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Editor-In-Chief, Chester “Trip” Buckenmaier III, MD, COL (ret.), MC, USA

His place shall never be with those cold and timid souls who neither know victory nor defeat

President Roosevelt’s quote is long, but worth every word. I have a soft spot in my heart for Teddy, since he is my favorite president and my great-grandfather, Anton Buckenmaier, was a Rough Rider. I have been aware of these sage words from our 26th president for most of my career. They have served as an inspiration and guide for critical decisions I have made concerning the direction of my professional pursuits. I would never be so vain as to suggest I could improve Teddy’s profound eloquence in his quote. Then again, I have often summed up the meaning of his words (to appease my goldfish-like memory) when I have had a resident cornered and lecturing. My crass and unpoetic summary of his masterful paragraph: There are those that do and those that don’t.

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Should All Thyroid Incidentalomas Be Evaluated?

It is not unusual for a clinician to identify thyroid incidentalomas on non-thyroid dedicated imaging studies. However, discovered, clinical guidelines recommend evaluation of all thyroid incidentalomas to risk-stratify for cancer.

Association Found Between Battlefield TBI, Subsequent Cardiovascular Disease

Traumatic brain injury (TBI) was common among U.S. servicemembers deployed to Iraq and Afghanistan, with up to 20% sustaining at least one TBI. Although the survival rate for such injury was high, research has suggested TBI is associated with a wide variety of adverse effects, including dementia, epilepsy and mental health conditions.

VA Program Successfully Reduces Post-Operative Opioid Prescriptions

Drug overdose is the leading cause of injury-related death in the United States. For many, initial exposure to opioids occurs in the hospital following surgery, and current studies show that up to 75% of post-operative patients have unused opioid pills after discharge.

VA Ceases All New EHR Activities Until At Least Next Summer

All upcoming deployments of VA’s new electronic healthcare record system will be halted until at least June 2023, the agency announced. This is in response to continuing issues with the system at its pilot site in Spokane, WA, as well as the handful of sites that followed.

His place shall never be with those cold and timid souls who neither know victory nor defeat

President Roosevelt’s quote is long, but worth every word. I have a soft spot in my heart for Teddy, since he is my favorite president and my great-grandfather, Anton Buckenmaier, was a Rough Rider. I have been aware of these sage words from our 26th president for most of my career. They have served as an inspiration and guide for critical decisions I have made concerning the direction of my professional pursuits. I would never be so vain as to suggest I could improve Teddy’s profound eloquence in his quote. Then again, I have often summed up the meaning of his words (to appease my goldfish-like memory) when I have had a resident cornered and lecturing. My crass and unpoetic summary of his masterful paragraph: There are those that do and those that don’t.

read more

PTSD Appears to Accelerate Multiple Sclerosis Progression for Veterans

An unfortunate confluence of events puts a significant number of veterans at higher risk of both multiple sclerosis and post-traumatic stress disorder (PSTSD). Agent Orange and other exposures make multiple sclerosis (MS) a presumptive condition for those who have served, while combat experience, higher rates of sexual assault and other factors increase the likelihood of PTSD among veterans.

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