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News, opinions and meeting coverage in primary care.

PodMed: A Medical News Roundup From Johns Hopkins

This week's topics include complications following surgery for urinary incontinence, real-life data on HIV prevention in high-risk men, transmission of pertussis among siblings, and telemedicine recommendations.

Primary Care: Medicare's 'Wellness Visit' Money Goes Unclaimed

Launched with great fanfare, wellness codes leave docs frustrated

Today's Teens Less Likely to Start Having Sex

Compared with past generations, more teens in recent years using protection, or abstaining.

ACP Prefers Cervical Cytology Over DNA Screens for Young Women

HPV testing in women under 30 could cause more harm than good, group says.

'Brain Code' Speeds Meds to Neuro Patients

Algorithm plus medication distribution system reverses herniation, lowers intracranial pressure.

'Sudden Adult Death' May Have Mitochondrial Origin

Some cases of unexplained sudden death can be traced to a common mitochondrial defect.

Mixed Results for Low-Dose Statin in Second Stroke

Pravastatin didn't reduce incidence of recurrent stroke, but did offer other benefits.

5 Steps in Talking With Patients About Alternative Medicine

Ask, explain, respect, collaborate, compromise.

CardioBuzz: Why Patients Don鈥檛 Take Heart Meds

Faced with patients' instinctive aversion to pills, even after MI, what's a cardiologist to do?

Scoring System for Lung Cancer Screening Debuts

Radiologists to get tools for grading suspicious lesions.

The 65-Minute Minute Clinic

CVS needs to reconsider its walk-in clinic business model.

The Happy PCP: $400K/Yr and Home in Time for Dinner

Primary care doc earns a specialist's income without working overtime.

AAP: Implants, IUDs Best for Teen Birth Control

Pediatricians declare IUDs and progestin implants as birth control methods of choice for teens.

Kennedy Rebuts Critics on Thimerosal

On July 24, 51成人动漫 published a blog post on Robert F. Kennedy Jr.'s upcoming book on thimerosal in vaccines. Kennedy responded in an interview Tuesday.

Friday Feedback: Zero-Tolerance Employment Smoking Bans?

Should hospitals, schools, and companies refuse to hire smokers for teachers and healthcare providers?

AMA Mulls Gun Violence CME

CHICAGO -- As the AMA's House of Delegates was meeting in a downtown hotel here, 29 local residents were shot and four killed within a 10-mile radius.

Lethal Injections, MOC, and E-Cigs on AMA Agenda

The American Medical Association is being asked to strengthen its ethical stance on physician participation in execution by extending its ban on doctors participating to include all health professionals.

Aspirin: FDA Says 'No' Others Say 'Yes'

The FDA issued a message to consumers stating that the evidence does not support the "general" use of aspirin for the primary prevention of heart attacks and strokes.

Prime Time: No Annual Exams? No Way, SGIM Members Say

SAN DIEGO -- A recommendation from the Society of General Internal Medicine (SGIM) to do away with annual checkups for asymptomatic adults evoked strong emotions in its membership.

How To Get Medicare To Cover A Spa Trip

Good news for doctors who think their patients need a trip to the spa: Medicare will reimburse, with only two catches.

Do Fat Teens Face an Early Death?

Life expectancy gains seen over the last half-century do not appear to extend to adults who were overweight or obese in adolescence, according to a large study spanning several decades.

ACC: Statins Tied to Boost in Men's Sexual Function

WASHINGTON -- Statins appeared to improve erectile function to a clinically meaningful degree, according to a meta-analysis.

Cologuard Cancer Test Aces FDA Panel Review

WASHINGTON -- An FDA advisory committee unanimously affirmed the safety and efficacy of a DNA stool test for colorectal cancer screening.

Patch May Be Safer Peanut Allergy Therapy

SAN DIEGO -- A skin patch offered peanut-allergy immunotherapy without risk of systemic reactions but also with questionable efficacy, a pilot trial showed.

Can You Get Paid For Prescribing Exercise?

How do doctors get reimbursed when they prescribe exercise? We asked Jordan Metzl, MD, author of the new book, "Exercise Cure."

Ob/Gyns Uneasy With AHA's Take on Stroke in Pregnancy

NEW ORLEANS -- Recent guidelines from the American Heart Association on the management of stroke risk in pregnant women differ significantly from those issued by the American Congress of Obstetricians and Gynecologists, maternal-fetal medicine specialists said here.

Prime Time: When Athletes Need Drugs

The governing bodies of elite sports keep a strict eye on the use of all kinds of substances to ensure a level playing field for competitive athletes. Here's what you need to know if one of them walks in to your practice in need of treatment.

Testosterone Level Affects Flu Shot Response

Men with high testosterone and a certain genetic cluster may not experience an antibody response after a flu shot, researchers suggested -- a finding that could affect men taking prescription testosterone.

Arimidex: Top Drug for Breast Ca Prevention?

SAN ANTONIO -- Should anastrozole (Arimidex) be the first choice in pharmacologic primary prevention of breast cancer, based on IBIS-II trial results presented here? No, said most experts.

Women on Seizure Meds Need More Folic Acid

WASHINGTON -- About half of epileptic women taking anti-seizure drugs who could have become pregnant said they were not taking the recommended folic acid supplements, results of a survey found.

Teens More Apt to Fight Than Flee

SAN DIEGO -- Teens were more likely to actively respond to aggressive cues than were children or adults, researchers reported here.

Common Allergy Myths Debunked

BALTIMORE -- Egg allergy is no issue for flu vaccination, allergen avoidance isn't a cure for eczema, and testing tots doesn't make skin prick testing any less accurate, according to allergists taking aim at common misconceptions.

ACA: When Is a Screening Not a Screening?

A provision in the Affordable Care Act that waives patients' payments for colonoscopies is an example of how good intentions in the law can lead to a tangle of unforeseen consequences.

Studies 'Validate' CDC HCV Testing Advice

WASINGTON -- Thousands of people in the U.S. -- including an estimated 50,000 veterans -- are infected with the hepatitis C virus, and don't know it, researchers reported here.

Gestational Diabetes Tied to Perinatal Stroke

AUSTIN, Texas -- Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported here.

Babies Do OK if Mom on Tenofovir for Hepatitis B

WASHINGTON -- Pregnant women being treated for hepatitis B virus infections with the nucleotide inhibitor tenofovir (Viread) appeared to avoid transmission of the pathogen to their unborn children, researchers reported here.

Few Lupus, IBD Patients Getting HPV Vaccine

SAN DIEGO -- Despite being at greater risk of infection, few children and young adults with autoimmune diseases are being vaccinated against human papillomavirus, according to a study.

Delayed Measles Vax May Be More Effective

A first measles vaccine given at 12 or 13 months of age is less likely to provide lasting protection than a shot at 15 months or later, researchers reported.

'Nose Knows' Devices Not Ready for Clinic

BARCELONA -- Within a decade, doctors may be able to diagnose cancer, asthma, and tuberculosis simply by having an electronic nose analyze a person's breath, researchers reported here.

CDC: Cut Back on Doxycycline Use

A continuing shortage of doxycycline means the drug should be used only for conditions that have no alternative treatments, the CDC advised this week.

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