Physician's First Watch
Physician's First Watch offers brief daily reviews of current news that affects a physician's practice — from medical journals, government agencies, scientific conferences, and major media reports.
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Smoking Cessation Associated with Short-Term Increase in Diabetes Risk
Adult, Adolescent, and Childhood Vaccination Schedules for 2010 Released
Special Diets Not Supported in Patients with Autism
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Physician's First Watch

Physician's First Watch Adults who quit smoking face increased risk for diabetes in the short-term -- largely due to weight gain and other metabolic changes -- reports Annals of Internal Medicine. Do you routinely counsel "new quitters" about watching their weight? http://firstwatch.jwatch.org/cgi/content/full/2010/105/1

15 hours ago
John
John
We've been in denial about how much weight many smokers gain when they quit.

The evidence that this can be averted is meager - or negative. In theory ex-smokers can exercise, in practice that's rare.

We need to work on better solutions. Long term nicotine replacement?
2 hours ago
Mariano
Mariano
I completely agree with you John.

Smokers should be treated as we do with any other drug addiction (legals or not).
2 hours ago
Physician's First Watch

Physician's First Watch ...and we're back! We hope you enjoyed the holidays. Our issue today briefly covered stories from the past week and a half. Check them out here: http://firstwatch.jwatch.org/

Yesterday at 5:44am
Bhushan Shrestha
Bhushan Shrestha
Welcome back. Thanks again for your invaluable work and support for Doctors like us.
Yesterday at 6:29pm
Physician's First Watch

Physician's First Watch Physician's First Watch is taking a break for the holidays. We'll be back in 2010 -- and will catch you up then on anything we've missed. We wish you a happy and healthy new year! - The Editors

December 23, 2009 at 4:19am
Bhushan Shrestha
Bhushan Shrestha
Thanks for your work. Your work has benefitted a lot of poor patients who are getting most uptodate treatment. Merry Christmas and Happy New Year.
December 25, 2009 at 7:44am
Kashif Aslam
Kashif Aslam
Wow! Lucky one....!
December 30, 2009 at 9:54pm
Physician's First Watch

Physician's First Watch Almost 1% of U.S. children have autism spectrum disorders, the CDC reports. That's a nearly 60% increase in diagnoses since 2002. What do you think accounts for the increase -- better ascertainment, an actual increase in autism, or both? http://firstwatch.jwatch.org/cgi/content/full/2009/1221/1

December 21, 2009 at 11:56am
Physician's First Watch

Physician's First Watch FDA advisers have recommended to expand use of Crestor to patients without high cholesterol. Do you agree with this recommendation? http://firstwatch.jwatch.org/cgi/content/full/2009/1216/2

December 16, 2009 at 6:48am
Petra Alvarez
Petra Alvarez
Micheal is correct to question. So many of these studies are designed to create a marketing tool for the company and medication in question.
December 21, 2009 at 9:19pm
Pamela
Pamela
Not based on just one study. Not without long term outcomes data as to adverse events and cost=benefit data. I agree with recommending more exercise and better diet.
December 22, 2009 at 6:25am
Physician's First Watch

Physician's First Watch Postmenopausal women who take SSRIs may be at increased risk for stroke and death, according to an observational analysis in the Archives of Internal Medicine. http://firstwatch.jwatch.org/cgi/content/full/2009/1215/2

December 15, 2009 at 6:57am
Physician's First Watch

Physician's First Watch Roughly 20% of stroke survivors do not take antithrombotic agents -- drugs that have been recommended to prevent recurrent ischemic stroke for over a decade -- according to an American Journal of Preventive Medicine study. http://firstwatch.jwatch.org/cgi/content/full/2009/1214/1

December 14, 2009 at 7:01am
Luis Portal
Luis Portal
It is a preventive tool but events are predictible.
December 18, 2009 at 9:27am
Physician's First Watch

Physician's First Watch Tamiflu and Relenza have only "modest effectiveness" and "should not be used in routine control of seasonal influenza," researchers write in BMJ. Do you agree? http://firstwatch.jwatch.org/cgi/content/full/2009/1209/1

