I reported my observations to the American Heart Association and inquired if there might not be some interest in studying this. ... Many of these same African people develop coronary disease when they immigrate to the United States and adapt to our
Readers respond to ACP Internist's coverage. Regarding the article “Bringing Medicine to the Streets” in the July/August 2019 ACP Internist, I had the opportunity to know James S. ... I did have the opportunity on several cold winter nights to travel
is finally getting a clue to the impending collapse of primary care, and somehow one of our very own totally missed the boat. ... Unbelievable! Jacqueline W. Fincher, FACP. Thomson, Ga. Editor's note: After ACP InternistWeekly highlighted the GAO's report
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
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.
By Janet Colwell, Editor. ... College members pushed for approval of $500 million to fund a Medicare pilot of the patient-centered medical home but it was a tough sell.
But concepts such as bundled payments, comparative effectiveness and the patient-centered medical home seem certain to remain center stage. ... In an era when primary care physicians have less and less time to spend with their patients, the annual