Skin & Allergy News articles from September 2006

Skin & Allergy News archives from September 2006

Pediatric puzzle: finding melanoma.
September 1, 2006... PORTLAND, ORE. -- Melanoma in a pediatric patient is a lot like Sasquatch, Dr. Seth Orlow remarked at the annual meeting of the Pacific Northwest Dermatological Society. It's a very rare thing to see, but if it's around, you surely don't...

Derms' proactivity, preparedness may ease P4P burden; malignant melanoma will be initial focus.(Practice Trends)
September 1, 2006... SAN DIEGO -- Pay-for-performance plans and value-based purchasing are coming soon, and the dermatologic community had better be ready, Dr. Dirk Elston warned at the American Academy of Dermatology's Academy 2006 meeting. "We did not ask...

Look beyond the data to choose the right biologic.(Dermatologic Therapy)
September 1, 2006... SAN DIEGO -- There is no question that infliximab, adalimumab, etanercept, and the rest of the biologics represent a major advance in the treatment of psoriasis, psoriatic arthritis, and other autoinflammatory diseases, but choosing the right...

Suspect acute HIV infection in teens with rash, viral syndrome.(News)
September 1, 2006... ASPEN, COLO. -- A rash in a teenager who has an apparent viral syndrome should raise the diagnostic possibility of acute retroviral syndrome because of a recently acquired HIV infection, Dr. Elizabeth McFarland said at a conference on pediatric...

Annual cost of medication errors tops $3.5 billion; IOM expert panel sets 2010 deadline for physicians to implement e-prescribing for all prescriptions.(News)
September 1, 2006... Each year, patients in the United States experience at least 1.5 million preventable injuries due to medication errors, according to the findings of an Institute of Medicine analysis. The report, released in July, estimated that these...

President Bush vetoes expansion of federal stem cell funding.(News)
September 1, 2006... President Bush delighted many conservatives but disappointed medical groups when he vetoed a bill in July that would have expanded federal funding for research involving embryonic stem cells. Well over 100 groups representing patients,...

Medicare proposes 5.1% physician pay cut for 2007.(News)
September 1, 2006... Unless Congress intervenes by the end of the year, physicians are scheduled to face a 5.1% cut in Medicare payments starting Jan. 1, 2007. Officials at the Centers for Medicare and Medicaid Services published the proposed physician fee...

FDA approves single-rod contraceptive implant.(News)
September 1, 2006... Implanon, a single-rod contraceptive implant that is highly effective for 3 years, has been approved in the United States, with a training and marketing plan designed to avoid some of the problems that plagued Norplant, the last implantable...

Tysabri back on the market with a black box warning.(Brief article)
September 1, 2006... Safety information that has been added to the revised label of natalizumab is highlighted in a "dear health care professional" letter and timed to coincide with the reintroduction of the monoclonal antibody in the United States in July as...

New topical antibiotic may thwart resistance.(News)
September 1, 2006... LISBON -- Five days of the novel topical antibiotic retapamulin is as effective in the treatment of uncomplicated skin infections as 10 days of an oral cephalosporin, Dr. Lawrence C. Parish reported at the 12th International Congress on...

FDA: migraine, mood meds risky.(News)
September 1, 2006... Physicians should be aware that concomitant use of a triptan and a selective serotonin reuptake inhibitor or a selective serotonin norepinephrine reuptake inhibitor can lead to serotonin syndrome, according to a public health advisory issued by...

Second varicella vaccine urged for children.(News)
September 1, 2006... ATLANTA -- A second dose of varicella vaccine should be given to all children at ages 4-6 years, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention voted at its June meeting. The second dose...

Progress, minor setbacks seen in face transplant.
September 1, 2006... BOSTON -- The woman who received the world's first face transplant in November 2005 has achieved nearly normal sensitivity to touch and temperature changes, a good aesthetic outcome, and functional but imperfect control of her lips, Dr....

Global effort may stem infectious diseases spread.(News)
September 1, 2006... Leaders of the G8 nations committed to combating infectious disease by improving cooperation between countries' surveillance and monitoring agencies and between the animal and human health communities. In a statement that was issued in St....

Good doctors.(Under My Skin)
September 1, 2006... I was flattered. Vladimir had brought in his eczematous infant for a second opinion. No doubt he chose me because his GP was unsure and he'd heard I'm boarded in pediatrics. Not exactly. In fact, he had already consulted a well-known...

