Archive - November/December 2013
Patients increasingly checking ‘Dr. Google’
More than a third of patients have gone online to identify a medical condition, raising concerns about “cyberchondria” and requiring physicians to adapt to help patients differentiate the helpful websites from the misleading ones.
Managing Back Pain
Coping skills, counseling best for low back pain
Despite all the best evidence and guidelines, patients with low back pain are still spending time, effort and money on things that aren’t helping them in the long run.
Q&A: Doctors have an online presence, even if they don’t know it yet
Patients are using physician rating websites to find their doctors and find out more about them. ACP Member Kevin Pho, MD, of KevinMD.com, explains why doctors need a plan in place to make sure that accurate and positive information makes its way to the top of a search engine.
One doctor trying to cure a country
Aziz Kamali, MD, FACP, seeks to rebuild his homeland of Afghanistan by restoring medical care.
Doctor as Patient
A physician copes with chronic pain
A diagnosis of breast cancer leads to chronic pain that has lingered for 6 years. A physician learns a lesson in adaptation, resilience and moving on. Humility and hope are keys.
Guest President’s Message
ACP services satisfy a broad array of internists’ needs
The Chair of ACP’s Board of Regents fills a guest spot, answering questions about how ACP’s many products, programs and services add value to membership.
Five questions that may decide the success of health care reform
As open enrollment begins under the Affordable Care Act, its success depends upon who signs up, how easy it is to do so, and whether the states help their residents do so. Physicians can help their patients sign up.
The Patient’s Voice
E-mailing with patients can improve patient-centered care
Technological advances are also patient communication and satisfaction measures, helping people arrange appointments, review test results and receive medical advice.
Helping patients navigate the Web is tricky, but worthwhile
This issue includes stories on patients using the Internet to diagnose themselves, on low back pain (one of the most common reasons for a clinical visit), and on managing a physician’s online reputation.
ICD-10 doesn’t have to be intimidating
To help internists become even more comfortable with the new code set, ACP looks at how the codes are structured and how to cross-walk from old to new for some of the most common ones.
The self-pay conundrum and other tricky HIPAA omnibus requirements
While many of the omnibus changes to the Health Insurance Portability and Accountability Act are subtle and may not require a great deal from a practice, the penalties for noncompliance are severe.
New labeling on long-acting opioids, fluoroquinolones
This regulatory update covers a labeling change for all long-acting opioid analgesics, and another on fluoroquinolone drugs to better describe the serious side effect of peripheral neuropathy.
Regents and Officers
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians places in nomination its candidates.
Chapters honor Members, Fellows, and Masters of ACP who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, research, or service to their community, their chapter, and ACP.
From the MKSAP case studies
A 61-year-old woman is evaluated for intermittent abdominal discomfort and a bloating sensation. Approximately 2 months before the swelling started, the patient had a pruritic, gradually progressive rash characterized by redness of the face, and a pruritic rash on her chest, upper back, shoulders, hands, and lateral hips. She has no muscle pain, weakness, or joint pain. Pertinent family history includes breast cancer in her mother and ovarian cancer in her grandmother. Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. Following a physical exam and lab findings, what is the most appropriate diagnostic study for this patient?
ACP Internist’s puzzle feature challenges readers to find clues placed horizontally in rows to reveal an answer written vertically.
Internist Archives Quick Links
Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health, 2nd Edition
This new edition reflects recent clinical and social changes and continues to present the important issues facing practitioners and their LGBT patients. Read more about the Guide. Also see ACP’s recent policy position paper on LGBT health disparities.
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