Doctors Really Do Raise Your Blood Pressure

House Approves Bill To Stop Cut To Medicare Doctors

This link between doctors and higher blood pressure readings is known as the “white coat effect,” and is believed to be the result of patients being more nervous when examined by a physician. This effect has been noted in a number of previous studies, but this new paper is the first to confirm it, according to the study authors. Two new studies focus on heart disease, plus the key to keeping kids safe on the road, in today’s health news roundup. The investigators analyzed data from more than 1,000 people who had blood pressure readings taken by both doctors and nurses during the same visit. The readings taken by doctors were significantly higher than those taken by nurses, the study authors found. The findings, published in the current issue of the British Journal of General Practice, should lead to changes in the way blood pressure readings are taken, according to lead author Dr. Christopher Clark, of the University of Exeter Medical School, in England. “Doctors should continue to measure blood pressure as part of the assessment of an ill patient or a routine check-up, but not where clinical decisions on blood pressure treatment depend on the outcome,” Clark said in a university news release. “The difference we noted is enough to tip some patients over the threshold for treatment for high blood pressure, and unnecessary http://shannonhobrown.wordpress.com/2014/01/06/painless-alex-simring-solutions-uncovered/ medication can lead to unwanted side-effects,” he said. “Some patients may be erroneously asked to continue to monitor their own blood pressure at home, which can build anxiety. These inappropriate measures could all be avoided by the simple measure of someone other than a doctor taking the blood pressure recording,” Clark added. He suggested that researchers “should also think carefully about how to account for this effect in studies that compare treatment by doctors and nurses. Some studies have concluded that nurses are better at treating [high blood pressure], when in fact those findings could be down to this recording bias.” More information The U.S. National Heart, Lung, and Blood Institute explains how to prevent high blood pressure Copyright 2014 HealthDay. All rights reserved.
http://www.cbsnews.com/news/doctors-really-do-raise-your-blood-pressure/

We need a permanent fix,” Waxman said. Pelosi, however, swung behind the legislation. “The simple fact is that the clock is ticking, and on March 31st, it’s bad news for seniors and for the doctors who treat them in the Medicare program,” Pelosi said. The heavily lobbied legislation also contains numerous other health care provisions of interest to doctors, hospitals, drug companies and other health care providers. Timing in the Senate was uncertain, although there was a lot of pressure to act by a Monday midnight deadline. Otherwise, Medicare would stop processing payments to doctors until the payment fix was enacted. Aides said Senate Majority Leader Harry Reid, D-Nev., would press to speed the measure through the Senate as early as Thursday, but it would take cooperation from all 100 senators to make that happen. There is widespread support for bipartisan legislation to repair, once and for all, the broken Medicare formula, but there is no agreement on how to bear the 10-year, $140 billion cost. The powerful American Medical Association and a host of other health care provider groups weighed in against the measure, saying it would undermine the drive for a permanent solution. “The endless cycle of short-term remedies that serve to support a failed policy are no longer acceptable,” the AMA and other groups wrote in a letter to lawmakers. However, Rep. Joe Pitts, R-Pa., said, “A vote ‘no’ today is a vote against seniors. We are not voting for the AMA today.” New Senate Finance Committee Chairman Ron Wyden, D-Ore., wants to keep working on a permanent solution. He proposes using savings from lower costs for operations in Afghanistan.
http://www.huffingtonpost.com/2014/03/27/congress-medicare-fees_n_5043834.html

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Crohn’s Disease – Professor Thomas Borody Of Australia Comes To New York To Discuss Significant New Findings

This includes invasive pneumococcal disease and influenza. The primary aim of this study was to describe compliance with current Australian guidelines for vaccination of children and adolescents diagnosed with IBD. A secondary aim was to review the serological screening for VPD. Methods A random sample of patients (0-18 years at diagnosis), were selected from the Victoria Australia state based Pediatric Inflammatory Bowel Disease Register. A multi-faceted retrospective review of immunization status was undertaken, with hospital records audited, a telephone interview survey conducted with consenting parents and the vaccination history was checked against the primary care physician and Australian Childhood Immunization Register (ACIR) records. The routine primary childhood vaccinations and administration of the recommended additional influenza and pneumococcal vaccines was clarified. Results This 2007 audit reviewed the immunization status of 101individuals on the Victorian Pediatric IBD database. Median age at diagnosis was 12.1 years, 50% were on active immunosuppressive therapy. 90% (38/42) [95% confidence intervals (CI) 77%; 97%] with complete immunization information were up-to-date with routine primary immunizations. Only 5% (5/101) [95% CI 2%; 11%] received a recommended pneumococcal vaccine booster and 10% (10/101) [95% CI 5%; 17%] had evidence of having ever received a seasonal influenza vaccine. Those living in rural Victoria (p = 0.005) and younger at the age of diagnosis (p = 0.002) were more likely to have ever received an influenza vaccine Serological testing, reviewing historical protection from VPD, identified 18% (17/94) with evidence of at least one serology sample. Conclusion This study highlights poor compliance in IBD patients for additional recommended vaccines.

