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Insurance commissioners are reacting to news that a former medical director did not review patient medical records when deciding whether to pay for treatment. He looked at the information the nurse provided and not the actual medical record. He stated that Aetna trained him to make pr-authorization decisions this way. In Santa Ana, CA Superior […]
Read MoreJAMA Neurology · February 19, 2018 Authors: Lisbeth Evered, BSc, MBiostats, PhD et al Importance: Anesthesia and surgery are believed to act on the central nervous system by a fully reversible mechanism innocuous to nerve cells. Evidence that neurological sequelae may follow would challenge this belief and would thereby suggest a need to reassess theories of the […]
Read MoreAUTHORS: Maarrawi J et al European Journal of Pain (Feb 2018) BACKGROUND Amitriptyline has well-established efficacy in several chronic pain conditions. While optimal treatment for chronic neck pain (CNP) remains controversial, amitriptyline was not tested for CNP. We evaluated the effect of bedtime amitriptyline in the management of CNP. METHODS 220 patients suffering from idiopathic […]
Read MoreNeurology Advisor · February 13, 2018 Parkinson disease (PD) affects an estimated 1 million people in the United States and 10 million individuals worldwide. PD develops in more than 80% of patients after the age of 60 years, and it is anticipated that the prevalence will increase as the elderly population continues to expand. PD has been […]
Read MoreThis is important because we often see patients coming from the ER directly to surgery. AUTHORS: Mark D et al Kaiser Permanente CREST Network Investigators ; Journal of the American College of Cardiology (JACC) 71 (6), 606-616 (Feb 2018) BACKGROUND Both the modified History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score and the Emergency […]
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