What Should a Clinician Do When Spreading Depolarizations are Observed in a Patient?

What should you do when your patient brings a list?

Today’s health care consumers are expected to be proactive, self-managed and informed members of the health care team. One way for patients to become more involved in their care is to bring a list of questions to each visit. For example, the Agency for Healthcare Research and Quality advises patients to “Write down your questions before your visit. List the most important ones first to make sur...

A Patient with Kikuchi's Disease: What Should Pain Clinicians Do?

Kikuchi's disease (KD) is an idiopathic and self-limiting necrotizing lymphadenitis that predominantly occurs in young females. It is common in Asia, and the cervical lymph nodes are commonly involved. Generally, KD has symptoms and signs of lymph node tenderness, fever, and leukocytopenia, but there are no reports on treatment for the associated myofacial pain. We herein report a young female ...

A structured approach to uncommon cancers: what should a clinician do?

A structured approach to uncommon cancers: what should a clinician do? In this issue of Annals of Oncology, Pecuchet et al. [1] have produced an elegant, original paper describing an innovative approach to the management of metastatic collecting duct carcinoma, using bevacizumab, gemcitabine and a platinum complex. They have shown surprising anticancer activity, which appears to have been susta...

What to do when a patient refuses treatment.

Diagnostic and therapeutic challenges for dermatologists: What shall we do when we don’t know what to do?

What shall we do when we have done everything we could for the diagnosis and treatment of a patient, but were not successful? What shall we do when there is no definite treatment for a patient? What shall we do when we have no diagnosis or treatment for a patient? Some useful suggestions are presented here to get rid of these situations.