Dabigatran and rivaroxaban spare patients the need for regular blood checks, but warfarin is less expensive and has an antidote to reverse bleeding, if needed. Does the convenience of the new generation of drugs and the potential to increase compliance with therapy outweigh their downsides?
If your idea of a stimulating vacation involves unsafe destinations, bribing foreign officials for a medical license and practicing resource-limited hospitals, then there's an organization willing to set it all up for you. (You also get to meet kings and see beautiful scenery.)
Recalls, warnings, approvals and other regulatory news.
A 73-year-old man struggles with the decision whether to consider anticoagulation for atrial fibrillation, a "decisional conflict" that affects many trying to balance risks and rewards of medical treatments. Doctors should help the patients choose, but then abide by that decision.
As ACP's outgoing president contemplates the upcoming change of leadership, she realizes that while the people may change, the organization still requires its leaders and its members to continue.
Health care reform has made progress with internists already seeing bonus reimbursement in their offices. But the Affordable Care Act is about to run smack into the Supreme Court, and what happens there could result in any range of outcomes.
Technological devices can make physicians lives easier, but integrating them can be difficult. Physicians report on how they make the many mobile devices work in their offices.
The Centers for Medicare and Medicaid Services heard the primary care community's complaints and have delayed ICD-10 implementation until further notice. The agency did, however, launch several new tactics in order to collect overpayments.
A 34-year-old woman is evaluated for sharp intermittent pleuritic chest pain that has persisted for 1 week. The pain is worse when she lies down in the supine position. She has had no fever, chills, cough, or weight loss. She had acute viral pericarditis 6 months ago that was treated initially with ibuprofen, but when she failed to respond after 3 days, a 10-day tapering dosage of prednisone was instituted, leading to resolution of clinical symptoms.