Neurology: Volume 92, Number 6, February 5, 2019 Exam #1 - Recurrent stroke in midlife is associated with not having a primary care physician

This really makes no sense, having no PCP might be a secondary reason but not the real cause of the strokes. Find out the real causes. Bad research and bad training material.  High blood pressure? Plaque in arteries? Thick blood? Aneurysm? AVM?

Neurology: Volume 92, Number 6, February 5, 2019 Exam #1 - Recurrent stroke in midlife is associated with not having a primary care physician

About this course

• Released: 2/5/2019
• Expires: 2/5/2022

RECURRENT STROKE IN MIDLIFE IS ASSOCIATED WITH NOT HAVING A PRIMARY CARE PHYSICIAN

LEARNING OBJECTIVES:

Upon completion of the article by Lank et al, the participant should be able to:

• State the percent relative increase in 5-year ischemic stroke risk in this study for patients without a primary care physician (PCP)
• State the overall 5-year stroke recurrence risk in this study
• Discuss factors found to be confounders of the PCP-recurrence association according to this study

CORE COMPETENCIES:

The article by Lank et al covers the following core competency:

• Medical Knowledge
   

AUTHOR DISCLOSURES:

Refer to listing above the references in each article.

THIS PAGE IS REQUIRED READING BEFORE BEGINNING ALL ACCME-ACCREDITED COURSES

ACCREDITATION STATEMENT

The American Academy of Neurology Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

MISSION STATEMENT/PROGRAM OBJECTIVES

After evaluating a specific article published in Neurology, participants in the CME activity should be able to demonstrate an increase in, or affirmation of, their knowledge of clinical medicine. Participants should be able to evaluate the appropriateness of the clinical information as it applies to the provision of patient care.

PARTICIPANTS

This program is designed for physicians who are involved in providing patient care and who wish to advance their current knowledge of clinical medicine.

AMA CREDIT DESIGNATION STATEMENT

The American Academy of Neurology Institute designates this journal-based-CME activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DISCLOSURES

James WM Owens Jr. MD, PhD receives royalties from UpToDate, Waltham, MA; grant support from NIH (PI, K08NS054882); and a stipend in his editorial capacity for Neurology. Adam Kelly, MD, has served as a guest editor of Continuum (April 2014) and receives a stipend in his editorial capacity for Neurology.

My New Primary Care Physician

Got this in an email from a friend and this seems to be the earliest reference on the net;
http://www.sparkpeople.com/mypage_public_journal_individual.asp?blog_id=4532692
Q: Doctor, I've heard that cardiovascular exercise can prolong life. Is this true? 
A: Heart only good for so many beats, and that it... Don't waste on exercise. Everything wear out eventually. Speeding up heart not make you live longer; it like saying you extend life of car by driving faster. Want to live longer? Take nap.  
Q: Should I reduce my alcohol intake?
A: Oh no. Wine made from fruit. Brandy distilled wine, that mean they take water out of fruity bit so you get even more of goodness that way. Beer also made of grain. Bottom up!  
Q: How can I calculate my body/fat ratio? A: Well, if you have body and you have fat, your ratio one to one.. If you have two body, your ratio two to one.  
Q: What are some of the advantages of participating in a regular exercise program? A: Can't think of single one, sorry. My philosophy: No pain...good!  
Q: Aren't fried foods bad for you?
A: YOU NOT LISTENING! Food fried in vegetable oil. How getting more vegetable be bad? 
 Q : Will sit-ups help prevent me from getting a little soft around the middle? 
A: Oh no! When you exercise muscle, it get bigger. You should only be doing sit-up if you want bigger stomach.  
Q: Is chocolate bad for me? A: You crazy?!? HEL-LO-O!! Cocoa bean! Another vegetable! It best feel-good food around!  
Q: Is swimming good for your figure? A: If swimming good for figure, explain whale to me. 
Q: Is getting in shape important for my lifestyle? A: Hey! 'Round' is shape!

Well... I hope this has cleared up any misconceptions you may have had about food and diets.

And remember:
Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well-preserved body, but rather to skid in sideways - Chardonnay in one hand - chocolate in the other - body thoroughly used up, totally worn out and screaming "WOO-HOO, what a ride!!"  Hunter S. Thompson

AND.....

For those of you who watch what you eat, here's the final word on nutrition and health. It's a relief to know the truth after all those conflicting nutritional studies.

1. The Japanese eat very little fat and suffer fewer heart attacks than Americans.

2. The Mexicans eat a lot of fat and suffer fewer heart attacks than Americans.

3. The Chinese drink very little red wine and suffer fewer heart attacks than Americans.

4. The Italians drink a lot of red wine and suffer fewer heart attacks than Americans...

5. The Germans drink a lot of beer and eat lots of sausages and fats and suffer fewer heart attacks than Americans.

CONCLUSION: Eat and drink what you like. Speaking English is apparently what kills you.