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Disruptive patients may get worse care from physicians

Disruptive Patients Distract Docs, May Receive Compromised Care

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In fictional scenarios, doctors were distracted by bad behaviors during diagnosis, made more errors
In an effort to reduce burnout among physicians

Mayo Clinic Has Established Model to Help Battle Burnout

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Model considers three factors that physicians need: choice, social connectedness, and excellence
A new advisory

CDC Issues New Prescription Guidelines for Opioids

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To curb abuse, doctors should try non-opioid options for chronic pain not involving cancer, terminal illness
Negotiations to increase payment from insurance companies can be extremely difficult

Guidance Offered for Negotiating Higher Rates From Payers

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Compiling the information needed to approach insurance companies is time consuming
Electronic consultation

E-Consultations Can Improve Access to, Timeliness of Care

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Median days to a review for an e-consultation was five days, versus 24 days for traditional visit
Serotonin appears to be involved in autoimmune arthritis through Th17 immunity and bone resorption

Serotonin Directly Implicated in Rheumatoid Arthritis

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Serotonin shows fundamental role through regulation of the Th17/T-regulatory cell balance
A combined intervention of optimized analgesic prescription and exercise therapy is feasible and associated with significant reductions in pain and activity limitation in patients with knee osteoarthritis and severe knee pain

Analgesics Plus Exercise Therapy Feasible for Knee OA

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Seventy-eight percent of patients could participate in exercise protocol after analgesic use
Problematic clauses in physicians' contracts can impact patient care and professionalism

Physicians’ Contracts Can Affect Patients, Professionalism

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Problematic clauses in contracts include blanket confidentiality clauses, termination without cause
Vitamin D supplements don't appear to relieve pain or slow the progression of knee osteoarthritis in patients with low levels of the vitamin

Vitamin D Not Beneficial for Osteoarthritis of the Knee

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Supplements don't slow disease progression or ease pain, even in patients with low levels of the vitamin
Posttraumatic stress disorder symptomatology is associated with the risk of rheumatoid arthritis in women

PTSD Symptomatology Linked to Increased Risk of RA

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In prospective cohort study of women, elevated risk for rheumatoid arthritis is independent of smoking