Dialysis and Depression

by Carlos Weiss, M.D. and Victor Crentsil, M.D. The objectives for this case are that the reader will develop: 1. knowledge of some general principles of pharmacologic management in an older patient on hemodialysis; 2. appreciation of the complex nature of caring for older patients with multiple diseases. History MAY/JUNE This case begins in the […]

Post Traumatic Stress Disorder

by John Burton, M.D. History A 90-year-old woman has been a patient of the Beacham Ambulatory Care Center since 2000.  Chronic conditions are pernicious anemia, osteoarthritis, and urinary incontinency.  She is fully functional and fully independent.  She provides care for the homebound husband who has severe COPD.  They live in a row home specifically “close […]

Closed-Loop Insulin Delivery during Pregnancy in Women with Type 1 Diabetes

Complications of type 1 diabetes mellitus during pregnancy include increased rates of congenital anomaly, stillbirth, neonatal death, preterm delivery, and macrosomia.1 Congenital anomalies are associated with poor glycemic control around the time of conception, whereas the other complications are associated with maternal hyperglycemia that persists during pregnancy.2-5 Pregnant women with type 1 diabetes face particular […]

A Placebo-Controlled Trial of Obeticholic Acid in Primary Biliary Cholangitis

Primary biliary cholangitis, formerly called primary biliary cirrhosis,1-5 is a rare autoimmune liver disease (prevalence of approximately 20 to 40 cases per 100,000 persons) that predominantly affects women.6-8 It is characterized by inflammation and progressive destruction of interlobular bile ductules, cholestasis that provokes debilitating fatigue and itch, eventual cirrhosis, end-stage liver disease, and death.7 Elevated […]

Skip to toolbar