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Dr. Joseph S. Alpert

The Readmission Problem: A Modest Proposal Seeking a Solution

It is certainly no secret that patient readmissions shortly after discharge from the hospital create major healthcare and social problems today in the United States and throughout the world.1, 2, 3, 4, 5, 6, 7, 8, 9 Given our ever increasing number of elderly, frail patients in the United States, it is not surprising that many of these individuals are readmitted soon after discharge. […]

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Joseph S. Alpert

How Can We Improve the Management of Patients with Hypertension?

Hypertension continues to be a major health problem in the United States, affecting more than 76 million US citizens. Despite marked improvement in detection and therapy of patients with hypertension over recent decades, substantial morbidity and mortality still occur, especially in the Southeastern United States. Hypertension detection programs are common throughout the country and can […]

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Joseph S. Alpert

A Sticky Problem: Dealing with Industry Under Unpleasant Circumstances

  In this issue of the American Journal of Medicine, Dr Leonard Fromer appropriately calls for easier access to potential lifesaving therapy, the epinephrine auto injector, for patients with severe allergic reactions. The editor and the staff of the AJM strongly support the concept that epinephrine auto injectors should be made affordable and easily accessible for patients who are […]

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Joseph S. Alpert

Reflections on a Recent Trip to Lithuania and the Global Family of Physicians

My wife and I recently returned from a trip to Vilnius, Lithuania. It was my third trip there and her second. Each time we have gone to Lithuania, we have been made to feel like members of our host’s family. Here is the story that led to our current close personal and professional friendships in […]

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Genetically Informed Medicine

  As many readers will remember from an earlier editorial entitled “What’s in a Word? Using Words Carefully,”1 I pointed out the danger in using words without first carefully considering the implications of the written or spoken terms for individuals and for society. In this editorial, I described one of my patients who had mistakenly been […]

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