PTSD Impairs Blood Vessel Function, Increases Cardiovascular Disease Risks

PTSD Impairs Blood Vessel Function, Increases Cardiovascular Disease Risks

SAN FRANCISCO — The relationship between post-traumatic stress disorder (PTSD) and elevated risk for cardiovascular disease and mortality has been well documented in recent years.
Apr 10, 2017 | 0 comments | View Post
Few Veterans with Heart Failure Participate in Cardiac Rehabilitation

Few Veterans with Heart Failure Participate in Cardiac Rehabilitation

SAN FRANCISCO—Despite evidence that cardiac rehabilitation reduces morbidity and mortality, few patients with heart failure undertake it, including veterans who often have difficulty accessing center-based
Apr 10, 2017 | 0 comments | View Post
“We learn from history that we learn nothing from history.” —George Bernard Shaw (1856-1950)

“We learn from history that we learn nothing from history.” —George Bernard Shaw (1856-1950)

This past week, I attended the Uniformed Services Academy of Family Physicians (USAFP) annual meeting in Seattle.
Apr 09, 2017 | 4 comments | View Post
Opioid Safety Initiative Drives Down Prescriptions for High-Dose Painkillers

Opioid Safety Initiative Drives Down Prescriptions for High-Dose Painkillers

Thanks to a national initiative begun at the VHA in 2013, fewer veterans are receiving prescriptions for risky dosages of opioid painkillers.
Mar 10, 2017 | 1 comment | View Post
  • Current Issue

  • Why Opioids Are Discontinued in VHA Patients

    PORTLAND, OR—Discontinuation of opioids can be accelerated for several reasons, according to a new study, including lack of information about the long-term effectiveness of opioids for chronic pain, heightened awareness about opioid-related adverse events, closer monitoring of patients for opioid-related aberrant behaviors, and greater restrictions around opioid prescribing.

    Apr 10, 2017 | View Article

  • Post-Deployment Factors Influence Gambling Addiction

    WEST HAVEN, CT—Gambling disorder and its comorbid diagnoses are observed at higher rates in military veterans than in the general population, but a significant research gap exists regarding the relationships of veterans’ life and service experiences to problematic gambling, according to a new study.

    Apr 10, 2017 | View Article

  • Clinical Topics

  • Alcohol Abuse, PTSD Can Be Treated Simultaneously

    DURHAM, NC — Many servicemembers and veterans seeking treatment for alcohol problems have experienced the life-threatening stress of combat, many have post-traumatic stress disorder (PTSD), and many servicemembers and veterans seeking treatment for PTSD also have alcohol or other substance problems.

    Apr 10, 2017 | View Article

  • New Soldiers’ Alcohol Abuse Linked to Mental Disorders

    LA JOLLA, CA— Problem drinking that predates enlistment into military service might be a contributor to the overall burden of alcohol misuse and mental disorders in the U.S. Armed Forces, but evidence remains somewhat limited.

    Apr 10, 2017 | View Article

  • Other Recent Articles

  • VA Extends Mental Healthcare to Veterans Not Honorably Discharged

    VA Extends Mental Healthcare to Veterans Not Honorably Discharged

    WASHINGTON — In his first appearance before Congress as VA Secretary, David Shulkin, MD, said that “there is no other clinical issue” that concerns him as much as veteran suicides.

    Apr 11, 2017 | View Article

  • Pain Continuity, Not Headache Type, Affects Return to Duty

    FORT BRAGG, NC — Headaches and how to manage the pain are difficult issues for soldiers who suffered mild traumatic brain injury during the wars in Afghanistan and Iraq and their care providers.

    Apr 10, 2017 | View Article

  • To the Editor-in-Chief:

    I would like to first commend you on your clear and thought provoking editorials in U.S. Medicine. I truly enjoy reading them and have learned a lot from your comments. I especially want to thank you for your incredibly well… Read More

    Apr 10, 2017 | View Article

  • VA Might Yet Move to Commercial EHR System

    VA Might Yet Move to Commercial EHR System

    After years of working to modernize its electronic health record internally, a senior IT official indicated last month that a shift to a commercial EHR is the likely path forward for VA.

    Mar 10, 2017 | View Article

  • How Low To Go: The Continuing Controversy on BP Targets

    How Low To Go: The Continuing Controversy on BP Targets

    After the release of the SPRINT research in 2015, the question about treating hypertension in older adults appeared to be, “How low can you go?”

    Mar 10, 2017 | View Article

  • Shulkin Sails Through Senate on Promise of VA Changes

    Shulkin Sails Through Senate on Promise of VA Changes

    David J. Shulkin, MD, stepped into the role of VA secretary last month after receiving unanimous support from the U.S. Senate.

    Mar 10, 2017 | View Article