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A different approach to pain. I read the article“ Seeking clarity for opioid prescribing” in the April ACP Internist, and I believe it is time for the medical community to scale ... Overzealous efforts must be replaced by research-proven methods to
I've always believed that patients should have the right to make medical decisions about their own lives. ... But 2 major concerns have combined to change my opinion about remaining the doctor for patients who refuse to follow my advice.
to point out until late in the piece the easiest and least expensive way to diagnose it—examine the patient. ... As a matter of fact, if the patient has good-quality pedal pulses it is unlikely that those above will be impaired; they need to be
to go to the hospital to care for the patient with sudden critical illness. ... That illness, and the doctor's struggle to help, is not caused by global warming at all.
Regarding the article“ War dilemmas put medical ethics under fire” (ACP Internist, July/Aug 2008), the two cases presented should not pose ethical dilemmas to any physician. ... back to yard, to hospital etc., using best medical practices and
How would Dr. Baron respond to the increasing evidence that MOC is detested by those forced to participate? ... Dr. Baron's predecessor at ABIM, Christine K. Cassel, MD, MACP, stated in a 2012 letter to the editor in the Journal of the American Medical
Adding to the challenge are debates about the existing risk-scoring methods and uncertainties about how aggressively to administer fluids for patients who might be more vulnerable to severe pancreatitis. ... Obesity is a significant risk factor.”. But
Dr. Cooke refers to as our“ social contract” with patients. Maintaining our certification reflects a commitment to our patients and to the profession that we know what we need to know ... Cooke emphasizes the need for physicians to receive feedback
A letter to the editor addresses counseling for physical activity. I recently read "Moving toward effective physical activity counseling" in the February 2017 ACP Internist, which did a great job of ... Too many believe that nothing good happens until
A letter to the editor addresses the primary care shortage in medical education. ... Failing to recognize the above realities is going to leave many smaller training programs in real jeopardy of no longer existing.