Self-administered therapy with monthly monitoring could be an acceptable strategy for treating latent tuberculosis in the U.S., as well as in other countries and settings when directly observed therapy is not possible.
An observational study drew no firm conclusions about cause and effect, and proton-pump inhibitors are still generally considered safe.
A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. What is the most appropriate management?
Patients who had been prescribed sedatives and narcotics were most likely to report receiving information about potential impairment, while those prescribed stimulants and antidepressants less frequently received information about potential impairments.
New content and resources have been added to the initiative's website, including a link to ACP's October 2017 paper “Promoting Transparency and Alignment in Medicare Advantage,” which calls for Medicare Advantage plans to increase transparency.
Yul Ejnes, MD, MACP, looks back in his final column for ACP on KevinMD at the trends and topics that inspired him for the last five years.