Internal Medicine News articles from March 2008

Internal Medicine News archives from March 2008

Palliative sedation: proceed with care.(News)
March 1, 2008... TAMPA -- Palliative sedation to unconsciousness can be an option for terminally ill patients, but its use should be rare, according to experts in palliative medicine. "This is a big deal when you do this, in my opinion, and should be...

Number of practicing primary care MDs in 2007.(VITAL SIGNS)
March 1, 2008... Number of Practicing Primary Care MDs in 2007 (per 100,000 population) Source: Association of American Medical Colleges ELSEVIER GLOBAL MEDICAL NEWS

Bonus pay planned to boost access to medical homes: proposal could yield up to $100K per year.(News)
March 1, 2008... One of the nation's largest health care quality coalitions is launching a program that would provide bonuses of up to $100,000 annually to physicians who meet criteria showing that they are offering coordinated care by providing a medical home...

Tamoxifen: 10 years may be better than 5 years.(News)(Clinical report)
March 1, 2008... SAN ANTONIO -- Current recommendations to limit adjuvant tamoxifen therapy to 5 years were premature, Sir Richard Peto, Ph.D., said at the San Antonio Breast Cancer Symposium. Preliminary data from the ongoing 11,500-patient ATLAS (Adjuvant...

ABIM holds off on comprehensive certification.(News)(American Board of Internal Medicine )
March 1, 2008... Directors of the American Board of Internal Medicine have decided to first assess the competencies described in its draft comprehensive internist proposal before formalizing any maintenance of certification pathway. The ABIM board of...

Tool kits for curbing medical errors.(News)(Brief article)
March 1, 2008... The Agency for Healthcare Research and Quality is offering an array of free online tool kits to help doctors, nurses, hospital managers, patients, and others reduce errors. The kits can be adapted to most health care settings. They include...

Panel favors restricted use of IV iron product.(NEWS FROM THE FDA)
March 1, 2008... SILVER SPRING, MD. -- A federal advisory panel voted against supporting the approval of ferric carboxymaltose injection (Injectafer), a new intravenous iron product, as a first-line treatment for iron deficiency anemia in postpartum women and...

Antiepileptics: FDA cites risk of suicidality; label changes likely.(NEWS FROM THE FDA)
March 1, 2008... WASHIINGTON -- Food and Drug Administration findings of an increased risk of suicidality in patients given antiepileptic drugs likely will lead to broad class labeling changes, according to an FDA alert issued to health care professionals. ...

Cialis approved for once-daily use.(NEWS FROM THE FDA)
March 1, 2008... The erectile dysfunction drug Cialis (tadalafil) has been approved by the Food and Drug Administration for once-daily use in 2.5-mg and 5-mg doses, the drug's manufacturer announced. "This low-dose daily treatment option of Cialis may be...

FDA advisory committee meetings.(NEWS FROM THE FDA)
March 1, 2008... The Food and Drug Administration, responding to a recommendation by the Institute of Medicine, has published in the Federal Register a tentative schedule of 2008 meetings of FDA public advisory committees. Changes to the schedule will be...

FDA issues warning on botulinum toxin injections: postinjection symptoms include dysphagia, ptosis, and shortness of breath, according to the FDA.(News)(Clinical report)
March 1, 2008... Botulinum toxins have in some cases been linked to respiratory failure and even death, according to a warning issued by the Food and Drug Administration. Physicians should be vigilant for postinjection symptoms such as dysphagia, ptosis,...

Humira.(NEW & APPROVED)(Drug overview)
March 1, 2008... Humira (adalimumab, Abbott) A tumor necrosis factor (TNF)-blocker approved for treating adults with moderate to severe chronic plaque psoriasis who are candidates for systemic therapy or phototherapy, and when other systemic therapies...

Moxatag.(NEW & APPROVED)(Moxatag has been approved for the treatment of Streptococcus pyogenes infection )(Drug overview)
March 1, 2008... Moxatag (amoxicillin extended-release tablets, MiddleBrook Pharmaceuticals Inc.) The FDA also approved once-daily Moxatag (amoxicillin extended-release) tablets 775 mg for treatment of patients aged 12 years and older with pharyngitis...

FDA investigates reactions to bolus heparin agent.(News)
March 1, 2008... A spike in reports of severe allergic reactions in patients receiving bolus injections of heparin made by Baxter Healthcare Corp. prompted the company in February to temporarily stop manufacturing multiple-dose vials of heparin, the Food and...

