Archive for November 16th, 2008

The bisphosphonate saga

Sunday, November 16th, 2008

This is, apparently, a story without end. Bisphosphonates, in various formulations, dosages, and delivery routes, have been used to build bone density in osteoporosis patients for more than a decade. The efficacy of these drugs has been demonstrated in a number of studies. But like any medication intended for use over a period of many years, questions of the medication?s safety have repeatedly arisen and must be addressed anew. The Food and Drug Administration (FDA), after conducting a review of the latest data, has issued an Early Communication advising health care providers not to alter their prescribing practices and patients not to discontinue their bisphosphonate medication.

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Sharing quilting & alzheimer’s caregiving experiences

Sunday, November 16th, 2008

Quilting & Alzheimer’sAfter I wrote the post, Sharing Quilting with Your Alzheimer’s Patient and Family, Betty told about her experiences with her mom and quilting.  She told how she includes her mom in her activities.My Mom’s got dementia and she enjoys watching me select the colors for my quilts. She also likes to pick up the fallen scraps off the floor and carry them around. I let her keep them, unless they’re needed for a specific project. Last time I took her to a quiltshow, she wandered off and was lost for awhile. Now I go to the shows alone, but take lots of pictures for us to share together.I related an incident with my mom.  She enjoyed quilts in her Alzheimer’s years although she couldn’t do any quilting. My daughter made Mothe…

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Case: Small bump at edge of scar where lesion removed

Sunday, November 16th, 2008

Consider recurrent basal cell carcinoma if a lesion recurs at the margin of the original scar.

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Medicare Q & A: We see a lot of new patients coming in only for a flu or pneumonia injection, and since they are not our patients we typically have them pay cash and do not bother filing with Medicare. As participating physicians, will this get us in trouble?

Sunday, November 16th, 2008

By treating Medicare services like flu or pneumonia injections as cash services, participating physicians could be fined, lose their Medicare participation status, and have to reimburse the patients.

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A review of the common prognostic factors that impact mortality or healing in patients with pressure ulcers

Sunday, November 16th, 2008

Patients with pressure ulcers are often old and frail, and the 6-month mortality rate is high. By clearly understanding the contributory effects of the size and stage of ulcers, current nutritional situation, and chronic disease burden, the physician can discuss a realistic prognosis with the patient regarding healing and potential mortality.

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Study IDs factors that help elderly thrive (Reuters)

Sunday, November 16th, 2008

Reuters - Older adults who have never smoked, drink moderately and keep a positive outlook on life are more likely to stay healthy and happy for years, new research suggests.

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Sharp-witted elderly shed insight on dementia (Reuters)

Sunday, November 16th, 2008

Reuters - People who manage to keep a razor-sharp memory well into their 80s appear to have fewer fiber-like tangles of a protein linked with Alzheimer’s than those who age normally, U.S. researchers said on Sunday.

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Alzheimer’s word of the week - assisted living

Sunday, November 16th, 2008

Word of Week Assisted Living - This generally refers to a home where residents are fairly independent, but may need help with medications, cooking, and housekeeping.  By living there, they are in a safe environment, enjoy social activities, and have meals prepared and laundry done.Some assisted living homes are set up to give more help than others.  Some also have a nursing home on the premises where residents can move as they require more care.  My mother-in-law lived in an assisted living home for four years because she was going blind and couldn’t care for herself alone too well.(Amazon image)Tags: Alzheimer’s Notes, Alzheimers, Assisted living, Caregiving, nursing home, Word of the WeekShare This (Source: Alzheimer’s Notes)

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Guidance on making the essential, accurate diagnosis of dizziness in older adults.

Sunday, November 16th, 2008

Although dizziness occurs frequently in aging, it is not a special condition of that age group but rather is a symptom of one or more pathologic processes that can be difficult to detect in older patients. The most important tools in reaching a diagnosis are the history, clinical examination, and follow-up.

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Medicare Q & A: If I see a patient in my office and I then send that patient to the hospital for admission by a hospitalist, can I charge an office visit on the same day that the hospitalist does the admit?

Sunday, November 16th, 2008

A nonhospital-based physician can see a patient in the office, send the patient to the hospital for admission by a hospitalist, and charge for an office visit on the same day.

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