Did I Miss a Better Peripheral Neuropathy Treatment?

In March, I shared a case of a woman with diabetes-related peripheral neuropathy to highlight issues of pain management in primary care. To recap: Maria, age 68, had been experiencing burning pain sensations in her feet and ankles for the past 3 years. I decided to prescribe duloxetine, and I asked for and received feedback … Read more

TBI Linked to ‘Striking’ Risk for CVD, Endocrine, Brain Disorders

Mild traumatic brain injury (TBI) is linked to a significantly increased risk for a host of subsequent cardiovascular, endocrine, neurologic, and psychiatric disorders, new research shows. Incidence of hypertension, coronary heart disease, diabetes, stroke, depression, and dementia all began to increase soon after the brain injury and persisted over a decade in both mild and … Read more

Empagliflozin Rapidly Improves Acute Heart Failure Symptoms

WASHINGTON – Treatment of patients acutely hospitalized for heart failure with the SGLT2 inhibitor empagliflozin led to a rapid incremental increase in patient well-being, compared with control patients who received placebo, that appeared after 2 weeks on treatment in a secondary analysis from 530 randomized patients in the EMPULSE trial. To Mikhail N. Kosiborod, MD, … Read more

How to Prescribe Food as Medicine

Cate Collings, MD More Americans are beginning to recognize that the food they eat can have a profound effect on their health, longevity, and well-being. While hardly new, the food-as-medicine concept — in which clinicians prescribe diet changes as part of formal treatment plans — has risen in the public consciousness as COVID-19 exposed risks … Read more

Annual Fire Exposure Tied to Increased AF Risk in Firefighters

The number of fires that firefighters put out yearly is associated with their subsequent risk of atrial fibrillation, a new study suggests. With increasing fire exposure, defined as fires fought annually, firefighters had a higher rate of atrial fibrillation, reported Paari Dominic, MD, of Louisiana State University in Shreveport, Louisiana, and colleagues. It is important … Read more