Hard Questions

Doctor, will you please lie to me?

Looking for hope in the face of terrible news is a common reaction. It’s natural. We tend to be optimists, and we look for a silver lining. We...


A new era of TTP treatment

Many questions remain following the FDA’s approval of caplacizumab, specifically, which patients should receive it. The high cost of the drug is...

Law & Medicine

Workers’ compensation law

Question: Employee, a poorly controlled diabetic, accidentally stepped on a nail at work. Surrounding cellulitis and abscess...


Medical ethics and economics

It’s up to physicians to build an ethical wall between interests in clinical research.


Phone etiquette, part 2

A peer should never answer and then be expected to wait while your employee tracks you down.

From the Editor

The white wall

How many clinically shaky fellows do we graduate into our profession every year? How many of us are aware of colleagues who are unskilled, but are...