Fraud scheme among insurers investigated in N.Y.(News)(Case overview)
March 1, 2008... Following a 6-month initial investigation, New York Attorney General Andrew Cuomo announced plans to file suit against UnitedHealth Group and four of its subsidiaries for allegedly systematically underpaying consumers for their out-of-network...

A new subspecialty for complex heart failure.(GUEST EDITORIAL)(Editorial)
March 1, 2008... In the beginning, there were very few cardiologists. At another time and in almost another world, a cardiologist could do very little more than could an internist. After all, an internist could give digitalis and quinidine just as well as a...

Medical travel: a burgeoning worldwide industry.(GUEST EDITORIAL)(Industry overview)(Report)
March 1, 2008... An estimated 500,000 Americans traveled outside the United States for medical care in 2006, and a large increase was projected for 2007 as part of the rapidly growing phenomenon of medical travel. Residents of many other countries also sought...

Recertification wastes time and money.(LETTERS)(Letter to the editor)
March 1, 2008... I want to express my opposition to the concept of maintenance of certification in the field of internal medicine ("ABIM Proposes Comprehensive Internist Concept," Dec. 15, 2007, p. 1). I agree with others who have noted that it would...

Ultrasound skills offer benefits.(LETTERS)(Letter to the editor)
March 1, 2008... Some of us in general internal medicine practice are getting an inferiority complex ("It's Getting Curiouser and Curiouser," Letters, Dec. 15, 2007, p. 9, and "General Internal Medicine: Smaller and Smaller?" Adviser's Viewpoint, Nov. 15,...

Responding to retail-based clinics.(LETTERS)(Letter to the editor)
March 1, 2008... Patients who visit retail-based clinics cite convenience, access at odd hours, and lower cost as reasons for their visits. Clearly, these clinics (such as MinuteClinic, RediClinic, Solantic, and Take Care) fill a need. As a result, there are...

Don't dismiss abstinence programs.(LETTERS)(Letter to the editor)
March 1, 2008... Given the politically charged nature of the sex education debate in this country, one would hope that your editorial staff would critically review any information put forth on the topic ("Abstinence Programs Don't Work," Policy & Practice, Dec....

Identifying risks with warfarin.(LETTERS)(Letter to the editor)
March 1, 2008... Thank you for an excellent article ("Warfarin Decreases Stroke in Elderly AF Patients," Dec. 1, 2007, p. 29). Too little is said of elderly patients who have fatal bleeding from warfarin. Some risks can be identified. I have found the...

Long-term adalimumab proves safe and effective for psoriatic arthritis.(Dermatology)(Clinical report)
March 1, 2008... SAN ANTONIO -- Adalimumab proved safe and effective when used for up to 2 years for the treatment of psoriatic arthritis in a phase III open-label extension study, according to results that were reported at the annual meeting of the American...

New procedure improves varicose vein stripping.(Dermatology)
March 1, 2008... CHICAGO -- The minimally invasive venous ablation procedure may breathe new life into surgical ligation and stripping for patients with varicose veins. The procedure--developed at VeinSolutions, a nationwide practice that specializes in...

Hybrid technique provides alternative for varicose veins.(Dermatology)
March 1, 2008... CHICAGO -- A technique that combines occlusion coils and alcohol sclerosis is the latest addition to the array of catheter-based approaches available to treat varicose veins. "We have yet another tool in an area where I don't think we...

Routine cardiac screening in psoriasis is needed.(Dermatology)
March 1, 2008... ZURICH -- The time is at hand to institute routine cardiovascular risk assessment in all patients with moderate to severe psoriasis, Dr. Wolfram Sterry said at the annual meeting of the European Society for Dermatological Research. "This...

Targeted phototherapy for vitiligo has fewer side effects.(Dermatology)
March 1, 2008... BUENOS AIRES -- Targeted phototherapy represents a new approach in the treatment of vitiligo, Dr. Giovanni Leone said at the 21st World Congress of Dermatology. "Targeted phototherapies have been developed with the aim of sparing...

Skin cancer rates soar after combined transplant.(Dermatology)
March 1, 2008... ZURICH -- The risk of developing nonmelanoma skin cancer following simultaneous pancreas and kidney transplantation is fourfold greater than after kidney transplantation alone, Dr. Irma Wisgerhof said at the annual meeting of the European...

