What Leads to Pulmonology Referrals for Veterans With COPD?

BOSTON—At the VA and elsewhere, chronic obstructive pulmonary disease  often is managed by primary care physicians and sometimes pulmonologists, but it is not clear what factors spur consultations by pulmonary specialists. In fact, according to a report in Respiratory...

ART Has Changed the Cancers Associated with HIV

New York—Antiretroviral therapy transformed infection with human immunodeficiency virus (HIV) from a death sentence to a chronic condition, along the way changing virtually everything about the disease, including its association with cancer. For years, specific...

Weight Gain May Endanger Some Benefits of Hepatitis C Cure

NEW HAVEN, CT—A year ago the VA announced it had eliminated chronic infections with hepatitis C virus in all veterans willing and able to be treated. More than 100,000 veterans achieved sustained virological response or a cure with the help of direct-acting antivirals...

Acute Kidney Injury Risk With Stem Cell Transplant

CHARLOTTESVILLE, VA – Hematopoietic stem cell transplantation can be a life-saving therapy for many patients with cancer, as well as patients with some nonmalignant hematologic disorders, such as aplastic anemia, sickle cell disease, and certain congenital immune...

Is Radiation Therapy Linked to Second Cancer Diagnoses?

STANFORD, CA – How likely is a second cancer diagnosis after primary cancer treatment with 3-dimensional conformal radiotherapy (3DCRT), intensity-modulated radiotherapy (IMRT), or proton beam radiotherapy (PBRT) for lymphoma and other cancers? Researchers from...

Changes in Myelofibrosis Survival at VA

HOUSTON — Myelofibrosis Is a rare disorder in which abnormal blood cells and fibers build up in the bone marrow. It is classified as a myeloproliferative neoplasm (MPNs) in which bone marrow cells that produce blood cells develop and function abnormally....

Pandemic Shows Value of Long-Acting Injectables for Severe Mental Illness

VA research has found that about half of veterans with diagnosed schizophrenia or bipolar I disorder have attempted suicide. Nearly 70% of veterans with schizophrenia and more than 82% of those with bipolar disorder reported suicidal ideation or behavior. That’s why it is so critically important to maintain their medications during a crisis such as the COVID-19 pandemic. Long-acting injectable drugs has helped the VA do that.

New Focus in the Fight to Reduce CV Risks in Type 2 Diabetes

At one point, intensive glycemic control was seen as a magic bullet to keep Type 2 diabetes patients from developing cardiovascular disease. That approach faded, however, when VA research cautioned that any benefits of intensive therapy must be weighed against adverse effects such as hypoglycemia and weight gain. Now the focus has shifted to better medication selection, with guidelines suggesting that, for Type 2 diabetes patients who have cardiovascular disease or are at high risk for it, therapy including an SGLT-2 inhibitor or GLP-1 RA should be considered as optimal treatment.

Vigilance at VA Community Living Centers in the Time of COVID-19

Editor’s note: The VA asked if U.S. Medicine could help disseminate  important information on its response to the COVID-19 pandemic. Here is a discussion from some of the agency’s top leaders. By Carolyn Clancy, MD, Teresa Boyd, DO, and Scotte Hartronft, MD We believe...

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