March 2008

Internists taking primary care to the streets

Practicing medicine changes when homeless patients don’t have a phone, food or access to first aid. Free health care programs have been converting buses and vans into clinics on wheels as they discover that mobile care is an effective way to reach homeless patients.

Patient's doubts about diagnosis prompt a second opinion

A 61-year-old retired military officer presented to a local hospital in the Midwest with flank pain and E. coli bacteremia.

Cultural differences complicate a terminal cancer diagnosis

An 83-year-old woman of Russian descent is hospitalized with progressive dyspnea and a chest X-ray highly suggestive of metastatic cancer, which is confirmed on bronchoscopy.

Working toward health care one step at a time

While the presidential candidates debate different strategies for reforming the ailing U.S. health care system, ACP has been quietly working toward change.

Letters to the Editor

Addressing credentials in internal medicine, and taking issue with cosmetic procedures

Fleshing out the debate over meat from cloned animals

Increasingly, food safety seems to be on the minds of patients.

Clearing up confusion over Medicare coverage for vaccines

Medicare’s vaccination payments covered in a variety of ways

Follow a few simple steps to ensure safety with vaccines

Needlesticks happen. Patients have the same or similar names. OSHA inspectors visit. Drugs are recalled. Now what?

Diabetes project narrows gap between theory and practice

Following a successful first phase, the College’s diabetes programs reach out to a wider audience of members, residents and patients

Visits can be more productive when patients set the agenda

First in a three-part series: Motivational interviewing is one technique for engaging patients and developing strategies that work

College's new end-of-life guidelines fill gaps in patient care

The College’s new guidelines recommend that clinicians regularly assess end-of-life patients for symptoms of pain, dyspnea and depression, and use proven therapies to treat these conditions

Dispensing drugs on site may help with patient compliance

Morris Kliger, D.O., a physician in Lansdale, Pa., has patients tell him that they are overwhelmed by the price of prescription drugs.

Site shifts surplus supplies from the haves to the have-nots

What do an X-ray machine in Oregon and a shower chair in Bellmore, N.Y. have in common? Both are available for free on a Web site that matches U.S. donors of medical equipment to needy recipients

Heparin, saline solutions recalled for possible contamination

Warnings, recalls, label changes, and approvals.

Rosiglitazone controversy has internists scratching their heads

E. Victor Adlin, FACP, an endocrinologist at Temple University School of Medicine, discusses how the rosiglitazone drama has affected internists’ prescribing habits

Will the 2008 elections be the turning point for health care?

For the first time in 15 years, health care reform is back as a major campaign issue.

ACPNET brings continuing medical education into the clinic

We all appreciate that studying and learning are lifetime essentials for being a good physician.