'Active naturals' may soothe atopic dermatitis.(Dermatology)
March 1, 2008... SAN FRANCISCO -- Ingredients in oatmeal and other natural products increasingly are being investigated as adjuncts to therapy and as alternatives to medications, Dr. Lawrence F. Eichenfield said at a meeting sponsored by Skin Disease Education...

COPD is increasing in younger, female patients.(Pulmonary Medicine)(Chronic obstructive pulmonary disease)
March 1, 2008... SAN DIEGO -- Chronic obstructive pulmonary disease, once thought of as a disease of elderly white men, is increasingly a disease of women of all ethnicities. Ranking as the fourth leading cause of death in the United States, COPD is the...

Study links idiopathic cough to iron deficiency in women.(Pulmonary Medicine)
March 1, 2008... CHICAGO -- A small but provocative Italian study suggests that women complaining of chronic idiopathic cough should be evaluated for iron deficiency. Researchers at the University of Turin (Italy) observed that cough and signs and symptoms...

Diet, activity may influence lung cancer risk.(Pulmonary Medicine)
March 1, 2008... Eating at least four servings of salad vegetables per week is associated with a reduction in the risk of developing lung cancer in non-Hispanic whites, reported researchers at the University of Texas M.D. Anderson Cancer Center, Houston. ...

Coagulation factors may predict thrombosis risk.(Women's Health)
March 1, 2008... ATLANTA -- Women who opt for hormone therapy to ease their discomfort from hot flashes and other menopausal symptoms often do so without knowing their risk of developing adverse effects. Now, data from the Women's Health Initiative trials...

PMS may raise risk of pelvic floor disorders.(Women's Health)(premenstrual syndrome)(Clinical report)
March 1, 2008... WASHINGTON -- Women with premenstrual syndrome are at increased risk for pelvic floor disorders, according to results from a study of twin sisters. Women who do not have PMS but who have a first-degree relative with PMS may also be at...

Less weight gain seen with modern chemo regimens: the classical regimen is notorious for causing nausea; many women self-medicate against nausea by eating.(Women's Health)
March 1, 2008... SAN ANTONIO -- Weight gain in the first year or two following diagnosis of early-stage breast cancer appears to be less pervasive in the modern era of chemotherapy and endocrine therapy than in times past, results of a retrospective study...

Incidence and death rates for breast cancer in the U.S.(DATA WATCH)(Statistical table)(Brief article)
March 1, 2008... Incidence and Death Rates for Breast Cancer in the U.S. (per 100,000 population) Incidence Mortality White 132.5 25.0 Black 118.3 33.8...

Supplemental ultrasound improves breast Cancer detection.(Women's Health)(Clinical report)
March 1, 2008... CHICAGO -- Supplemental ultrasound screening significantly increased the number of cancers detected, but resulted in a substantial number of false-positive findings in a multicenter study of 2,637 women at high risk for breast cancer. The...

Oral contraceptives give long-term protection against ovarian cancer.(Women's Health)(Clinical report)
March 1, 2008... The use of oral contraceptives confers long-term protection against ovarian cancer, and the longer birth control pills are used, the greater their protective effect, according to an analysis of 45 epidemiologic studies from around the world....

Improving DXA scheduling ups repeat scan rate.(Endocrinology)(dual-energy x-ray absorptiometry )(Clinical report)
March 1, 2008... Redesigning the callback process for repeat bone mineral density tests among patients with osteoporosis--shifting the focus away from primary care to the rheumatology office--resulted in a dramatically increased percentage of patients...

Bone health information on CD and online.(Endocrinology)(Brief article)
March 1, 2008... The National Institute of Arthritis and Musculoskeletal and Skin Diseases is offering a CD-ROM that provides health professionals and the general public with easy access to the latest information on bone health and diseases. The CD, titled...

Combat 'diabesity' with nutrition and exercise.(Endocrinology)(Medical condition overview)
March 1, 2008... SAN DIEGO -- "Diabesity," as Dr. David Heber calls type 2 diabetes, is a lifestyle disease, not a diagnosis that necessarily requires heavy lifting of the prescription pad. Too many physicians begin and end the conversation by saying, "You...

Low health numeracy can be a challenge in diabetes care.(Endocrinology)(Clinical report)
March 1, 2008... ST. LOUIS -- In addition to problems with health literacy in general, diabetes patients are susceptible to problems with a specific aspect of health literacy known as health numeracy, Dr. Russell Rothman said at the annual meeting of the...

