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Bariatric surgery is a major operative procedure that caries significant morbidity and mortality risks due to the comorbid diseases seen in this patient population.
This procedure is increasing in frequency as more patients are willing to have it and more surgeons are becoming proficient.
The...
This article presents the new CMS guidelines that deny higher payments for the additional costs associated with treating patients for certain hospital - acquired infections and medical errors. While these are laudable goals, to assume that all infections are the result of poor medical practice is an...
Several large drugstores are establishing retail medical clinics within their stores much as eyeglass stores have had optomitrists on site. There is no problem with these clinics per se as long as they practice within the scope of the practitioners license and skill. There are...
Zyrtec (cetirizine) is a second generation nonsedating antihistamine that has enjoyed wide popularity. Zyrtec will become available generically in late 2007 and the generic form is expected to be significantly cheaper. To virtually extend the patent, the manufacturer is...
Cordis introduced the FIRE STAR™ Rx PTCA Dilatation Catheter to the European market. This catheter reportedly has a lower profile than other devices on the market which enables it to cross highly stenotic or tortuous lesions. There are no controlled studies showing device...
Type II diabetes and the metabolic syndrome are highly correlated with obesity. These diseases are epidemic in our society. Weight loss has been definitively shown to reduce morbidity and mortality in these patients with complications from their obesity. Bariatric surgery is...
Shire PLC received an approvable letter from the FDA for its nonstimulant treatment for ADHD - Intuniv (guanfacine) Most of the treatments for ADHD are stimulants (amphetamine derivatives) that can have potentially serious cardiovascular side effects. Unfortunately, to date,...
The FDA advisory committee unanimously rejected rimonabant because of concerns of an increase in suicidal ideation seen in patients taking the highest dose of the medication (20 mg). This drug has been proven in several large studies to not only induce greater weight loss than other strategies,...
Valsartan (an ARB) and amlodipine (a calcium channel blocker) are both useful drugs in treating hypertension and heart failure. Most patients require more than 1 medication to reach goal in controlling their blood pressure. Exforge (a combination of valsartan/amlodipine) will...
Peripheral arterial disease is a major problem in this country which is only recently being recognized for the epidemic that it has become. This problem (PAD) coexists with coronary disease (heart attacks) and cerebrovascular disease (strokes) and has been neglected and underdiagnosed...