No place for e-mail in medical practice.(Letters)(Letter to the editor)
September 1, 2006... Two academic physicians (presumably salaried and not financially docked for unremunerated patient care) slug it out on the topic of physician communication with patients via e-mail. ("Should physicians communicate with patients via e-mail?"...

Two patients with ocular sarcoidosis respond to infliximab.(Dermatologic Therapy)
September 1, 2006... AMSTERDAM -- Treatment with infliximab successfully controlled refractory ocular inflammation in two patients with sarcoidosis, Dr. Boris A. Cruz reported at the annual European Congress of Rheumatology. Ocular involvement in this...

TNF inhibitors may cause psoriatic eruptions.(Dermatologic Therapy)
September 1, 2006... SAN DIEGO -- In a therapeutic paradox, etanercept, a drug used to treat psoriatic arthritis, psoriasis, and related disorders, was associated with psoriatic eruption in a case reported by Dr. David Fiorentino at the American Academy of...

Disinfectant may have leg up on ulcer healing.(Dermatologic Therapy)
September 1, 2006... SCOTTSDALE, ARIZ. -- The common industrial bleach and disinfectant hypochlorous acid improves the healing of chronic venous leg ulcers, according to the results of a study presented by Dr. Joseph B. Selkon at the annual meeting of the Wound...

Hand washing campaign scores thumbs down.(Dermatologic Therapy)
September 1, 2006... NICE, FRANCE -- A campaign to improve hand hygiene at a Danish hospital failed to decrease hospital-acquired infections, Dr. Sussie Laustsen and colleagues reported in a poster at the 16th European Congress of Clinical Microbiology and...

Wound dressing fights infection, avoids resistance.(Dermatologic Therapy)
September 1, 2006... SCOTTSDALE, ARIZ. -- A novel wound dressing being developed under a U.S. Army contract may offer a solution to infection, microbial resistance, and protease activity, all at bargain prices, according to Gregory Schultz, Ph.D. "NIMBUS-SAP...

Pain relievers.(Cartoon)
September 1, 2006... "How much malpractice insurance do you have?" [ILLUSTRATION OMITTED]

Antiandrogen Tx helps hidradenitis suppurtiva.(Dermatologic Therapy)
September 1, 2006... WINNIPEG, MAN. -- Antiandrogen therapy was significantly more effective than antibiotics or other treatments for hidradenitis suppurativa, according to a retrospective review of 64 female patients. Antiandrogen medications improved symptoms...

Bexarotene improves mycosis fungoides, Sezary syndrome.(Dermatologic Therapy)
September 1, 2006... MANCHESTER, ENGLAND -- The synthetic retinoid bexarotene, alone or in combination with other therapies, was effective and well tolerated in a series of patients with mycosis fungoides or Sezary syndrome, Dr. Saqib J. Bashir reported at the...

Glycerol.(Cosmeceutical Critique)
September 1, 2006... Derived from the saponification of fats, glycerin (also spelled glycerine and usually referred to in the literature as glycerol) is a strong, nonvolatile trihydroxylated humectant that exhibits hygroscopic ability very similar to that...

Antiaging topicals don't measure up to Botox, despite claims.(Dermatologic Therapy)
September 1, 2006... BOCA RATON, FLA. -- There is no magic in a bottle, despite the claims made in advertisements for over-the-counter antiaging topicals, said Dr. James Spencer at the annual meeting of the Florida Society of Dermatology and Dermatologic Surgery....

Partial closures may yield better results post Mohs; preliminary data suggest that partial closures may be associated with a reduced risk of infection.(Dermatologic Surgery)
September 1, 2006... LUCAYA, BAHAMAS -- Partial closure is an underutilized technique that can improve the outcome of surgical reconstruction after Mohs surgery for many patients, Dr. J. Robert Hamill Jr. said at a meeting of the American Society for Mohs Surgery....

Plastic surgeon offers different specialty perspective on biopsy.(Dermatologic Surgery)
September 1, 2006... NEW YORK -- Plastic surgeons' approach to nevi in challenging anatomical locations may differ from that of dermatologists, said Dr. Barry Zide at a dermatology conference sponsored by New York University. "When I look at nevi, I have...

