From a New York Times online article:
At Dr. Soong’s hospital, withholding the results of urine cultures, unless doctors actually called the microbiology lab to request them, reduced prescriptions for asymptomatic bacteriuria to 12 percent from 48 percent of non-catheterized patients, with no loss of safety.
“The extra step of having the clinician call eliminated a lot of frivolous testing,” Dr. Soong said.
In patients who have none of the typical symptoms of a urinary tract infection — no painful or frequent urination, no blood in the urine, no fever or lower abdominal tenderness — lab results detecting bacteria in the urine don’t indicate infection and thus shouldn’t trigger treatment.
Older people, and nursing home residents in particular, often have urinary systems colonized by bacteria; they will have a positive urine test almost every time, but they’re not sick.
To read more: https://www.nytimes.com/2019/10/14/health/urine-tests-elderly.html
Warhol, with obvious self-deprecation, described his philosophy as spanning from A to B. As this exhibition decidedly proves, his thinking and artistic production ranged well beyond that, but his true genius lies in his ability to identify cultural patterns and to use repetition, distortion, and recycled images in a way that challenges our faith in images and questions the meaning of our cultural icons.
Most Americans probably aren’t aware of the decline in the number of individuals training to become transplant physicians and how it will affect the future of medicine. Neither are the 2020 presidential hopefuls, all of whom have policies they believe best provide health care coverage for Americans without acknowledging or calling attention to the fact that soon there may not be enough doctors to do the work once more people are insured. We need a plan for that.
Now 63, Mr. Peterson has progressed from bike paths to rugged mountain trails and is known for his caped helmet emblazoned with his nickname, UniGeezer. Based on his GPS and bike computer, he estimates he’s logged nearly 30,000 miles, or 24 million pedal revolutions, since he started.
Brian Kalt, an expert on US constitutional law and the presidency, talks to Jonathan Kay about the 25th Amendment and whether it can be used to remove a president. Professor Kalt recently published a book called


Syndicated columnist Mark Shields and New York Times columnist David Brooks join Judy Woodruff to discuss the week’s political news, including how the impeachment inquiry is affecting President Trump’s support among Republicans, fallout from Trump’s handling of northern Syria and the military advance by Turkish President Recep Tayyip Erdogan and the changing dynamics of the 2020 presidential race.


In our second segment, we talk about how we think about children. For thousands of years, adults have complained about their lack of respect, intelligence, and tendency to distraction, compared with previous generations. A new study out this week in Science Advances suggests