Archive - September 2016
Climate change is a public health issue, and physicians should be aware of the potential medical consequences and be able to communicate those to patients.
There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.
Latest Blog Posts
- Will big data replace your doctor?
- Posted Feb 24 at 11:00 AM by Peter A. Lipson, MD
- The drive to dismantle 'Obamacare'
- Posted Feb 24 at 9:00 AM by David L. Katz, MD
- Probiotics promote digestive health--is there a germ of truth
- Posted Feb 23 at 11:00 AM by Michael Kirsch, MD
An enduring challenge is figuring out why patients appear to have resistant hypertension and how to cure them of it.
To improve metrics of diabetes care, 4 employed primary care practices at a health system in Texas worked to systematically improve HbA1c testing and started a “Saving Toes” campaign.
The current system and critical elements of undergraduate and graduate medical education are in need of serious financial and structural reform.
The Medicare Access and CHIP Reauthorization Act makes significant improvements in how Medicare links payment to reporting of quality measures. Will CMS actually implement the law in a way that truly simplifies reporting?
Screening and Prevention
Routine screening has 2 main benefits: diagnosing HIV infection before patients become symptomatic and have lost the bulk of their immune system and preventing HIV transmission.
Letters to the Editor
Readers address insulin dosing and propose going further on climate change.
This issue covers such topics as how internists can address climate health issues in their practice, what internists can do for patients with fibromyalgia, and how to identify and manage resistant hypertension.
This column reviews a recall of an oral liquid docusate sodium solution because of contamination and of an international normalized ratio monitoring system because it may provide significantly lower results than another method.
New overtime pay rules will affect employees whose annual salary is less than $47,476 and who work more than 40 hours per week.
Darilyn Moyer, MD, FACP, ACP's first female EVP/CEO, addresses her plans for the organization, the evolution of health care, and how her experience will guide her efforts.
George M. Abraham, MD, MPH, FACP, and Gregory C. Kane, MD, FACP, are seeking election as Chair-elect Designee of the Board of Governors. The Governors will be casting ballots next month, and the results will be announced in late October.
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to 100,000/μL (80-100 × 109/L). Her only medication is a prenatal vitamin. Following a physical exam and lab results, what is the most appropriate management of this patient's thrombocytopenia?
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