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Debunking Fake Diseases

Ever heard of adrenal fatigue? Wilson’s temperature syndrome? If not, there’s a good reason: They exist only on the Internet.

The Hormone Foundation, an affiliate of the Endocrine Society, recently issued two fact sheets for patients debunking these so-called conditions, which were “apparently conceived only in an effort to sell products promoted to treat them,” the LA Times reported. No medical evidence supports either faux disease and there are no tests or treatments for them, but patients still try to alleviate them with supplements, some of them potentially dangerous, the Times said.

Adrenal fatigue is characterized by such “symptoms” as having salt and sugar cravings and needing coffee to get you through the day, while the man who discovered Wilson’s temperature syndrome also coincidentally promotes a product to treat it, according to the Times. (Hormone Foundation, LA Times)

*This blog post was originally published at ACP Internist*

Practice Medicine For A Year, Rack Up A Half-Million In Overhead?

Newly minted MDs face student loans the sizes of mortgages and might go 18 months without an income if they try to start up their own practice. And although in the words of one student, “Medicine shouldn’t be treated like a business,” physicians still have to operate their practices like one.

That’s resulted in one doctor facing a half-million in operating expenses every year in Manhattan. A half-dozen other new physicians describe their first years in practice in these two profiles, while a third details how Leslie Saltzman, ACP Member, took advantage of some resources on hand and guidance from ACP’s “Running a Practice” section to quickly grow her solo practice into a full-service resource for women’s health. (New York Post, Kaiser Health News, ACP Internist)

*This blog post was originally published at ACP Internist*

Locally Grown Medical Students More Likely To Stick Around

Nearly a third of medical graduates at the University of North Dakota continue in primary care, down from nearly half just two years ago. This is the university that leads the nation for the percentage of students (about 20 percent) choosing family medicine.

North Dakota overall will be short about 160 physicians by 2025, and the need is now affecting urban areas as well as rural ones, said Joshua Wynne, FACP, dean of the university’s School of Medicine and Health Sciences.

Keeping medical students interested in practicing primary care in rural America depends upon whom medical schools choose to admit. For example, one-fourth of the University of North Dakota’s student population hails from small towns, and 80 percent are in-state.

More and more medical schools are looking at locally grown talent to fill their residencies, believing that these students are more likely to stay after graduation. Read more »

*This blog post was originally published at ACP Internist*

Rectal Cancer Becoming More Common In Younger People

Rates of rectal cancer in those younger than 40 have been increasing, the LA Times reported recently.

Researchers studied data from the Surveillance, Epidemiology and End Results (SEER) Registry and looked at the change in rectal and colon cancer incidence in those under 40 from 1973 to 2005. Overall rates were low, but while colon cancer incidence remained constant, rectal cancer incidence increased by an average of 3.8 percent annually, the authors reported in the journal Cancer.

The authors didn’t advocate routine screening in those under 40, but did recommend that physicians be more alert to the possibility of rectal cancer in those presenting with symptoms such as rectal bleeding, according to the Times. (LA Times)

*This blog post was originally published at ACP Internist*

Patients Are Splitting Pills To Cut Healthcare Costs

Patients are pill-splitting more to trim back healthcare costs, according to a poll by Consumer Reports. In the past year, 39 percent took some action to cut costs.

The poll of more than 1,100 people found that 45 percent of people take at least one prescription drug and average four. But 27 percent said they didn’t always comply with a prescription, and 38 percent of those younger than 65 without drug coverage didn’t fill prescriptions at all.

Just over half of patients felt that doctors didn’t consider their ability to pay when prescribing a drug, while nearly half blamed drugmaker’s influence for physicians’ prescribing habits. (HealthLeaders Media)

*This blog post was originally published at ACP Internist*

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