By Joshua Novack, MD
Peer Reviewed
Case: 74 year old male with a history of heart failure with reduced ejection fraction (EF 20%) diagnosed 10 years ago comes in with subacute progressive lower extremity edema, orthopnea, …
Category: Class Act
Clinical Correlations
SGLT2 Inhibitors for Heart Failure with Preserved Ejection Fraction
March 6, 2023
By Raymond Barry
Peer Reviewed
A 2020 report published by the American Heart Association (AHA) in conjunction with the National Institutes of Health (NIH) found that an estimated 6.2 million American adults had heart failure …
Does Spine Surgery Have a Role in Low Back Pain?
December 14, 2022
By: Michael Moore
Peer Reviewed
“Too many complex back surgeries are being performed and patients are suffering as a result” wrote National Public Radio health science journalist Joanne Silberner in her 2010 article “Surgery May …
The (Future) Impact of Deep Learning on Primary Care
November 8, 2022
By Kathryn Hockemeyer
Peer Reviewed
I caught up with a friend who works in environmental, social, and corporate governance investing during a lull in the COVID-19 pandemic. Seconds into the conversation, he asked, “I hear …
Statin Use in Young People: A Missed Opportunity?
August 10, 2022
By Akshay N. Pulavarty MPH
Peer Reviewed
A quick look into the medicine cabinet of anyone sixty or older will likely reveal a statin. Primary prevention with high-intensity statins has substantially reduced the risk of …
The Chicken or the Egg: The Relationship Between Nonalcoholic Fatty Liver Disease and Type 2 Diabetes
July 30, 2022
By Mahip Grewal
Peer Reviewed
Nonalcoholic fatty liver disease (NAFLD) is estimated to affect 25% of the world’s population.1 NAFLD is a spectrum of disease ranging from nonalcoholic fatty liver (NAFL), which is generally nonprogressive …
Harm Reduction: Principles, Practices, and Frontiers
February 10, 2022
By Matthew Haller
Peer Reviewed
The default mode of medical practice is curative: pursuit of the complete eradication of the malady at hand, leading to symptomatic relief and prolongation of life. In actuality, this frame …
A History of Patient History-Taking: A Brief Review of the Origins of the Aphorism that “80% of Diagnoses Can Be Made by History Alone”
January 26, 2022
By Devon Zander
Peer Reviewed
Much has been said about the art of taking a patient history. The aphorism most commonly invoked by medical educators is that “80% of diagnoses can be made by history …