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.

Endometriosis: Are Broader Symptoms Being Overlooked?

New symptom profiles reveal how endometriosis may present beyond pelvic pain, offering clinicians clues that could support earlier recognition and reduce diagnostic delays.

C difficile Care Gets an Upgrade

Two new AGA updates reshape how clinicians test for, treat, and prevent recurrent C difficile, including tailored guidance for patients with IBD.

MHRA Approves New Drug for Rare, Disabling Joint Tumour

The MHRA approves a new selective kinase inhibitor that controls growth of debilitating tenosynovial giant cell tumours in young and middle-aged adults.

Fixing the Cancer Care Coordination Problem

With no national standard for cancer care communication, patients often fall through the cracks. Two family physicians and an oncologist discuss where the system breaks down, and how to fix it.

Medscape Millennial Physician Compensation

Millennial doctors generally saw pay increases in the past year. But concerns persist about salary equality, as well as a widening gender-pay gap.

Epidural Tied to More Interventions in Low-Risk Pregnancies

In women with uncomplicated pregnancies, epidural analgesia during labor is linked to prolonged labor stages and increased clinical interventions compared with non-pharmacological pain relief methods.

A Case That Redefined Widespread Pain in Fibromyalgia

A misdiagnosed refractory fibromyalgia case shows Dr Michael Kaplan how broad widespread pain labels can obscure other underlying causes.

The Hidden Health Risks of Borderline Personality Disorder

Dr Richard Zhang explains why clinicians should look beyond the psychiatric diagnosis of borderline personality disorder to recognize commonly coexisting medical conditions.

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.

Biopsy-Site Identification Technique

Confirming biopsy sites before Mohs micrographic surgery can be difficult when wounds have healed clinically and documentation is limited, risking wrong-site surgery.

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