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Oct. 19, 2017
Volume VIII |  Issue 42     
Death is Certain. How You Choose to Die Isn't 
Mark McLaughlin, MD

"It is not for me to judge another man's life. I must judge, I must choose, I must spurn, purely for myself. For myself, alone." - Hermann Hesse, Siddhartha

What does it mean to die with dignity? As a neurosurgeon who faces life and death decisions routinely, I ponder this question often. When a terminally ill person decides to choose death over suffering, we perhaps recognize the ensuing act as a dignified death. But ...

U.S. Senate Panel Probes Nursing Home Deaths
The News Service of Florida via Health News Florida

The U.S. Senate Finance Committee on Wednesday sent letters to Florida and federal health officials requesting information about the deaths of 14 residents of a Broward County nursing home after Hurricane Irma and steps the state has taken to protect seniors.
Navigating the Rising Risks of EHRs 
The number of closed malpractice claims in which EHRs are a contributing factor increased continuously over the past 10 years. This study of EHR claims identifies the most common patient allegations and the specific factors contributing to patient injury.



Caught between two paradigms 
A Country Doctor Writes
In the very near future, clinics like ours will be paid according to how well our patients do medically, or at least according to how consistently we provide certain medical tests and interventions. This includes frequency of diabetic blood tests, foot exams, eye exams, prescriptions for heart and kidney protective medications, achievement of pre-set targets for blood pressure, body mass index and immunization rates, and other measurable "quality indicators".
But paychecks for medical providers as well as short term financial viability of clinics like my Federally Qualified Health Center depends, besides Federal grants for being open in the first place, almost entirely on the fixed revenue we receive from every face to face encounter we have with patients.
Dr. Jonathan Fialkow
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Walking, Even a Little, May Boost Longevity in Older Adults
Rachael Rettner | LiveScience.com

Regular walking may help older adults live longer, even if they don't walk enough to meet exercise guidelines, a new study finds.

According to U.S. exercise guidelines, adults ages 18 to 64 should get at least 150 minutes (2.5 hours) of moderate physical activity per week. But only about half of all U.S. adults, and 42 percent of adults ages 65 to 74 meet this recommendation, the researchers said.

In the new study, researchers analyzed information from nearly 140,000 U.S. adults in their 60s, 70s and 80s who were followed for 13 years. Participants were asked how much time they spent exercising per week and which types of activity they engaged in.

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