Treat substance abuse before it's too late

Article Abstract:

Physicians should make a better effort to detect and treat substance abuse. Many physicians fail to aggressively counsel and treat patients who abuse alcohol or drugs because of high levels of non-compliance, referral and management difficulties and the tendency of substance-abusing patients to deny having problems. Results of a study published in JAMA in 1992 indicate that the response to treatment was better for patients who received warnings from their doctors about their substance abuse than those who did not.

Editorial, Diagnosis, Clinical medicine, Physician and patient, Physician-patient relations, Ethical aspects, Substance abuse

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Cholesterol level was 394, but VA didn't treat it for 2 years

Article Abstract:

A New York federal appeals court reversed a lower court ruling that blamed a 39-year-old Veteran's Administration hospital patient for his death from heart disease. The patient's family had filed a wrongful death claim in 1989, charging that the VA was dilatory in treating his high cholesterol. The lower court ruled in favor of the government on the ground that the patient did not fast before taking tests to diagnose hyperlipidemia. The higher court ruled that fasting would not have affected the result.

Administration of Veterans' Affairs, Veterans Hospitals & Medical Care, Cases, Physicians, Medical malpractice, Military health services, United States. Department of Veterans Affairs, Hospitals, Veterans', Veterans hospitals

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Look before you lease: landlords may negotiate cost controls, renovations

Article Abstract:

A physicians must exercise caution when signing a long-term office lease, because conditions may change and the landlord may refuse to negotiate. Consultants recommend that leases contain A clause that allows termination in case the doctor needs to relocate. The present slow economic conditions have influenced landlords to grant requests for renegotiation. Examples are cited of doctors who successfully modified the terms of their leases.

Contracts, Landlord and tenant, Landlord-tenant relations, Medical offices

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