the high prevalence of this debilitating disorder, and the challenges faced in coming to a proper diagnosis. ... There is no autoimmune component to fibromyalgia, and treatment paradigms include the use of anticonvulsants and antidepressants to modulate
Regarding the article “War dilemmas put medical ethics under fire” (ACP Internist, July/Aug 2008), the two cases presented should not pose ethical dilemmas to any physician. ... back to yard, to hospital etc., using best medical practices and
Readers respond to the ACP InternistWeekly item about lower pay driving physicians to cut their hours, and to the cover story that questioned the value of the annual physical exam. ... I am sure that this is a net savings for the system, which is then
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
The mission of Patan Hospital is to provide quality, compassionate health care to everyone who comes to the hospital, regardless of their ability to pay,” he said. ... In addition, writing will be a crucial skill for the new internal medicine residents,
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.
Stein, MD, FACP, in the Letters to the Editor section in the September 2017 ACP Internist. ... I refer chiefly to the TIME magazine article “Bitter Pill: Why Medical Bills Are Killing Us” by Steven Brill, published in 2013.
In order to improve on the present, one needs an enviable alternate reality. ... The “low dose” used in all the studies is not really low dose, according to the original past work of Drs.
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?
Like Dr. López's parents, I immigrated to the United States, a few years after graduating from Honduras Medical School, which had a very rigorous eight-year program, with emphasis in ... The uncritical acceptance of a 50-year-old concept needs