June 2021

Aiming at the same outcome the patients priorities can help different clinicians treating an older adult move away from conflicting recommendations and toward common goals of care Image by andy0man

Pinpoint patients' top priorities

An approach to decision making in older adults with multiple chronic conditions begins with identifying the patient's health priorities before deciding which treatments to continue, stop, or start to align care with these individual goals.

Understand obesity before treating it

The central nervous system regulates a person's weight, with many variables in play, and both internal and external factors can increase or decrease calorie intake and expenditure.

Inclusivity that compels: He for she

Gender inequity in our society is not exclusive to medicine, and we have a long history of it in the U.S.

Health is infrastructure, and infrastructure is health

President Joe Biden's $2-trillion infrastructure proposal includes not only funding for roads, airports, and bridges, but also funding to expand access to long-term care services and eliminate all lead pipes and service lines.

Know when to worry about floaters and flashes

When patients present with ophthalmic floaters and flashes of light, asking the right questions can help internists decide when to refer to an ophthalmologist.

Selecting a sickle cell therapy

An expert reviewed the available drugs for patients with sickle cell disease and offered advice on how to use them.

Top 10 tips to beat loneliness at work

The challenge of isolation and loneliness at work can be exacerbated by personal and societal circumstances, workplace stressors, and technology.

Trio of plenary speakers offers hope, humanity, healing

Plenary speakers Anthony S. Fauci, MD, Kimberly Manning, MD, FACP, and Rana Awdish, MD, FACP, reflected on the COVID-19 pandemic and systemic racism in the United States and offered ways to move forward.

Anxiety disorders a common problem in primary care

Anxiety disorders have a prevalence of almost 20% in primary care and can result in increased divorce rates, underemployment, undereducation, and increased reliance on public assistance.

Handling hoarseness, hearing problems in primary care

Internists can help patients cope with common ENT conditions like hoarseness, tinnitus, and hearing loss.

Advice on surviving a subpoena

Internists may be served legally to produce documents or appear in a trial, and a legal expert offered advice on the best ways to proceed.

MKSAP Quiz: 3-year history of palpitations, fatigue

A 42-year-old woman is evaluated for a 3-year history of palpitations and fatigue. She reports no chest pain, dizziness, near-syncope, or syncope. Ambulatory 24-hour electrocardiographic monitoring shows frequent monomorphic premature ventricular contractions (22% of all beats) and frequent ventricular bigeminy. What is the most appropriate management?

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.

FDA plans to ban menthol cigarettes, flavored cigars

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

Virtual meeting offers education, connection

Internal Medicine Meeting 2021: Virtual Experience featured educational sessions on dealing with multimorbidity in older adults, understanding obesity, and more, as well as three plenary speakers.