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Personally my hubby was gulten and lactose intolerant. Now after 6 months he’s digestive health is at a state where he can go out for dinner and not worry what he is eating. You can email me at merly at mysuperheroes.com.au Cheers Merly Post a Reply Alert a Moderator fixing Crohn s with SynbioticPosted by Isabel Espoueys on 15 May 2011 at 8:18 pmMy son suffers Crohn s disease and I would like get in contact with John Ellerman, in order to have more information and eventually try his products. Post a Reply Alert a Moderator Fixing Crohn’s with a synbioticPosted by John Ellerman on 22 Sep 2010 at 5:41 amI won’t mention the product because of my pecuniary interest in it but thought you may be interested in what I have to share. I am producing a synbiotic which is a probiotic plus prebiotic fibre ingredients which boost the 30 billion acidophilus and bifidos in each dose more than 50-fold to be equivalent to taking over a trillion cells per dose. I was speaking at a meeting in Sydney some months ago and a naturopath shared that she had been treating (with our product) a 14 year old girl who had Crohn’s and whose colon the doctors wanted to remove. After four days the rectal bleeding and pain stopped and six months later, after using the product every day, she had a colonoscopy and the gastroenterologist afterwards demanded to know “why they were subjecting a 14 year-old girl with a perfect colon to this procedure”. Another naturopath jumped up and said she had had the same experience with one of her patients. I personally have seen quite a few individuals with Crohn’s who have had the same sort of experience as far as pain relief within days and being able to stay out of hospital. It seems to me that the answer is quite simple. You simply deliver the best strains in high levels to the colon and the colon repairs itself while the pathogens are being supressed.

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Surgeons, Medical Specialists Can’t Find Jobs, Study Finds

Dr. Joslyn Warwaruk is photographed at the Teen Health Centre in Windsor on Thursday, February 16, 2012. Warwaruk is the new president of the Medical Society.                 (TYLER BROWNBRIDGE / The Windsor Star)

I think we overshot the mark, said Lewis, who was not involved in the study. I think that there is no question that almost doubling medical school enrolments since the late 1990s combined with easier paths to licensure for international medical grads was the wrong thing to do. We didnt think it through as a country. The study was conducted for and released by the Royal College of Physicians and Surgeons. It sets standards for physician education in the country and had been hearing anecdotes about rising numbers of unemployed doctors. So it decided to assess the situation. The ensuing report, released Thursday, is based on a survey of over 4,000 newly graduated doctors and interviews with about 50 people knowledgeable about the situation deans of medical schools, hospital CEOs and the like. It does not recommend ways to fix the issue. Dr. Michael Rieder, assistant dean of the Schulich School of Medicine and Dentistry who was at the Windsor campus Thursday, said part of the problem is the way the medical system is structured. But theres also doctors choosing not to retire and new ones not wanting to look for work outside of Toronto and other large cities. Im not sure that there are too few doctors. I think theyre poorly distributed. There is still a shortage of family doctors in Windsor and Essex County and the report might push some medical students to consider a family practice, he said. If you want to go to medical school and get a job, I dont know of too many unemployed family doctors, matter of fact I dont know any, Rieder said. With files from Helen Branswell, THE CANADIAN PRESS Tags: doctors , Essex County Medical Society president Dr. Joslyn Warwaruk , shortage , specialists , surgeons , Windsor , Windsor Regional Hospital Lively discourse is the lifeblood of any healthy democracy and The Star encourages readers to engage in robust debates about our stories.

