Table of Contents

December 01, 2018; Volume 85,Issue 12

From the Editor

You have access
A new reason to reconsider that antibiotic prescription: The microbiome
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 906-907; DOI: https://doi.org/10.3949/ccjm.85b.12018

Prescribing an antibiotic is a far more complicated and long-lasting affair than most of us thought.

The Clinical Picture

You have access
Lung complications of prescription drug abuse
Josiah D. McCain, MD, Monia E. Werlang, MD, Andras Khoor, MD, PhD and Isabel Mira-Avendano, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 910-911; DOI: https://doi.org/10.3949/ccjm.85a.18050

Opioid tablets crushed, then injected intravenously.
You have access
Acute necrotizing esophagitis
Takeshi Kondo, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913; DOI: https://doi.org/10.3949/ccjm.85a.18054

Poorly controlled diabetes, confusion, coffee-ground emesis.

1-Minute Consult

You have access
What can I do when first-line measures are not enough for vasovagal syncope?
Erika Hutt-Centeno, MD and Kenneth A. Mayuga, MD, FHRS, FACC, FACP

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 920-922; DOI: https://doi.org/10.3949/ccjm.85a.17112

Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.
You have access
Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?
Gregory T. Brennan, MD, Alex Duong, Emily T. Nguyen, PharmD and Douglas L. Nguyen, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 923-924; DOI: https://doi.org/10.3949/ccjm.85a.18037

Active IBD poses a greater risk than continuing drug therapy.
You have access
Do all hospital inpatients need cardiac telemetry?
Motaz Baibars, MD, Yasser Al-Khadra, MD, Zaher Fanari, MD, Homam Moussa Pacha, MD, Mohamad Soud, MD and M. Chadi Alraies, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 925-927; DOI: https://doi.org/10.3949/ccjm.85a.17114

Routine cardiac telemetry raises costs and does little.

Medical Grand Rounds

You have access
Our missing microbes: Short-term antibiotic courses have long-term consequences
Martin J. Blaser, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 928-930; DOI: https://doi.org/10.3949/ccjm.85gr.18005

Is the rise in chronic diseases due to loss of microbial diversity?

Review

You have access
Beta-cell therapies for type 1 diabetes: Transplants and bionics
Kathryn Bux Rodeman, MD and Betul Hatipoglu, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 931-937; DOI: https://doi.org/10.3949/ccjm.85a.17088

Chief among the challenges: millions of people have diabetes.
You have access
Cannabis for peripheral neuropathy: The good, the bad, and the unknown
Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

Even where it is legal, doctors should recommend it only after careful consideration.
You have access
Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
Luke D. Kim, MD, FACP, CMD and Ardeshir Z. Hashmi, MD, FACP

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 953-958; DOI: https://doi.org/10.3949/ccjm.85a.18059

A review of study results from the last 2 years.
You have access
Narcolepsy: Diagnosis and management
Erin C. Golden, MD and Melissa C. Lipford, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969; DOI: https://doi.org/10.3949/ccjm.85a.17086

Treatments can offer enhanced quality of life.

Opinion

You have access
Telemedicine: Past, present, and future
Jamal H. Mahar, MD, Gregory J. Rosencrance, MD and Peter A. Rasmussen, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 938-942; DOI: https://doi.org/10.3949/ccjm.85a.17062

Low reimbursement, licensing, practice issues limit its use.
You have access
Cannabis for chronic pain: Not a simple solution
Xavier F. Jimenez, MD

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 950-952; DOI: https://doi.org/10.3949/ccjm.85a.18089

Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.

Departments

You have access
Prostate cancer screening, November 2018
David L. Keller, MD, FACP

Cleveland Clinic Journal of Medicine December 2018, 85 (12) 908; DOI: https://doi.org/10.3949/ccjm.85c.12001

A reader comments on the use of prostate-specific antigen (November 2018).
You have access
Men’s health 2018 (November 2018)
Cleveland Clinic Journal of Medicine December 2018, 85 (12) 913;

An error occurred in Chaitoff A, Killeen TC, Nielsen C. Men’s health 2018: BPH, prostate cancer, erectile dysfunction, supplements. Cleve Clin J Med 2018; 85(11):871–880. doi:10.3949/ccjm.85a.18011.