Medical Practice

Magazine articles on medical practice and technical issues of treatment.

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Managed Care August 2004 Martin Sipkoff	Bad Tiered Formulary Designs Yield Poor Outcomes, High Cost Now that tiered formularies rule the land, what many suspected is being demonstrated: Compliance is suffering and so, too, are patients.
Managed Care August 2004 Marilyn Bydalek	Navigating the Personnel Rapids: What They Never Taught You in Med School Physicians who make the move to the administrative side find a lot of tough decisions waiting for them.
Managed Care August 2004 Michael S. Victoroff	We Don't Serve Your Kind! When physicians think it is acceptable to withhold care from lawyers involved in malpractice suits, does it signal a breakdown of the social order?
American Family Physician August 15, 2004 Huggins & Looney	Allergen Immunotherapy The major objectives of the practice are to reduce responses to allergic triggers that precipitate symptoms in the short term and to decrease inflammatory response and prevent development of persistent disease in the long term.
American Family Physician August 15, 2004 David G. Weismiller	Emergency Contraception Advance provision of this type can increase its use significantly without adversely affecting the use of routine contraception.
American Family Physician August 15, 2004 Lang & Quill	Making Decisions with Families at the End of Life Because advance directives are not yet the norm, end-of-life decisions for patients without medical decision-making capacity are made regularly within discussions between the patient's physician and family.
American Family Physician August 15, 2004 Roberts, Ostapchuk & O'Brien	Infantile Colic The physician's role is to ensure that there is no organic cause for the crying, offer balanced advice on treatments, and provide support to the family. Colic is a diagnosis of exclusion that is made after performing a careful history and physical examination to rule out less common organic causes.
American Family Physician August 15, 2004 Kathy Soch	Diary From a Week in Pactice A family practitioner laughs with a patient over a wig... Decides on last-days comfort for an Alzheimer's patient... Finds over-the-phone international rashes impossible to diagnose... Reminds an intern that alcoholism isn't simple to diagnose... etc.
Reason September 2004 Maia Szalavitz	Dr. Feelscared U.S. drug warriors put the fear of prosecution in physicians who dare to treat pain. While the OxyContin panic does not seem to have deterred addicts, it has scared doctors.
American Family Physician August 1, 2004 Mayfield & White	Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell Function New insulin preparations and a better understanding of insulin physiology provide more options for family physicians attempting to effectively tailor insulin therapy to the needs of individual patients.
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