Brachytherapy an option for younger patients: 'age should not be a deterrent when considering radiation seed implantation for prostate cancer.'.(Urology)
March 1, 2008... LOS ANGELES -- Contrary to conventional wisdom among many urologists, brachytherapy is a good option for younger prostate cancer patients, according to investigators who reviewed outcomes for 1,763 men treated with radiation seed implants. ...

Brachytherapy beats watchful waiting in local prostate cancer.(Urology)
March 1, 2008... LOS ANGELES -- A study of 11,453 men diagnosed with local prostate cancer from 1999 to 2001 found that brachytherapy reduced their relative risk of dying from the disease by 55%, compared with watchful waiting. Radical prostatectomy was the...

Provider volume tied to brachytherapy outcomes.(Urology)
March 1, 2008... LOS ANGELES -- Men receiving brachytherapy for prostate cancer have a lower risk of relapse and of death from the disease if they are treated by a radiation oncologist who has done a high volume of procedures, according to a review of 5,595...

Prostate Ca therapy best after watchful waiting.(Urology)(cancer)
March 1, 2008... VANCOUVER, B.C. -- Men live longer when a "watchful waiting" prostate cancer strategy is followed by treatment later in the course of the disease, compared with aggressive initial treatment, Dr. Li Li said at the annual meeting of the North...

Statin use tied to fewer relapses in prostate Ca.(Urology)(cancer)
March 1, 2008... LOS ANGELES -- Men who happened to be on statins when given radiotherapy for prostate cancer were significantly more likely to be disease free 10 years later, according to researchers who reviewed 871 patients treated from 1994 to 2000 at a New...

Cetrorelix shows promise in prostatic hyperplasia.(Urology)
March 1, 2008... NEW YORK -- A new treatment paradigm for benign prostatic hyperplasia is on the horizon, according to Dr. Herbert Lepor. During the past 2 decades, there has been a shift in the management of benign prostatic hyperplasia (BPH) away from...

Vasopressin antagonists effective for hyponatremia.(Nephrology)
March 1, 2008... SAN FRANCISCO -- Satavaptan and conivaptan appear to be effective in the treatment of dilutional hyponatremia, a frequent consequence of heart failure and of renal failure. Study findings supporting the efficacy of the vasopressin receptor...

Gout raises risk of death in dialysis.(Nephrology)
March 1, 2008... SAN FRANCISCO -- Contrary to previous assumptions, gout is not rare in patients on dialysis. Moreover, a single episode of gout increases the risk of death in these patients by 49%, according to Dr. Scott D. Cohen and associates. In a...

Chronic kidney disease promotes premature cardiovascular disease.(Nephrology)
March 1, 2008... ORLANDO -- Chronic kidney disease is a predictor of premature stroke, MI, and death, on the basis of a review of data collected from about 30,000 people. The data "suggest that the biologic changes that occur with chronic kidney disease...

Hyperuricemia associated with type 2 diabetes.(Nephrology)(Brief article)
March 1, 2008... High serum uric acid level was an independent risk factor for the development of type 2 diabetes in a large population-based study. Among 4,536 people aged 55 years and older in the Rotterdam Study who were free of diabetes at baseline and...

Kidney risk may rise with high fructose consumption.(Nephrology)
March 1, 2008... Mounting evidence linking high consumption of fructose to an increased risk of kidney disease could have clinical implications for the treatment of high-risk patients. Data from recent studies suggest that high fructose intake causes...

Consider palliative care for patients with ESRD: patients on hemodialysis have a symptom burden that is similar to that of patients with cancer.(Nephrology)(end-stage renal disease)(Clinical report)
March 1, 2008... TAMPA -- Patients with end-stage renal disease are good candidates for palliative care and hospice, but many are not referred for such care, according to Dr. Alvin H. Moss. "Nephrologists, by nature, are not inclined toward talking about...

Warfarin may do harm unless target is reached.(Cardiovascular Medicine)
March 1, 2008... ORLANDO -- Patients with atrial fibrillation who are treated with warfarin need to be in their target anticoagulation range at least 50% of the time to get a net benefit from treatment, according to a review of more than 13,000 patients. ...

