Word: doctores
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Dates: during 2000-2009
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Black patients with diabetes do worse than white patients - even when they're getting treatment from the same doctor. That's the message of a new study published this week in the journal Archives of Internal Medicine. It's not the first paper to document health disparities between black and white diabetics, but it breaks new ground: By looking at the outcome discrepancy among a group of patients with access to the same health facilities - 90 Massachusetts physicians working in 14 health centers - the new study rules out the explanation that black patients, by virtue of being poorer, are excluded...
...Furthermore, at least the initial patient-doctor interaction appeared to have been similar for all patients: rates of testing for blood-sugar control and for cholesterol, for example, were the same. "That suggests the physicians are implementing standard treatment plans," says Thomas Sequist, lead author of the study and an internist at Harvard Vanguard Medical Associates. It's only later, when it comes to treatment and, especially, outcomes, that a disparity is evident...
...PTSD warrants a Purple Heart?- he punted. "Whether or not a medal should be awarded is not in my purview," he said. "The senior operational commander in the Army needs to decide that." It's evidence of the sensitivity of the issue that even the army's senior doctor suggests a second opinion...
...William Winkenwerder Jr., who issued the 2006 policy as the Pentagon's top doctor before stepping down last year, says the new medicines are working well. "Combat presents some unique and important caveats - obviously, those who are being treated have access to firearms, and they may be under significant stress, so they need to be very carefully evaluated, and good clinical decisions need to be made," Winkenwerder tells TIME. "It's my belief that is happening...
...that it will hurt their chance for promotion. "They don't want to destroy their career or make everybody go in a convoy to pick up your prescription," says LeJeune, now 34 and living in Utah. "In the civilian world, when you have a problem, you go to the doctor, and you have therapy followed up by some medication. In Iraq, you see the doctor only once or twice, but you continue to get drugs constantly." LeJeune says the medications - combined with the war's other stressors - created unfit soldiers. "There were more than a few convoys going...