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Lactic acidosis associated with metformin use in treatment of type 2 diabetes mellitus

Metformin, an antihyperglycemic, is widely used in the treatment of type 2 diabetes mellitus (DM). A rare, but important complication associated with this drug is the development of lactic acidosis: Overall mortality of lactic acidosis is approximately 50%. Certain subsets of patients taking metformin are at greater risk of developing lactic acidosis.
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IT Implementation

How to do it right

f you were shopping for new billing and scheduling software, you'd make sure that it worked before you bought it, right? But sometimes, when doctors buy an EHR that's going to be interfaced or integrated with a PM system, they treat the latter as an afterthought. To circumvent common EHR pitfalls, plan the deal carefully and don't rush things.
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Medical Errors

Should you apologize?

Tempted to tell patients when you've made an error, but afraid that too much honesty isn't the best policy? Here's how to do it safely.
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How to choose (and use) a collection agency

If you don't choose a reputable one and monitor what gets sent to collection, you may be very sorry.
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September 2008
 
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