December 9, 2009 at 8:54am
Leslie Batten
Leslie Batten
Yes. Black elderberry has been shown to be very effective against viruses, especially the flu and common cold. If you eat the berries rather than taking the tincture form or drinking the tea, you get added benefits without compromising the local water system.
December 9, 2009 at 10:12am
Physician's First Watch

Physician's First Watch The FDA has identified nearly 260 patients who were exposed to up to eight times the expected level of radiation during CT perfusion scans of the brain. http://firstwatch.jwatch.org/cgi/content/full/2009/1208/2

December 8, 2009 at 6:52am
John
John
This is much worse than I'd guessed. The FDA will be busy.
December 8, 2009 at 10:00am
Physician's First Watch

Physician's First Watch H1N1 hoax: Emails mandating that adults fill out personal profiles for a CDC-sponsored state vaccination program are a scam, the agency says. Wondering how common these emails are ... have you received one? http://firstwatch.jwatch.org/cgi/content/full/2009/1203/2

December 3, 2009 at 5:30am
Martin Jukovsky
Martin Jukovsky
I got two -- one federal, one state.
December 3, 2009 at 6:28am
Jill
Jill
of course, those who need to be told it''s a scam are those lacking in common sense and other things, and i'm wondering how many of them are on facebook, let alone part of this particular group......just sayin'
December 3, 2009 at 2:56pm
Physician's First Watch

Physician's First Watch Several H1N1 issues have received a lot of press attention over the past week -- namely, post-vaccination anaphylaxis in Canada, clusters of drug resistance in the U.S. and U.K., and virus mutations in various countries. Have your patients come to you with questions about these reports? What are they asking? How are yo...u responding? http://firstwatch.jwatch.org/cgi/content/full/2009/1130/1

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November 30, 2009 at 7:01am
Physician's First Watch

Physician's First Watch Chronic pain is an independent risk factor for falls among older adults, according to a study in JAMA. http://firstwatch.jwatch.org/cgi/content/full/2009/1125/1

November 25, 2009 at 7:44am
Susan
Susan
thank you for the information!
November 25, 2009 at 2:08pm
Physician's First Watch

Physician's First Watch New cervical cancer screening guidelines from the American College of Obstetricians and Gynecologists advise that most women ages 21 to 29 be screened every 2 years -- rather than every year, as previously recommended. Do you agree with this change? http://firstwatch.jwatch.org/cgi/content/full/2009/1120/1

November 20, 2009 at 10:04am
Gerry
Gerry
Regular pelvic exams are not required unless there are symptoms such as weight loss/ bowel habit changes or severe period pain etc. Pap smears do not need to be annual unless there are changes that need to be monitored.
November 21, 2009 at 2:34am
Jerry Meyers
Jerry Meyers
If you are tested for hpv and are neg then every two years until test positive is reasonable.
November 22, 2009 at 4:08pm
Physician's First Watch

Physician's First Watch The U.S. Preventive Services Task Force is now recommending against routine mammograms for women in their 40s, but several groups -- including the American Cancer Society -- disagree. What's your take? http://firstwatch.jwatch.org/cgi/content/full/2009/1117/1

November 17, 2009 at 6:53am
Demetri
Demetri
Horrible. Fortunately the ACS doesn't agree with this.
November 18, 2009 at 8:04am
Blanche Bloome
Blanche Bloome
Prevention is the key at any age. The sooner the better.
Been there. NEVER put prevention into an age group. I"m
with the ACS.
November 18, 2009 at 10:40am
Physician's First Watch

Physician's First Watch Niacin outperformed ezetimibe (Zetia) in a New England Journal of Medicine study among patients at high cardiovascular risk. Do you currently prescribe ezetimibe? Will you continue to do so? http://firstwatch.jwatch.org/cgi/content/full/2009/1116/1

November 16, 2009 at 6:21am
Fatih Yüksel
Fatih Yüksel
same here in daily use... with Chuck..
that was the empty part and needed study. thnx
November 16, 2009 at 12:59pm
Karla Morrow
Karla Morrow
adding a scoop of metamucil to the niacin regimen can decrease flushing.
December 18, 2009 at 1:00pm