Follow hemangiomas; outcome not guaranteed.(Dermatologic Surgery)
September 1, 2006... LAS VEGAS -- Telling parents that an infant's facial hemangioma will go away and doesn't need follow-up is no longer acceptable, Dr. Edward D. Buckingham said at an international symposium sponsored by the American Academy of Facial Plastic and...

Low-level energy therapy aids wound care.
September 1, 2006... ORLANDO -- Low-level energy is an effective technique for enhancing wound healing, said Dr. Robert E Jackson, who offered a few postsurgery tips at the annual meeting of the American Academy of Cosmetic Surgery. Dr. Jackson, a practicing...

Maggots can debride and heal refractory wounds.(Dermatologic Surgery)
September 1, 2006... NASHVILLE, TENN. -- Maggots provide a gentle and safe "biological debridement" of refractory wounds and can promote wound healing. Using maggots to clear infection and dead tissue from a wound is cost effective, usually painless, and well...

Experts compare soft tissue augmentation tips.
September 1, 2006... LAS VEGAS -- There's no one right way to do facial soft tissue augmentation, so success depends on both scientific and artful practice, a panel of experts agreed at an international symposium sponsored by the American Academy of Facial Plastic...

Negative pressure wound therapy OK for children.(Dermatologic Surgery)
September 1, 2006... SCOTTSDALE, ARIZ. -- Negative pressure wound therapy need not be restricted to adults, Dr. Bindi Naik-Mathuria said at the annual meeting of the Wound Healing Society. "The results of our large retrospective review suggest that negative...

Patient age may indicate basal cell nevus syndrome.(Clinical Rounds)
September 1, 2006... MONTREAL -- Basal cell carcinomas favor sun-exposed areas in individuals with basal cell carcinoma nevus syndrome, but lesions also occur in non-sun-exposed sites, especially in patients with a large number of prior lesions, Dr. Wynnis L. Tom...

Unusual melanomas? Think beyond the alphabet.(Clinical Rounds)
September 1, 2006... LUCAYA, BAHAMAS -- Maintain a high index of suspicion for unusual presentations of melanoma, Dr. Matthew Goodman advised at a meeting of the American Society for Mohs Surgery. Pink papules, plaques, or patches are the hallmarks of...

Patients with dysplastic nevi have sevenfold increase in melanoma risk.(Clinical Rounds)
September 1, 2006... BOCA RATON, FLA. -- Dysplastic nevi are the most important risk factor for melanoma development, and patients in this population need to be closely monitored with regular follow-ups, Dr. Darrell Rigel said at the annual meeting of the Florida...

Melanoma's regressive pattern may lend clues to prognosis.(Clinical Rounds)
September 1, 2006... NEW YORK -- The incidence of regression is higher in malignant melanoma than in other neoplasms, Dr. Hideko Kamino said at a dermatology conference sponsored by New York University. "Regression is more commonly seen in men than women, in...

Subtle variations add nuance to melanoma Dx.(Clinical Rounds)
September 1, 2006... LUCAYA, BAHAMAS -- Beware the subtle melanoma variants that mimic banal nevi, Dr. A. Neil Crowson said at a meeting of the American Society for Mohs Surgery. A misdiagnosed nevoid melanoma, minimal deviation melanoma, or animal-type...

Exposure to diverse foods may feed contact dermatitis.(Clinical Rounds)
September 1, 2006... PORTLAND, ORE. -- Abroad and diverse group of foods contains nickel, and consumption of these foods has the potential to exacerbate allergic contact dermatitis, particularly in patients receiving more than one exposure per day, Dr. David E....

Lab test spares stringent food challenge for allergy.(Clinical Rounds)
September 1, 2006... KEYSTONE, COLO. -- Quantitative measurements of food-specific IgE antibodies are a useful shortcut in predicting symptomatic food allergy--provided they are interpreted cautiously, Dr. F. Dan Atkins said at a meeting sponsored by the National...

Psoriasis plus joint pain isn't always PsA.(Clinical Rounds)
September 1, 2006... STOCKHOLM -- It may be wrong to assume that patients with psoriasis and joint pain have psoriatic arthritis, according to data presented at an international conference on psoriasis and psoriatic arthritis by Dr. Elinor Mody. "Joint pain in...

