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Medicine by the numbers

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Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.html

Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician

Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0101/p49.html

Caring for Patients with Job Insecurity Who Are Experiencing Chronic Work-Related Pain ...

Jul 15, 2016 - In addition to providing direct medical care, the physician can help this patient by obtaining an occupational history, formulating hypotheses about the cause of the pain and potential interventions, and establishing a therapeutic relationship.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0715/p145.html

Medical Aid in Dying - Curbside Consultation - American Family Physician

Mar 1, 2018 - Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0301/p339.html

Advance Directives: Navigating Conflicts Between Expressed Wishes and Best Interests - ...

Apr 1, 2015 - Clinicians and surrogates can be faced with challenging decisions when a patient loses the capacity to participate in medical decision making. A significant number of hospitalized and critically ill adults lose decision-making capacity during hospital stays and cannot make treatment ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0401/p480.html

Complex Care: Treating an Older Patient with Multiple Comorbidities - Curbside ...

Mar 1, 2014 - Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0301/p392.html

Caring for Older Patients Who Have Significant Hearing Loss - Curbside Consultation - ...

Mar 1, 2013 - This scenario illustrates issues related to end-of-life care and placement in a long-term care facility for older individuals with significant hearing loss. An analysis of data from the 1999 to 2006 cycles of the National Health and Nutrition Examination Survey, and statistics from the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0301/p360.html

A Case of Medical Uncertainty - Curbside Consultation - American Family Physician

Mar 1, 2012 - Medical uncertainty (i.e., not knowing how to proceed with a patient-related problem) can stem from any number of potential situations in daily clinical practice. The causes of uncertainty are many, but the feeling of stress or discomfort it creates is a familiar constant, though it may...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0301/p501.html

Ethical Use of Diagnostic Technology: Balancing What's New and What's Necessary - ...

Jul 1, 2014 - This case boils down to being realistic about what new screening tools and techniques can and can't do, and understanding their actual value in diagnoses. I'd argue that it is not unethical to accommodate a patient's requests, as long as the physician's approach to the patient, the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0701/p53.html

Undetected Childhood Sexual Trauma and Its Health Effects in Adults - Curbside ...

Sep 1, 2013 - It is essential for physicians to understand the relevance of childhood sexual trauma to adult medical conditions. Recognizing this connection can help physicians begin to manage the resulting damage. Exposure to childhood sexual trauma is highly prevalent in the United States, but is ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0901/p328.html

Flaws in Clinical Reasoning: A Common Cause of Diagnostic Error - Curbside Consultation...

Nov 1, 2011 - Many medical errors have been identified as systemic and addressed with interventions, such as checklists. However, a substantial number of errors that occur in diagnosis and treatment are attributed to flaws in clinical reasoning.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/1101/p1042.html

Ethical Considerations of Patients with Pacemakers - Curbside Consultation - American ...

Aug 1, 2008 - Modern medicine has increasingly become infused with technology intended to extend a person's quantity and quality of life. More than 1 million persons in the United States have implantable pacemakers and the majority of this population is older than 65 years.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0801/p398.html

Discussing Treatment Options with Patients - Curbside Consultation - American Family ...

Mar 1, 2010 - Sometimes it may seem easier to inject a subacromial bursa or aspirate a knee joint than to engage in shared decision making with your patients about the use of aspirin for coronary artery disease prevention or a PSA test for prostate cancer screening. The path that led to the disparate...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0301/p645.html

Demoralization: A Precursor to Physician Burnout? - Curbside Consultation - American ...

Nov 1, 2012 - Demoralization is a state of hopelessness and helplessness that is akin to, but separable from, depression.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/1101/p861.html

Self-Injurious Behavior in an Adolescent - Curbside Consultation - American Family ...

Mar 1, 2011 - The behavior of this patient is nonsuicidal self-injury, defined as the intended destruction of body tissue without suicidal intent. Nonsuicidal self-injury is a common biopsychosocial disorder observed in adolescents.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/0301/p609.html

Determining Prognoses for Patients with Terminal Illnesses - Curbside Consultation - ...