Aspirin resistance attributed to noncompliance.(Cardiovascular Medicine)(Drug overview)(Clinical report)
March 1, 2008... ATLANTA -- Noncompliance is the main cause of aspirin resistance, according to investigators who studied aspirin response in 230 people, most of whom had a history of myocardial infarction. The study initially classified up to 30% of the...

Childhood trauma boosts risk of CHD, depression.(Cardiovascular Medicine)(coronary heart disease )
March 1, 2008... VIENNA -- Childhood trauma was an independent predictor of coronary heart disease and major depression later in life in a study with 360 men. "Childhood trauma can have important consequences, but it is a risk factor that physicians don't...

Implantable cardioverter defibrillators can trigger psychiatric sequelae.(Cardiovascular Medicine)(Clinical report)
March 1, 2008... VIENNA -- Psychiatric assessment of 82 Turkish patients who had received implantable cardioverter defibrillators showed that the recipients had a high prevalence of sexual dysfunction, posttraumatic stress disorder, major depressive disorder,...

Take a biofilm approach to infected foot wounds.(Infectious Diseases)(Clinical report)
March 1, 2008... WASHINGTON -- Monotherapy may not be enough in the treatment of diabetic wound infections. These infections are not caused by the planktonic or individual cellular form of mainly single-species bacteria proliferating in the wound, but...

Ventilator bundles not adequate in trauma ICU.(Infectious Diseases)
March 1, 2008... COLORADO SPRINGS -- Implementation of a widely advocated bundle of evidence-based practices aimed at reducing ventilator-associated pneumonia had the desired effect in a busy medical ICU but not in the same hospital's level I trauma/surgical...

Chest radiographs may be overused in severe pneumonia.(Infectious Diseases)
March 1, 2008... CHICAGO -- Routine follow-up chest radiography may not be appropriate for patients with severe community-acquired pneumonia who clinically respond to initial antibiotic therapy, according to a multicenter study presented at the Interscience...

Elderly benefit from colorectal cancer screening.(Gastroenterology)
March 1, 2008... ORLANDO -- Colorectal cancer screening plays an important role in cancer prevention and detection, not just in the "young-old," but also in the "old-old"--people in their eighties and beyond. And if a cancer is found, the elderly can also...

KRAS status predicts response to colorectal Ca treatment.(Gastroenterology)(cancer)(Kirsten rat sarcoma)
March 1, 2008... ORLANDO -- KRAS tumor status has emerged as an important biomarker for the success or failure of therapies for metastatic colorectal cancer and should be assessed before starting treatment, researchers said at a meeting on gastrointestinal...

Aspirin plus PPI safe in Barrett's patients.(Gastroenterology)(proton pump inhibitor)
March 1, 2008... ORLANDO -- Early findings from the Aspirin Esomeprazole Chemoprevention Trial indicate that therapy with aspirin and esomeprazole is safe and well tolerated for preventing the progression of Barrett's esophagus to adenocarcinoma. Since the...

Carvedilol beats band ligation for variceal bleed.(Gastroenterology)(Brief article)
March 1, 2008... BOSTON -- Carvedilol is more effective than band ligation in preventing the first bleed from esophageal varices, Dr. Dhiraj Tripathi said at the annual meeting of the American Association for the Study of Liver Diseases. Because the drug...

Esophageal varices.(THE EFFECTIVE PHYSICIAN)(Disease/Disorder overview)
March 1, 2008... Background Substantial progress in the understanding of the physiology of esophageal varices has clarified treatment options as outlined in recent guidelines from the American Association for the Study of Liver Diseases and the American...

Aetna, AMA lock horns over Medicare payment.(Practice Trends)(American Medical Association )
March 1, 2008... Aetna Inc. has announced that it is working with the American Medical Association and state medical societies to resolve issues involving non-participating physicians after the AMA complained that the insurer was paying those physicians just...

ACP's annual report criticizes U.S. health care.(Practice Trends)(American College of Physicians)(United States)
March 1, 2008... WASHINGTON -- Despite the rhetoric favored by presidential candidates, the U.S. health care system is not the best in the world, but ranks near the bottom on most measures when compared with other industrialized nations, according to a new...

Programs cut smoking rates.(POLICY & PRACTICE)(Brief article)
March 1, 2008... State tobacco control programs are effective at cutting adult smoking rates, according to researchers at the Centers for Disease Control and Prevention and RTI International. The researchers observed a decline in the prevalence of adult...

