Comments on: The FLECKS – quality care for type II diabetes mellitus http://www.medrants.com/archives/3465 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: DB's Medical Rants » Blog Archive » The process of care – lessons from Gawande and Saban http://www.medrants.com/archives/3465/comment-page-1#comment-530976 DB's Medical Rants » Blog Archive » The process of care – lessons from Gawande and Saban Sat, 09 Jan 2010 13:10:54 +0000 http://www.medrants.com/index.php/archives/3465#comment-530976 [...] actually use checkilsts in my teaching.  In caring for diabetics I teach the FLECKS.  When I teach about myocardial infarction patients, I discuss the 4-pack – [...] [...] actually use checkilsts in my teaching.  In caring for diabetics I teach the FLECKS.  When I teach about myocardial infarction patients, I discuss the 4-pack – [...]

]]> By: DB's Medical Rants » Blog Archive » 17 days at the VA – Day 6 http://www.medrants.com/archives/3465/comment-page-1#comment-529768 DB's Medical Rants » Blog Archive » 17 days at the VA – Day 6 Fri, 20 Nov 2009 11:43:21 +0000 http://www.medrants.com/index.php/archives/3465#comment-529768 [...] we reviewed my favorite diabetes mneumonic – the FLECKS.  After that we focused on a problem from day [...] [...] we reviewed my favorite diabetes mneumonic – the FLECKS.  After that we focused on a problem from day [...]

]]> By: #1 Dinosaur http://www.medrants.com/archives/3465/comment-page-1#comment-518340 #1 Dinosaur Sat, 09 Feb 2008 00:43:28 +0000 http://www.medrants.com/index.php/archives/3465#comment-518340 I believe the "q5 yearly Pneumovax" recommendation is out of date: From <a href="http://www.hopkinsmedicine.org/gec/series/pneumococcal_vaccination.html" rel="nofollow">Johns Hopkins</a> Routine revaccination not indicated with the exception of only high-risk groups. <b>This does not include DM <i>(emphasis mine)</i> and asthma not on steroids. COPD and smokers will be added with the next set of CDC guidelines.... High risk groups per the CDC are: functional or anatomic asplenia (e.g., sickle cell disease or splenectomy), HIV infection, leukemia, lymphoma, Hodgkins disease, multiple myeloma, generalized malignancy, chronic renal failure, nephrotic syndrome, or other conditions associated with immunosuppression (e.g., organ or bone marrow transplantation) and those receiving immunosuppressive chemotherapy, including long-term corticosteroids."</b> I believe the “q5 yearly Pneumovax” recommendation is out of date:

From Johns Hopkins

Routine revaccination not indicated with the exception of only high-risk groups. This does not include DM (emphasis mine) and asthma not on steroids. COPD and smokers will be added with the next set of CDC guidelines….

High risk groups per the CDC are: functional or anatomic asplenia (e.g., sickle cell disease or splenectomy), HIV infection, leukemia, lymphoma, Hodgkins disease, multiple myeloma, generalized malignancy, chronic renal failure, nephrotic syndrome, or other conditions associated with immunosuppression (e.g., organ or bone marrow transplantation) and those receiving immunosuppressive chemotherapy, including long-term corticosteroids.”

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