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GLG News by Physicians who Treat End Stage Renal Disease (ESRD)

Analysis of: SIRS-Lab Pre-Announces Biomarker Based Sepsis Test (www.medcompare.com)
Sepsis is a complex clinical syndrome situated in a category including SIRS(systemic inflammatory response syndrome), MOF(multiple organ failure), septic shock etc. If the biomarker is simply diagnostic, just like CRP(C-reactive protein), I doubt it is going to affect management of sepsis. If, however,...
Analysis of: Ekkyo Describes The First Benefits Of Controlled Hyperthermia In Humans In "Lasers In Surgery And Medicine" (www.medicalnewstoday.com)
Ekkyo is designing a laser device preventing and reducing scar formation. The size of the scar is almost always a major concern of the patient after any kind of operation including major life-saving cardiovascular procedures, tumor resections, transplants etc. Primary due to patients'...
Richard Amerling, MD, Director of Outpatient Dialysis
Richard Amerling, MD, Director of Outpatient Dialysis
BETH ISRAEL MEDICAL CENTER INC
Analysis of: Drugs to Build Bones May Weaken Them (www.nytimes.com)
Considering the effects of fosamax and other bisphosphonates on bone remodeling, it is not at all surprising to see problems arising with the long term use of these agents.  
Richard Amerling, MD, Director of Outpatient Dialysis
Richard Amerling, MD, Director of Outpatient Dialysis
BETH ISRAEL MEDICAL CENTER INC
Analysis of: Pricey Drugs Put Squeeze on Doctors (online.wsj.com)
It's intresting that nowhere in this article was the topic of true insurance for catastrophic illness brought up.  The problem with our current health insurance market is that for most it is pre-paid care, not insurance against a rare, but catastrophic, event. 
Richard Amerling, MD, Director of Outpatient Dialysis
Richard Amerling, MD, Director of Outpatient Dialysis
BETH ISRAEL MEDICAL CENTER INC
Analysis of: 8-Year-Olds on Statins? A New Plan Quickly Bites Back (www.nytimes.com)
With the pipeline for new drugs running dry, it is no surprise that pharmaceutical companies are looking to expand indications for existing products still under patent protection.  What better way to do this than by creating entirely new patient populations out of whole cloth?
Analysis of: Why anaesthetics can make the pain worse (www.newscientist.com)
Completely misinterpreted and poorly represented study described in misleading way. Many injectable drugs (and perhaps all no-injectables), not only Propofol, cause irritation at the site of injection. Many inhalable substances (and all non-inhalable ones) irritate airway. Who would ever think of comparing...
Analysis of: Obesity costs employers $45 bil a year (www.nytimes.com)
The article is focused on colorful description of a single implication of a major problem. Even without being aware that obesity is major contributor to hypertension, diabetes, degenerative joint disease, depression, pseudotumor cerebelli etc., isn't obvious that caring 2-3 times more body weight...
Analysis of: Most Doctors Aren’t Using Electronic Health Records (www.nytimes.com)
Difficulties in introduction of electronic records in clinical practice, in my mind, are due to the following. First, there is no improvement in quality of care and/or there is no financial benefit for majority of practices. Second, high cost of support, rather than purchase. Third, implementation...
Analysis of: GNC, Vitabiotics to tap domestic nutraceutical mart (business-standard.com)
Over the years, I do see once in a while a patient not taking any prescribed medications. Progressively less often, however, I see a patient who is not taking any "supplements"! Growing popularity of nutraceuticals is based, in my opinion, on several factors. First, frustration of patients with overregulated...
Analysis of: Medtronic Says Thrombus Aspiration Before Stenting Betters Survival Rates Of Myocardial Infarction Patients (www.rttnews.com)
I believe it is a standard of practice to aspirate thrombus, if such is present, prior to placing a stent not only in coronary arteries, but also in any kind of peripheral circulation. Not only it makes sense, but also maintains the instrumented segment functional by preserving distal outflow.

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