Family Practice News articles from September 2007

Family Practice News archives from September 2007

Newborn hearing may flag SIDS risk.(News)
September 1, 2007... Sudden Infant Death Syndrome is associated with hearing abnormalities that are detectable on a standard newborn hearing test, according to a preliminary study that has discovered a specific hearing abnormality in a cohort of infants who later...

Thiazolidinediones receive black box for heart failure: careful monitoring of patients advised.(News)
September 1, 2007... The labels of all thiazolidinediones now carry a black box warning about the risk of heart failure, the Food and Drug Administration announced last month. The strengthened warning emphasizes that thiazolidinediones (TZDs) may "cause or...

Medical home model a boon for community centers.(News)(Clinical report)
September 1, 2007... WASHINGTON -- Community health centers may be the silver lining in an often gloomy forecast for health care in the United States, according to findings from a report that shows a 41% decrease in medical costs for patients seen in community...

Primary care average base recruitment salaries offered in 2006-2007.(VITAL SIGNS)(Table)(Brief article)
September 1, 2007... Primary Care Average Base Recruitment Salaries Offered in 2006-2007 Pediatrics $159,000 Family practice with ob. $159,000 Family practice $161,000 Internal medicine $174,000 Ob.gyn. ...

Codeine use in nursing mothers risky for infants.(News)(Brief article)
September 1, 2007... The Food and Drug Administration has advised patients and physicians that some women metabolize codeine so quickly that levels of morphine, a codeine metabolite, in breast milk can threaten the lives of nursing babies. The warning comes...

Crohn disease drug approved, with restrictions.(NEWS FROM THE FDA)
September 1, 2007... GAITHERSBURG, MD. -- A federal advisory panel has recommended that the immune modulator natalizumab be approved to treat moderate to severe Crohn disease, but only under highly restrictive conditions. Because of the serious risks associated...

CryoCor cryoablation system, Selzentry.(New & Approved)
September 1, 2007... A cryoablation device approved for the ablation of isthmus-dependent right atrial flutter in patients aged 18 years and older. This is the first cryoablation device approved for atrial flutter. The device is also being studied for use in...

Average glucose slated to gauge glycemic control.(News)
September 1, 2007... If all goes as expected, the number of ways in which a diabetes patient's overall glucose control is expressed will soon increase to three but essentially boil down to just one concept: average glucose. New joint guidelines from the...

Cervical cancer screening choices.(Letters)(Letter to the editor)
September 1, 2007... Dr. Michelle Vichnin's comments about amending the current cervical cancer screening guidelines for her unique population of high-risk urban adolescent girls miss the mark for me, because I believe that any physician can and in fact should,...

Reversing the 'diabesity' epidemic.(Letters)(Letter to the editor)
September 1, 2007... I prescribe metformin very frequently, and have done so for years, for prediabetics struggling to accomplish weight loss despite decent attempts at exercise and diet ("Oral Glucose Test Advised For 'Prediabetes" Screening," April 1, 2007, p....

Should organ donation after cardiac death be promoted and adopted more widely? Yes--it's an ethical and necessary practice.(Point/Counterpoint)
September 1, 2007... Despite all we have done to increase the number of available organs, over 6,000 people die every year in the United States while on organ waiting lists. If donation after cardiac death (DCD) were pursued as diligently as donation after...

Should organ donation after cardiac death be promoted and adopted more widely? No--it's unethical and a dangerous mistake.(Point/Counterpoint)
September 1, 2007... Organ donation after cardiac death is a big mistake for a host of reasons, not the least of which is that it's driven by the quest to get more organs. This very nature of the practice makes it inherently difficult to prevent conflict...

Unstable angina, non-STEMI get new guidelines.(Cardiovascular Medicine)(non-ST-segment-elevation myocardial infarction)
September 1, 2007... Early invasive and conservative strategies for managing unstable angina or non-ST-segment-elevation myocardial infarction both received endorsements in the first guidelines on the topic from the American College of Cardiology and the American...

Value of circadian blood pressure variations confirmed.(Cardiovascular Medicine)
September 1, 2007... CHICAGO -- Treated hypertensive patients who have either extreme or very slight dips in nighttime blood pressure are at greater cardiovascular risk than are those with moderate dips, according to a study in 1,472 patients. Prior research...

