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
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.
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've always believed that patients should have the right to make medical decisions about their own lives. ... But 2 major concerns have combined to change my opinion about remaining the doctor for patients who refuse to follow my advice.
support that the article, as well as ACP's clinical practice guidelines, gave to acupuncture for low back pain. ... effects of application of localized irritants and the effects of the patient-clinician interaction such as conditioning, positive patient
There is no doubt that many diagnostic errors can be attributed to the factors he mentioned: anchoring, availability, and attribution. ... catalyst that drives physicians to take cognitive “shortcuts” that lead to the diagnostic errors.
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.
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?