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      Specialty Focus   
                                                                                    
Volume VI | Issue 21                                                                                  
May 23, 2017  
 
        Practice specific news, analysis and commentary 
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

No Harm Seen in MRI Gadolinium Retention in Brain, FDA Says
Robert Lowes | Medscape

After a nearly 2-year study, the U.S. Food and Drug FDA Logo Administration (FDA) has not found any evidence of adverse events from the brain's retention of gadolinium after MRI that uses gadolinium-based contrast agents (GBCAs), the agency announced today <5.22.17>.

Accordingly, the FDA will not restrict the use of GBCAs, but it will continue to study their safety, the agency said in a news release.
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Proton pump inhibitors implicated in chronic kidney disease
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Sydney Lupkin & Pauline Bartolone

Recent research has linked the proton pump inhibitors, or PPIs, to serious side effects, including chronic kidney disease, and recently filed lawsuits allege, among other things, that the manufacturers should have known of their potential harms. The risk of chronic kidney disease is as much as 50 percent higher in people who've taken the drug compared with those who've not - although no causative link has been proven and manufacturers insist they are safe.

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Is your telemedicine company HIPAA compliant?
A lawsuit seeking class action status recently filed against Telehealth provider MDLive, Inc. underscores the need for all healthcare companies using new technologies to be mindful of how they collect, use and disclose a patient's personal information.

The lawsuit, which was filed in U.S. District Court for the Southern District of Florida by Utah resident Joan Richards, alleges that MDLive, Inc. "covertly transmits" consumer's personal and sensitive health information to a third party without notifying patients, and fails to restrict access to that information to only those with a legitimate need to view it - i.e. doctors and other medical providers.

To use MDLive's services, patients must download an app and create an account. Patients must enter information including their health condition, allergies, behavioral health history, recent medical procedures and family medical history.

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The Curious Case of Phineas Gage
Jon Hamilton | Health News Florida

It took an explosion and 13 pounds of iron to usher in the modern era of neuroscience.

In 1848, a 25-year-old railroad worker named Phineas Gage was blowing up rocks to clear the way for a new rail line in Cavendish, Vt. He would drill a hole, place an explosive charge, then pack in sand using a 13-pound metal bar known as a tamping iron.

But in this instance, the metal bar created a spark that touched off the charge. That, in turn, "drove this tamping iron up and out of the hole, through his left cheek, behind his eye socket, and out of the top of his head," says Jack Van Horn, an associate professor of neurology at the Keck School of Medicine at the University of Southern California.

Gage didn't die. But the tamping iron destroyed much of his brain's left frontal lobe, and Gage's once even-tempered personality changed dramatically.

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