Table of Contents
March 01, 2004; Volume 71, Issue 3-
From the Editor
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Fish oil is no snake oil
John D. Clough, MD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 174;
That cod-liver oil I took as a child, though foul tasting, may have been good for my heart.
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1-Minute Consult
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When and how is it appropriate to terminate the physician-patient relationship?
Carol Santalucia, MBA and Franklin A. Michota Jr., MD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 179-183;
This should be a last resort, done only in extreme cases, and only after trying to work things out, giving fair warning, and making sure you are not abandoning the patient.
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Review
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Spondyloarthropathies: Using presentation to make the diagnosis
Siwat Kiratiseavee, MD and Lawrence H. Brent- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 184-206;
Spondylitis is easy to miss and is often falsely assumed to be “just back pain.” Inhibitors of tumor necrosis factor show promise as treatments, but data are still limited.
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Fish oil supplementation: Evidence for health benefits
William S. Harris, PhD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 208-221;
We have solid and compelling evidence that two long-chain omega-3 fatty acids help prevent coronary heart disease.
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Hearing loss is often undiscovered, but screening is easy
Craig W. Newman, PhD and Sharon A. Sandridge, PhD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 225-232;
Does your patient need a hearing aid? Primary care physicians—the gatekeepers of audiologic care—can play a more active role in improving the hearing of their adult patients.
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Fitz-Hugh-Curtis syndrome: A diagnosis to consider in women with right upper quadrant pain
Nadja G. Peter, MD, Liana R. Clark, MD and Jeffrey R. Jaeger, MD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 233-239;
Does your patient need a hearing aid? Primary care physicians—the gatekeepers of audiologic care—can play a more active role in improving the hearing of their adult patients.
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What physicians can do to prevent suicide
David J. Muzina, MD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 242-250;
No one can predict whether any given patient will or will not attempt suicide, but we should notice when a patient might be at risk—and not be afraid to ask about it.
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Omalizumab: Where does it fit into current asthma management?
Todd E. Rambasek, MD, David M. Lang, MD and Mani S. Kavuru, MD- Cleveland Clinic Journal of Medicine March 2004, 71 (3) 251-261;
This drug offers substantial promise, but owing to its cost and other limitations, it is not a first-line therapy.
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