Primary Care Corner with Geoffrey Modest MD: Risks of colonoscopy in older people

By: Dr. Geoffrey Modest The medical literature has been pretty clear for the past few decades that there are significantly increased risks and decreased benefits from doing screening colonoscopy in older people. The Massachusetts Board of Registration in Medicine just published a document highlighting this point (see here).   Details: –baseline risk of colonoscopy in general […]

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Primary Care Corner with Geoffrey Modest MD: US effort to combat antibiotic-resistant bacteria

By: Dr. Geoffrey Modest The US White House just released a report (see here) outlining a 5-point 5-year plan to reduce and combat antimicrobial resistance, including plans to: –improve surveillance efforts –slow the emergence and spread of resistant bacteria –develop rapid tests to identify and characterized resistant bacteria –accelerate development of antibiotics and vaccines –improve international collaboration Specific […]

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Primary Care Corner with Geoffrey Modest MD: HPV vaccine recommendation update

By: Dr. Geoffrey Modest The Advisory Committee on Immunization Practices of the CDC  just updated their HPV vaccination recommendations to include a 9-valent vaccine (see here​). There are now 3 approved vaccines: Cervarix, a bivalent one against strains 16,18; Gardisil, a 4-valent one against 6,11,16,18; and now Gardisil-9, against 6,11,16,18,31,33,45,52,58. the 4-valent (4vHPV) and 9-valent (9vHPV) ones […]

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