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 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
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?
to point out until late in the piece the easiest and least expensive way to diagnose it—examine the patient. ... As a matter of fact, if the patient has good-quality pedal pulses it is unlikely that those above will be impaired; they need to be
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
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“
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'
Given our propensity to share personal information, I shudder to think of where the details of the clinical encounter might end up. ... While this notion may have obvious appeal to the generation raised on social media, it speaks volumes to the rest of us
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.