Cellular messengers may still cause flare after etanercept Tx.(Clinical Rounds)
September 1, 2006... STOCKHOLM -- The anti tumor necrosis factor--[alpha] drug etanercept appears to significantly reduce, though not eliminate, key cellular messengers in psoriasis, Kurt de Vlam, Ph.D., said at an international conference on psoriasis and...

Women are more likely to pass along psoriasis to children.(Clinical Rounds)
September 1, 2006... STOCKHOLM -- Women with psoriasis are more likely to have children with the disease, Stefani Kappel said at an international conference on psoriasis and psoriatic arthritis. She and her associates looked at genetic imprinting in a group of...

Pathophysiology of PsA is under the microscope.(Clinical Rounds)
September 1, 2006... ST0CKHOLM -- Researchers are beginning to shed light on the pathophysiology of psoriatic arthritis, with recent findings focusing on the role of bone formation factors such as vascular endothelial growth factor and nuclear factor-kappa B...

Atripla, Lucentis.(New & Approved)
September 1, 2006... Atripla (efavirenz 600 mg/emtricitabine 200 mg/tenofovir disoproxil fumarate 300 rag, GlaxoSmithKline and Gilead Sciences) A fixed-dose antiretroviral drug combination pill for use alone or with other antiretroviral agents for treating...

Enhanced formula prevents AD, fortifies digestion.(Clinical Rounds)
September 1, 2006... At 6 months, infants who consumed formula enriched with prebiotic oligosaccharides similar to those in human milk had less than half the incidence of atopic dermatitis and better indicators of digestive health, compared with infants consuming...

Early life stress may spur onset of children's atopic dermatitis.(Clinical Rounds)
September 1, 2006... NEW YORK -- Research supports the link between psychological stress and specific skin and allergic disorders, Dr. Rosalind J. Wright said at a dermatology symposium sponsored by Cornell University. "There is huge biological plausibility to...

AD persisting into adulthood will remain for many years.(Clinical Rounds)
September 1, 2006... Expect to see a growing number of adults with atopic dermatitis, a study led by Dr. Mari Helen Sandstrom Folk predicts. In 2001, she and her associate, Dr. Jan Faergemann of the department of dermatology at Sahlgrenska University Hospital...

Insomnia.(Drug Update)
September 1, 2006... Several new prescription medications have been introduced recently for treating insomnia and have largely taken the place of the benzodiazepines, once the most commonly used medications for insomnia. The newer nonbenzodiazepine benzodiazepine...

Probe glossodynia cause; prescribe relaxation.(Clinical Rounds)
September 1, 2006... WINNIPEG, MAN. -- Emotional stress underlies most cases of glossodynia, and-after ruling out dermatologic causes ranging from contact allergy to cancer--the best prescription for patients may be relaxation, Dr. Robert Conklin said at the annual...

Thalidomide for lupus could lead to peripheral neuropathy.(Clinical Rounds)
September 1, 2006... ABANO TERME, ITALY -- Thalidomide offers an effective option for the treatment of refractory cutaneous lupus, but close monitoring is needed so the drug can be stopped at the first sign of peripheral neuropathy, Dr. Chiara Briani said at a...

Experimental agent slows breast cancer growth.(Clinical Rounds)
September 1, 2006... ATLANTA -- The experimental drug lapatinib slows disease progression in women with advanced or metastatic HER2-positive breast cancer that has become resistant to targeted therapy with trastuzumab. Lapatinib (Tykerb) nearly doubled the time...

Vaginal ring offers contraceptive option when metabolic sequelae contraindicate OCs.(Clinical Rounds)
September 1, 2006... WASHINGTON -- The contraceptive vaginal ring has fewer metabolic adverse effects than do oral contraceptives and may be a better alternative for insulin-resistant women, those with diabetes, and women with metabolic syndrome at increased risk...

Bosentan label change delineates cirrhosis risk.(Clinical Rounds)
September 1, 2006... ROCKVILLE, MD. -- The postmarketing safety program in place for the pulmonary arterial hypertension drug bosentan recently resulted in a label change that describes rare cases of cirrhosis after prolonged treatment with the drug and...

Warfarin's interactions: plentiful and dangerous.(Clinical Rounds)
September 1, 2006... PHILADELPHIA -- Drug interactions involving warfarin are among the most dangerous that occur commonly in clinical practice, Dr. Douglas S. Paauw said at the annual meeting of the American College of Physicians. As many as one-third of all...

