Table of Contents
Medical Grand Rounds
- Detecting and managing subclinical hyperthyroidism
With physicians using TSH assays more often, they are encountering subclinical thyroid disease more frequently.
- Understanding culture clashes in the clinical setting
Although conflict between people is common, some conflicts are the result of different cultural assumptions. These disagreements can complicate good communication between physician and patient.
Health Care Reform Update
- Health care reform in 1998: A resurging debate
This is an election year, so 1998 will be filled with intense debates about expanding Medicare eligibility, regulating managed care, and eliminating health care fraud.
Interpreting Key Trials
- Angioplasty or fibrinolysis for acute MI?
Primary angioplasty is better than fibrinolytic therapy in acute myocardial infarction, but the advantage is not as large as we once thought.
Internal Medicine Board Review
- Two patients with neuroglycopenia
One patient suffers from periodic "silliness," the other suffers from syncope. What is the diagnosis and treatment?
Review
- An overview of immune hemolytic anemias
Often patients with these anemias present with symptoms that are common in anemia of any cause. A full-color illustration shows the different processes of red blood cell destruction.
- New hope for impaired physicians: Helping the physician while protecting patients
The medical profession lias greater awareness of the problem of substance abuse among physicians, and has set up programs to confront impaired physicians about their problem so they can overcome their resistance to treatment.
Cancer Diagnosis and Management
- Cancer and the mind: Separating fact from fiction
It is quite appropriate for physicians to encourage cancer patients to join support groups. However, these patients should not blame themselves or their emotions for causing the cancer.
