AFP DEPARTMENT COLLECTION

Curbside Consultation

This department addresses legal, psychological, and ethical issues physicians may encounter in their day-to-day practice. Each article contains a brief case scenario, followed by a commentary section written by a consultant who responds to the particular issue addressed in the scenario.

Mar 1, 2021 Issue
Caring for the Physician Affected by Substance Use Disorder
A 34-year-old physician, H.M., is an established patient in my practice. H.M. presents for a follow-up visit after finishing inpatient treatment for opioid use disorder.


Jan 1, 2021 Issue
Making Recommendations to Reduce Noise Exposure
A 23-year-old patient, M.P., presents to your office with upper respiratory symptoms. When you enter the room, M.P. is using earbuds to listen to music on a personal listening device. The volume is loud enough for you to hear the music but not distinguish details. After addressing the patient's symptoms, you ask about M.P.'s listening habits.


Nov 1, 2020 Issue
How to Manage a Patient with Weight Regain
A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).


Sep 1, 2020 Issue
Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic
In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.


Jul 1, 2020 Issue
A Primary Care Approach to Adverse Childhood Experiences
A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and behavior.


May 15, 2020 Issue
The Older Driver
Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.


Mar 1, 2020 Issue
Emotional Support Animals: Considerations for Documentation
Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany the owner on air travel or to live in housing that might otherwise restrict pets.


Jan 1, 2020 Issue
Tapering Long-Term Opioid Therapy
My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.


Nov 1, 2019 Issue
Physician Burnout and Stress While Interacting with Patients
Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.


Sep 1, 2019 Issue
Communicating Risk to Patients Who Get Their Information from the Internet
What can physicians do when our patients act on findings from the internet?


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