CDC prepares to prioritize flu vaccine for children.(Clinical Rounds)
September 1, 2006... ATLANTA -- The prioritization plan for use of inactivated influenza vaccine in the event of a supply shortage or delay has been updated to reflect the recently designated high-risk status of children aged 24-59 months. The vote, of the...

CDC: Menactra stocks to remain low through fall.(Clinical Rounds)
September 1, 2006... ATLANTA -- The Centers for Disease Control and Prevention is monitoring the shortage of tetravalent meningococcal conjugate vaccine on a biweekly basis and will announce a return to routine recommendations when the supply and demand situation...

Vaccine stops more than one cancer.(CLINICAL CAPSULES)
September 1, 2006... The recently approved quadrivalent human papillomavirus vaccine shown to be effective for preventing most HPV-related cervical cancers may also prevent most vulvar and vaginal cancers, Dr. Jorma Paavonen reported at the annual meeting of the...

Enthesitis central to psoriatic arthritis.(CLINICAL CAPSULES)
September 1, 2006... Involvement of the distal interphalangeal joint is a common feature of both psoriatic arthritis and osteoarthritis, but a new study using high-resolution magnetic resonance imaging has shown that the local microanatomical environment in...

Risk expression and bisphosphonates.(CLINICAL CAPSULES)
September 1, 2006... Physicians and patients are less likely to favor bisphosphonate therapy for osteoporosis when efficacy is expressed in terms of absolute risk reduction, as health literacy experts recommend, rather than relative risk reduction, Dr. Christine A....

Gonorrhea rates up at least 40% in seven states.(Clinical Rounds)
September 1, 2006... JACKSONVILLE, FLA. -- The reasons for prominent increases in reported gonorrhea cases since 2000 in five western states as well as Hawaii and Alaska remain unknown, Dr. Lori M. Newman said at a conference on STD prevention sponsored by the...

CDC strategizes plan to keep pace with Syphilis.(Clinical Rounds)
September 1, 2006... JACKSONVILLE, Fla. -- Tailored and targeted interventions to educate men who have sex with men and to reduce ethnic disparities are key components of a revised Syphilis Elimination Effort recently released by the Centers for Disease Control and...

Rich and educated burn more.(Policy & Practice)(survey of Americans on sunburns)
September 1, 2006... Wealthier and better-educated Americans get sunburn more often, according to a study published in the Journal of the American Academy of Dermatology. University of Pennsylvania researchers used data from the 2003 Behavioral Risk Factor...

Report faults wound payment.(Policy & Practice)
September 1, 2006... Medicare needs to improve the way it pays for wound management, according to a new report by AdvaMed, a trade association for medical device companies. "Coverage and reimbursement policies in the nation's Medicare system currently do not...

Fix the SGR, delay imaging cuts.(Policy & Practice)
September 1, 2006... Rep. Michael Burgess (R-Tex.), an ob.gyn., has introduced legislation (H.R. 5866) that would put an end to physician fee cuts under Medicare by halting application of the sustainable growth rate by Jan. 1, 2007. Each year, the SGR has...

Senate bill to boost drug safety.(Policy & Practice)
September 1, 2006... After months of public discourse, Sen. Edward Kennedy (D-Mass.) and Sen. Mike Enzi (R-Wyo.) have introduced a bill that aims to increase assurances that drugs are safe before they reach the marketplace, or at least have a plan in place to more...

Poll: live unhealthy, pay the price.(Policy & Practice)(Brief article)
September 1, 2006... More than half of respondents to a Wall Street Journal/Harris Interactive poll say that people who smoke or choose not to wear seat belts should pay a higher health insurance premium, but most did not feel the same way about people who were...

New federal regs aim to speed technology adoption: regulations are positive first step; ACP will ask Congress for add-on payments to speed adoption.(Practice Trends)
September 1, 2006... Hospitals, health plans, and other health care organizations will soon be able to assist physicians in obtaining health information technology without running afoul of federal fraud laws under regulations issued last month by the Department of...

Pay for performance not yet showing efficacy.(Practice Trends)
September 1, 2006... SEATTLE -- When the physicians of Rochester, N.Y., first had a pay-for-performance program imposed upon them, they ignored it. "At the beginning of our program, most people would not acknowledge it existed," said Dr. Howard B. Beckman, the...

