I could not find any symptoms or signs relating to the head or the nervous system. ... I suffered three more days of agony on ineffective proton pump inhibitors until readmission to the hospital and a hepatobiliary iminodiacetic acid scan revealed a
The principles of anchoring and availability are ones to guard against in all areas of medicine. ... I made notes as I read, listing the differential diagnoses and trying to keep the list as short as possible.
She writes that it took more than three weeks to get used to the system, an indicator that something was dreadfully wrong with training and post go-live support. ... Physicians must be involved in the design phase early on to avoid the issues she mentions
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.
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 would like to applaud Jack Ende, MD, MACP, for recent comments about his “ back to the bedside” initiative in the President's Message in the June 2017 ACP Internist. ... More troubling is the thought that the uninsured, without an insurer to
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.
First, many physical examination maneuvers (tests) have well-established sensitivities and specificities, as useful to the clinician as those for laboratory tests. ... Second, the practice of predicting what a laboratory test might demonstrate based on
Reader comments on the role of ancillary services in an internal medicine practice, and on the need for attention to nutrition and lifestyle in caring for rheumatoid arthritis. ... As for the comment by ACP's senior associate Ms. Williams that these are
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.