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.
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.
A reader responds to a recent column on the term “primary care provider.”. ... Our focus has shifted to typing and clicking instead of the eye contact fundamental for connecting with our patients.
Second, I would venture to say that much of the research on hypertension was conducted using readings taken by physicians and nurses wearing white coats. ... To what extent is “white coat hypertension” baked into the studies upon which we depend?
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
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.
It is usually appropriate for consultants to explain to the patient what they have found and what recommendations they will make to the referring physician. ... If consultants have not yet discussed their findings with the patient, it's appropriate to do