Patient organizations and primary care development: reflections by patients with chronic diseases

Primary and secondary care: Breaking down barriers for our patients with chronic diseases.

Recently, while participating in a conference on chronic disease management in primary care, I heard a patient’s testimony that gave me pause. I was struck by his journey toward achieving greater autonomy in managing his health problems. While he said he was very well supported by his family physician, attending physician, and “coach,” he spoke of his need to see specialists to get the latest i...

Primary Care Clinics and Accountable Care Organizations

BACKGROUND The Accountable Care Organization (ACO) is one of the new models of health care delivery in the U.S. To date, little is known about the characteristics of health care organizations that have joined ACOs. We report on the findings of a survey of primary care clinics, the objective of which was to investigate the opinions of clinic management about participation in ACOs, and the charac...

Telehealth of Patients with Chronic Diseases during Coronavirus 2019 Epidemic

Primary and Chronic Intestinal Pseudo Obstruction in a Patient with Probable Ovarian Agenesis

The patient is a 12 year-old girl who has been suffering from episodes of in testinal obstruction since she was 6 years old, leading to severe malnutrition, malabsorption and growth retardation.  Repeated radiological examinations revealed esophageal achalasia, gastric distention, marked small intestinal and mild colonic dilatation. Transmural biopsies from small and large bowels showed normal ...

Can patients with chronic liver diseases withstand Ramadan fasting?

Ramadan is a sacred month for Muslims all around the world. During this lunar-based month, healthy adult Muslims are obligated to abstain from eating, drinking, smoking, or using oral medications from predawn to sunset. Followers will typically eat just after sunset and again before dawn (1). The Islamic lunar Hijri calendar is 11 days shorter than the Gregorian solar calendar, and therefore, t...