Cardiac rehabilitation programs after acute myocardial infarction have favorable effects on health status. Originally designed for young patients, their application…
FOR WHOM THE ATOLL TOLLS: TARGETING THE REVERSED HALO SIGN
A 44-year-old man presented with constitutional symptoms, leukocytosis, anemia, and thrombocytopenia.
Acute urinary retention in systemic lupus erythematosus: UR-INE for disaster
We discuss the case of a 43-year-old woman with systemic lupus erythematosus (SLE) who presented with acute urinary retention. Within 24…
High fluctuation between anticoagulants, frequent off-label dosing and no difference concerning outcomes: results of a real life cohort study
At first glance, there seems to be abundant data comparing safety and effectiveness of direct oral anticoagulants (DOACs) versus vitamin…
The 5 Rs of Cultural Humility: A Conceptual Model for Health Care Leaders
Unconscious biases can have significantly negative consequences at all levels within health care organizations. Biased communication is a barrier to…
UnitedHealth Ships Flu Kits to Medicare Recipients
Under MedAdvantage plans, the major insurer is sending packages including Tamiflu and coronavirus tests to those considered especially vulnerable to…
Gravity and Mastoid effusion
Asymptomatic mastoid effusions have recently been observed in astronauts returning from long-term spaceflight. In hospitalized patients, mastoid effusion increases the…
Why Clinicians Disagree About the Usefulness of the Physical Exam
The physical exam, once assumed an indispensable skill, has had its usefulness questioned and mastery eschewed for the last three…
DECISION MAKING IN THE MANAGEMENT OF VENOUS THROMBOEMBOLISM
Venous thromboembolism comprising deep venous thrombosis and pulmonary embolus is common. Patients with venous thromboembolism may present to a variety…
The Silent Epidemic
The COVID-19 pandemic has forever altered the world that we live and practice in. Each of us has needed to…