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Australian ‘doctor Who’ Fans Gear Up For 50th Anniversary Special

SDYNEY BBC Worldwide, the commercial arm of the British public broadcaster, has left few stones unturned in celebrating the 50th anniversary of hit series Doctor Who in Australia. our editor recommends BBC Plans Live ‘Doctor Who’ Afterparty Show for Anniversary After a raft of events in recent months, fans’ excitement is set to culminate on Sunday when the BBC will offer a global simulcast of The Day of the Doctor, the anniversary special that will air here on the national broadcaster’s flagship channel, ABC 1. The show is set for 6:50 a.m. Australian Eastern standard time. VIDEO: ‘Doctor Who’ Anniversary Special Releases Two Trailers (Video) Sundays live broadcast of the 50th anniversary special — which will be simulcast in around 75 countries worldwide — will be augmented by 3D screenings at over 90 cinemas nationally, a repeat of the special in Sunday primetime on ABC followed by historical special Doctor Who: An Adventure in Space and Time. BBC Worldwide said that demand for the cinema screenings of the special at some Aussie cinemas is outstripping demand for The Hunger Games: Catching Fire tickets, which opened on Thursday and has the second-largest opening day figure for this year behind Iron Man 3. PHOTOS: ‘Doctor Who’ at 50: Peter Capaldi and the 12 Men Who’ve Played the Doctor Meanwhile, a Doctor Who marathon will air over the weekend on BBC Worldwides Australian general entertainment pay TV channel UKTV. The Australian Broadcasting Corp (ABC) has been the BBCs partner, broadcasting Doctor Who for all of its 50 years here, and the iconic series has a significant fan base of Whovians” of all generations down under. Tapping into that fan base, BBC Worldwide has run a number of off-air activities around the anniversary this year, including pop-up shops in Sydney and Brisbane selling exclusive Doctor Who merchandise, as well as an online store, symphony concerts in early 2014 in Melbourne and Queensland based on recent Doctor Who 50th concerts in the U.K., an AUS$2 Doctor Who coin minted at the New Zealand Mint and the Perth Mint, which are legal tender in the South Pacific island nation of Nuie, as well as an exhibition at the ABCs headquarters in Sydney running since August and until January. There is even a pop-up digital radio station on ABC Radio, which will operate on Sunday straight after The Day of the Doctor and continue until midnight on Saturday, Nov. 30. It will feature fan reactions to the special, interviews, profiles, panel discussions and Doctor Who-inspired comedy and music. The Day of the Doctor will be one of the last major programs exclusive to the ABC and on free-to-air TV here before a new deal between the ABC and BBC comes into play in August next year when BBC Worldwide launches its new BBC First. Under that arrangement, the ABC, which has been screening BBC programs for 60 years, will no longer be the home of first-run BBC dramas and comedies. BBC First will have those rights to many of the programs for 12 months. “The response from fans in Australia to the 50thanniversary has been phenomenal,” said Jon Penn, managing director of BBC Worldwide, Australia & New Zealand.

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Doctor Who – A Global Phenomenon: Part 1 Australia

doctor-who-strax-australia

So, so far, what can we attribute to an Aussie?? The script of the first televised episode The relationship between the Doctor and his very first companion The Police Box exterior of the TARDIS And the historic Doctor Who theme song! Outside the production itself, the Australian Broadcasting Company (or the ABC for short), which is still the current primary channel for Doctor Who airing in Australia, was one of the first and longest term purchasers of the series from the BBC from its beginning, initially planning to screen the series in May 1964, within months of the UK premiere. The ABC later put up production money for an anniversary special The Five Doctors. Although a Doctor Who story has never been filmed in Australia, there have been many references to the great land down under! From the Fourth Doctor meeting Aussie opera singer Dame Nellie Melba, to the Second Doctor briefly visiting before being captured on the shores of an Australian beach in The Enemy of the World, to even Amy Pond suggesting the Australian Outback as a possible place for the Silurians to live in Cold Blood Australia is no stranger to being mentioned in Doctor Who scripts! Who knows maybe an Australian adventure may be on the cards for Series 8!!! (See what I did there Who knows) Classic Australian humour. Whovian Culture Although we are no Great Britain when it comes to Doctor Who, Australia still knows how to celebrate the 50th Anniversary in style! How exactly are we bringing Who into the spotlight? Well.

