This article presents data about a large number of prostate ultrasound examinations done from 1989-1997 as a screen for prostate cancer. Almost all had biopsies, usually multiple ones. The article includes much information about relationships of traits (eg, prostate size, PSA levels, digital rectal exam results, age, and ultrasound data, singly and in combination) to likelihood of cancer.
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This article describes the use of a special Internal Medicine Pain Clinic for the purpose of addressing physician and patient concerns about chronic pain management for nonmalignant conditions. Subjective questionnaire responses indicated improvement in most categories, including severity of pain. The author attributes much of this improvement to the supportive atmosphere of the special clinic.
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The reprinted 56-year-old article by an early Kaiser Permanente physician about infectious hepatitis describes clinical, laboratory, and pathology features as well as the scanty information then available about epidemiology, etiology, prognosis, and treatment. The accompanying current Commentary points out what was known and unknown in 1944 in the context of many features of current understanding of viral hepatitis.
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A physician who is also a full-blooded Mohawk Indian describes how the Medicine Wheel concept from Native American culture has influenced his own life philosophy and his approach to patients. The universality of the Medicine Wheel concept and the benefits of its application when caring for patients are discussed in a highly personal way.
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