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This study validated that anti-aquaporin-4 antibodies are highly specific (99.8%) for Devic's disease and related disorders when tested in a large series of miscellaneous autoimmune and non-autoimmune systemic diseases.
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Small fiber neuropathy (SFN) is a relatively common disorder that affects small somatic and/or autonomic nerves. Known causes include diabetes, vitamin B12 deficiency, and Sjogren's syndrome among others, although the condition is idiopathic in most cases.
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Detailed neuropathological investigation of patients with sensory neuronopathy and polymerase γ mutations revealed evidence of posterior column atrophy in spinal cord sections and marked neuronal cell loss with severe mitochondrial biochemical abnormalities (involving respiratory chain complexes I and IV) in the dorsal root ganglia.
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New treatment for prostate cancer; avastin and breast cancer; new CMS disclosure rule; and FDA actions.
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Several decades ago, two patients arrived in my emergency department with intense vomiting, bronchorrhea, and seizure-like activity. Their symptoms started about 30 minutes after consuming a mushroom stew. The wife considered herself to be an expert in mushroom identification and had picked several species of mushrooms, including a few very large ones with bright red tops. Both patients required intubation and several milligrams of atropine to handle their bronchial secretions. Several hours before, they had eaten a mushroom stew containing mushrooms they had picked that morning.
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"Everyone knows that a patient with a heart rate higher than 90 should be admitted to the hospital."
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At what point after a lawsuit alleging ED malpractice is filed will a sued EP learn what the opposing experts say about the case? This depends on the legal strategy being used by the plaintiff's attorneys and state laws, says Jonnathan Busko, MD, an EP at Eastern Maine Medical Center in Bangor and medical director of Maine EMS Region IV.
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Ken Zafren, MD, FAAEM, FACEP, FAWM, EMS medical director for the state of Alaska and clinical associate professor in the Division of Emergency Medicine at Stanford (CA) University Medical Center, says that while much attention has been paid to the problem of plaintiff experts making false statements about ED care, he's also experienced defense experts making false statements.