Vitamin D deficiency is relatively common, with an estimated prevalence between 19% and 77% in the United States.1,2 Low serum…
A New Option for Reversing the Anticoagulant Effect of Factor Xa Inhibitors: Andexanet Alfa (ANDEXXA)
The use of direct oral anticoagulants over traditional warfarin has increased in the United States over the past 10 years…
Medical Principles in Obstetrical Consults
The ideal pregnancy should be medically uncomplicated. In contrast, maternal mortality in the United States equates to approximately 3 deaths…
Should Patients Infected with Borrelia burgdorferi No Longer Be Referred to as Having Lyme Disease?
In 1977, a seminal paper described what was subsequently called Lyme arthritis.1 The name ‘Lyme’ originated from the initial investigation…
Medical Tourists: Incoming and Outgoing
Patients who travel to another country to seek health care are referred to as medical tourists. The term arose because…
When Guidelines Cause Hypertension
The 2017 ACC/AHA Hypertension Guidelines1 lowered the threshold for diagnosing hypertension from a blood pressure of ≥140/90 mm Hg to…
Treatment of Syphilis-Associated Cerebral Vasculitis: Reappearance of an Old Question
Cerebral vasculitis caused by neurosyphilis is a re-emerging problem with diagnostic and treatment issues, especially for human immunodeficiency virus patients.
Modern Trends in Dental Medicine: An Update for Internists
Traumatic injuries, genetic diseases, and external harmful agents such as bacteria and acids often compromise tooth integrity. There is an…
The Physician’s Prayer
I first met John on my fourth day in Cape Coast, Ghana, as a volunteer assisting in medical outreach. We…
Altruism: A Story in Three Acts
As regulatory and technological forces increasingly impact bedside care, some clinical educators have raised the concern that altruism in medicine,…