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
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
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
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.
Editor's note: Dr. Lien disclosed that she is a consultant for insulin manufacturers Sanofi-Aventis, Merck, Eli Lilly, and Novo Nordisk. ... Editor's note: Drs. Karl and Mahoney write on behalf of the Tucson and Contra Costa Chapters of the Citizens'
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
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.
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