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Highlights from ACP Internist and
ACP Hospitalist

ACP Internist (formerly ACP Observer) October & November 2009

  • Collaboration key to post-stroke follow-up
    Post-stroke care often fragments after patients leave the hospital. Patients being treated by specialists should keep the primary care physician at the center of their follow-up regimen.
  • Sorting out the worst offenders among herbal supplements
    Most internists have a tough enough time keeping up with developments in pharmaceuticals that they donít have the energy to get up to speed on the ever-expanding range of herbs and supplements their patients might be taking. But they ought to be well informed, for their patientsí and their own benefit.
  • Experts debate pros, cons of vitamin D
    An obscure nutrient is now being hailed as a link to prevention of diseases as disparate as diabetes, schizophrenia, cancer, strokes and heart attacks. Experts square off on how much vitamin D can be associated with illnesses, the proper amount that people should get, and how they can get it.
  • Uncertain diagnosis for pain leads doctor to dig further
    A 66-year-old woman presents with abdominal pain radiating to her back, and CT scans show multiple lesions worrisome for metastatic disease. But when the pain resolves and the lesions donít change, one internist reconsiders the diagnosis.

ACP Hospitalist December 2009

  • So you want to be an academic hospitalist
    For hospitalists contemplating a career in academic medicine, it may not always be easy to arrive at the right mix of clinical practice, teaching and research. Learn what to look for.
  • Results pending at discharge often stay in limbo
    Handoffs from inpatient to outpatient care are a known problem area in hospital medicine, and one of the biggest opportunities for improvement could involve results of tests pending at discharge.
  • Pulse oximeter a valuable tool, but has limitations
    With pulse oximetry, a strong, regular pulse is important to obtaining a good signal and accurate reading. Unfortunately, many critically ill patients do not have good pulses anywhere.

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