July/August 2019

Longtime street medicine practitioner and educator James S Withers MD FACP listens to the story of a woman who is experiencing homelessness Photo copyright Pittsburgh Mercys Operation Safety Net

Bringing medicine to the streets

A newly formed street medicine fellowship is allowing academic centers and cities to bring care to homeless patients instead of waiting for them to present to a hospital or shelter.

Resist the urge to overtreat bacteriuria

Antibiotics could be avoided more frequently even in patients who have significant bacteriuria if a physician takes the time to convey potential antibiotic risks.

Making sausage

ACP has clear policy on what the organization stands for, which allows it to bring specific legislative recommendations to Congress.

The challenge of time

Clinical lives are run by schedules with office visit slots as short as 15 minutes, often not enough time to handle the issues of any given patient.

Major shift in thinking about cognitive impairment

Because neurocognitive decline can have a variety of etiologies, a new definition by the DSM-5 defined mild cognitive impairment as a syndrome, and then drilled down to its etiology.

New reasons to worry about e-cigs

Experiments have shown negative biological effects from the flavor chemicals in e-cigarettes.

Talking about migraines

Collecting good data is the first step in sorting through the many drugs and devices that are used to treat migraines.

Trainees take charge at Leadership Day 2019

Nearly 400 physicians and future doctors from 48 states and Washington, D.C., focused on core priorities of ACP policy during more than 415 meetings with members of Congress and their staff.

Managing referrals amid minefields, breakdowns

Referral management is an essential part of providing high-quality, coordinated care, but poor communication can lead to fragmented care, unnecessary testing, wasted time, and delayed treatment.

Warnings on insomnia meds, pacemaker battery depletion

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.

MKSAP Quiz: Acute onset of vision loss

A 64-year-old man is evaluated in the emergency department for acute onset of vision loss in the left eye, which began 1 hour ago. He can barely see his own hands in front of his eye. He has no eye pain. Following a physical exam, eye exam, and lab studies, what is the most likely diagnosis?

Street medicine physicians meet patients where they are

This issue also covers screening for bacteriuria, new thinking about Alzheimer's disease, and communicating ab out migraines.