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"For example, a number of years ago I was honored by an invitation to sit on the editorial board of the Annals of internal medicine, the journal of the American College of Physicians, which is distributed twice monthly to more than 100,000 subscribers and is the premier journal in internal medicine. We received a paper that we sent out for peer review; it passed muster and was published (Wilkes et al. 1992). It was a simple study in which the authors took an inventory of the pharmaceutical advertisements from several of the premier journals."
- Nortin M. Hadler MD, Worried Sick: A Prescription for Health in an Overtreated America (Get the book.)

"And it is promulgated as one of the educational mainstays of internal medicine by the American College of Physicians. All this and more to treat surrogate measures despite the clear message of the ukpds trial that clinically important benefits are elusive. All this and more has caused another 1.5 million Americans to be labeled "diabetic" each year, and to be treated as aggressively as necessary to normalize their blood sugar. Caveat emptor. Hypertension is the last component of the "Metabolic Syndrome" on our plate. Hypertension has a J-shaped curve."

- Nortin M. Hadler MD, Worried Sick: A Prescription for Health in an Overtreated America (Get the book.)

"In America we focus on battling diseases once they occur," says Greg, 46, who completed residencies in both internal medicine and pediatrics at the University of Minnesota, holds a divinity degree from Harvard, and is one of the world's leading experts on Kampo, Japan's traditional herbal medicine. "However, in traditional Asian thought, the highest, most honored form of medicine was prevention, and the lowest was treatment. Today in Japan, the focus is on avoiding disease in the first place. There are massive national and local efforts underway to prevent diabetes and heart disease."
- Dan Buettner, The Blue Zones: Lessons for Living Longer From the People Who've Lived the Longest (Get the book.)

"The evidence is strong that companies are getting the results they want," wrote Richard Smith, the former editor of the British Medical Journal in an article in 2005, "and this is especially worrisome because between two-thirds and three-quarters of the trials published in the major journals—Annals of internal medicine, JAMA, Lancet, and New England Journal of Medicine—are funded by the industry ... It took me almost a quarter of a century editing for the BMJ to wake up to what was happening."
- Melody Petersen, Our Daily Meds: How the Pharmaceutical Companies Transformed Themselves into Slick Marketing Machines and Hooked the Nation on Prescription Drugs (Get the book.)

"G0tzsche, a specialist in internal medicine, was part of an international group called the Cochrane Center, which had made metaanalysis a specialty. The goal of the nonprofit center was to summarize the results of clinical trials so that physicians had sound scientific advice at their fingertips. Troubled by what they found in the Diflucan data, Dr. G0tzsche and Dr. Johansen sent a letter to the Pfizer scientist who was listed as an author of one of the studies. They asked why he and the other researchers had given the older drugs to patients using such questionable methods."

- Melody Petersen, Our Daily Meds: How the Pharmaceutical Companies Transformed Themselves into Slick Marketing Machines and Hooked the Nation on Prescription Drugs (Get the book.)

"Pfizer wrote checks to pay for the department of internal medicine's annual Research Day, an event where the company handed out financial grants to medical students and residents for travel. Pfizer helped buy the medical school a mobile clinic. Even the director of the university's hospital had sat on a Pfizer advisory board. The global pharmaceutical giant had paid to become an influential player inside the state's most important hospital, but so too had dozens of other firms manufacturing drugs and medical devices."

- Melody Petersen, Our Daily Meds: How the Pharmaceutical Companies Transformed Themselves into Slick Marketing Machines and Hooked the Nation on Prescription Drugs (Get the book.)

"One study evaluated the records of 1,000 patients in an internal medicine clinic over a three-year period. Complaints of pain and fatigue producing real problems for the patient were incredibly common. Although expensive diagnostic testing was usually done, a diag-nosable cause or disease was identified in only 16 percent of cases. These medically unexplained symptoms and their most serious manifestation as medically unexplained illnesses are to a large degree a problem in women's health. And medical school usually does nothing to prepare doctors to help you with this problem."
- Benjamin H. Natelson, M.D., Your Symptoms Are Real: What to Do When Your Doctor Says Nothing Is Wrong (Get the book.)

