A Country Doctor Reads: February 16, 2019

Find Nutrients Depleted by Medication – Nutrient Depletion Calculator – Mytavin.com

I came across a cute website that lists common deficiencies associated with medications, for example B12, iron and many others from Nexium, esomeprazole:

— Read on www.mytavin.com/results/medications/83

How Long Do Hip Replacements Last? -The Lancet

There is concern about hip replacements performed in middle aged adults. Will they wear out? The Lancet has an open access impressive review, which outlines the odds of failure over the remaining lifetime of 50-something patients:

“Moreover, these results are particularly important because of the growing number of younger, more active patients receiving hip replacements, as well as increasing population ageing and life expectancy.7,  8 In fact, lifetime risk of revision of total hip replacements for patients aged 50–54 years is estimated to be 29%, but only 5% in patients aged 70 years.9 Much of the increased risk of revision is due to component wear. The findings from Evans and colleagues’ study can therefore be used to more appropriately counsel patients”

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31859-2/fulltext?dgcid=raven_jbs_etoc_email

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Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.

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