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The testing we order should help, not hurt
One should always ask: Is the result of this test going to help me make better decisions?
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New—and surprising—ways to approach migraine pain
Who would have guessed that timolol eyedrops could be effective for acute migraine?
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Home BP monitoring is essential
Office BPs are notoriously inaccurate, because it is exceedingly difficult to measure BP properly in a busy office setting.
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The power of the pause to prevent diagnostic error
I recall vividly a diagnostic error I made years ago. I was treating a patient for hyperlipidemia but my partner recognized it as a case of severe...
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A-fib prevention, treatment, and screening: Where does the evidence lead us?
The dilemma is that your patient with a wearable exercise monitoring device will know she has a potentially dangerous condition, but there is no...
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Keeping an open mind about functional medicine
Does functional medicine combine “the worst features of conventional medicine with a heapin’ helpin’ of quackery”? Or is it still in its infancy...
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Despite ‘getting it wrong’ we must continue to do what’s right
There is no question that everyone in the United States— and most likely, the entire world—will eventually get vaccinated against COVID-19 or get...
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When the evidence suggests that placebo is best
What they discovered is that no type of injection therapy has been proven to be better than a saline injection.
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Let’s talk about healthy aging (but where to begin?)
It may be effective to use the “chat technique” and ask open-ended questions, such as: How are things going for you?
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Moving patients beyond injury and back to work
I suspect that we tend to be pessimistic about our ability to influence patient outcomes because we are uncertain about the best course of action...
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To screen or not to screen children for hypertension?
In this issue of JFP, Smith et al recommend following guidelines from the American Academy of Pediatrics to...
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A thoughtful approach to drug screening and addiction
Use of cheap street fentanyl, rather than prescription drugs, accounts for nearly all of the increase in opioid overdose deaths.
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Systemic racism: An editor’s note
This month’s editorial was jointly written by the editors of 10 prominent family medicine publications, including JFP, and is being published...
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Whole-person care: Our foundation, our future
We can no longer go “halfway” into whole-person care.
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When patients don’t get the care they should
The outcome might have been much different if there had been further delay.