Archive for July 2011
Evaluating dizziness in the cardiologist’s office
Posted by: admin on: July 29, 2011
I see a lot of patients who are sent to me for evaluation of dizziness. On the surface you wouldn’t think a cardiologist would have much to do with a symptom that relates more to the head than the heart, but there is some logic to it—poor blood flow to the brain could lead to […]
Insulin Therapy for Hospitalized Patients Should Not Be Abandoned
Posted by: admin on: July 29, 2011
The American Association of Clinical Endocrinologists and the American Diabetes Association Joint Statement in Response to American College of Physicians (ACP) Clinical Guidelines for Inpatient Glucose Control The publication of the systematic review of intensive insulin therapy in hospitalized patients and the American College of Physicians (ACP) clinical guidelines for inpatient glucose control in the […]
Treating patients with pre-diabetes: Weight loss and carbohydrate restriction
Posted by: admin on: July 29, 2011
What physician has not stifled a groan when a patient presents with a chief complaint of “I just don’t feel right, Doc.” About this time last year, I had that “not quite right” feeling and vague, seemingly unrelated symptoms … sweating, mid-morning headaches, and frequent feelings of hunger, which I was accustomed to satisfying with […]
Palliative care needs a simple and consistent message-
Posted by: admin on: July 28, 2011
Alex Smith, Assistant Professor of Medicine, Department of Medicine, and Division of Geriatrics at the University of California I was consulted recently about an elderly woman who refused surgery for a large bowel obstruction from a colonic mass, likely cancer. The inpatient team asked me to help with the transition to hospice and to help […]
Guidelines Issued for Antibiotic Prophylaxis with Implanted Heart Devices
Posted by: admin on: July 28, 2011
Dental patients should not take prophylactic antibiotics simply because they have pacemakers or implanted defibrillators, according to a new statement from the American Heart Association (AHA). Although 2007 guidelines already exclude these patients from the list of those who need prophylactic antibiotics to prevent endocarditis, the AHA wanted to emphasize this point because many physicians […]
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