Statins fail to influence central hemodynamics.(Cardiovascular Medicine)(Clinical report)
September 1, 2007... CHICAGO -- Statin therapy does not significantly influence central aortic pressures or hemodynamics in patients with treated hypertension, Dr. Bryan Williams reported at the annual meeting of the American Society of Hypertension. He...

Nightly valsartan is better than daytime dosing.(Cardiovascular Medicine)
September 1, 2007... CHICAGO -- Bedtime dosing of valsartan is more efficient than morning dosing in controlling blood pressure and improving renal function in hypertensive patients with or without diabetes, Ramon Hermida, Ph.D., said at the annual meeting of the...

CT angiography's clinical utility faces hurdles.(Cardiovascular Medicine)(computed tomography)
September 1, 2007... WASHINGTON -- Although the evaluation of noncalcifled plaques with CT angiography currently is possible, there are still several obstacles to overcome before the technique is dinically useful, said Dr. Stephan Achenbach, a professor of medicine...

Delay to surgery, gender determine success of carotid surgery.(Cardiovascular Medicine)
September 1, 2007... BALTIMORE -- Gender and timing are two important determinants of success that are usually ignored when surgically treating carotid artery disease. Such omissions result in subjecting patients to the risks of carotid endarterectomy despite their...

Look out for hyperglycemic hyperosmolar state.(Metabolic Disorders)
September 1, 2007... CHICAGO -- Physicians who see children must be on the lookout for hyperglycemic hyperosmolar state because the rising tide of pediatric obesity and type 2 diabetes means that this diagnosis is going to occur more often in children, Dr. Arian L....

Continuous monitor/pump combo lowers [HbA.sub.1c].(Metabolic Disorders)
September 1, 2007... CHICAGO -- Findings from a recent study suggest that the combined real-time continuous glucose monitor/insulin pump system reduces glycemic variability and improves glucose control in selected insulin pump users with type 1 diabetes, Dr. Irl B....

Financial viability eludes diabetes educators.(Metabolic Disorders)
September 1, 2007... ST. LOUIS -- Diabetes education programs are struggling to achieve financial viability, according to results from a large national survey of diabetes educators. In addition, such providers hail from a diverse range of professional...

Standardized insulin orders reduce hypoglycemia.(Metabolic Disorders)
September 1, 2007... DALLAS -- Implementation of standardized subcutaneous insulin order sets and an insulin management algorithm across nearly all services in a 400-bed hospital resulted in significantly improved glycemic control, Dr. Gregory A. Maynard reported...

Modest weight loss is of little benefit in PCOS.(Metabolic Disorders)(polycystic ovary syndrome)(Clinical report)
September 1, 2007... Overweight women with polycystic ovary syndrome may need to lose more than 5% of their weight to see improvement in inflammatory markers, reported Lisa J. Moran of the University of Adelaide (Australia) and her colleagues. At the end of an...

Many ignore diabetes lifestyle recommendations.(Metabolic Disorders)
September 1, 2007... CHICAGO -- Few adults with diabetes and prediabetes are adhering to American Diabetes Association nutrition and activity recommendations, and even fewer with undiagnosed diabetes are doing so. After adjustment for age, gender, and race, a...

Patient motivation as crucial as education in managing diabetes.(Metabolic Disorders)
September 1, 2007... ST. Louis -- Teaching type 2 diabetes patients about how to take care of themselves isn't enough; they need to be motivated to follow through, according to results of a survey of 3,867 patients. Yet discussions with patients remain...

Activity, fitness levels are low in newly diagnosed adult diabetics.(Metabolic Disorders)(Clinical report)
September 1, 2007... NEW ORLEANS -- Physical activity and fitness levels are low in individuals with newly diagnosed type 2 diabetes, compared with reference populations, Kate. J. Fitzsimons reported in a poster presentation at the annual meeting of the American...

Coverage rates are higher with combo vaccines.(Infectious Diseases)
September 1, 2007... A study of more than 18,000 infant records in a Medicaid database found that use of combination vaccines significantly improved immunization coverage rates of the vaccines studied in children through age 24 months. This study "is the test...

Antibiotic prophylaxis for UTI questioned.(Expert Commentary)(urinary tract infections)(Clinical report)
September 1, 2007... Emerging evidence suggests that we shouldn't be prescribing prophylactic antibiotics for every child with recurrent urinary tract infection, even when vesicoureteral reflux is present. Just as the pendulum has swung over the last decade...

