Latest Articles
- Recent trials of antioxidant therapy: What should we be telling our patients?
Evidence does not support the indiscriminate use of vitamins A, C, or E or beta carotene to prevent or reduce cardiovascular disease.
- Birds, viruses, and history: The current ‘genuine adventure’
When I went to medical school, we were taught that viruses couldn’t jump from animals to humans. It looks like you can forget that rule.
- Hypoglycemia in diabetes: Common, often unrecognized
Intensive diabetes control is beneficial but increases the risk of hypoglycemia. Over time, patients may lose the ability to sense hypoglycemia, increasing their risk.
- Avian influenza: A wake-up call from birds to humans
We can hope that a pandemic does not occur—or we can take proactive steps to prevent one. In particular, we must improve vaccination rates among patients and health care workers.
- Perioperative nutrition support: Who and how
Although nutrition support can decrease postoperative morbidity and mortality, some patients do worse with total parenteral nutrition than with standard care.
- Fish oil supplementation: Evidence for health benefits
We have solid and compelling evidence that two long-chain omega-3 fatty acids help prevent coronary heart disease.
- Fitz-Hugh-Curtis syndrome: A diagnosis to consider in women with right upper quadrant pain
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.
- When and how is it appropriate to terminate the physician-patient relationship?
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.