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Should high dose flu shots be used in the elderly? The New York Times said it best, mirroring the chorus of praise in the press after a major study evaluated the efficacy of high dose flu vaccine in the elderly compared to standard dose: “Now a study, published recently in The New England Journal of Medicine (8/14/14, Diazgrandos, MD), finds that Fluzone High-Dose does indeed prevent influenza in older adults, reducing cases of the flu by 24 percent compared with the standard version.” (“A Better Flu Shot,” NYT, 9/3/14). At a facility where I serve as medical director, a resident emailed me and accused me of threatening the health of every resident in the community by offering them stand
Recently someone shared with me a copy of an article written in the August 11th issue of Business Insider by Brett Logiurato titled “An amazing healthcare revolution is happening in Maryland.” The revolution, it seems, is triggered by changes in hospitals that are encouraging fewer admissions and better communication. Under Maryland’s Total Payment Revenue Budget Cap Maryland hospitals are capitated by Medicare; they earn just as much if they do not admit patients than if they do. Thus they have tremendous incentive to keep people out of their doors, where treatment for the elderly is more expensive and more perilous than home treatment. It seems that a hospital in western Maryland, whi
The Washington Post on November 21 enclosed a full section highlighting the diabetic epidemic, citing that in 1958 1.6 million people in the US had diabetes, while today 29.1 million people are infested with the deadly disease. How has diabetes taken such a strong hold on our country, and how can we possibly be surviving so lethal a scourge? In fact, while adult diabetes is a condition that has important health repercussions and needs to be addressed and treated, these numbers are both deceptive and counterproductive. Diabetes is not always the killer that it is described as. In fact, in many cases its treatment can be as or more dangerous than the disease itself. And by labeling so man
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