Consider cat-scratch disease in setting with fever, kittens.(Expert Commentary)
September 1, 2007... MAUI, HAWAII -- "Ask about pets in every febrile patient you see" was one of the take-home messages from Dr. Jay M. Lieberman as he discussed infections you can get from your pets. And in particular, he said, "Consider cat-scratch disease...

Skin diseases get misdiagnosed in primary care.(Skin Disorders)
September 1, 2007... NEW YORK -- Many primary care physicians are evaluating skin disorders and often relying on general pathologists to make dermatologic diagnoses, which, according to Dr. Clay Cockerell, could be a recipe for disaster. Non-dermatologists...

Leafy vegetables, NSAIDs may prevent recurrent skin cancer.(Skin Disorders)
September 1, 2007... AMSTERDAM -- Adoption of a diet rich in leafy green vegetables and the regular use of NSAIDs are evidence-based supplementary measures available to patients with prior skin cancer to reduce their risk of future episodes, Dr. Adele C. Green said...

Five factors help guide nail streak management.(Skin Disorders)
September 1, 2007... WASHINGTON -- The technique used to biopsy and treat a nail streak depends on the width of the streak and its location in the nail matrix, Dr. Bertrand Richert said at the annual meeting of the American Academy of Dermatology. If there is...

Weight gain is a strong risk factor for psoriasis.(Skin Disorders)(Clinical report)
September 1, 2007... Increased adiposity and weight gain are strong risk factors for the development of psoriasis in women, according to a recently published study. As such, weight loss may be a potential target for preventing and managing psoriasis, said Dr....

Dispensing tops list of ADHD medication errors.(Mental Health)
September 1, 2007... TORONTO -- Outpatient medication errors in the treatment of pediatric attention-deficit/hyperactivity disorder are numerous, but few of them seem to result in patient harm, Dr. David Bundy said at the annual meeting of the Pediatric Academic...

ADHD drugs may not outlast other therapies.(Mental Health)
September 1, 2007... Using medication to treat children with attention-deficit / hyperactivity disorder offers no long-term advantage over other treatment methods, according to a follow-up study. Dr. Peter S. Jensen and his colleagues at Columbia University,...

Antidepressant 'poop out' may be placebo effect.(Mental Health)(Brief article)(Clinical report)
September 1, 2007... SAN DIEGO -- If a patient with depression comes into the office and says that his antidepressant has stopped working, the drug you gave him probably was never working at all, Dr. Mark Zimmerman said at the annual meeting of the American...

Early intervention needed to deter marijuana use.(Mental Health)
September 1, 2007... MIAMI -- Intervene to prevent marijuana use in children as young as 8 years, a National Institute on Drug Abuse researcher suggested at the annual conference of the American Society for Addiction Medicine. "Addiction is a developmental...

Intervene aggressively in gestational diabetes.(Women's Health)(Brief article)
September 1, 2007... NEW YORK -- Physicians should take an aggressive approach in treating obese women with gestational diabetes because they have a relatively short time in which to make a difference, Dr. Oded Langer advised at the annual meeting of the Diabetes...

Hot flashes may indicate response to tamoxifen.(Women's Health)(Clinical report)
September 1, 2007... CHICAGO -- Hot flashes may be an indicator of the efficacy of adjuvant tamoxifen therapy in women who have completed breast cancer treatment, a new study suggests. Data from a large prospective trial of breast cancer survivors on tamoxifen...

Bone pain flags worse survival in prostate cancer.(Men's Health)
September 1, 2007... CHICAGO -- Once bone pain appears in patients with hormone-refractory prostate cancer, it is often too late for docetaxel therapy to have an impact on their survival, according to a poster presentation at the annual meeting of the American...

Stress coaching eases radical prostatectomy fears.(Men's Health)
September 1, 2007... CHICAGO -- Just 2 hours of teaching men with prostate cancer how to self-manage their stress improves their ability to cope with their fears of undergoing radical prostatectomy. Moreover, the effects of learning how to manage their stress...

Quality of life tops list of concerns in prostrate cancer.(Men's Health)(Survey)
September 1, 2007... CHICAGO -- The major worry of men with prostate cancer is their ability to maintain a good quality of life, according to a poster presented at the annual meeting of the American Society of Clinical Oncology. The finding, from a Web-based...

