May 2019

In an era of booming microbiome research gastroenterologists and other physicians are starting to become more aware of small intestinal bacterial overgrowth SIBO in the general population and provi

Rethinking SIBO in the microbiome era

Small intestinal bacterial overgrowth is thought of as very rare, but in an era of booming microbiome research, gastroenterologists and other physicians are starting to become more aware of SIBO in the general population and provide effective treatment

Influence, interactions, and ethical dilemmas

Advances in technology, genetics, and evolving financial reimbursement models continue to create new ethical conundrums or add layers or twists to age-old debates.

The NRA's extremist agenda endangers us all

Following the controversy of #ThisIsOurLane, ACP's Senior Vice President for Governmental Affairs and Public Policy takes on the National Rifle Association's leadership, which he says advocates for extreme policies that endanger lives.

‘The Pause’ allows physicians a chance to ponder

“The Pause” allows physicians a chance to reflect upon a diagnosis or how to communicate with patients, as well as reset their mindset throughout the day.

A pre-flight check for patients

People with cardiopulmonary or hematologic disorders can be affected by the hypobaric environment aboard an aircraft, so they should undergo preflight evaluation before lift-off.

Decision aids integral to shared decision making

When used properly and in the correct situation, decision aids save time and costs by better meeting patient needs and increasing adherence.

Different patients, different doses

Some patients may metabolize certain drugs differently, requiring primary care physicians to know any safety or dosing issues for the most commonly used drugs.

How to start an NP/PA program

Clarifying the goals behind hiring nurse practitioners (NPs) and physician assistants (PAs) will help hospital program leaders choose the most suitable model for integrated care.

FDA analyzing mortality risk with paclitaxel-coated balloons

This column reviews details on recent recalls, warnings, and approvals.

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.

Readers respond on narrative medicine, low-dose aspirin

Readers offer feedback on narrative medicine, “low-dose” aspirin.

MKSAP Quiz: 4 days of fever and arthralgia

A 43-year-old man is evaluated for 4 days of fever and arthralgia, as well as a raised purple rash over his lower extremities of 1 week's duration. He is a current intravenous drug user. He has no other medical problems and takes no medications. Following a physical exam, lab studies, and skin findings, what is the most appropriate treatment?

Editor's Note: Zeroing in on SIBO

This issue also covers ethics, decisions aids, and dosing and response to common drugs.