Table of Contents
From the Editor
- The electronic health record: Getting more bang for the click
Bemoaning the technology is not the answer—we need to refine the EHR, but we also need to do better documentation.
Editorial
- Electronic health records: We need to find needles, not stack more hay
We need a system that extends our abilities and improves the care we give—and we don’t have it yet.
- Postoperative pain: Meeting new expectations
Patients who need surgery ask, “How much pain will I have, and how will you manage it?”
The Clinical Picture
- Multiple intracardiac thrombi
A 60-year-old woman presents with massive venous thrombosis. What is the cause?
Review
- How to interpret surveys in medical research: A practical approach
Was the survey well designed? Was the sample appropriate and the response rate adequate? And do the data support the conclusions?
- Practical management of bleeding due to the anticoagulants dabigatran, rivaroxaban, and apixaban
How these new drugs work, what coagulation tests can tell us, and how to reverse the drugs’ anticoagulant effect.
Paget disease of bone: Diagnosis and drug therapyThis focal disorder of aging bone may be asymptomatic or cause pain, bowing deformities, fractures, or nonspecific rheumatic complaints.
Im Board Review
- Recurrent abdominal pain and vomiting
A young man taking narcotic analgesics long-term has developed abdominal pain and vomiting. What is the cause?
Departments
- Correction
An error appeared in Figure 1 of: Park K, Bavry AA. Aspirin: its risks, benefits, and optimal use in preventing cardiovascular events (Cleve Clin J Med 2013; 80:318–326).
Commentary
For all their purported benefits, electronic systems drive caregivers to work alone, thereby discouraging spontaneous interaction.