"The Effect of a Plant-Based Diet on Plasma Lipids in Hypercholesterolemic Adults," Amah of internal medicine, 2005; 142: 72S—33. Other similar trials have found striking protective effects in more traditional, plant-based dietary patterns that no single nutrient can adequately explain. In the D.A.S.H. (Dietary Approaches to Stop Hypertension) study, a diet rich in fruits and vegetables and low in saturated fat reduced blood pressure even when salt intake and weight remained unchanged. (Lawrence J. Appel, et al."
- Michael Pollan, In Defense of Food: An Eater's Manifesto (Get the book.)

"Ask your friends, call the department of medicine in your neighborhood hospital, or look in the yellow pages for a doctor who has accreditation—that is, who is "board certified"—in internal medicine. If Your Doctor Is an Internist If you're already seeing an internist, then it does not make sense to go to another internist. Instead, you should ask about a referral to a specialist (or decide to refer yourself if your insurance allows this). In this case, a second opinion is important because your internist may not know what your problem is."
- Benjamin H. Natelson, M.D., Your Symptoms Are Real: What to Do When Your Doctor Says Nothing Is Wrong (Get the book.)

"Division of General internal medicine, University of Utah School of Medicine, Salt Lake City, USA. mike.peterson@utahtele-health.net. Mayo Clin Proc. 2001 Feb;76(2):215-6. Fluoxetine, an antidepressant of the selective serotonin reuptake inhibitor class, may stimulate prolactin release by pituitary lactotrophs. A 71-year-old woman taking estrogen replacement therapy developed galactorrhea after initiation of fluoxetine for depression and was found to have an elevated prolactin level."
- Gary Null and Amy McDonald, The Food-Mood Connection: Nutrition-based and Environmental Approaches to Mental Health and Physical Wellbeing (Get the book.)

"SIGNING OFF Primary care physicians—family physicians and internal medicine specialists—can diagnose and treat many nasal problems, from the common cold to allergies. But many nose problems are related to other medical conditions that require special training to evaluate and manage. Keep in mind that if you have nasal pain or excessive bleeding, you should call your doctor right away. So, who knows the most about noses?"
- Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan, Body Signs: From Warning Signs to False Alarms...How to Be Your Own Diagnostic Detective (Get the book.)

"CHAPTER 11 Praying for Yesterday On the eve of the millennium, Leonard Leibovici, an Israeli professor of internal medicine in Israel and expert on hospital-acquired infections, conducted a study of healing prayer's effect on nearly 4,000 adults who had developed sepsis while in the hospital."
- Lynne McTaggart, The Intention Experiment: Using Your Thoughts to Change Your Life and the World (Get the book.)

"He has been in private practice since then, specializing in internal medicine, and alternative and complementary therapies. He also founded the Ash Center for Comprehensive Medicine. He has a radio show every Sunday in New York. Ash Center for Comprehensive Medicine 800A Fifth Avenue New York NY 10021 Tel: (212) 758-3200 DrAsh@ashmd.com ROBERT C. ATKINS, M.D., graduated from Cornell University Medical College and had hospital affiliations with both Columbia and Rochester Universities."
- Gary Null and Amy McDonald, The Food-Mood Connection: Nutrition-based and Environmental Approaches to Mental Health and Physical Wellbeing (Get the book.)

"Allergist/immunologist: A medical doctor who is board-certified in internal medicine or pediatrics and undergoes additional training in allergy and immunology. ¦ Sleep disorder specialist: A medical or other doctor who has special training in sleep medicine and has been certified by the American Board of Sleep Medicine. READ MY LIPS...AND MOUTH The lips, the teeth, the tip of the tongue. The lips, the teeth, the tip of the tongue."
- Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan, Body Signs: From Warning Signs to False Alarms...How to Be Your Own Diagnostic Detective (Get the book.)

