Table of Contents
From the Editor
- CME good and bad news: Now 1.5 hours, but you must go online
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.
1-Minute Consult
- ‘Coach class thrombosis’: Is the risk real? What do we tell our patients?
The risk is real but small; only those already at increased risk of venous thromboembolism need to be concerned.
Interpreting Key Trials
- Discussing breast cancer and hormone replacement therapy with women
Although the Women’s Health Initiative showed an increased risk of breast cancer, the absolute risk is very low.
Review
- Very-low-carbohydrate weight-loss diets revisited
Scientific and anecdotal evidence indicates that very-lowcarbohydrate diets are safe and effective in weight loss.
Editorial
- Making good decisions about diet: Weight loss is not weight maintenance
Lack of long-term data on very-low-carbohydrate diets makes their medically unsupervised use very troubling.
Review
- Hematuria: An algorithmic approach to finding the cause
Many conditions can cause hematuria, but the differential diagnosis can be simplified with a systematic approach.
Medical Grand Rounds
- Preventing kidney stones: Calcium restriction not warranted
Normal dietary calcium intake, along with reduced salt and protein, is now advised.
Heart Valve Update
- Mitral valve prolapse: Old beliefs yield to new knowledge
Many things we once believed about mitral valve prolapse have proved false.
Review
- Bariatric surgery for morbid obesity: Why, who, when, how, where, and then what?
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.
Im Board Review
- A 47-year-old alcoholic man with progressive abnormal gait
What is the cause of this patient’s symptoms? A self-test.
Review
- Lumbar canal stenosis: Start with nonsurgical therapy
We have to live with some uncertainty in diagnosing and treating lumbar canal stenosis.