2012 Issues


November 2012

Physician Overcomes TBI to Return to Active-Duty Medicine

By Steve Lewis Lt. Col. Eric Holt returned to medical practice against all odds after suffering a traumatic brain injury. BETHESDA, MD – It never occurred to Lt. Col. Eric Holt, DO, that he wouldn’t... View Article

November 2012

Complementary Therapies Highly Effective for PTSD

By Annette M. Boyle “This is a gentle approach. Desensitization or exposure therapy is a rough thing; medications have side effects. Some people don’t want to see a counselor for [cognitive behavioral therapy]. In contrast,... View Article

November 2012

Invasive Fungal Infections Complicate Treatment, Increase Mortality of IED-Wounded Servicemembers

By Brenda L. Mooney U.S. Marine Cpl. Sean Grady, a dog handler and pointman with Echo Company, 1st Light Armored Reconnaissance Battalion, and Ace, an improvised explosive device detection dog, pause for a break while... View Article

November 2012

Despite Formulary, High-Cost Diabetes Drug Use Varies Widely Across VA Facilities

By Brenda L. Mooney PITTSBURGH — Despite a tightly managed national formulary, the use of high-cost drugs to treat diabetes shows “substantial” variation across the VA healthcare system, according to a new research letter. The... View Article

November 2012

Many Healthcare Providers Lose VA Retention Bonuses

By Sandra BasuWASHINGTON — In response to congressional criticism and an Inspector General’s report last year, VA has restricted use of retention bonuses across its health system, in effect reducing compensation for more than 6,700... View Article

November 2012

Federal Medicine Organizational Meetings – Tarred with the Same Brush?

The recent General Services Administration (GSA) Las Vegas conference scandal, involving clowns and a mind reader (I could not dream this stuff up if I tried), must seem like manna from heaven for the likes... View Article

November 2012

Another Hit to Pocketbook: Federal Pay Freeze Continues

 By Sandra Basu WASHINGTON–Federal civilian healthcare professionals hoping that the federal pay freeze would be lifted this holiday season will have to wait a little longer. President Obama signed legislation at the end of September... View Article

November 2012

Services in Question as Sequestration Looms

By Sandra Basu WASHINGTON — The clock is ticking in Washington as the January 2013 implementation of sequestration looms ever nearer. Pentagon officials warned that such drastic cuts would make it difficult to pay Defense... View Article

November 2012

Air Force Says Changes to F-22 Aircraft Will Let Pilots Breathe Easier in Flight

By Sandra Basu WASHINGTON — Pilots will be able to breathe easier as a result of changes to the oxygen systems in the F-22 aircraft, Air Force officials recently assured a House committee. The F-22... View Article

November 2012

Removing Junk Food from Schools Could Increase Pool of Potential Military Recruits

By Sandra Basu WASHINGTON — With 1 in 4 young adults too overweight to join the military, a group of retired senior military leaders offers this advice: Remove junk food from the schools. “The problem... View Article

November 2012

Women Veterans at Risk for Heart Disease; VA Seeks to Raise Awareness

By Sandra Basu WASHINGTON —The No. 1 killer of women in the United States is heart disease, and women veterans are in no way exempt. In fact, by some measures, they have higher rates of... View Article

November 2012

Soldiers with Diabetes in Theater Increase Clinicians’ Disease Management Challenges

By Annette M. Boyle BETHESDA, MD — The Army is retaining an increasing number of personnel with diabetes, and, despite directives to the contrary, these soldiers may be deployed to active war zones where typically... View Article

November 2012

Peer Support Significantly Improves Compliance in Veterans with Diabetes

By Annette M. Boyle WASHINGTON — For the more than one million VHA patients who have diabetes, peer support and shared medical appointments offer an efficient, surprisingly effective, way to deliver care and improve disease... View Article

November 2012

Conference Controversy Leads to Call for Ouster of VA Chief of Staff

By Sandra BasuWASHINGTON — In the wake of an IG investigation that confirmed wasteful spending at two VA human resources conferences last year, Republican leaders are calling for the resignation of VA Chief of Staff... View Article