"According to an article in the Journal of General internal medicine published in 1996,42 percent of the material given to doctors by drug reps made claims that were in violation of FDA regulations, and only 39 percent of the material provided scientific evidence to support its marketing claims. Most doctors firmly believe that their opinions about drugs and scientific evidence are not compromised by these interactions. The research shows otherwise."
- John Abramson, Overdosed America: The Broken Promise of American Medicine (P.S.) (Get the book.)

"Then, in the mid-1880s, a rival of Charcot, Hippolyte Bernheim, doctor of internal medicine at the University of Nancy, appeared on the scene and began to make trouble. In particular, through hypnosis demonstrations of his own, Bernheim began to present evidence that interpersonal dramas might have had the upper hand in Charcot's research program after all."
- Anne Harrington, The Cure Within: A History of Mind-Body Medicine (Get the book.)

"Of these, the most common specialty was internal medicine, 100,000 (41% of the total), followed by 66,000 (21%) in family practice—a specialty that did not exist in 1970. Only 6% listed their specialty as "general practice," a decline of 71% from 1970. Almost half of all primary care physicians were women, compared with 30% women among physicians of all specialties. Among primary care physicians under age 35, more than half were women. Fourteen percent of all primary care physicians practice in rural areas, compared with 9% of all other physicians."
- Gerald E. Markle and Frances B. McCrea, What If Medicine Disappeared? (Get the book.)

"Fisher looked at the results for several hundred internists who took their initial qualifying exam, a test that's required for certification by the American Board of internal medicine. The test consists of approximately three hundred questions about several hypothetical cases. The doctors need to know when to order a lumbar puncture in diagnosing meningitis, for instance, and how to tell the difference between a viral sore throat and one caused by a Streptococcus bacterium."
- Shannon Brownlee, Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer (Get the book.)

"Thirty years ago, those who went into internal medicine were drawn from the top of their classes. Primary care physicians really were considered the thinkers back then, the diagnosticians of medicine, and they were held in high esteem, though they never made as much money as the specialists. Specialists had to command a deep well of knowledge about their particular corner of the body, but primary care doctors, along with emergency room physicians, were expected to master broad swaths of information."

- Shannon Brownlee, Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer (Get the book.)

"In 1998, the median income for physicians specializing in family practice and general internal medicine was, respectively, $130,000 and $140,000, compared to an average of $160,000 for all physicians—and a high of $240,000 for surgeons (see chapter 3).2 The income gap between primary care physicians and all other physicians is widening. In 2004, specialists earned almost twice the income as did primary care physicians.3 "It's obvious," commented Fran, "that when it comes to money, your family is right! We are not real doctors!"
- Gerald E. Markle and Frances B. McCrea, What If Medicine Disappeared? (Get the book.)

"Another 18% were to specialists in internal medicine, 10% to pediatricians, 8% to obstetrician-gynecologists, and 7% to ophthalmologists. Many of these visits were for primary care.4 That's a lot of office visits. What happens when you get to your physician's office? We would hope that your interaction with the doctor is thorough and nuanced. It isn't. The average office visit lasts only 19 minutes.5 During the physician's exam, the patient does little talking. A Swedish study found that physicians interrupt their patients' presentations after an average of only 22 seconds."

- Gerald E. Markle and Frances B. McCrea, What If Medicine Disappeared? (Get the book.)

"After doing the required internal medicine residency, I began a rigorous study of Chinese medicine, which turned my world inside out. Instead of symptoms being seen as something to suppress with drugs, they became a clue to some imbalance in the body—a sign that the body was out of rhythm. Within this picture, the role of the doctor was to re-create balance and restore rhythm, which, after my experience in rural South Africa, resonated with me. This completely different philosophical outlook led me to a radically new way of regarding and treating the body."
- Frank Lipman, Mollie Doyle, Spent: Revive: Stop Feeling Spent and Feel Great Again (Get the book.)

"One study of stethoscope use found that internal medicine and family practice residents failed with this instrument to recognize 80% of twelve common cardiac problems, a proportion that was no better than medical students.35 Such ignorance is alarming. Surely one would find greater knowledge and competence among specialists. Caveat emptor."
- Gerald E. Markle and Frances B. McCrea, What If Medicine Disappeared? (Get the book.)

