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
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
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.
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
and business communities, in addition to the Governor's office and the physicians. ... Sharad Swami, FACP. Clinton, Okla. William C. Waters III, MACP, objects [Letters to the Editor, ACP Internist, May 2009] to any conclusions being drawn about PSAs from
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
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
By Janet Colwell, Editor. ... The handling of the case illustrates how “diagnosis momentum” can cloud the path to a right diagnosis, according to Drs.