Fragmented care poses dilemma for P4P system.(Practice Trends)
September 1, 2006... Pay-for-performance schemes may be thwarted by patients seeing too many doctors, making it difficult to assign any one patient's care to a particular physician, according to a study that was presented at the annual research meeting of...

Reimbursements at risk under new coding changes.(Practice Trends)
September 1, 2006... In its ongoing effort to keep members abreast of important issues related to coding and reimbursement, the AAD has identified several coding changes or problems to which dermatologists ought to pay heed. Dr. Elston reported the following: ...

Medicare ponders 'medically unbelievable edits'.(Practice Trends)
September 1, 2006... WASHINGTON -- If you don't like medically "unbelievable" edits, how about medically "unusual" ones? Members of the Practicing Physicians Advisory Council (PPAC), which advises the Centers for Medicare and Medicaid Services (CMS) on issues...

Systems issues exacerbate malpractice claims.(Practice Trends)
September 1, 2006... PHILADELPHIA -- There are just as many systems failures at the root of malpractice cases as individual errors or negligence, Dr. Luke Sato said at the annual meeting of the American College of Physicians. For example, the Risk Management...

Faced with Part D gap, some go without drugs.(Practice Trends)
September 1, 2006... SEATTLE -- Patients taking antidepressants and cholesterol-lowering drugs who are in pharmacy-capped plans, such as the new Medicare Part D drug benefit, often stop taking their drugs when they reach the cap, Geoffrey Joyce, Ph.D., said at the...

Physicians have heart for charitable work.(The Rest of Your Life)
September 1, 2006... For as long as she can remember, Dr. Amy Kossoff has helped people less fortunate than she is. "I was one of these kids who had probably an overdeveloped sense of justice in elementary school," said Dr. Kossoff, an internist who practices...

ASP or client-server: which is better for you?(Managing Your Dermatology Practice)
September 1, 2006... Last year I discussed the basic rules to keep in mind when shopping for an electronic medical record system, and last month's column included a discussion of the advantages of adding Web-based messaging to your EMR system. (If you missed those...

Certification Commission lists: ambulatory EHR products.(Practice Trends)
September 1, 2006... The Certification Commission for Healthcare Information Technology has unveiled an initial list of 22 ambulatory electronic health record products that meet its standards for functionality, interoperability, and security. CCHIT was formed...

Experts: FDA is facing crisis in public confidence.(Practice Trends)(Scott Gottlieb )
September 1, 2006... WASHINGTON--Members of the scientific community have raised a red flag over the apparent increasing influence of money and politics on what are supposed to be the independent and unbiased workings of the Food and Drug Administration and other...

Microfiber T-shirts shield skin.(Products)
September 1, 2006... Short-sleeved T-shirts have joined the Derma-Smart family of soft, breathable clothing products. The moisture-wicking fabric soothes the skin of patients with conditions such as eczema, psoriasis, and atopic dermatitis. For more information,...

Topical emulsion aids healing.(Products)
September 1, 2006... Biafine is an oil-in-water emulsion formulated for the dressing and management of superficial wounds, minor abrasions, dermal ulcers, and first- and second-degree burns. The emulsion is available by prescription in 45-g or 90-g tubes. For more...

Peptide plumps lips.(Products)
September 1, 2006... A blend of topical peptide and a moisturizer derived from barley and tomato extracts provides another noninvasive option to reduce lip furrows. The formula can be used twice daily on its own or at night as part of the advanced PCA lip renewal...

Generic lotion approved for rosacea.(Products)
September 1, 2006... A generic metronidazole lotion 0.75% (Rx) has been approved by the Food and Drug Administration for the topical treatment of rosacea. The lotion is AB-rated to Galderma's MetroLotion and comes in a 59-mL bottle. For more information, contact...

Online calendar integrates information.(Products)(Calendar)
September 1, 2006... The One Look online calendar program lets doctors combine patient scheduling data with personal and departmental data from preexisting Microsoft Outlook programs. They can access the combined schedules on desktop computers, laptops, or personal...

Flash drive for personal medical data.(Products)
September 1, 2006... LifeKey, a portable USB flash drive, allows people to carry their medical records with them at all times. Doctors can view a chart immediately on any computer. Doctors or patients need only send copies of medical records to Sytec Health for...