Geriatrics
- The bias of word choice and the interpretation of laboratory tests
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
- How well do we understand calcium and vitamin D?
I do not believe we truly understand the ideal amount of dietary and supplemental calcium or vitamin D for a given patient.
- What should I address at follow-up of patients who survive critical illness?
Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.
- Critical care medicine: An ongoing journey
Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.
- Optimizing calcium and vitamin D intake through diet and supplements
Set modest calcium targets, maximize dietary intake, and make up the defi cit with calcium citrate.
- Cardiac rehabilitation: A class 1 recommendation
Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.
- Reverse T3 or perverse T3? Still puzzling after 40 years
Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.
- Idiopathic pulmonary fibrosis: What primary care physicians need to know
This devastating and fatal lung disease generally affects older adults, especially men, and can be mistaken for COPD.
- It takes a village to care for the patient with idiopathic pulmonary fibrosis
The primary care physician can play key roles in diagnosis, referral, and long-term management.
- Genitourinary syndrome of menopause: Common problem, effective treatments
Half of all postmenopausal women experience these symptoms. Most do not seek relief.