Issue: WINTER 2015 Vol. 10 - Issue 4
     
 
From the Editor’s Desk
"Right to Die" and "Right to Try"
– Lawrence I. Bonchek, M.D., F.A.C.S., F.A.C.C.
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Top Tips from Family Practice
Choosing Wisely XIV: Vascular Medicine, Radiation Oncology, Orthopedic Surgery
– Alan S. Peterson, M.D.
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Scientific Reports 
Transcatheter Aortic Valve Replacement: Review and LGH Experience
– James E. Harvey, M.D., M.Sc., and Sherri Delgado, MSN, CRNP, CCRN
    Transcatheter aortic valve replacement is an innovative alternative to surgery in selected patients with aortic valve disease. This article reviews its development, the current indications for its use, and the experience at LGH with this disruptive technique. 
 
   
PCSK9 Inhibitor Approval: A New Era in Lipid Management?
– Lars Andersen, B.A., Joseluis Ibarra, M.D., FACC, Rolf Andersen, M.D., FACC
PCSK9 inhibitors are injectable monoclonal antibodies that dramatically lower LDL cholesterol and are now approved by the FDA. This article reviews their pharmacological actions and indications for use in patients intolerant of statins or otherwise unable to reach target lipid levels, particularly those with heterozygous familial hypercholesterolemia.
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The Multi-Disciplinary Vascular Clinic
– Todd Wood, M.D.
Peripheral artery disease is often under-diagnosed and under-treated, particularly because its care is fragmented among numerous providers and specialties. A Vascular Clinic offers crucial advantages by coordinating programs and thus enhancing care.
 
   
 
Evolving Treatment Strategies for Post-Concussion Syndrome
– Jon E. Bentz, Ph.D., ABN, and Dale R. Walton, P.T., N.C.S.
As our awareness of the frequency of concussive brain injuries has grown, treatment has become more refined. This review of current strategies explains how and why treatment must be specific not only to the patients’ symptoms, but also to their psychological characteristics and lifestyle.
 
   
 
Parents’ Rights vs. Children’s Rights to Make Health Care Decisions
– Megan R. Browne, Esq.
What legal rights do minors have to seek or to refuse health care? At what age and under what conditions do their own choices supersede their parents’ wishes? This comprehensive article discusses these and other complex problems of consent by minors.
 
 
 
Dietary Supplements and Medication Interactions: An Introduction
– Jessica Orner, M.D.
The steady expansion of complementary and alternative medicine has led to increased use of non-prescription dietary supplements with important pharmacological activity. This article discusses their physiological actions and important interactions with other medications.