2017 Issues

November 2017

Regional Anticoagulation Clinic Improvement Methods Bring Benefits Across VA

By Annette M. Boyle BEDFORD, MA—A program launched in eight VA New England medical center anticoagulation clinics not only achieved its goals of improving delivery of anticoagulation care, it also continues to pay dividends in... View Article

November 2017

VA Is Struggling to Hire Enough Mental Health Clinicians by Year’s End

VA is falling short on its goals to hire more mental health professionals by the end of this year, VA Secretary David Shulkin, MD, told legislators at a recent Senate hearing on suicide prevention.

November 2017

Prevalence, Evolution of Non-Motor Symptoms in Parkinson’s Disease

Parkinson’s disease (PD) can cause a wide range of motor and nonmotor symptoms (NMS).

November 2017

Methylphenidate Improves Apathy in Veterans with Alzheimer’s

Apathy is a common behavioral problem in Alzheimer’s disease and can lead to everything functional impairment to higher medical costs to increased mortality.

November 2017

Mild TBI Improved by Low-Impulse Electric Stimulation

Low-impulse electrical stimulation (LIP-tES) to the brain shows promise in improving neural function in mild traumatic brain injury (TBI).

November 2017

Military’s Early Use of Blood Transfusions Saved Lives of Wounded Warriors

Blood transfusion as quickly as possible was a lifesaver for wounded warriors in Afghanistan.

November 2017

Video-assisted Thoracoscopic Lobectomy Improves NSCLC Survival

Should stereotactic body radiotherapy remain the standard treatment for medically inoperable early-Stage non-small cell lung cancer?

November 2017

Metformin Shows Promise for Increasing NSCLC Survival

BETHESDA, MD—Past research has raised the possibility that a common blood sugar-lowering drug could be associated with improved survival in cancer patients with Type 2 diabetes. A study published recently in the International Journal of Cancer assessed... View Article

November 2017

New Techniques Improved Survival for Veterans with Stage 1 NSCLC

Improved radiation and surgical techniques boosted overall survival in veterans diagnosed with Stage I non-small cell lung cancer (NSCLC) from 2001 to 2010.

November 2017

Diabetic Foot Ulcers Increase Risk of Falls and Fractures

Diabetic foot ulcers (DFU) have long been known to increase the risk of infection and amputation.

November 2017

VA/DoD Process Ensures Guidelines Reflect Current Research

By Annette M. Boyle WASHINGTON—Clinicians treating veterans and military patients can expect new guidelines in the coming year on sleep disorders, stroke, asthma, suicide prevention and chronic kidney disease. The VA/DoD guidelines for major diseases... View Article

November 2017

High Glycemic Levels Have ‘Legacy Effect’ Even After Diabetic Patients Start Dialysis

By Annette M. Boyle LONG BEACH, CA—In recent years, the American Diabetes Association and other organizations have recognized that very low glycemic rates do not provide a cardiovascular benefit and might instead increase mortality risk... View Article

November 2017

VA’s Draft Legislation Seeks to Expand Criteria for Choice Program

By Sandra Basu WASHINGTON—The VA has sent draft legislation to Congress that would revamp criteria for outside care, including eliminating the controversial “30-day/40-mile” rule. “We want veterans to work with their VA physicians to make... View Article

November 2017

Dorn VAMC Nurse Is National Spokesperson for ‘Go Red for Women’ Campaign

Beverly Buchanan’s symptoms didn’t immediately set off any red flags in her mind.

November 2017

VA Dogged By Revived Bills Seeking Service Animals for PTSD Patients

By Sandra Basu WASHINGTON—VA pushed back against congressional bills under consideration last month that would create new pilot programs related to dog therapy. “We do not believe that creating yet another program would add significant... View Article

November 2017

Procedure Determines How Long Post-Surgical Patients Should Receive Opioids

Study Uses MHS Data to Create Guidelines for Painkillers BOSTON – How long should patients use opioids after common surgical procedures? Until now, there hasn’t been much consensus on the answer. A new study analyzing... View Article

November 2017

You know what they call alternative medicine that’s been proved to work?

“You know what they call alternative medicine that’s been proved to work? – Medicine.” ~Tim Minchin *Editor’s note: This month’s editorial was co-written by retired Lt. Gen. Eric Schoomaker. A recent announcement of a very... View Article

November 2017

Be Aware of New Clinical Recommendations on Diabetes, Back Pain, PTSD, Amputation, Opioids

Diabetes Guidelines Don’t Include Specific Pharmacotherapy Advise By Annette M. Boyle WASHINGTON —The VA and DoD Evidence-Based Practice Work Group has recently released five updated clinical practice guidelines. They cover common conditions such as Type... View Article

November 2017

Draft Bill Calls for ‘BRAC’-like Commission on VA’s Outdated Infrastructure

By Sandra Basu WASHINGTON—Draft congressional legislation is calling for a commission to make recommendations regarding VA’s infrastructure. Even supporters admit the “deck is stacked against” it. In introducing the bill, which potentially could lead to... 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