Medicare patients often receive repeated tests for which repetition is not routine, according to researchers who are worried that automatic or needless repeated tests not only sap finances from an already hard-pressed healthcare economy, but sometimes lead to adverse effects. Moreover, repetitive screening often finds abnormalities of no consequence but requiring yet further follow-up (over-diagnosis).

Putting patients medical records online may not be such a good way to cut down on unnecessary doctors visits and calls to the office. A new study published in Journal of the American Medical Association indicates that patients who have access to their medical records online and can email their doctor make more appointments and use the emergency room more often than those who don t log on.

As many as 1 in 14 surgery patients have post-discharge complications, most commonly involving infection of the surgical site, according to a new study published in Archives of Surgery.
Julie A. Sosa, M.D., of Yale University, and authors used a database to review records for 551,510 patients who had undergone inpatient surgery at 250 hospitals across the United States from 2005 to 2010. They found that one-sixth of all post-op patients sustained a post-discharge complication.

What would you do if you had to decide whether to give a suffering patient morphine, but weren t sure whether there d be be enough left for the next patient, who might need the painkiller more? A nationwide drug shortage has forced health care workers into making these difficult decisions and some are even choosing to treat patients with less effective or expired drugs.

This may seem obvious to say, but stress can be detrimental to your body no matter the cause. Unemployment is certainly one such stressor and now those who are unemployed may have even more reason to stress out. A study led by Matthew Dupre at Duke University found that being unemployed may actually increase your risk of having a heart attack.

The U.S. Preventive Services Task Force is recommending that all Americans aged 15 to 64 get tested for HIV at least once, regardless of their risk status. This sentiment has been echoed by the Centers for Disease Control and Prevention, especially since CDC data suggests that fewer than half of adults under 65 have been tested.

For people with high blood pressure, taking antihypertensive drugs can reduce their chances of heart attack and stroke but the medications pose a hidden risk for older patients. The drugs can cause dizziness and fainting that can sometimes lead to falls and hip fractures.

We had a little disagreement at our Dispatch meeting yesterday over whether Frito Lay is in- or out-of-bounds in its plans to sell a caffeinated version of Cracker Jacks (Cracker Jack d), and we asked you all to help settle it.
Here s what some of you had to say:

It s not often hardly ever that we at the American Council on Science and Health agree with a public stance by the food police at the Center for Science in the Public Interest. But our Dr. Josh Bloom did just that at our Dispatch meeting this morning. (Traitor!)

It s like adding insult to injury: Taking antibiotics for an infection, only to end up with a severe case of diarrhea. Now a new meta-analysis suggests that probiotics taken alongside antibiotics can dramatically cut one s risk of getting a bad case of diarrhea associated with a certain nasty type of bacteria, called Clostridium difficile or C.diff.