Primary care corner with Dr. Geoff Modest: FDA testosterone alert

here is the Jan 31 FDA alert about testosterone (also see link: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm384225.htm): AUDIENCE: Cardiology, Urology, Family Practice ISSUE: FDA is investigating the risk of stroke, heart attack, and death in men taking FDA-approved testosterone products. We have been monitoring this risk and decided to reassess this safety issue based on the recent publication of two […]

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Primary care corner with Dr. Geoff Modest: scientific “objectivity”

sobering article in NY Times yesterday exploring the subjectivity of science (see http://www.nytimes.com/2014/02/02/opinion/sunday/scientific-pride-and-prejudice.html ).  we all know intuitively that behind the mystique of the rigors of science and the dispassionate quest for knowledge, there is a large human incentive to create the results we hope to find. (this is beyond the greed motive, wherein a drug company […]

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Primary Care Corner with Dr. Geoff Modest: Preop testing–Many studies, little evidence

agency for healthcare research and quality (AHRQ) just came out with their synthesis of the data on routine preoperative testing (see link: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1846 ).  assessed literature on kids and adults of routine testing vs no testing or ad hoc testing, and routine vs per-protocol testing (per-protocol testing is testing a subset, eg EKG for those > 50yo, […]

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