Class Act: A Multivitamin a Day – Does It Really Keep the Doctor Away?

June 3, 2009
Class Act: A Multivitamin a Day – Does It Really Keep the Doctor Away?

Does daily use of a multivitamin help prevent illness and chronic disease?

Kate Gibson, MS-4

Faculty Peer Reviewed

A 65 year old male patient with a history of hypertension and hyperlipidemia comes into the clinic for a regular visit. On his way out he asks, “Should I be taking a multivitamin?” You stop and think for a minute and decide, why not? But is there any actual evidence supporting the effectiveness of daily use of a multivitamin?

Multivitamin Use
According to the National Health and …

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PrimeCuts: This Week in the Journals

June 1, 2009
PrimeCuts: This Week in the Journals

Jessica Lambert MD

Faculty Peer Reviewed

One hot topic making news this week is government spending on substance abuse, addiction and its consequences, both medical and legal. As reported in The New York Times, the National Center on Addiction and Substance Abuse issued a report estimating that $468 billion was dispensed in 2005 for smoking, alcohol abuse and illegal drugs, with the majority of this huge financial burden allocated for direct health care costs associated with lung disease, cirrhosis and overdose. This “stunning misallocation of …

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Clinical Correlations Now Indexed in TRIP Database

May 29, 2009
Clinical Correlations Now Indexed in TRIP Database

We are excited to formally announce a new feature of Clinical Correlations. A search box (bottom right of the page) now allows our readers to carry out a direct search of the TRIP Database.

The TRIP Database, now in its 12th year, is an excellent search engine with a focus on providing clinicians with the best available evidence to answer their clinical questions, in keeping with the mission of Clinical Correlations. The TRIP Database is continuously updated with resources that use evidence-based medicine to answer …

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Conscientious Objection in Medicine: A Moral Dilemma

May 28, 2009
Conscientious Objection in Medicine: A Moral Dilemma

Ishmeal Bradley MD

Faculty Peer Reviewed

Please also see the commentary by Antonella Surbone, MD PhD FACP, Ethics Editor

Consider this: what would you do if a patient with terminal pancreatic cancer told you, his primary care doctor of twenty years, that he wanted your help to end his life? Or, what if a woman in her first trimester who contracted an infection that threatened the health of her fetus asked you, her obstetrician, to perform an abortion? Ethical questions like these are encountered not …

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PrimeCuts-This Week in the Journals

May 26, 2009
PrimeCuts-This Week in the Journals

Michael Chen MD

Faculty Peer Reviewed

We’ve all seen the now almost omni-present ads on TV, in newspapers and magazines, and especially on the MTA subways: the image of a woman or man holding up missing digits or limbs talking about the multiple amputations brought about by their smoking or diabetes. The image of a person with amputated limbs evokes a strong emotional response that can linger with us for some time and can provide a powerful message to those needing to control their diabetes …

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Tales of Survival: An Autumn Dinner

May 22, 2009
Tales of Survival: An Autumn Dinner

Bellevue Hospital, the nation’s oldest public hospital and the heart of our residency program, provides unique and unforgettable training for new physicians.  It is probably safe to say that every resident who trains at Bellevue graduates with a lifetime of stories about the experience. “Tales of Survival” was created to convey some of those experiences.

Melissa Price MD

 The sun had already set that Friday afternoon when I entered the great revolving doors of Bellevue Hospital surrounded by the disintegrating, once-vivid, fall leaves. Fatigued, I …

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Myths and Realities: Do Power Lines Cause Cancer?

May 20, 2009
Myths and Realities: Do Power Lines Cause Cancer?

Aditya Mattoo MD

Faculty Peer Reviewed

Prompted by personal experience, I thought I would explore the alleged causative role of power lines in hematologic malignancies for the next installment of Myths and Realities. In recent years, two close family friends living at separate locations but in homes adjacent to lots with electrical transformers were diagnosed with Multiple Myeloma and Non-Hodgkin’s Lymphoma. Naturally, the coincidence was not unnoticed, so I decided to put power lines on trial and look through the literature to see if a …

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PrimeCuts: This Week in the Journals

May 18, 2009
PrimeCuts: This Week in the Journals

Marsha Laufer MD

Faculty Peer Reviewed

“Disruption, Disruption, Disruption.” This was the title of the plenary session at last week’s SGIM meeting in Miami, Florida. What does this mean? What image does this conjure up for you in relation to Medicine? In relation to health care delivery? I think of disruption negatively and walked into the talk skeptical, but walked out feeling the opposite. Disrupt equals Change. To change the way we currently do things was the theme of the talk , truly perfectly timed …

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