Ann Thomas

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Articles

Why Pediatric Hypertension Is Underdiagnosed and Untreated

Jan 15, 2025 | medscape.com | Ann Thomas

Nearly half of adults with hypertension (HTN) are not aware of their diagnosis. But recognition is even worse in pediatric patients. “Less than 25% of children with hypertension get a diagnosis, and of those who get a diagnosis, 50% of those children are not receiving any intervention,” said Abbas H. Zaidi, MD, a pediatric cardiologist serving as the medical director of the outpatient cardiology department at Nemours Children’s Health in Wilmington, Delaware.
The Rising Tide of Atrial Fibrillation: Is Primary Care Ready?

Oct 23, 2024 | medscape.com | Ann Thomas

The incidence of atrial fibrillation (AF) is on the rise, and recent joint guidelines from the American College of Cardiology and American Heart Association (ACC/AHA) stress the role of primary care clinicians in prevention and management. One in three White and one in five Black Americans will develop AF in their lifetime, and the projected number of individuals diagnosed with AF in the United States is expected to double by 2050.
Does the Road to Treating Endometriosis Start in the Gut?

Oct 15, 2024 | medscape.com | Ann Thomas

Researchers may be on track to develop a much-needed tool for studying endometriosis: A noninvasive stool test that could replace the current gold standard of laparoscopy. Their approach, which focuses on the link between the gut microbiome and endometriosis, also identified a bacterial metabolite they said might be developed as an oral medication for the condition, which affects at least 11% of women.
Primary Care: Re Carpe Your Diem

Aug 19, 2024 | medscape.com | Ann Thomas

William Fox, MD, a self-described "dinosaur," works in an independent internal medicine practice with two other physicians in Charlottesville, Virginia. He is rarely able to accept new patients, and when he does see one, they often have to wait months for the appointment. He accepts the burden of many pent-up needs, along with the huge administrative chore of coordinating their care with subspecialists.
Primary Care: Try These Steps to Boost Lung Cancer Screens

Jun 27, 2024 | medscape.com | Ann Thomas

A few years ago, Kim Lori Sandler, MD, realized many patients newly diagnosed with lung cancer had never been screened for the disease — they received CT scans only because they were symptomatic. But Sandler, a radiologist at Vanderbilt University Medical Center in Nashville, Tennessee, could see in medical charts that most of these patients had been eligible for a screening before becoming symptomatic. And for women, most had received decades worth of mammograms.
Colorectal Cancer Screening: How to Increase Rates

Jun 10, 2024 | medscape.com | Ann Thomas

Offering colorectal cancer (CRC) screening to patients when they come to the clinic for wellness visits may be the standard of care, but relying on that strategy alone will miss many patients who do not access healthcare regularly. Although CRC is the second-leading cause of cancer deaths in the United States, rates of screening have not met public health goals.
Haven Holidays Review: Touring site at Haggerston Castle

May 22, 2024 | complaintsboard.com | Ann Thomas

I am writing to complain about the appalling state of the facilities in the touring area at Haggerston Castle, as well as the site itself. We stayed from the 3rd to the 6th of May in our small camper van and throughout the whole weekend found the toilet and shower facilities in an unusable state. To put it plainly they were stinking, often with blocked and un-flushed toilets. The floors were very dirty and this made the showers also unusable.
Impact of the COVID-19 Pandemic on Regular Emergency Department Users

May 8, 2024 | ajmc.com | Olesya Baker |Alison Galbraith |Ann Thomas |Robert LeCates |J. Frank Wharam

ABSTRACTObjectives: Regular users of the emergency department (ED) include both patients who could be better served in lower-acuity settings and those with high-severity conditions. ED use decreased during the COVID-19 pandemic, but patterns among regular ED users are unknown. To determine the impact of the COVID-19 pandemic on this population, we examined quarterly postpandemic ED utilization among prepandemic regular ED users.
The History of Aspirin in Heart Disease Prevention

Apr 26, 2024 | mdedge.com | Ann Thomas

Publish date: April 26, 2024 As the pendulum has swung against recommending aspirin for the primary prevention of heart attacks and strokes, clinicians should focus on other ways to help patients avoid cardiovascular events. A landmark study published in 1988 in The New England Journal of Medicine reported an astonishing 44% drop in the number of heart attacks among US male physicians aged 40-84 years who took aspirin. Aspirin subsequently became a daily habit for millions of Americans.
What Happened to Aspirin? And What Replaces It?

Apr 24, 2024 | medscape.com | Ann Thomas

As the pendulum has swung against recommending aspirin for the primary prevention of heart attacks and strokes, clinicians should focus on other ways to help patients avoid cardiovascular events. A landmark study published in 1988 in the New England Journal of Medicine reported an astonishing 44% drop in the number of heart attacks among US male physicians aged 40-84 years who took aspirin. Aspirin subsequently became a daily habit for millions of Americans.