Table of Contents

Beginning next month, current deputy editor Brian Mandell, MD, PhD, will assume the role of editor-in-chief of the Cleveland Clinic Journal of Medicine. I have enjoyed my tenure and look forward to continuing my association with the Journal.

How to decide which patients to vaccinate and how to use antiviral drugs, in light of the vaccine shortage.

The withdrawal of rofecoxib (Vioxx) has important implications both for patients with arthritis and for the pharmaceutical field in general.

Most hospitalized medical patients who should be receiving anticoagulants to prevent VTE according to current guidelines are not getting them, or are receiving subtherapeutic doses.

Epidural steroid injections may relieve the patient’s pain while healing occurs. Who should receive this therapy, and what kind of benefit can they reasonably expect?

Physicians must care for many patients who are neither fully capable nor totally incapable of understanding and expressing choices about their treatment. We present an algorithm for assessing decision-making capacity.

This month we start a new series with an article on cardiovascular problems in pregnancy; future articles will cover hypertension, selected neurologic problems, medications, and other pregnancy-related topics for the internist.

We review the impact of pregnancy on a number of heart diseases (and vice versa) and offer recommendations for their management.