Dr William Goldberg, clinical professor of medicine at McMaster University and Chief of Medicine at St Joseph’s Hospital from 1962-1982, reflects on changes in medicine over the years and discusses the concept of illness versus disease.
An older patient with an acute episode of atrial fibrillation treated with amiodarone in an emergency department setting develops signs and symptoms of thyrotoxicosis. The patient needs urgent computed tomography angiography (CTA). What should we do thyroid-wise?
What tests do you perform in a patient with a suspected bleeding disorder who has normal coagulation screening test results (platelet count, prothrombin time, partial thromboplastin time, thrombin time, fibrinogen)?
Patients with monoclonal gammopathy of unknown significance (MGUS) are at low risk for progression to plasma cell myeloma (multiple myeloma). Who should take care of these patients: hematologists and oncologists? Or general practitioners?