Jun 1, 2006 - Physicians often overestimate a terminal patient's life expectancy.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0601/p2062.html

Why Can't I Get My Patients to Exclusively Breastfeed Their Babies? - Curbside ...

Jul 15, 2008 - A recent report from the Agency for Health-care Research and Quality has confirmed the numerous benefits of breastfeeding to mothers and their babies.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0715/p265.html

The Complete Physical - Curbside Consultation - American Family Physician

Oct 1, 2003 - The concept of the complete physical examination can be viewed from several perspectives.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/1001/p1439.html

Bending the Rules to Get a Medication - Curbside Consultation - American Family Physician

Mar 1, 2000 - The scenario described above will become increasingly familiar to most practicing physicians over the next few years. Currently, we are witness to at least 40 million medically indigent patients without insurance and the number continues to increase.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2000/0301/p1563.html

Cutting Back on High-Dosage Narcotics - Curbside Consultation - American Family Physician

Mar 1, 2004 - Over the past decade, the promotion of narcotics for control of malignant and non-malignant pain has been advocated by specialists in the pain community. While most physicians accept the use of aggressive narcotic analgesia in patients with cancer-related pain, the use of opioids in ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0301/p1313.html

Determining Eligibility for Gastric Bypass Surgery - Curbside Consultation - American ...

May 1, 2006 - This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for those who ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0501/p1638.html

Patient-Choice Cesarean Delivery - Curbside Consultation - American Family Physician

Aug 15, 2005 - Patient-choice cesarean delivery, although uncommon in the United States, has become controversial in the medical literature and among pregnant women and their maternity care providers over the past three years.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/0815/p697.html

A Pregnant Woman Victimized by Physical Abuse - Curbside Consultation - American Family...

Jul 15, 2002 - Domestic violence in the United States is a problem of enormous proportions and represents a significant health concern.1 It results in more injuries requiring medical attention than rape, accidents, and muggings combined.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2002/0715/p337.html

Using Medical Interpreters - Curbside Consultation - American Family Physician

Jun 1, 2004 - Many physicians are facing a similar dilemma because the Hispanic population is growing rapidly, and Spanish is the preferred language for many Hispanic people. The use of interpreters is a multifaceted issue.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0601/p2720.html

Do I Get to Decide Who Should Have a Baby? - Curbside Consultation - American Family ...

Mar 1, 2003 - In this case scenario, the patient believes that having her boyfriend's child will solve her problems, and she wants to continue the ovulation induction therapy. The physician should consider the effects on the unborn child's future, as well as the future of the mother and, therefore, ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0301/p1139.html

A Mother Who Refuses to Vaccinate Her Child - Curbside Consultation - American Family ...

Feb 1, 2003 - Physicians may find it incredible that some parents are reluctant to immunize their children despite the tremendous successes of vaccines in decreasing the morbidity and mortality of childhood diseases.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0201/p651.html

Patients' Preconceptions and Convictions About Antibiotics - Curbside Consultation - ...

Nov 1, 2005 - Multiple studies have demonstrated that patients who seek care for respiratory ailments often expect to receive antibiotics, and that patients or parents who expect antibiotics receive them more often than those who do not.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/1101/p1900.html

When Patients Cannot Afford Their Medications - Curbside Consultation - American Family...

Aug 1, 2004 - For physicians who realize that drug costs can be a problem, we offer some practical solutions and discussion about how to help these patients.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0801/p605.html

Responding to an In-flight Emergency - Curbside Consultation - American Family Physician

Sep 1, 2003 - Although usually it's just the in-flight movie and food we get to fret about, unfortunately, in-flight emergencies are a frequent occurrence.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0901/p975.html

Emergency Response - Curbside Consultation - American Family Physician

Jun 1, 2003 - Family physicians who encounter an unexpected medical emergency face a myriad of ethical, legal, and competency issues.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0601/p2423.html

Dealing with Your Own Parent's Illness - Curbside Consultation - American Family Physician

Apr 1, 1999 - Larry faces a challenging and increasingly common dilemma. As the population ages and extended families are scattered far apart, many of us will have aging parents who become ill while living a long distance away. I recently had an experience similar to Larry's as I cared for my father ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/1999/0401/p2003.html

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