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      Specialty Focus   
                                                                                    
Volume VI | Issue 33                                                                             
August 15, 2017  
 
        Practice specific news, analysis and commentary 
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

AMA, medical boards join the Human Diagnosis Project to expand virtual access to specialists
Evan Sweeney reports for Fierce Healthcare on 8.10.17:

Two prominent medical boards and the  American Medical Association are among the seven organizations that have signed on with a project that provides virtual access to medical specialists through user-generated content and machine learning.

The announcement was made on Thursday by the Human Diagnosis Project, an initiative that combines collective intelligence and natural language processing to construct an online map designed to help physicians diagnose illnesses quicker and connect patients to the appropriate specialists.
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The Heartbreak of Psoriasis - Guilt by Association
MD Whistleblower
 
I was asked this week for an informal opinion by someone who was advised by his dermatologist to take a biologic medicine for psoriasis. Now, my knowledge of this disorder is barely skin deep, yet knowledge alone will not set you free in the murky world of medicine. Knowing something is not as significant as knowing when to do something.
 
Biologic medicines, which have surpassed in frequency the nearly omnipresent TV ads for erectile dysfunction, are expensive medications that have risks of serious, albeit uncommon, side effects. And, unlike chemotherapy for cancer, which has a finite course, biologic medicines are administered forever, that is without a clear stopping point. 
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Proposed Opioid Bill Ensures Patient Privacy While Helping MDs Make Rx Decisions
An estimated one-in-three Americans had a prescription for opioids in 2015 and that number continues to grow. With that growth has come a startling increase in the number of overdose deaths.

The National Center for Health Statistics reported that overdose deaths hit a record 19.9 per 100,000 population in the third quarter of 2016, up from 16.7 for the same three months in 2015.

U.S. Reps. Tim Murphy (R-PA) and Earl Blumenaur (D-OR) have introduced legislation that would allow physicians to gain access to a patient's complete medical records - including their addiction treatment history - before making any prescribing decisions.

Dubbed the Overdose Prevention and Patient Safety (OPPS) Act, H.R. 3545 would amend the 42 Code of Federal Regulations (CFR) Part 2, known simply as "Part 2." that prevents doctors from reviewing their patients' histories of addiction treatment before prescribing opioids and other drugs.
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Should only infectious disease specialists be allowed to prescribe antibiotics?
Craig Bowron, MD | KevinMD

The WHO's recent announcement of multi-drug resistant strains of gonorrhea raises the specter of a worldwide SuperClap Attack that even the Avengers couldn't foil. It also comes as yet another ominous reminder of the perils of rampant and indiscriminate antibiotic use.

There's plenty of blame to spread around. True, here in the U.S., consumers can't buy antibiotics over the counter, but that hasn't kept physicians and other providers from over-prescribing them with a casual "more-is-more," "just-in-case" philosophy. As an internist colleague once warned me, facetiously, with furrowed brow, "We're seeing a lot of azithromycin-resistant rhinoviruses out there."
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