Primary Care Matters Voice your opinions about timely and controversial topics in medicine - insights, observations, and frustrations welcome. Children's Health Matters Vaccine controversies, parents who demand antibiotics, infant sleep strategies, talking with teens. . . . If you don't shy away from the tough issues in pediatrics, we invite you to join the conversation. The Dietitian Is In Up-to-date, accurate health, wellness, nutrition, exercise, and fitness information. Share your thoughts and ideas on how to make healthy choices every day. Clinical Photo Challenge
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ACP 2010
American College of Physicians
Editors from Consultant magazine bring you daily news reports, podcasts, and commentary from the annual American College of Physicians Internal Medicine meeting in Toronto.
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How to Have All Day Energy
Samantha Heller, MS, RD
, September 8, 2010
It is late afternoon, your eyes start to droop, head starts to nod, and you feel like someone slipped you a mickey. You rifle through drawers, pockets, or cupboards desperately foraging for chocolate to get you through the afternoon.
What Are These Scaly Plaques?
September 2, 2010
These scaly plaques on the scalp of a 32-year-old man have failed to respond to a topical antifungal. The patient has a 3-year history of pulmonary sarcoidosis.
Would You Offer Reassurance--or Biopsy?
August 24, 2010
A 24-year-old man is concerned about a large, hairy "mole" on his left shoulder. The lesion appeared during adolescence as a group of small, dark blotches. These eventually coalesced into a hyperpigmented patch with hair and acne.
End of Life: A Primary Care "Road Less Traveled"
Gregory W. Rutecki, MD
University of South Alabama
, August 20, 2010
In many instances, our patients receive invasive and aggressive subspecialty care at or near the end of life. Such care can become burdensome and painful without a favorable outcome. As advocates for our patients, we must ensure that their pain, shortness of breath, and other bothersome symptoms are alleviated, thus leading to a “good death.”
What Caused This Linear Eruption?
August 17, 2010
A linear, severely pruritic rash erupted on the lateral and plantar aspects of the left foot of a 72-year-old woman who had recently been camping on a Caribbean beach. Antihistamines and locally applied antifungal agents offered no relief.
Full of Beans!
Samantha Heller, MS, RD
, August 9, 2010
Beans are a super healthy, super versatile, super affordable food. Beans are high in antioxidants, fiber, protein, B vitamins, iron, magnesium, potassium, copper and zinc. Eating beans regularly may decrease the risk for diabetes, heart disease, and colorectal cancer and helps with weight management.
Dealing With Difficult Parents
Linda S. Nield, MD
West Virginia University
, July 26, 2010
For the past several years, I’ve listed “difficult parents” on my department’s conference evaluation form as my answer to the question, “What do you consider to be the single biggest problem that you face in your practice?” At times, I have to admit that difficult parents have made me dread my decision to become a pediatrician.
Whither Goes Evidence-Based Medicine?
Gregory W. Rutecki, MD
University of South Alabama
, July 19, 2010
Avoidance of guidelines because they are “cookbook” is no longer an adequate excuse—especially when we are doing things incorrectly and expensively, while adding to potential complications.
Words of Wisdom for New Residents
Linda S. Nield, MD
West Virginia University
, June 22, 2010
Thoughts of my summer vacation are on the back burner now as I prepare to welcome the incoming pediatric residents. July 1st has a special meaning to all of us who have survived the grind of an internship. Fear was probably my main emotion at the start of my residency, while I’m sure for others it was excitement and anticipation. On July 8, I have to give a talk to the newcomers at our institution.
Primary Care Matters
Gregory W. Rutecki, MD, is professor of medicine at the University of South Alabama College of Medicine in Mobile. He is also a member of the editorial board of CONSULTANT and series editor of "Top Papers Of The Month."
Children's Health Matters
Linda S. Nield, MD, is an associate professor of pediatrics at West Virginia University School of Medicine in Morgantown and a member of CONSULTANT FOR PEDIATRICIANS’ editorial board. Dr Nield also works in the pediatric clinic at University Health Associates’ Pediatric and Adolescent Group Practice. She and her husband have 2 children of their own (Olivia, age 11, and Timmy, age 9).
The Dietitian Is In
Samantha Heller is a registered dietitian, certified dietitian/nutritionist, and exercise physiologist. She is the nutrition coordinator at the Cancer Care Center at Griffin Hospital in Derby, Connecticut. She also hosts "Samantha Heller's Health & Nutrition Show" on SiriusXM's Doctor radio live every Friday from 12-2 pm ET. She is the author of Get Smart: Samantha Heller’s Nutrition Prescription For Boosting Brain Power and Optimizing Total Body Health published by Johns Hopkins University Press.
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