Individual mandates necessary.(POLICY & PRACTICE)(Brief article)
March 1, 2008... Unless the United States adopts a single-payer health system, it will not be possible to achieve universal coverage without a mandate that requires individuals to purchase health insurance, a new report from the Urban Institute concluded. A...

Recertification could improve care.(POLICY & PRACTICE)(Brief article)
March 1, 2008... The quality of care provided to patients with hypertension appears to erode as the time since the physician's last board certification increases, a study published online in Circulation found. The researchers analyzed treatment of more than...

Part D costs drop.(POLICY & PRACTICE)(Brief article)
March 1, 2008... The projected cost of providing Medicare beneficiaries with a prescription drug benefit through private health plans has dropped again, according to the Centers for Medicare and Medicaid Services. CMS said in its fiscal year 2009 budget...

Patient Safety Goals updated.(POLICY & PRACTICE)(Brief article)
March 1, 2008... The Joint Commission has released a preliminary version of its 2009 National Patient Safety Goals for hospitals and critical care facilities, and is seeking to add several new requirements to its list of priorities. According to the draft, the...

Top 10 cost half a trillion.(POLICY & PRACTICE)(Brief article)
March 1, 2008... The nation's 10 most expensive medical conditions cost about $500 billion to treat in 2005, according to the Agency for Healthcare Research and Quality. Heart disease topped the list at $76 billion, with trauma second at $72 billion, and cancer...

CMS may cover artificial heart.(POLICY & PRACTICE)(Brief article)
March 1, 2008... CMS has proposed covering artificial heart devices in Medicare beneficiaries who are enrolled in Food and Drug Administration-approved studies, reversing a 20-year-old policy. The use of artificial heart technology has not been available to...

Patient portals don't mean higher workload.(Practice Trends)
March 1, 2008... NEW ORLEANS -- Rather than unlocking a Pandora's box of nattering e-mails, an electronic patient portal that allows messaging and even access to test results can improve patient satisfaction and decrease patient visits. "Many physicians...

A 'gypsy' life of medical service.(WORLD WIDE MED)(Interview)
March 1, 2008... Dr. Jeanne Cabeza was on the move even before she finished her residency--which she began at the University of California, Irvine, and completed at Mercy Hospital in San Diego in 1995. Doctors Without Borders, also known as Medecins Sans...

Latest figures peg diabetes costs at $174 billion.(Practice Trends)(Editorial)
March 1, 2008... WASHINGTON -- At least 24 million Americans have diabetes, which cost the nation $174 billion in direct and indirect expenditures in 2007, according to the American Diabetes Association. The ADA released data that were compiled from a...

Reimbursement cut for fast in-office Hb[A.sub.1c] test.(Practice Trends)(Brief article)
March 1, 2008... The Centers for Medicare and Medicaid Services will cut reimbursement for physicians who provide their diabetic patients with point-of-care hemoglobin [A.sub.1c] testing using a "glycosylated Hb home device" from about $21 a test to about...

Updated Web site on Quality Reporting.(Practice Trends)(Brief article)
March 1, 2008... The Centers for Medicare and Medicaid Services has revamped the Web site for the Physician Quality Reporting Initiative. The revised site provides easier access to 2008 information and resources. The site also includes downloadable...

Beer, food for thought.(INDICATIONS)(Brief article)
March 1, 2008... As St. Patrick's Day approaches, the Bureau of Indications would like you to think on this: Beer is good for the brain. A recent study in Food and Chemical Toxicology looked at the effect of beer on lab rats' serum aluminum (Al) levels, given...

News you can use.(INDICATIONS)(Brief article)
March 1, 2008... A recent study in the Journal of Hepatology looked at the effects of repeated whisky binges on the livers of rats fed either choline-deprived or regular "rat chow" diets--sometimes known as Taco Bell. Choline is a naturally occurring B-complex...

More festive than green beer.(INDICATIONS)(Brief article)
March 1, 2008... Obviously, the Bureau of Indications gets excited about St. Patrick's Day. But even we're not quite as exuberant as a trio of physicians from Ohio State University, Columbus, judging by their enthusiastically titled article in the Journal of...

You're doing it wrong.(INDICATIONS)(Brief article)
March 1, 2008... An oldie but a goodie from the American Journal of Gastroenterology earns the coveted title of Indication's Case of the Month: A 31-year-old man is admitted to the emergency room with persistent vomiting and severe stomach pain, predominately...