Table of Contents
November 01, 2002; Volume 69, Issue 11-
From the Editor
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CME good and bad news: Now 1.5 hours, but you must go online
John D. Clough, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 831;
Bookmark this URL:
www.ccjm.org . Starting with this issue, you must go online to get your CME credit. It’s easy, you get your certificate for 1.5 CME hours right away, and it’s still free.
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1-Minute Consult
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‘Coach class thrombosis’: Is the risk real? What do we tell our patients?
Daniel J. Brotman, MD and Amir Jaffer, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 832-837;
The risk is real but small; only those already at increased risk of venous thromboembolism need to be concerned.
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Interpreting Key Trials
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Discussing breast cancer and hormone replacement therapy with women
Pelin Batur, MD, Holly L. Thacker, MD, FACP and Halle C.F. Moore, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 838-848;
Although the Women’s Health Initiative showed an increased risk of breast cancer, the absolute risk is very low.
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Review
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Very-low-carbohydrate weight-loss diets revisited
Jeff S. Volek, PhD, RD and Eric C. Westman, MD, MHS- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 849-862;
Scientific and anecdotal evidence indicates that very-lowcarbohydrate diets are safe and effective in weight loss.
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Editorial
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Making good decisions about diet: Weight loss is not weight maintenance
George L. Blackburn, MD, PhD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 864-866;
Lack of long-term data on very-low-carbohydrate diets makes their medically unsupervised use very troubling.
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Review
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Hematuria: An algorithmic approach to finding the cause
Ramesh Mazhari, MD and Paul L. Kimmel, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 870-884;
Many conditions can cause hematuria, but the differential diagnosis can be simplified with a systematic approach.
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Medical Grand Rounds
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Preventing kidney stones: Calcium restriction not warranted
Phillip M. Hall, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 885-888;
Normal dietary calcium intake, along with reduced salt and protein, is now advised.
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Heart Valve Update
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Mitral valve prolapse: Old beliefs yield to new knowledge
Brian Griffin, MD and Emil Hayek, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 889-896;
Many things we once believed about mitral valve prolapse have proved false.
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Review
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Bariatric surgery for morbid obesity: Why, who, when, how, where, and then what?
Patricia Smith Choban, MD, Steve Poplawski, MD, Benita Jackson, MD, MPH and Peter Bistolarides, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 897-903;
Bariatric surgery can take weight off and keep it off, but it is not for everyone. Chances are, you will see more patients who want it or have had it.
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Im Board Review
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A 47-year-old alcoholic man with progressive abnormal gait
David L. Longworth, MD, James K. Stoller, MD, Scott A. McHam, DO and Alan L. Hull, MD, PhD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 904-908;
What is the cause of this patient’s symptoms? A self-test.
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Review
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Lumbar canal stenosis: Start with nonsurgical therapy
Daniel J. Mazanec, MD, Vinod K. Podichetty, MD and Augusto Hsia, MD- Cleveland Clinic Journal of Medicine November 2002, 69 (11) 909-917;
We have to live with some uncertainty in diagnosing and treating lumbar canal stenosis.
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