Carla K. Johnson, AP With a looming shortage of primary care doctors, 28 states are considering expanding the authority of nurse practitioners. These nurses with advanced degrees want the right to practice without a doctor's watchful eye and to prescribe narcotics. And if they hold a doctorate, they want to be called Doctor.
Obesity, especially extreme obesity, is a risk factor for hypertensive disorders in pregnancy. These include serious conditions such as pre-eclampsia, which can effect about seven percent of all pregnancies in the U.S. Bariatric surgery is an effective weight loss intervention for women with a body mass index of 40 or more, or a BMI of 35-40 with associated conditions like diabetes.
Florida state officials stripped a Sarasota doctor of his license after he aborted the wrong fetus in a woman carrying twins. The procedure, known as selective termination, was supposed to be performed on the fetus with congenital birth defects. During a state hearing the doctor blamed his mistake on ultrasound equipment that he said didn't allow him to view the fetuses as clearly as possible.
(AP) Federal officials say the nation's hospitals are failing to stamp out common infections that can turn life-threatening for patients. The Health and Human Services department's 2009 quality report finds “very little progress” on eliminating health care infections. For example, rates of bloodstream infections following surgery increased by eight percent.
Lauran Neergaard, AP Having a bad reaction to penicillin as a child doesn't guarantee you're still allergic decades later. And if the oncologist says you have to switch chemotherapies because of an allergic reaction, well, maybe not. More medical centers are recommending a lesser known choice: Drug desensitization, a carefully controlled method of helping patients temporarily tolerate medications that their bodies once rejected.
Chronic stress has recently been implicated as a factor that may accelerate the growth of tumors. However, the mechanisms underlying this effect have not been determined, offers Anil Sood and colleagues at the University of Texas MD Anderson Cancer Center, Houston. They have generated data using human ovarian cancer cell lines and tumor specimens that indicate that stress hormones, especially norepinephrine and epinephrine, can contribute to tumor progression in patients with ovarian cancer.
Replacing failing artificial animal-based heart valves by implanting mechanical valves inside them is an effective option for high-risk patients, according to research reported in Circulation: Journal Of The American Heart Association. In the study, physicians describe how 24 high-risk patients, whose previous implants failed, received transcatheter valve-in-valve implantation – where a new artificial valve is seated within a previously implanted valve made of pig or cow tissue.
A research team led by Mayo Clinic has found a national trend toward younger, more diverse patients having total knee replacement surgery. The findings were presented at the 2010 annual meeting of the American Academy of Orthopaedic Surgeons in New Orleans. Additional audio and video resources including excerpts from an interview with Dr.
On the heels of a sudden outpouring of support, it looks as if a Cambodian girl will have a chance at risky, but potentially life-extending surgery. A week after the founder of a local non-profit worried that his fledgling group would not be able to raise the money needed to provide open-heart surgery for 3-year-old Socheat Nha, the group's fortunes have turned.
A new report from critical care experts at Johns Hopkins shows the benefits of reducing the use of prescription sedatives by half so that mild exercise programs can be introduced to critically ill patients in the ICU. Curtailing use of the drowsiness-inducing medications not only allows patients to exercise, which is known to reduce muscle weakness linked to long periods of bed rest, but also reduces bouts of delirium and hallucinations and speeds up ICU recovery times by as much as two to three days, the paper concludes.
Being obese may increase the cost of surgery for men with prostate cancer, a new study suggests. Researchers found that among 629 prostate cancer patients at their center who had a radical prostatectomy, obese men generally incurred greater costs. The difference came from higher costs for anesthesia and other services in the OR.
Tiffany Arnold, AP Roger Elliott was home alone Christmas Day when he had his first stroke. The year was 1997 and Elliott was 29. But because of a rare, untreatable genetic illness, it wouldn't be his last. He has survived four strokes before he turned 40. “I have moyamoya,” said Elliott, who's now 41.
Pauline Jelinek, AP A U.S. military doctor removed a live round of ammunition from the head of an Afghan soldier in an unusual surgery. Doctors say a 14.5 millimeter unexploded round, which measures more than 2” long, was removed from the scalp of an Afghan National Army soldier at the Bagram Air Field hospital.
Researchers at Wake Forest University in Winston-Salem, NC, have developed a device that can spray skin cells directly onto burn victims to protect and heal wounds as an alternative to skin grafts April 12, 2010 Inspired by a standard office inkjet printer, researchers at Wake Forest University in Winston-Salem, NC, have developed a device that can spray skin cells directly onto burn victims, quickly protecting and healing their wounds as an alternative to skin grafts, Reuters reported last week.
(AP) British doctors say they successfully separated conjoined Irish twins in a London hospital. The twin boys, Hassan and Hussein Benhaffaf, were born in Cork, Ireland, joined at the chest. They did not share any major organs. About 20 doctors and nurses at London's Great Ormond Street Hospital were involved in a 14-hour surgery to separate the twins.