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Maxis Gbn Recognized For Excellence In Captive Insurance—wins Captive Healthcare Specialist Of The Year Award

Organized by Captive Review, the UK Captive Services Awards, recognize excellence in the delivery and management of captive insurance. Being named the Captive Healthcare Specialist of the Year is an honor, and reflects MAXIS GBNs commitment to providing tailored solutions and world-class services that meet the business needs of our multinational customers, said Jim Peiffer, managing director, MAXIS GBN, and senior vice president, MetLife. By understanding and aligning our customers global and local priorities, we are able to help our customers manage their worldwide employee benefits programs through flexible and innovative solutions, including our industry-leading health and wellness programs. The UK Captive Services Awards recognize companies that have outperformed their peer group over the course of the past year. The awards are judged on the criteria of 1) company growth: client numbers, premium/assets under management, internal hires, geographic expansion; 2) client satisfaction; 3) genuine product innovation; and 4) adaptability: in the face of client demands and new regulation, etc. The judging panel consists of representatives from Captive Review, industry experts and corporate risk managers. “The Captive Healthcare Specialist Award is a prestigious one, as medical captives represent a thriving, fast growing sector of the captive industry. MAXIS GBN is not only a leader in the medical captive space, but goes the extra mile when it comes to data analysis and implementation of risk management initiatives that ultimately benefit the health of the insureds,” said Antony Ireland, acting editor, Captive Review. The award recognized MAXIS GBN for its leading healthcare management and wellness solutions. MAXIS GBN offers through its members, medical insurance and health and wellness capabilities in 85 markets with over four million insureds. With its customer-centric focus, MAXIS GBN delivers customer-specific analysis of medical claims, research insights on wellness, client discussion forums, and perspectives on local health and wellness solutions. About MAXIS GBN MAXIS GBN was founded in 1998 by AXA and MetLife, two leading global insurers. MAXIS GBN includes locally licensed member insurance companies in over 110 countries, is trusted by over 750 multinational employers and covers 1.5 million employees worldwide. For more information, please visit http://www.maxis-gbn.com .

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Klaus Schiller: Pioneering Physician And Gastroenterologist

New Web Home for Center for Gastroenterology

In 1967, Schiller was appointed consultant physician to St Peter’s Hospital, Chertsey, where he developed a thriving endoscopy unit. His interest led him to make contact with other aspiring endoscopists and the formation of the British Society for Digestive Endoscopy (BSDE), an influential organisation that campaigned successfully for NHS support. With Truelove as president and Schiller as honorary secretary, training courses flourished and regular national and international conferences ensued. While at St Peter’s, Schiller found himself increasingly at odds with what he regarded as political and managerial interference. A passionate supporter of the founding ideals of the NHS, he had no time for Thatcherite fads: he refused to write a “mission statement”, declaring that he was a doctor, not a missionary. Nevertheless, he made a major contribution to the growing reputation of the hospital, especially in gastroenterology and endoscopy. He also established a successful private practice. Schiller was a remarkable stylist and wrote a number of papers and chapters in books, and edited and contributed to three endoscopy-related volumes. The most significant was A Colour Atlas of Gastroenterological Endoscopy (1986, revised 2002). The BSDE was subsumed into the BSG (British Society of Gastroenterologists) and Schiller was elected its vice-president. Schiller was a man of wide-ranging interests. He had a passion for the natural world the wildflowers of the Austrian Alps, migrating birds in Norfolk, and his garden in Oxfordshire.

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Ukraine crisis: ‘I am convinced Yulia Tymoshenko is a real heroine’ says Eugenia

The site offers information on the services offered by Northshore Center for Gastroenterology, information for patients who believe they might need to visit the center, and contact information for the center. The site outlines Center for Gastroenterologys approach to treating patients with gastrointestinal disorders. Living with complex gastrointestinal disease, especially those diseases that are chronic such as Crohn’s disease, celiac disease, ulcerative colitis, and intestinal failure, is often a difficult proposition for the patient and their family. Other problems such as difficulty or painful swallowing, abdominal pain, too much gas, irritable bowel syndrome, constipation and/or diarrhea, nausea/vomiting, and rectal bleeding are no less troubling. These days, patients also have a high degree of sophistication about their conditions and expect through evaluation and treatment, so Northshore Center for Gastroenterology and Nutrition involves patients, their families, and the referring physician in the decision-making process. Also on the site is a detailed description of the facilities operated by the Center for Gastroenterology. The Center for Gastroenterology and Nutrition is committed to providing the Chicago area with a full complement of digestive disease services. Their board-certified physicians and specially trained staff deliver the highest quality care to patients in Chicagoland and beyond. Labs at the Center for Gastroenterology use state-of-the-art diagnostic and therapeutic equipment to ensure early diagnosis and prevention, as well as treatment of diseases such as inflammatory bowel disease, short bowel syndrome, many types of cancers, and other disorders of the esophagus, stomach, intestines, colon, and rectum. Northshore Center for Gastroenterologys Web site was designed by Linkpoint Media, a Bourbonnais, Illinois-based Web design company specializing in sites for small businesses and nonprofits. Linkpoint Media has also designed sites for Reach a Village, Jimmy Jo’s Barbeque, and the Kankakee chapter of Habitat for Humanity. Find them online at linkpointmedia.com. Submitted by:Ian Matthews Disclaimer: Pressbox disclaims any inaccuracies in the content contained in these releases. If you would like a release removed please send an email to remove@pressbox.co.uk together with the url of the release.

