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Notice of a second have become an accepted part of medical practice. Faced with the uncertainty about a diagnosis or treatment complex, patients are often encouraged to get another perspective. Many insurance companies pay for a patient should be evaluated by another doctor microzide 12.5 mg . Some even request a second opinion before giving the green light for an unusual treatment or surgery. Before spending money and subjecting the patient at risk, the firm wanted to ensure that the problem was correctly identified. No wonder they worry: the misdiagnosis are too common. One study revealed that half of pediatricians who responded to a survey admitted to having misdiagnosed of at least once per month . The most common reported skids were mistaken for viral and bacterial diseases not identify drug side effects. Children are not the only ones who suffer deficiencies of diagnosis, especially when it comes to medication side effects. Adults often report adverse drug reactions are not accepted for several months.

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Researchers have long known that severe cases of COPD have harmful effects on the heart, reducing its ability to pump blood efficiently. The new results suggest that these changes occur in the heart much earlier than previously believed, in mild cases and even before symptoms appear. One in five Americans over the age of 45 years with COPD, but that up to half of them may not even be aware of it.


These results raise the intriguing possibility that the treatment of lung disease may, in future, improve heart function, said Graham Barr, MD, Dr. PH, assistant professor of medicine and epidemiology at Columbia University Medical Center in New York, principal investigator of the study MESA Lung, and author of the paper. More research is needed to demonstrate that treatment of mild COPD will help the heart work better.

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The largest project MESA involves more than 6,000 middle-aged and older men and women in six urban communities in the United States. Participants Mesa various races and ethnic groups, including African-Americans, Latinos, Asians and whites. They were followed by the date of registration began in 2000.

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. COPD is a leading cause of death in the United States, but it is unknown to many, said James P.