Medical Bulletin No. 1 for June 2023.

Published Date: 05 Jun 2023

Here are today's top medical stories: Patients with clinically localized muscle-invasive bladders do not benefit from extended lymph node removal.

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Latest News

Overcoming Barriers to Care in Fibromyalgia

Dr Andrea Chadwick explains how empowering primary care to own long-term diagnosis and management of fibromyalgia could transform outcomes for these patients.

Retatrutide: Pitting Physician Against Patient

Your patient qualifies for retatrutide's expanded-access program. Now comes the hard part: three gatekeepers, no coordination, and no appeals process.

IV vs Inhaled Anesthetics: No Post-op Recovery Advantage

Propofol infusion may not offer better 30-day recovery or survival outcomes after major noncardiac surgery compared with inhaled anesthetics, a study finds.

Opioid Addiction May Up Complications After Hysterectomy

Opioid use disorder is associated with a higher risk for complications before discharge after inpatient removal of the uterus.

How Early Experiences Shaped an Approach to Fibromyalgia

Dr Andrea Chadwick describes gradually recognizing patterns of widespread pain on body maps, which led her to take a bird’s eye view and better identify fibromyalgia.

Cesarean Birth Linked to Higher ICU Admission Risk

A recent study reveals differences in critical care needs across delivery modes, with intrapartum and intended cesarean births linked to increased odds of ICU admission.

Todays Updates

Many Clinical Paths Are Open to NPs. Here’s Help in Picking

‘A strength of the nurse practitioner profession is its versatility,’ one expert says.

Nurses Speak Out on Burnout, Mandatory Overtime, and Burning the Candle at Both Ends

Emotionally drained, sleep-deprived, and skipping meals to keep up: what nurse leaders say needs to change to prevent burnout.

Most Family Physicians Struggle With After-Hours Admin Work

Most family physicians face heavy administrative burden, but improved electronic health records and staff support may help to ease some of the load.

'Just Bloating': Stop Dismissing This Common GI Complaint

Bloating is one of patients' most common gastrointestinal complaints. Dr Alicia Muratore kicks off this six-part series by asking why bloating is often treated as an afterthought.

S1 Episode 4: Urinary Tract Infections and Sexual Function

Drs Anne Lenore Ackerman and Rachel S. Rubin discuss urinary tract infections, sexual function, quality of life, and the importance of patient education.

Immunotherapy Promises New Era in Cancer Prevention

Prof David Kerr explores whether PD-1 inhibitors and targeted vaccines can regress polyps and prevent secondary cancers in Lynch syndrome.

HF Hospitalizations and Telehealth Coverage Parity Laws

State telehealth coverage parity laws require private insurers to cover outpatient telehealth visits increasing access for HF patients. This analysis examines whether this affected clinical outcomes.

Todays Updates

Many Clinical Paths Are Open to NPs. Here’s Help in Picking

‘A strength of the nurse practitioner profession is its versatility,’ one expert says.

Nurses Speak Out on Burnout, Mandatory Overtime, and Burning the Candle at Both Ends

Emotionally drained, sleep-deprived, and skipping meals to keep up: what nurse leaders say needs to change to prevent burnout.

Most Family Physicians Struggle With After-Hours Admin Work

Most family physicians face heavy administrative burden, but improved electronic health records and staff support may help to ease some of the load.

'Just Bloating': Stop Dismissing This Common GI Complaint

Bloating is one of patients' most common gastrointestinal complaints. Dr Alicia Muratore kicks off this six-part series by asking why bloating is often treated as an afterthought.

S1 Episode 4: Urinary Tract Infections and Sexual Function

Drs Anne Lenore Ackerman and Rachel S. Rubin discuss urinary tract infections, sexual function, quality of life, and the importance of patient education.

Immunotherapy Promises New Era in Cancer Prevention

Prof David Kerr explores whether PD-1 inhibitors and targeted vaccines can regress polyps and prevent secondary cancers in Lynch syndrome.

HF Hospitalizations and Telehealth Coverage Parity Laws

State telehealth coverage parity laws require private insurers to cover outpatient telehealth visits increasing access for HF patients. This analysis examines whether this affected clinical outcomes.

Latest News

Dr Andrea Chadwick explains how empowering primary care to own long-term diagnosis and management of fibromyalgia could transform outcomes for these patients.

