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Ebola—lessons still to be learned
So far, the disease has barely touched our country, but it has had a big impact on our health care system and our national psyche.
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Screening guidelines: A matter of perspective
Guidelines are only guidelines: We should use them within a personalized context.
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To dream the maybe possible dream: A breast cancer vaccine
The work is in an extremely preliminary phase, but the concept is an active area of research worth keeping tabs on.
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Polycystic kidney disease: Molecular understanding dictating management
It was the early 1980s, I was a resident in the emergency room, and the patient had fever, flank pain, hypotension, and a normal urinalysis.
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When snoring is more than an annoyance
We should vigilantly look for obstructive sleep apnea and, if it is diagnosed, strongly encourage treatment.
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Smart testing: An old idea, a new series
We hope to change test-ordering behaviors in situations in which there is a smart—and a not-so-smart—way to pursue a diagnosis.
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COPD: More options mean potentially better control
Although newer drugs can improve control, to make the biggest impact on mortality we need to wage war on smoking.
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The generalist, the specialist, and the patient with chronic kidney disease
Comanagement of patients who have a chronic disease is often a challenge.
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Appreciating the appetite for reflective practice
Twenty-five years later, I still think about eating disorders when I evaluate young women who have severe fibromyalgia.
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New practice guidelines: Constrained or enhanced by the evidence?
The new guidelines on cholesterol and hypertension are more evidence-based, but will they help improve outcomes?
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The impact of anti-TNF therapy on the nonspecialist
These drugs are being used in a growing number of diseases. We all need to increase our familiarity with their unique risks.
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Should patients with gout avoid thiazides for hypertension?
No study has directly addressed this issue. In most cases, continue the thiazide and adjust the hypouricemic therapy if necessary.
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Return of the 'pisse-mongers,' this time with data
Urinalysis may be the oldest surviving laboratory test. Both Hippocrates and Galen recognized its value.
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To Phil, adieu with many thanks and much gratitude
Phil Canuto, the executive editor of the Cleveland Clinic Journal of Medicine for almost 20 years, is retiring.
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When people with diabetes go to surgery
A key take-home point is that severely insulinopenic patients require some exogenous basal insulin, even when not eating.