Archive - March 2014
E-cigarettes can open doors into the subject of quitting tobacco use. Although the devices lack any hard data to support their use, they can offer doctors a chance to explore with patients other options for smoking cessation.
Lung Cancer Screening
New screening recommendations for low-dose CT for smokers will prove to be trickier to follow than most preventive care guidelines, experts say. Learn what issues to consider, where to refer patients, and how to deal with the results.
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)’s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
Learning is a progressive, contextual, social and active process. Time spent at ACP’s Internal Medicine 2014 meeting is well spent.
Access to health care can collide with controlling costs. Balance, transparency and real choice will help not only the success of the Affordable Care Act, but Medicare Advantage and employer-based health plans.
Letter to the Editor
Readers respond on a variety of issues, and Richard J. Baron, MD, MACP, takes up the challenge on the need for Maintenance of Certification.
This issue includes stories centered on various aspects of pulmonology, as well as a glimpse at the upcoming Internal Medicine 2014 in Orlando, Fla.
ACP’s practice management staff answers questions about coverage of and coding for preventive services mandated by the Affordable Care Act.
There are several ways to increase practice revenue, including patient volume, better collections, or better contract rates.
This regulatory update covers dapaglifozin (Farxiga) a sodium-glucose co-transporter 2 inhibitor, to treat diabetes, and umeclidinium and vilanterol inhalation (Anoro Ellipta) for maintenance of chronic obstructive pulmonary disease.
Waived tests for in-office procedures such as pregnancy or strep tests may be exempt from government oversight, but that doesn’t mean they should be exempt from quality control.
The election of Officers and Regents has been completed. Terms become effective at the conclusion of the Annual Business Meeting at Internal Medicine 2014 in Orlando, Fla.
Internal Medicine 2014
The College’s annual meeting returns to Florida, birthplace of the extremely popular Doctor’s Dilemma® competition.
A 50-year-old man is evaluated for a 6-month history of dysphagia. He describes a sensation of both solids and liquids sticking in the midesophageal area. This sensation has slowly worsened over time. He also describes intermittent midsternal discomfort that is nonexertional and is usually precipitated by swallowing food. He has lost 4.5 kg (10.0 lb). He has had no history of heartburn or acid regurgitation. Following a physical exam and barium swallow, what is the most appropriate management?
ACP Internist’s puzzle feature challenges readers to find clues placed horizontally in rows to reveal an answer written vertically.
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