Case in Point
Tackling Adverse Reactions to Local Anesthetics
Kristin St. John, PharmD, Daniel Woods, MD, and David Parra, PharmD, BCPS
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Alcohol Abuse in Posttraumatic Stress Disorder: Identification and Intervention
Christopher R. Erbes, PhD, Melissa A. Polusny, PhD, Michael Dieperink, MD, PhD, Jennie Leskela, PhD, Gabriel Nelson, MA, and Abby Seifert, BA
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Male Osteoporosis Knowledge Among Veterans and Their Providers
Melissa McNamara, MD, Julie Paik, MD, Cleopatra Beaton, NP, PhD, and Meika A. Fang, MD
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Pharmacologic Management of Chronic Heart Failure
Aurelio Muyot, MD, Tara L. Muzyk, PharmD, and Immanuel Ijo, PharmD
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| CME Exam
Editorial
The Tyranny of Evidence-Based Medicine
James V. Felicetta, MD
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Advances in Geriatrics
Evolution and Implementation of a Collaborative Approach to Managing Late Life Depression
Terri J.W. Huh, PhD, Karyn M. Skultety, PhD, and Dolores Gallagher-Thompson, PhD
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Clinical Digest
• Can Massage Relieve Metastatic Bone Pain?
• Colonizing Spacers
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Drug Monitor
• Statins, Pneumonia, and Healthy User Bias
• A Gender Gap in Morphine Administration
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Federal Health Matters
• VA Begins IT Improvement Initiative
• DoD Rejects IOM Call for Tobacco Ban
• Senate Committee Addresses Women Veterans’ Issues
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Chronic Pancreatitis: Improving Patient Outcomes
The difficulty of diagnosing patients with mild or early chronic pancreatitis contributes to an underdiagnosis of this condition, which is highlighted by the fact that the delay between onset of symptoms and diagnosis is often years—most particularly in patients without a history of alcoholism. However, the serious nature of the disease, the high risk of complications, and the severe impact of pancreatitis-associated pain on quality of life argue for a more concerted effort to diagnose those with the disease. Use of pancreatic enzyme therapy can alleviate the complications associated with chronic pancreatitis, including malabsorption and steatorrhea, which can lead to muscle wasting. Patients with HIV/AIDS may be at greater risk for both chronic pancreatitis and its complications; recent data suggest that those in the VA health care system carry a higher risk for HIV/AIDS than do those in the general population. It is important that physicians and other health care professionals be aware of these conditions and of the need to initiate appropriate and effective interventions such as pancreatic enzyme therapy.
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