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The next woman in your exam room says she has had cramping, breast tenderness, and headaches during the pill-free placebo week of her oral contraceptive (OC). She is open to having less frequent withdrawal bleeding. What's your next move?
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When not constrained by your clinic's formulary, which oral contraceptive (OC) do you pick for a 21-year-old nonsmoking woman? Look to Ortho Tri-Cyclen Lo (Ortho-McNeil Pharmaceutical; Raritan, NJ), which continues its No. 1 spot in the 2009 Contraceptive Technology Update Contraception Survey.
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You've discussed the latest birth control options with your female patient and touched on information on the contraceptive patch, vaginal ring, implant, and injection, as well as intrauterine contraception, barrier methods, and abstinence.
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When Contraceptive Technology Update began publication in 1980, U.S. women had few choices when it came to birth control.
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The U.S. Department of Health and Human Services has published an interim final rule incorporating provisions of the Health Information Technology for Clinical and Economic Health (HITECH) Act related to HIPAA violations that significantly increase the penalties it can levee against employers and health care providers.
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During a three- to four-month period, an 86-year-old man with a history of severe and varied health problems was transferred back and forth between a local hospital and nursing home for recurring urinary tract infections (UTIs).
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Health care providers are becoming more familiar with the many errors that can trigger a RAC audit, but what is much lesser known among the health care community is that a patient's mismanagement of Medicare set-aside (MSA) funds post-settlement also could trigger an audit.
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The risk of infection from exposure to a patient's bodily fluids gained great attention over the past 20 years, spurred by the risk of exposure to HIV, and that heightened awareness has led to improvements in needlestick prevention. But another route of exposure to bodily fluids has not received adequate attention, say some experts.
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A recent example of a surgical fire reported by Mary A. Herman, MD, PhD, assistant professor of anesthesiology at the University of Florida College of Medicine in Gainesville, illustrates how such an incident can occur in routine circumstances.
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About 650 surgical fires are reported in U.S. hospitals each year, according to the nonprofit ECRI Institute in Plymouth Meeting, PA, and there are another three to four times as many near-misses. Fires during surgery can be extremely serious, causing significant injuries and death to both patients and clinicians.