlling for key health factors such as abdominal obesity.

2 Nov 2011

First orthotics study to use multi-segment foot model

It's one of those mysteries that has baffled runners and running doctors for decades: Why do orthotics work? Orthotics are commonly prescribed for painful conditions like plantar fasciitis, and, anecdotally, people swear by them, however scientists aren't exactly sure how they work. A recent study by University of Calgary Faculty of Kinesiology researcher Reed Ferber, PhD, published in the Journal of Foot and Ankle Research, suggests that to this point, scientists have been measuring the wrong thing.

2 Nov 2011

Obama gets clean bill of health

President Barack Obama is in excellent health and tobacco free, his doctor said Monday in the results of the president’s second physical exam since taking office.

1 Nov 2011

Health care comments prominent on the trail to Iowa caucus

In a campaign speech to potential caucusgoers here this afternoon, presidential candidate Michele Bachmann colored her calls for the repeal of the federal health care law passed in 2010 with a brief history of health care. When she was a child, she said, a visit to the doctor in Waterloo, Iowa, cost just $5, and people who couldn't afford that often would receive free care at the physician's discretion. Such prices and charity care are impossible today, she argued, because of government intervention into the health care system and the threat of lawsuits.

1 Nov 2011

Stanford Hospital uses new device to treat brain aneurysm

If Barbara Maluo's brain aneurysm had been discovered a few months ago, she would have had few viable treatment options. She was one of the 10 to 15 percent of brain aneurysm patients diagnosed each year with aneurysms so large and wide that they cannot be reliably treated using conventional methods of treatment.

1 Nov 2011

Study looks into how family doctors' own drinking habits affect their advice to patients

Doctors who drink more themselves are more liberal in their advice to patients on alcohol consumption. They set higher thresholds for what is harmful, and while men who are heavy drinkers get to continue drinking, women are often advised to stop altogether, reveals a thesis from the Sahlgrenska Academy at the University of Gothenburg, Sweden.

1 Nov 2011

State roundup: Public employee benefit controversy; Calif. hospital woes; Mass. medical homes

A centerpiece of Republican Gov. John Kasich's legislative agenda, the bill passed the Republican-dominated assembly in the spring. But opponents were able to gather 1.3 million signatures to halt the law's enactment and put it on the November 8 ballot for repeal. ... The bill allows bargaining on wages but bans it for health coverage, pensions or staffing levels. ... The law also requires firefighters, police officers and teachers to pay at least 15 percent of their health insurance premiums.

1 Nov 2011

New computer-based tool enables early diagnosis of cancer

A computer-based tool could help GPs to speed up the diagnosis and treatment of patients suffering from two of the most common forms of cancer, potentially saving thousands of lives every year.

31 Oct 2011

First Edition: October 31, 2011

In today's headlines, news reports about a key medical group's take on accountable care organizations and how a "merger wave" is hitting the health care sector.

31 Oct 2011

PPRT publishes study that evaluates pharmacist provision of clozapine

According to a study which evaluated alternative models for the delivery of clozapine services, published by the Pharmacy Practice Research Trust (PPRT), there is scope to review the team configurations needed to deliver community services in a cost-effective manner and to provide opportunities for improving the services provided to patients.

31 Oct 2011

Oral hormonal contraceptives linked to blood clots: Study

A new study has shown that women who use new type of contraceptive pills are twice as likely to develop life threatening blood clots as those who take older versions. Oral hormonal contraceptives have been known to increase the risk of a blood clot in deep leg veins, known as venous thromboembolism (VTE). These can prove fatal if they travel to the lungs. But, researchers at the University of Copenhagen, Denmark, found the “third-generation” pills are doubly harmful than the older versions.

30 Oct 2011