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What are people doing about Actos? I get a couple of calls or texts or questions a week. Seeing the add from lawyers on TV usually triggers it. I even just had one patient I sent to surgeon/ortho for bad ankle sprain/chip fracture who likes to pretend he is Family doctor. Took down the list of his 20 drugs and then hand checked them in a book for drug interactions and told him to get off the Actos immediately. (They had to keep asking him what to do about the ankle. I am telling patients there is a risk but it’s low and bladder cancer is easily treatable. It’s at the higher dose. And many of them are smokers so I remind that that is a big risk for bladder cancer right there. Considering doing annual U/A for hematuria for screening. I don’t know of any official recommendations. What are you doing? Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing

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