Table of Contents
From the Editor
- Louisa Paskert, aide to five CCJM editors, to retire after 34 years
As our editorial assistant, Louisa contributesto every aspect of the Journal.
1-Minute Consult
What is the appropriate initial dose of corticosteroids to treat giant cell arteritis?A lower dose than traditionally used may be enough to control symptoms and prevent blindness while minimizing adverse effects.
Medical Grand Rounds
- Maximizing antihypertensive management in the elderly
A checklist of specific considerations when treating hypertension in the elderly.
- Palliative medicine: Old dogs and new tricks
Some older drugs can be used for off-label indications, to either substitute for or augment the palliative action of approved drugs.
Review
- Update on antiviral therapy for genital herpes infection
After a first episode, should one give continuous prophylactic treatment or treat recurrences as they arise?
Commentary
- Fibrinolytic therapy in the elderly: Making sense of troubling new findings
Do patients older than 75 years with acute MI benefit from fibrinolytic therapy? For now, we have to live with uncertainty.
Review
- New options for untreatable coronary artery disease: Angiogenesis and laser revascularization
Angiogenesis and laser revascularization may help the growing group of patients who have run out of other options.
Cancer Diagnosis and Management
- Regional delivery of anticancer drugs: Current applications
For some cancers, an option is to deliver anticancer drugs directly to the involved region.
Review
- Rosacea: An update
Early diagnosis and thoughtful management help control the disease and minimize discomfort and emotional distress.
Clinical Perspective
- Long-term outcomes excellent for atrial septal defect repair in adults
It’s never too late, generally, to patch a hole in the heart, as shown by 25-year follow-up data.
Commentary
The author’s experience indicates that a low-fat, plant-based diet can lower cholesterol to less than 150 mg/dL and reverse coronary artery disease.
Two physicians who successfully motivated their patients to make lifestyle changes were true believers.