How do you fight fake medical news? With real news!

Fake medical news has driven the anti-vaccination movement to the point where the US may lose it’s status as “eradicated”. Hawksters prey on the suspicion patients have for traditional medicine, and sell detoxifying agents, probiotics, “special” tests, and even parasites and stool transplant kits. How do we combat this? @AustinChiangMD has become a leader in

Does not remembering a procedure make it OK?

An article from New York Times, discusses the possibility of PTSD resulting from unremembered medical procedures using medications like midazolam. Is this possible? I believe it is. If people can be traumatized by injury, sexual assault, and childhood abuse that they have repressed from their memories completely, then why not?

Fluoroquinolone risks expanded

The FDA recently released results of a review that found an increased risk of aortic ruptures or tears with the use of fluoroquinolones.  As part of the safety warning, the FDA has recommendations for providers, including avoidance of fluoroquinolones in patients with a history of aortic aneurysm or those at risk for an aneurysm; to

Up to 6 mos PPI therapy may not affect bone health

Research recently published in the seminal journal Gastroenterology failed to find evidence of alterations in key markers of bone formation and metabolism in postmenopausal women on PPI’s. The study examined calcium absorption, serum or urine mineral levels, parathyroid hormone, Vitamin D status, or bone-mineral density with 6 months of PPI therapy.   The prospective double-blind study

Most patients over 65 don’t want life expectancy discussions

An online survey conducted in 2016 of a nationally representative group of 878 adults ages 65 and older found 59.4% did not want to talk about their life expectancy. Presented with a hypothetical situation that they were not immediately dying but had a shortened life expectancy, 59.9% indicated life expectancy discussions should not be initiated

Do you spend > 1 hr per day on the toilet?

William Chey, MD, FACG, of the University of Michigan Health System, conducted the survey of 800 patients and 200 gastroenterologists. Shire Pharmaceuticals sponsored the survey. One of the main highlights of the survey, according to Chey, was that more than half of the patients reported that they spent more than an hour a day on

Cost for GI procedures much higher at hospitals

The CMS said the average amount they pay for a colonoscopy at an ambulatory surgery center is $488, compared with $936 at a hospital outpatient center.  This payment does not include the patient’s responsibilities, deductibles, copayments, and cost of uncovered services. Still, it underscores important differences in costs, overhead, net charges, and payments on your