Estate-planning attorney Marty Shenkman, whose wife was diagnosed with multiple sclerosis in 2006, says people who have received a poor medical prognosis or who have a chronic disease or disability should not be afraid to reach out to a mental health professional or social worker for help. Certified financial planner Ken Hoyt recommends beginning the process by gathering personal information and considering completing a will and designating beneficiaries on financial accounts.
Using subcutaneous furosemide instead of repeated intravenous diuretic treatments can reduce hospital admissions for patients with refractory heart failure who are cared for at home, researchers reported in BMJ Supportive & Palliative Care. Researcher Dr. Ainara Lozano Bahamonde said this therapy could be used in cases of acute decompensation as well long-term care of patients with chronic heart failure.
CDC data suggest some types of foodborne illnesses may be increasing in the US, but the issue is complex and linked to multiple factors. University of Vermont food science professor Catherine Donnelly says upticks in foodborne illness may be partly due to better surveillance, reporting and investigation, along with tools to identify contamination in food.
Video conferences between ICU clinicians and radiologists could create better relationships between these specialists and improve care in both areas, according to a report in the Journal of the American College of Radiology. Children's Hospital of Philadelphia implemented virtual rounding in its pediatric and neonatal ICUs, and a survey of participants showed 68% said they experienced a moderate improvement in confidence, while 20% said there was major improvement.
A study in the Journal of the American Society of Nephrology found that US veterans have a lower chance of getting a kidney transplant compared to patients with Medicare or private insurance. Only 15% of veterans use Department of Veterans Affairs kidney transplant centers for their operations, of which there are seven across the country, and they have to travel an average distance of 282 miles from their homes to these facilities, versus 22 miles for those who are covered by Medicare or private insurance.
Geisinger Medical Center near Danville, Pa., has opened a trauma ICU and now has four dedicated ICU areas, including trauma, medical-surgical, cardiovascular and neuroscience. The trauma ICU is connected to the hospital's electronic ICU system, which also includes ICUs at several other system hospitals.
Veterinarians need to remain vigilant as the nation's opioid misuse crisis continues, says AVMA President Dr. John de Jong. Telltale signs that a client is seeking opioids for personal use include asking for specific drugs and dosages and seeking drugs for animals that have been prescribed opioids by another veterinarian, Dr. de Jong says.
Veterinarian Kristen Fox says she wants to re-educate dog owners in the Bloomfield Hills, Mich., area about canine influenza. Dogs that become lethargic or exhibit unusual behavior after exposure to other dogs should be examined by a veterinarian as soon as possible and should be kept away from other dogs, Dr. Fox said.
A woman in Hillsborough County, Fla., who found a bat clinging to her arm is undergoing treatment for rabies, but county health department spokesman Kevin Watler says the department thinks it is an isolated incident. The department says people should keep pets' rabies vaccinations up to date, avoid contact with wild animals, keep pets away from wild animals and seek immediate medical attention if scratched or bitten by an animal.
Kansas State University's Veterinary Health Center is offering experimental regenerative medicine therapy to equine patients with osteoarthritis, tendon injuries and ligament tears, says equine surgeon Dylan Lutter. Dr. Lutter and veterinary pathologist Chanran Ganta are also launching a study on an autologous platelet-rich wound treatment.