"Islet cell antibodies, cell mediated immunity Diabetes Mellitus Type-1 >90% of beta cells destroyed Source: Harrison's Principles of internal medicine in the DNA strands. The enzyme to repair the DNA free radical damage requires large amounts of NAD-plus. This creates a depletion of the intracellular NAD pools, and that leads to islet cell death.65 Type-l is primarily an inflammatory response from an autoimmune reaction from antibodies being made against the beta cells. Certain viruses seem to attack and destroy the pancreatic beta cells directly, rather than through an autoimmune reaction."
- Gabriel Cousens, There Is a Cure for Diabetes: The Tree of Life 21-Day+ Program (Get the book.)

"Institute of Complementary Medicine, Department of internal medicine, at the University of Zurich in Switzerland, took 204 patients and gently rubbed arnica or an ibuprofen gel over their affected joints three times a day for three weeks. The participants were asked not to wash their hands for one hour after application."
- Jonny Bowden, Ph.D., C.N.S., The Most Effective Natural Cures on Earth: The Surprising, Unbiased Truth about What Treatments Work and Why (Get the book.)

"Bachelor's degree from Harvard, medical degree with honors from Baylor University, board certified in internal medicine and pulmonary disease, author of more than 300 scientific articles. Get the picture? So one day this esteemed doctor and researcher was making chicken soup for the Jewish holidays with his wife, Barbara. And they started chatting about how good it is for colds. Pause for a moment for editorial comment. Years ago, when I was a "blond," I was having my hair bleached one day, and let me tell you, it burned."

- Jonny Bowden, Ph.D., C.N.S., The Most Effective Natural Cures on Earth: The Surprising, Unbiased Truth about What Treatments Work and Why (Get the book.)

"Marc Gourevitch, newly appointed as director of general internal medicine at the New York University School of Medicine, he told me that one of the principal goals of his tenure was to disseminate Motivational Interviewing techniques to physicians working in primary care settings, so that they might more effectively address substance abuse and other unhealthy behaviors. Miller told me, "I continue to be astonished at how rapidly MI is diffusing. It certainly surprised me, even when it took off like a rocket in the addiction field, but the spread into other fields has been amazing to me."
- Charles Barber, Comfortably Numb: How Psychiatry Is Medicating a Nation (Get the book.)

"Tyler Cymet, Assistant Professor of internal medicine at Johns Hopkins University, is out to change people's minds. "A lot of the research is old, and a lot of what we teach people is contradictory." "It's the use of the joint that's healthy," he explains. "The more you use it, the less likely you are to develop problems in the joint." Far from damaging them, Cymet believes popping joints helps them move more smoothly and gives them a healthy workout. On the other hand, joints that constantly crack are a hallmark of osteoarthritis. So when is a crack healthy and when does it signal disease?"
- The Editors of FC&A, Unleash the Inner Healing Power of Foods (Get the book.)

"At the time I attended medical school women physicians were a rarity and I took my training very seriously Though I chose to specialize in internal medicine and then to subspecialize in rheumatology, I had been attracted to psychiatry as well and had done very well in that training in medical school. I chose rheumatology in part because it offered the opportunity to know patients over a period of time."
- John E. Sarno, M.D., The Divided Mind: The Epidemic of Mindbody Disorders (Get the book.)

"The dissimilar intake of calcium in the different countries with the same incidence of osteoporotic fractures points to the fact that osteoporosis is a multifactorial disease, where calcium is one of the important contributing factors (Journal oj internal medicine 161-168). The article goes on to say that sunlight (for the manufacture of vitamin D), hormones such as parathyroid hormone, growth hormone, estrogen, and progesterone enhance the absorption of calcium, while glucocorticoids, excess thyroid hormone, and possibly calcitonin suppress the absorption of calcium."
- Mary-Ann Shearer, Perfect Health the Natural Way (Get the book.)

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