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DrDialogue: October 2012

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Monday, October 8, 2012. Have Electronic Health Records Led to Fraudulent Upcoding by Physicians? Over the past several decades medical costs in the United States have escalated rapidly, exceeding the pace of inflation and threatening bankrupt to Medicare. As we heard in last week’s presidential debate, different solutions have been proposed on how to slow Medicare’s growth and reduce cost. I have discussed this in a previous blog: " When is Unneeded Care Criminal? As reported by the New York Times.

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DrDialogue: February 2014

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Saturday, February 1, 2014. Should you be on cholesterol medication? How the new guidelines are different. Cardiovascular disease—including coronary atherosclerosis and cerebrovascular disease, remains the number one cause of mortality in the United States. One out of three people in this country will die of cardiovascular causes. In November 2013 updated guidelines for the treatment of high cholesterol were released by the American College of Cardiology-American Heart Association. The new risk calculato...

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DrDialogue: August 2013

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Thursday, August 22, 2013. Should a Doctor Prescribe Drugs that are Unapproved by the FDA? Here’s an interesting clinical dilemma brought to my attention by another physician. Discuss it as an option for women who have trouble with lactation. The questions: Is it legal, ethical or good medical practice for a physician in the United States to write a prescription for domperidone for a patient who has been using it for lactation with good results? How about for gastroparesis? Where does one get the drug?

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DrDialogue: July 2013

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Wednesday, July 3, 2013. What foods are in the Mediterranean Diet? The Mediterranean Diet is fresh on my mind, having recently returned from a trip to Turkey. During my travels I also enjoyed a variety of grilled fresh fish served with lemon, seaweed salad, pomegranate juice, freshly pressed at the side of road, and roasted chestnuts, also sold by street vendors. I was elated to hear that a new study published in the New England Journal of Medicine. In April of this year. I was after I read these results.

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DrDialogue: Should you be on cholesterol medication? How the new guidelines are different

http://www.drdialogue.com/2014/02/should-you-be-on-cholesterol-medication.html

Saturday, February 1, 2014. Should you be on cholesterol medication? How the new guidelines are different. Cardiovascular disease—including coronary atherosclerosis and cerebrovascular disease, remains the number one cause of mortality in the United States. One out of three people in this country will die of cardiovascular causes. In November 2013 updated guidelines for the treatment of high cholesterol were released by the American College of Cardiology-American Heart Association. The new risk calculato...

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DrDialogue: March 2013

http://www.drdialogue.com/2013_03_01_archive.html

Monday, March 25, 2013. Have you planned your retirement from driving? When should drivers retire from driving? This question is always difficult to answer. In our suburban car culture driving allows seniors to maintain their independence and prevents social isolation. However, at what point does it become unsafe for the elderly to drive and what are the risks? He drove away, his car and him unscathed, but my in-laws were not so lucky. It turns out that with the aging process, changes in the architecture...

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DrDialogue: Maintaining Adequate Hydration

http://www.drdialogue.com/2014/06/maintaining-adequate-hydration.html

Sunday, June 15, 2014. Looking around one might think that there is an epidemic of dehydration plaguing Americans, who tote drinks with them to all locales- cars and strollers armed with cups holders, hydration stations every mile of a running race, exercise belts studded with water bottles marketed to the recreational runner. It seems we might all shrivel up and dehydrate without this. We all know that drinking sugary soda is bad for us and has helped lead to the current obesity epidemic. Should consume...

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DrDialogue: July 2012

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Thursday, July 12, 2012. Are Annual Physical Exams Necessary. Recently a physician reporter for the New York Times, Elisabeth Rosenthal, argued in the cover article of the Sunday Review that routine physicals are in many ways pointless, and perhaps even dangerous. In the article, entitled “ Let’s Not Get Physicals. After years of criticism by proponents of prevention Medicare recently started to cover an annual exam, which is referred to as a “ Wellness Exam. By health plans requiring that plans provide ...

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DrDialogue: Doctor, Patient, Friend: Blurring the Boundaries

http://www.drdialogue.com/2010/02/doctor-patient-friend-blurring.html

Thursday, February 18, 2010. Doctor, Patient, Friend: Blurring the Boundaries. Clearly the doctor-patient relationship is a highly privileged one, in which private and confidential information is exchanged. The communication that occurs within this context is subject to unique rules, ethical, and legal boundaries, as described by the Health Insurance Portability and Accountability Act ( HIPAA. Online social networking has introduced new aspects to this old question. Dr. Sachin Jain. 1 Have an offline dis...

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DrDialogue: February 2013

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Tuesday, February 5, 2013. Generic Drugs: Bioequivalent and Interchangeable? Use of generic drugs has the potential to reduce annual. Consumer spending on prescriptions. By billions. A study published in the. New England Journal of Medicine. And discussed in the. New York Times Economix. Advertising and promotion are also, no doubt, a major factor. A generic drug is a drug that has been determined to be the bioequivalent. Of a brand name drug in terms of its active ingredient. Here’s what the. The 90% co...