Western diet tied to colon cancer return.(Digestive Disorders)(Clinical report)
September 1, 2007... Colon cancer patients who eat a typical Western diet seem to have triple the risk of recurrence, compared with those who don't follow a Western diet. After a potentially curative resection of stage III colon cancer and adjuvant...

FDA: PPIs pose no increased heart risks.(Digestive Disorders)
September 1, 2007... New data supplied by AstraZeneca, maker of the prescription proton pump inhibitors Prilosec (omeprazole) and Nexium (esomeprazole), do not suggest that either drug increases cardiovascular event risks in patients with severe gastroesophageal...

Inflammation may drive comorbidities in RA.(Musculoskeletal Disorders)(rheumatoid arthritis)
September 1, 2007... BALTIMORE -- Inflammation appears to underlie the increased risk for insulin resistance, metabolic syndrome, and cardiovascular morbidity in patients with rheumatoid arthritis, Dr. Joan M. Bathon said at a conference on rheumatic diseases...

Functional MRI reveals brain damage in lupus.(Musculoskeletal Disorders)(magnetic resonance imaging)(Brief article)
September 1, 2007... TORONTO -- Cognitive impairment in patients who have childhood-onset systemic lupus erythematosus can he identified with functional magnetic resonance imaging, reported Svetlana Lvovich, D.O., in a poster presentation at the annual meeting of...

Family history, smoking promote cartilage loss.(Musculoskeletal Disorders)(Clinical report)
September 1, 2007... Smoking seems to contribute to the development of knee cartilage loss and defects in those with a family history of knee osteoarthritis (OA), according to results reported by Dr. Changhai Ding and associates of the University of Tasmania in...

In bronchiolitis, take the evidence-based route.(Pulmonary Medicine)
September 1, 2007... NEW YORK -- Optimal management of bronchiolitis involves rational use of adrenergic drugs and avoidance of unnecessary tests and treatments, Dr. Howard M. Corneli said at a meeting sponsored by the American College of Emergency Physicians. ...

FDA review of Alzheimer drugs deemed sluggish.(Clinical Rounds)
September 1, 2007... Drugs for treating Alzheimer disease are significantly less likely to receive priority review from the Food and Drug Administration than are cancer or HIV drugs, according to a new study that has critics saying the pattern must change as...

Epileptic women's sexual arousal is diminished.(Clinical Rounds)(Clinical report)
September 1, 2007... Sexual dysfunction is quite common in women with epilepsy, just as ignoring the problem is quite common among their physicians, experts say. Naturally, said Dr. Romila Mushtaq, an epileptologist at the Medical College of Wisconsin,...

Watch out for recurrent otitis media in children who snore.(Clinical Rounds)
September 1, 2007... MINNEAPOLIS -- Children with frequent, loud snoring are significantly more likely to develop recurrent otitis media and to require tympanostomy tubes than are children who don't snore, based on data from more than 16,000 children aged 5-7...

Adenotonsillectomy helps sleep and breathing, but not behavior.(Clinical Rounds)(Clinical report)
September 1, 2007... Adenotonsillectomy frequently improves sleep, breathing, and quality of life--but not neurobehavioral outcomes, according to parental reports analyzed by Dr. Evelyn Constantin of Montreal Children's Hospital, and her associates. These...

Inherited cancer syndromes.(Genomic Medicine)
September 1, 2007... Have you ever diagnosed anyone with hereditary nonpolyposis colorectal cancer? Do you have any patients in your practice who are at risk for the syndrome? No? Not sure? For most providers, the answers to those questions should be "yes," and...

Reversing trend, hospitalizations for stroke dip.(Clinical Rounds)(Report)
September 1, 2007... BOSTON -- Hospitalization for stroke has declined since the mid-1990s, reversing the trend observed in the previous 10 years, according to findings from two studies relying on different databases and presented in separate posters by Dr. Jing...

'Silent' strokes present broader risks.(Clinical Capsules)(Clinical report)
September 1, 2007... Persons with symptoms of stroke, but no clinical history of a cerebral infarct, had quality of life scores that were similar to those of individuals who had previously suffered a documented stroke, according to findings from a large...