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Gastroenterology experts call for 24-hour service in all UK hospitals

The call comes after a UK-wide audit from the society revealed that nearly half of UK hospitals do not provide an out-of-hours endoscopy service, despite 60% of acute upper gastrointestinal bleeding episodes occurring out of normal working hours. According to the British Society of Gastroenterology (BSG), more than 700 lives could be saved each year if all hospitals offered a 24-hour service. Addressing a meeting at Number 11, Downing Street yesterday to raise awareness of gastroenterological conditions, BSG president, professor Chris Hawkey, said: Our audit has shown that about 80,000 patients a year are admitted with gastrointestinal bleeding, which has an 8% mortality rate. Yet only 55% of trusts at the moment provide a comprehensive out-of-hours GI bleeding service we need to get this to 100%, he added. The BSG is also calling for six new standards of care for patients with inflammatory bowel disease to be implemented by all UK commissioners by October 2010. Readers’ comments (1) Anonymous | 26-Jun-2009 8:24 pm The B.S.G. is correct in calling for a 24/7 service. In my experience, during almost 20 years of endoscopy nursing, most bleeds and other emergencies occurred outside of the normal working day. The equipment is available and I believe that the service should be funded. Patients deserve prompt effective diagnosis and treatment.

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Pak Largest Exporter Of Doctors To Uk

For two years from 2007 to 2009, 1786 medical graduates from Pakistan took part in PLAB1 examinations and for the same period 899 doctors took PLAB2 test. But the number went up unprecedentedly for the following years. In 2010 and 2011, 2490 doctors sat PLAB1 Test and 1011 took PLAB2 Test for the same period. The number of Pakistan registered on the GMC data stood at 8,552 on 7th of August, 2012. Until 2006, around 70 per cent of the so-called “international medical graduates came from the Indian subcontinent, considered till then a traditional recruiting ground for NHS recruitment but the Labour government brought in new and stricter immigration rules to benefit doctors from the European Union (EU) countries. Till that time the greatest export of doctors was from India while Pakistan stood at around number 5. Large scale protests were held by the 25,000-strong British Association of Physicians of Indian Origin (BAPIO) against the new government regulations which were brought in without any consultation and warning. However, the government was not budging. Eventually BAPIO challenged the government in the court of law. The case went up to the House of Lords where BAPIO had a victory for those who were already in the training posts, thus saving jobs of about 15,000 doctors. However there were about 10,000 doctors who were not in the job and had to return to their countries mostly to India and Pakistan.

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Why having so many women doctors is hurting the NHS: A provocative but powerful argument from a leading surgeon

Between 2007 and 2012 the number of female doctors under the age of 30 had increased by 18 per cent, while the number of males decreased by 1 per cent

For many years until the Sixties fewer than 10 per cent of British doctors were female. Then things changed. For the past four decades about 60 per cent of students selected for training in UK medical schools have been female. By 2017, for the first time, there will be more female than male doctors in the United Kingdom. This is understandable in academic terms because girls achieve slightly better A-level grades than boys. They also mature earlier and may present themselves more impressively to medical school selection committees at the age of 17. The effect is beginning to be seen. In 2012, a total of 252,553 doctors were registered with the General Medical Council. The male-to-female ratio was 57 to 43 per cent. However, in its annual report last year, the GMC documented the changes in the UK medical register between 2007 and 2012. The most significant change was that the number of female doctors under the age of 30 had increased by 18 per cent, while the number of males decreased by 1 per cent. Indeed, in this age group, 61 per cent of doctors are now women and 39 per cent men. In the age group 30 to 50 years, over the same period, the number of female doctors increased by 24 per cent compared with 2 per cent for males.

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