The collagen vascular diseases can be challenging for the internist and are associated with higher utilization of resources and less…
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The Meaning of Vermoulu in Henrik Ibsen’s Ghosts
In 1881, Henrik Ibsen’s play Ghosts shocked the theatrical world by bringing to center stage the taboo topic of venereal…
Not All It’s CrAged Up to Be: Disseminated Cryptococcosis
Phenomena known as cognitive biases, when applied to the details of a patient’s medical history, evidently steered the first attempts…
Public Awareness and Perceptions of Palliative and Comfort Care
In April 2018, Barbara Bush, champion for universal literacy and former First Lady of the United States, died at the…
More Sub-subs Are Coming!
Prior to World War I, most US physicians were general practitioners.1 A smaller number considered themselves to be ‘specialists.’ Specialties…
Reducing Unnecessary Vitamin D Screening in an Academic Health System: What Works and When
Vitamin D deficiency is relatively common, with an estimated prevalence between 19% and 77% in the United States.1,2 Low serum…
A New Option for Reversing the Anticoagulant Effect of Factor Xa Inhibitors: Andexanet Alfa (ANDEXXA)
The use of direct oral anticoagulants over traditional warfarin has increased in the United States over the past 10 years…
Medical Principles in Obstetrical Consults
The ideal pregnancy should be medically uncomplicated. In contrast, maternal mortality in the United States equates to approximately 3 deaths…
Should Patients Infected with Borrelia burgdorferi No Longer Be Referred to as Having Lyme Disease?
In 1977, a seminal paper described what was subsequently called Lyme arthritis.1 The name ‘Lyme’ originated from the initial investigation…
Medical Tourists: Incoming and Outgoing
Patients who travel to another country to seek health care are referred to as medical tourists. The term arose because…