Opinion Article

The Sensitive Subject of HIV Treatment Side Effects

The Sensitive Subject of HIV Treatment Side Effects | Opinion Article

Antiretroviral therapy (ART) is essential to keeping HIV from replicating and further infecting CD4 lymphocytes. When taken as prescribed, these medications have significantly increased life expectancy over the past 25 years. HIV has shifted from being an infection with dire consequences to one that is considered a manageable, chronic condition when treated with ART.…

Protocol-Based Care for Septic Shock

Protocol-Based Care for Septic Shock | Opinion Article

Until recently, the hospital mortality of patients with severe sepsis and septic shock was 50%. In 2001, a single-center ED study found that mortality in patients with severe sepsis or septic shock was significantly lower among those treated according to a 6-hour protocol of early goal-directed therapy (EGDT) than for those receiving standard therapy.…

Refining Neurosurgery Practices

Refining Neurosurgery Practices | Opinion Article

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of five practices to avoid in neurosurgery. “The purpose,” says Daniel K. Resnick, MD, “is to alert patients and physicians to common practices that may not be necessary or efficacious.”

The Recommendations

1) Do not administer steroids after severe traumatic brain injuries.…

Living for Yourself, Prioritizing Your Needs

Living for Yourself, Prioritizing Your Needs | Opinion Article

Research indicates that physicians tend to put the needs of their patients before their own. “We’re never taught that we’re allowed to put any of our own needs first, or even that it’s sometimes healthy to do so,” says Robb Hicks, MD.…

Enhancing Quality in the Pediatric Cath Lab

Enhancing Quality in the Pediatric Cath Lab | Opinion Article

According to published estimates, about one in 110 babies in the United States is born with congenital heart disease. On the surface, the incidence of the disease is relatively low, but the consequences can be profound. New, rapidly evolving interventional treatments are extending lives and enhancing the quality of life for children living with congenital heart disease.…

New Options for Treating Opioid Addiction

New Options for Treating Opioid Addiction | Opinion Article

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that it’s an effective means to reduce opioid cravings and help prevent withdrawal symptoms.…

Enhancing Care With Robotic Prostatectomy

Enhancing Care With Robotic Prostatectomy | Opinion Article

During the last decade, the number of robot-assisted prostatectomies performed in the United States has risen steadily throughout the country. Several factors have led to more complex patients being offered surgery for organ-confined prostate cancer, including refined surgical techniques, a better understanding of anatomy, and more experience.…

A Resource to Help Care for Obesity

A Resource to Help Care for Obesity | Opinion Article

Few providers have the resources or time to implement guidelines for managing overweight and obese patients, according to Louis J. Aronne, MD, FACP. To overcome this obstacle, Dr. Aronne and other experts in obesity and weight-management care developed BMIQ (www.bmiq.com), a website that allows healthcare providers to add a comprehensive, office-based program to their medical practice.…

CT-Based Lung Cancer Screening in HIV

CT-Based Lung Cancer Screening in HIV | Opinion Article

Studies have found that patients with HIV have a two- to five-fold greater risk of lung cancer when compared with patients from the general population. Other research has suggested that CT-based lung cancer screening can help decrease lung cancer mortality in heavy smokers.…

Comparing Approaches to ACL Tears

Comparing Approaches to ACL Tears | Opinion Article

Value-based medicine has gained more attention in recent years, leading many providers and healthcare systems to focus on the cost effectiveness of services they offer. This focus is important in orthopedic surgery, where procedures like anterior cruciate ligament (ACL) reconstruction have high costs but can also potentially improve quality of life and functional ability.…

[1]2345...102030...