Diabetes incidence tops 24 per 100,000.(Clinical Capsules)(Report)(Brief article)
September 1, 2007... The overall incidence of diabetes in American children and adolescents is 24.3 per 100,000 per year, according to Dr. Dana Dabelea of the University of Colorado, Denver, and associates. Most of the new cases of diabetes in the pediatric...

Cat allergens stalk atopic adults.(Clinical Capsules)(Brief article)(Clinical report)
September 1, 2007... Increasing exposure to cat allergens in a large study caused greater bronchial responsiveness in atopic adults, even in those who were not allergic to cats. The finding suggests reducing exposure to cats may be beneficial for allergic...

Formal programs don't change abstinence rates.(Practice Trends)
September 1, 2007... Teenagers enrolled in abstinence-only education programs are about as likely to have abstained from sex as are teens in a control group, according to a report evaluating federal abstinence education programs. The study, which was requested...

SCHIP's administrative changes could effectively cut coverage.(Practice Trends)(State Children's Health Insurance Program)
September 1, 2007... The true impact isn't known yet, but an administrative change by the Centers for Medicare and Medicaid Services to rules governing the State Children's Health Insurance Program--made on a Friday night during Congress' August recess--may have...

Publix to offer free antibiotics.(Policy & Practice)(Publix Super Markets)(Brief article)
September 1, 2007... Publix Super Markets will offer seven oral antibiotics free of charge at its 684 pharmacy locations, the Lakeland, Fla.-based store chain announced. The antibiotics included in the program--amoxicillin, cephalexin, sulfamethoxazole/trimethoprim...

FDA, DoD to share data.(Policy & Practice)(Food and Drug Administration and Department of Defense)(Brief article)
September 1, 2007... The Department of Defense will share data and expertise with the Food and Drug Administration related to the review and use of FDA-regulated drugs, biologics, and medical devices in an effort to identify potential concerns and recognize...

Bill would improve import safety.(Policy & Practice)(Brief article)
September 1, 2007... User fees on imported food and drug shipments would fund additional personnel to inspect shipments both at the border and at FDA laboratories under legislation proposed by the chairman of the House Energy and Commerce Committee. Funds from the...

Leaders back payment reform.(Policy & Practice)(Survey)(Brief article)
September 1, 2007... The vast majority (95%) of key public officials, analysts, and executives say fundamental health care payment reform is needed, and 75% support Medicare reform that would pay "medical homes" for care coordination, according to the latest...

GAO finds Medicaid decline.(Policy & Practice)(Government Accountability Office)(Brief article)
September 1, 2007... A law requiring most U.S. citizens applying for Medicaid coverage to document their citizenship has caused eligible citizens to lose Medicaid coverage, and the law costs far more to administer than it saves, according to two government...

R.I. to begin information exchange.(Policy & Practice)(Rhode Island)(Brief article)
September 1, 2007... Rhode Island is one step closer to a health information system that will allow physicians to access patient health data from a variety of sources. The state has chosen Electronic Data Systems Corp. and its subcontractor, InterSystems Corp., to...

Coding blunders.(The Office)
September 1, 2007... The inadequate use of modifiers ranks high on coding expert Emily Hill's list of the top 10 mistakes that physicians make when documenting patient visits. Marrying ICD-9 codes with appropriate CPT codes is tricker than it seems, she says. In...

CMS may cover stool test for colorectal cancer.(Practice Trends)
September 1, 2007... The Centers for Medicare and Medicaid Services is considering whether to add DNA stool testing as an alternative method of colorectal cancer screening, according to the agency. Exact Sciences holds the patent for the stool DNA analysis...

More residency slots may ease physician shortage.(Practice Trends)(Report)
September 1, 2007... COLORADO SPRINGS -- America's physician shortage--still barely noticeable in much of the country--is here to stay and will grow much worse, panelists agreed at the annual meeting of the American Surgical Association. On the basis of...

Doctor's (completely ignored) orders.(Indications)(Report)(Brief article)
September 1, 2007... "Yes, doctor, I've been taking all my meds, just like you said, and I still don't feel any better!" Have you ever heard that before? Well, next time, tell them to save their breath: A urine analysis by Ameritox, a toxicology laboratory based in...

Ever heard of Prozac?(Indications)(eating placenta as a preventive measure against postpartum depression)(Brief article)
September 1, 2007... The birth of a small, delicate, helpless child into this world is a beautiful miracle, and delivering a baby is one of a physician's most rewarding tasks. That is, until the mother initiates a lawsuit against her doctors demanding rights to her...

