Messing with Mother Nature
Even the most effective, cleverly targeted therapies may come with unintended consequences.
B.F. MANDELL

'Thanks for sharing': A fictional reflection on shared medical appointments
"I'm not an exhibitionist, Doctor. I came here to see you, not to be part of a medical encounter group."
L.G. COHEN

Shared appointments can be good care
Shared appointments are not for everybody, but we have found they help in providing access for hopelessly backlogged physicians and are usually enjoyable for both the patients and the physician.
D.L. BRONSON and R.A. MAXWELL

Highly resistant HIV: If not a super strain, at least a wake-up call
Even if it is too soon to sound the alarm about a "super strain," we must redouble our prevention efforts.
A.J. TAEGE and W.S. ARMSTRONG

Management of erectile dysfunction by the primary care physician
The oral selective inhibitors of PDE5 have revolutionized the treatment of erectile dysfunction and made it the province of primary care physicians.
N. MIKHAIL

Varicose veins: Newer, better treatments available
We can now offer patients more convenient and less invasive options for managing their varicose veins.
J.R. BARTHOLOMEW, T. KING, A. SAHGAL, and A.T. VIDIMOS

Uveitis in the internist's office: Are a patient's eye symptoms serious?
The diagnosis is not always clear. If it is uveitis, physicians must determine if it is caused by infection or is a sign of an underlying condition. Management is best handled collaboratively with an ophthalmologist.
R.A. HAJJ-ALI, C. LOWDER, and B.F. MANDELL

Advances in the treatment of hemorrhagic stroke: A possible new treatment
Recombinant factor VIIa may be the first proven treatment for intracerebral hemorrhage.
J.P. BRODERICK

Hypertensive disorders of pregnancy: Overdiagnosis is appropriate
Since the presentation of preeclampsia is variable, a high index of suspicion is warranted.
S.P. EMERY

An elderly woman with leg swelling and pain
Six days after she started treatment for deep venous thrombosis, her platelet count drops to 60 X 10⁹/L. What is the cause?
H.L. DANESCHVAR and H. DAW

Quality of life with rate or rhythm control in atrial fibrillation (AFFIRM trial)

Hyperbaric oxygen prevents major amputation in diabetic patients with chronic wounds

Letters to the Editor
Cervical cancer screening (February 2005)
Physical therapy for back pain (January 2005)

2004 Reviewers