Where Provider Discourse Gets Distilled & Shared



ClinicallySignificant

Patients reportedly lose long-time doctor because insurance guides patients to their own practice

Posted by Daniel Patrick on

A recent article published by MedScape and Keiser Health News tells the story of a family who lost their doctor because a 'titan' insurance company dropped their long-time family doctor from their network allegedly to send patients to a practice owned by the insurance company. But in this case, the cause of the exclusion goes to even deeper business connections: Wassef and other doctors say the insurer appears to be trying to shift patients to Riverside Medical Group, a 20-office physicians' practice owned by Optum, a sister company of UnitedHealthcare, both of which are subsidiaries of UnitedHealth Group. UnitedHealthcare is essentially...

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Vitamin D and Influenza

Posted by Daniel Patrick on

A review of literature published in the Journal of Molecular Science sought to examine the role of vitamin D as therapy or prevention against influenza came short of delivering definitive answers, The survey of the literature concerning the role of vitamin D in the immune system and immunization, especially against influenza viruses, does not give an unequivocal and one-word answer of “yes” or “no” to the questions: “Does vitamin D supplementation enhance the host’s resistance to influenza?” and “Does vitamin D supplementation play a role in the therapy of viral infection diseases?” However, the author takes the position that,  The studies...

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Should doctors demand better data before recommending plant-based diet?

Posted by Daniel Patrick on

Calls to reduce meat consumption is based on weak data and poorly designed studies according to two articles published by Annals of Internal Medicine. One of the most widely cited and influential medical journals in the world published research pushing back against how we have come to the conclusion that meat is bad and plant-based diets are good. 'The less people know, the more they actually think they know.' For example who doesn't know that meat is bad for you? But is it really? (Ethical and environmental concerns are not considered, but they are mentioned in the editorial) Researchers concluded: The magnitude of...

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Who should take Aspirin for prevention of cardiovascular disease?

Posted by Daniel Patrick on

Here is the bottom line according to JAMA: If you have had a heart attack, a stroke, a coronary stent, or coronary artery bypass graft surgery, you should keep taking aspirin. The new studies and guidelines do not affect the importance of this treatment for you. If you have not had one of the above conditions or procedures and are older than 70 years, younger than 40 years, or at increased risk of bleeding because of a medical condition or medications, you should not take aspirin for primary prevention of heart disease. If you are between 40 and 70 years...

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VITAMIN D associated with fibromyalgia pain severity, anxiety and depression

Posted by Daniel Patrick on

Fibromyalgia is described as a debilitating condition, characterized by extensive muscular pain and fatigue. Vitamin D is increasingly studied because it is essential for overall health, with ubiquitous involvement in various inflammatory and pain pathways. Little is known about vitamin D's role in fibromyalgia. Evidence from clinical research highlight an association between vitamin D deficiency and fibromyalgia.  There is some data that indicate "vitamin D replacement therapy may improve the quality of life in patients with fibromyalgia."  A 2020 survey of patients further demonstrated that Hypovitaminosis (serum vitamin D <25 ng/mL) may be a risk factor for worse symptom severity, anxiety, and depression in fibromyalgia patients....

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