Mathletes excluded.(Indications)(Brief article)(Clinical report)
September 1, 2007... Researchers at the University of Delaware think that they have finally discovered why some athletes incur injuries such as tearing their anterior cruciate ligament more often than others: They're stupider. The study, which was reported in the...

Join the Marlboro mile-high club.(Indications)(Smoker's International Airlines)(Brief article)
September 1, 2007... The Washington Post reports that German entrepreneur Alexander W. Schoppmann--whose proposed Smoker's International Airlines would permit (you guessed it) smoking on board--has received a landing slot at Dusseldorf International Airport and has...

'You're so hot ... ah, forget it.'.(Indications)(research about pickup lines)(Report)(Brief article)
September 1, 2007... In a groundbreaking study whose results are poised to shake up scientists" deepest beliefs about human sexuality, researchers at Edinburgh University have found that pickup lines such as "I may not be Fred Flintstone, but I can make your bed...

Doctors redefine the 'house' call.(Practice Trends)
September 15, 2007... [ILLUSTRATION OMITTED] A round the country, in laces like Pittsburgh, anta Barbara, Calif., and Morgantown, W.Va., physicians are becoming familiar sights on the streets after dark. That's because a handful of dedicated physicians are...

Asymptomatic PAD has high mortality; role seen for FPs: screening during routine visits is critical.(News)
September 15, 2007... VIENNA -- Asymptomatic peripheral arterial disease diagnosed through routine screening in the offices of primary care physicians carries a high, 5-year mortality similar to that of symptomatic peripheral arterial disease, Dr. Curt Diehm...

Revised asthma guidelines emphasize daily control.(Pulmonary Medicine)
September 15, 2007... All symptoms of asthma should be vigilantly monitored, assessed, and treated until the disease is well under control, according to the first major overhaul of asthma guidelines in a decade. Tight daily control is achievable, and would allow...

Risperdal indication extends to teens, kids.(NEWS FROM THE FDA)
September 15, 2007... The Food and Drug Administration has approved risperidone for the treatment of schizophrenia in adolescents aged 13-17 years and for the short-term treatment of bipolar mania associated with manic or mixed episodes of bipolar I disorder in...

Adalimumab label to show 5-year data on rheumatoid arthritis.(NEWS FROM THE FDA)
September 15, 2007... The prescribing label for adalimumab now includes 5-year data showing that treatment with the tumor necrosis factor blocker inhibits irreversible joint damage for up to 5 years in patients with rheumatoid arthritis, according to an announcement...

Atralin Gel, Allegra ODT.(New & Approved)
September 15, 2007... Atralin Gel (tretinoin gel, 0.05%, Coria Laboratories Ltd.) The Food and Drug Administration approved Atralin (tretinoin) Gel, 0.05%, for the topical treatment of acne vulgaris in patients aged 10 years and older. * Recommended Dosage:...

Genetic variant data are added to warfarin label.(News)
September 15, 2007... Information about how variants of two genes can affect the bleeding risk in people on warfarin has been added to the labeling of the anticoagulant drug, the Food and Drug Administration announced during a recent teleconference. Variant...

Medicare to stop paying for 'preventable' events.(News)
September 15, 2007... In a continuing effort to link payments to quality, Medicare has announced that it will soon stop paying hospitals for certain conditions and infections acquired after admission. The change was mandated by Congress under the Deficit...

Are warnings on antidepressants backfiring?(Expert Commentary)
September 15, 2007... Our ability to recognize and effectively treat mental health conditions has improved over the last 20 years. As a result, suicide rates across all age groups had been on a steady decline since the early 1990s. But recent data show a disturbing...

Cut first, ask questions later.(Letters)(Letter to the editor)
September 15, 2007... Once again I am forced to write a letter to the editor regarding the issue of dermoscopy and total body photography ("Dermoscopy, Total Body Photos Close to New Standard of Care," July 1, 2007, p. 21). That article states that "there is...

Family physicians are being shut out.(Letters)(Letter to the editor)
September 15, 2007... The opinions of Dr. John W. Bachman and Dr. James King amply demonstrate why family practice is in such disarray ("Should retail clinics eventually manage chronic conditions?" Point/Counterpoint, Aug. 1, 2007, p. 10). Not only do they think...