U.S. Medicine

U.S. Medicine is a monthly magazine tailored for healthcare experts in the Department of Veterans Affairs, Department of Defense, and the U.S. Public Health Service. Each edition reaches 35,000 professionals, including doctors, pharmacists, physician assistants, nurse practitioners, and administrators. The publication features a variety of content, such as news articles, medical advancements, interviews, special reports on government issues, and regular columns.

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Articles

Hypercortisolism: A Hidden Factor in Difficult-to-Control Type 2 Diabetes

2 weeks ago | usmedicine.com | Mary Anne Dunkin

SEATTLE — Despite the growing arsenal of glucose-lowering medications, many patients with Type 2 diabetes still struggle to achieve adequate blood glucose control. For Steven Kahn, MB, ChB, professor of medicine at the VA Puget Sound Health Care System and the University of Washington, that disconnect raised a critical question.
Burnout Trends Persist Among VA Healthcare Workers Despite Post-Pandemic Decline

2 weeks ago | usmedicine.com | Mary Anne Dunkin

WASHINGTON, DC — Burnout among healthcare workers in the VA soared during the COVID-19 pandemic and still remains a challenge, particularly in primary care, mental health and nursing services, according to a large new VA study. While rates have declined since their pandemic peak, they are still significantly higher than before 2020—raising questions about how to build lasting resilience into the nation’s largest integrated health system.
Determining What Weight Loss Medications Are Best for Veterans

1 month ago | usmedicine.com | Brenda Mooney

Unlike those who depend on Medicare, Medicaid in many states or most commercial insurance, patients at the VHA—as well as those covered by TRICARE—can receive covered weight-loss drugs, if they meet certain criteria. Studies have looked at the drugs, including incretin mimetics such as semaglutide, tirzepatide and liraglutide, to determine the benefits and safety related to their usage.
Obesity Increases the Complexity of Plaque Psoriasis Treatment

1 month ago | usmedicine.com | Brenda Mooney

Obesity is linked not only with the risk of developing plaque psoriasis, it also can complicate treatment of the condition, which is more common among U.S. veterans than nonveterans. Biologic therapy often is the first choice for those patients, and some agents show higher rates of efficacy and safety in plaque psoriasis sufferers with comorbid obesity. DURHAM, NC — Obesity not only increases the risks for some conditions, it also can complicate treatment.
RSV Infection Can Lead to Serious Risks, Including Cardiac Events

1 month ago | usmedicine.com | Brenda Mooney

A recent VA study established that respiratory syncytial virus was not as likely to cause severe effects as COVID-19 and influenza. But those and other researchers also have demonstrated that RSV can create difficulties, including a 14% hospitalization rate in veterans and novel cardiac issues in older patients in general. That’s why the authors are calling for higher vaccination rates.
Bridging the Gap: Treating Myeloproliferative Neoplasms in U.S. Veterans

1 month ago | usmedicine.com | Annette Boyle

Persian Gulf War era veterans have a higher risk of development of any subtype of myeloproliferative neoplasm (MPN), including polycythemia vera, compared with Korean War and Vietnam War era veterans. They also have an earlier age of MPN diagnosis, a higher risk of thrombosis and bleeding and a lower chance of survival compared with veterans of earlier wars. Across the board, however, symptom burden often was misunderstood by treating physicians.
New Studies: BRCA1, BRCA2 Mutations Deserve More Attention in Men

1 month ago | usmedicine.com | Mary Anne Dunkin

Male carriers of BRCA1/2 PVs are widely overlooked, even though they also are at increased risk of developing cancer, particularly of the prostate, pancreas and breast. Men represent half of BRCA1/2 PV carriers, but even their clinicians often are unaware of their carrier status, associated cancer risks and management recommendations. That is especially significant at the VA, which treats nearly 500,000 prostate cancer patients and survivors.
Veterans Three Times More Likely to Be Eligible for Lung Cancer Screening

1 month ago | usmedicine.com | Annette Boyle

While exposure to toxic materials plays an important role in veterans’ high rates of pulmonary disease and lung cancer, high rates of smoking also remain a key factor. That was underscored in a recent study which found that, among recent veterans with all types of lung cancer, 53.8% were former smokers and nearly 40% were current smokers. That often means reduced lung function in early adulthood or rapid decline in early middle-age, which can lead to mortality at a younger age.
TransCon PTH Offers Benefits Beyond Conventional Therapy for Hypoparathyroidism

1 month ago | usmedicine.com | Mary Anne Dunkin

Hypoparathyroidism primarily affects the bones and kidneys, and conventional therapy in use until recently—high doses of calcium and active vitamin D—have had limited effectiveness. FDA approval of a novel therapy might change the situation for adults, however. The clinical trials, which included veterans, indicated a high level of effectiveness in returning serum calcium levels to normal.
New Therapies Offer Options for Veterans With Multiple Myeloma

1 month ago | usmedicine.com | Annette Boyle

Because multiple myeloma (MM) tends to occur in older men and because military exposures are a strong risk factor for development of the malignant neoplasm of plasma cells, many MM patients treated within the VA healthcare system are frail. Now, studies are pointing the way to more effective treatments for that cohort.