November 2012

IOM: Military Response to Substance Abuse Is Outdated, Inadequate

By Sandra Basu Poster used in the Army campaign to stop widespread abuse of drugs and alcohol. WASHINGTON — The military has not done enough to accept the high level of substance misuse among its... View Article

November 2012

Keeping the Promise: VA Staffer Honored for Efforts to End Veteran Homelessness

By Steve LewisWASHINGTON — Secretary of Veterans Affairs Eric Shinseki has set a goal of ending veteran homelessness within five years, saying, “No one who has served this nation as a veteran should ever be... View Article

November 2012

Veterans’ CPAP Compliance Linked to Medication Adherence

ATLANTA–A study of veterans who were prescribed Continuous Positive Airway Pressure (CPAP) therapy after having a stroke or transient ischemic attack (TIA)found that their compliance with the treatment had a significant  association with how regularly... View Article

November 2012

Balloon Cryoplasty Effective for PAD in Diabetics

NEW YORK — The COBRA trial suggests that cryoplasty for post-dilation of nitinol stents in the superficial femoral artery is an effective adjunctive treatment for peripheral arterial disease (PAD) in diabetics. “Post-dilation of SFA stents... View Article

November 2012

Research Offers More Focused Treatment Options for AF

SAN DIEGO–Recurrence of symptoms is common for many patients treated for atrial fibrillation, at least partly because the source of the arrhythmia is unknown. New research seeks to remedy that situation. Reporting earlier this year... View Article

November 2012

Depression Increases Peripheral Artery Disease Risk

SAN FRANCISCO — Depression increases the risk of peripheral artery disease (PAD), according to researchers who recommend that clinicians pay more attention to mental-health issues in patients with the disease. The study from researchers at... View Article

November 2012

Angioplasty Rate Affected by Reporting Requirements

BOSTON — Mandatory public reporting appears to make it less likely that patients entering hospitals with heart attacks receive angioplasties, according to a new study from Harvard School of Public Health, Brigham and Women’s Hospital... View Article

November 2012

Plagued by VA Claims Backlog, Texas Funds Own Program to Speed Process

By Sandra Basu WASHINGTON — Frustrated by the high level of backlogged VA claims in the state, Texas has developed “State Strike Force Teams” to gather required paperwork on claims to speed processing, officials from... View Article

November 2012

Duodenal Switch May Be More Effective Surgical Procedure

FORT LEWIS, WA — Is the duodenal-switch (DS) procedure better than the commonly-used gastric bypass (GB) in prompting weight loss and control of coexisting conditions, especially for the super-obese? An Army study published recently in... View Article

November 2012

Obesity Appears to Affect Response to MRSA Antibiotics

SAN FRANCISCO — While non-obese patients with methicillin-resistant Staphylococcus aureus (MRSA) pneumonia respond to both of the antibiotics vancomycin and linezolid, obese patients are best treated with linezolid, according to a VA researcher. Presenting at... View Article

November 2012

Effects of Gastric Bypass Surgery Last Over Time

SAN ANTONIO — Roux-en-Y gastric bypass surgery resulted in significant weight loss for severely obese patients, and the weight loss was sustained for an average of six years after the surgery, according to a new... View Article

November 2012

VA, DoD Still Struggle to Electronically Transmit, Share Healthcare Information

By Stephen Spotswood WASHINGTON — Barriers to information technology (IT) compatibility between VA and DoD are endemic to joint healthcare projects across the country, according to a Government Accountability Office (GAO) investigation. The report lists... View Article

November 2012

IG Report Points to Lack of Responsiveness by Iowa City VAMC Management

By Sandra Basu WASHINGTON — While medical care has not been compromised in the Iowa City VA Healthcare System, a “pervasive lack of support for staff problem-solving” could threaten patient safety, a recent investigation concluded.... View Article

November 2012

Invasive Fungal Infections Complicate Treatment, Increase Mortality of IED-Wounded Servicemembers

By Brenda L. Mooney BETHESDA, MD – Invasive fungal wound infections are on the increase in military personnel wounded by improvised explosive devices, leading to significant morbidity and even death in some cases where the... View Article

               
           

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up