Table of Contents

November 01, 2006; Volume 73,Issue 11

From the Editor

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The surgical unsupersizing of America
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 960;

For years, “fat surgery” was viewed with skepticism by many internists. The tide is turning, but there is still no free lunch.

Editorial

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Health care worker, vaccinate thyself: Toward better compliance with influenza vaccination
Steven M. Gordon, MD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 965-966;

At our hospital, workers can decline to be vaccinated, but everyone must go to our Web site and be counted.
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Bariatric surgery: Part of the answer to the obesity epidemic
William T. Cefalu, MD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 969-970;

Bariatric surgery is not the total answer to obesity, but it can be an integral part of a comprehensive weight-management program.

Current Drug Therapy

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The controversy over long-acting beta agonists: Examining the evidence
David M. Lang, MD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 973-992;

Review

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Risks and benefits of bariatric surgery: Current evidence
Stacy A. Brethauer, MD, Bipan Chand, MD and Philip R. Schauer, MD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 993-1007;

The risks are not trivial, but they are acceptably low. The benefits: patients lose weight and keep it off, and many are cured of obesity-related diseases, notably type 2 diabetes.

Patient Information

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Bariatric surgery: Is it right for you?
Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1008;

Review

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Improving influenza vaccination rates among adults
Kristin L. Nichol, MD, MPH, MBA

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1009-1015;

The medical profession must and can do a better job of vaccinating people against influenza every year. All we need is a plan.

1-Minute Consult

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Which agents should we use to treat and prevent influenza in 2006–2007?
Sherif B. Mossad, MD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1016-1018;

Oseltamivir (Tamiflu) and zanamivir (Relenza) are the treatments of choice this year, but vaccination remains the primary preventive measure.

Medical Grand Rounds

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Endocrinology update 2006
S. Sethu K. Reddy, MD, MBA

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1019-1024;

Recent studies have shed light on diabetes management, the therapeutic range of thyroid hormones, the possible role of thyroxine in cancer, and the possible role of vitamin D in preventing type 1 diabetes.

Review

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Does this patient have primary progressive aphasia?
Stuart J. Kanter, DO, Ronan M. Factora, MD and Theodore T. Suh, MD, PhD, MHSc

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1025-1027;

Primary progressive aphasia is a distinct clinical entity in which the patient develops language deficits while other cognitive domains remain relatively preserved until late in the illness.

The Clinical Picture

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A 48-year-old man with acute, ‘knife-like’ rectal pain
David Z. Rose, MD, Navin Kedia, DO, Jesse T. Jacob, MD and J. Walton Tomford, MD

Cleveland Clinic Journal of Medicine November 2006, 73 (11) 1028-1029;

He has lost 90 pounds in the last 9 months and has had white oral plaques, chronic diarrhea, low-grade fever, and anorexia. What is the most likely diagnosis?