Your patient qualifies for retatrutide's expanded-access program. Now comes the hard part: three gatekeepers, no coordination, and no appeals process.

Propofol infusion may not offer better 30-day recovery or survival outcomes after major noncardiac surgery compared with inhaled anesthetics, a study finds.

Opioid use disorder is associated with a higher risk for complications before discharge after inpatient removal of the uterus.

Dr Andrea Chadwick describes gradually recognizing patterns of widespread pain on body maps, which led her to take a bird’s eye view and better identify fibromyalgia.

A recent study reveals differences in critical care needs across delivery modes, with intrapartum and intended cesarean births linked to increased odds of ICU admission.

News All Time

Novel Nonopioid May Offer Acute Pain Relief

In a phase 2b trial, the selective Nav1.8 inhibitor LTG-001 is associated with reduced acute postsurgical pain, suggesting a potential new nonopioid approach.

When Medicine Mistakes Confidence for a Cure

Not every illness has a magic bullet, and assuming otherwise is medicine's quiet overconfidence problem.

Weight-Loss Procedure Feasible in Outpatient Setting

Endoscopic sleeve gastroplasty performed in an ambulatory setting appears safe and feasible in selected patients with obesity, with only a few patients requiring unplanned hospitalization.

Cardiac Arrests Very Rare During Endoscopy

Cardiac arrests during endoscopic procedures in the hospital are associated with lower mortality than those with other in-hospital cardiac arrests.

Deep Dive: Chronic Lyme Disease: Separating Science from Syndrome

Chronic Lyme Disease, unpacked: why PTLDS isn't "chronic Lyme," what retreatment trials actually show, the IACI reframing, and where the VLA15 vaccine stands today.

Income Dictates Access to Subspecialized Oncology

Dr Maurie Markman explores the rise in oncology subspecialization and the troubling socioeconomic gaps dictating who actually gets highly specialized care.

Chronic Back Pain Treatment: Why Integrated Care Is Needed

An expert explains why fragmented care often limits lasting relief and how individualized multimodal treatment may improve outcomes in patients with chronic back pain.

Lidocaine Matches Nerve Block for Knee Surgery Pain

Lidocaine infusion matches nerve block in terms of opioid use at 24 hours after knee replacement surgery, a study finds.

New Fibromyalgia Genetics Discovery: An Author’s Perspective

Study co-author Daniel Clauw, MD, explains how the largest study of its kind bolsters the growing evidence that fibromyalgia starts in the central nervous system.

The Unknowns in Your Salary Plan Could Cost You

Doctors often overlook or misunderstand important metrics and incentives in their compensation plan, which can drag down their income.

The Phone Call That Taught Me How to Grieve

‘Always call the family. No exception.’ Dr Bishal Gyawali shares the story of a special patient and the after-death call that changed his perspective on grief.

Medscape Physician Burnout & Depression Report 2026

The data are in and confirm what many doctors already know but few talk about: The emotional weight of medicine is still heavy.

Corticosteroid Shot Could Tame Pain After Fibroid Treatment

Intra-arterial administration of dexamethasone at time of embolization can be an effective adjunct to post-procedure analgesia.

UK PM Burnham Says Social Care Reform Should Come Before Assisted Dying Debate

Britain's new Prime Minister Andy Burnham said the debate over legalising assisted dying should ⁠wait until the country's palliative care and adult social care systems have...

Does Agent Choice Matter in Opioid-Free Bariatric Surgery?

In patients undergoing sleeve gastrectomy, opioid-free anesthesia with propofol or sevoflurane provides similar pain relief and postoperative nausea, but propofol is linked to delayed emergence.

Two Sedatives Tie on Pain, but Not Preference for JIA

In children with juvenile idiopathic arthritis, dexmedetomidine and nitrous oxide provide similar pain relief, but nitrous oxide delivers better overall patient experience.

Recommended News For You

Classifying childhood brain cancers by immune response may improve diagnostics and treatments

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In inflammatory breast cancer, ER beta regulates estrogen signaling.

Survivors of childhood brain cancer are more likely to be held back in school

Exercise could ease symptoms for people with chronic lymphocytic leukemia, support and guidance are lacking: Study

Breast cancer surgery: Study finds overnight hospital stay not important for older patients

Cancer Vaccines' Emergence; More Focus on Side Effects; A Nudge for Exercise.

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