Issue: Spring 2021 Vol. 16 - Issue 1
From the Editor's Desk 
Is America Losing Its Character?
– Lawrence I. Bonchek, MD, FACS, FACC
  Adobe PDF
Top Tips from Family Practice 
Choosing Wisely XXXV
– Alan S. Peterson, M.D.
An expanded Top Tips section follows recommendations from the American Academy of Pediatrics Section on Cardiology and Cardiac Surgery, American Society for Transplantation and Cellular Therapy, and Cell Therapy Transplant Canada.
Adobe PDF

Scientific Reports 
Diversity in Medicine: Why Our Patients Can't Wait
Cherise Hamblin, M.D.
This personal narrative by a Black member of our medical staff provides rare and revealing insights into the educational experiences and the crucial role of minority physicians in our health care system.
COVID-19 and Minoritized Patient Populations
Aiman Bandali, PharmD, AAHIVP, BCPS, BCIDP
With a timely focus on the COVID-19 pandemic, this penetrating discussion of racism in our health care system describes the many obvious and more obscure ways it can affect the care we provide, and what we can do about it.
  Adobe PDF

Screening Tools for Social Determinants of Health: Recommendations for Outpatient Care
Ada Emuwa, MD, MPH, FAAFP
Physicians now have screening tools available to assess their patients’ behavioral and social determinants of health. These are especially helpful in providing equal and effective care for disadvantaged patients, but they must be used in order to be beneficial.

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The Diaphragm: The Forgotten Factor in Ventilator Weaning
Robert L. Vender, M.D.
Patients with complicated COVID-19 may require short-term ventilatory assistance, and weaning them from mechanical ventilation usually depends on their lung function. This article considers all types of patients who require prolonged mechanical ventilation, and discusses the importance of the diaphragm in resuming spontaneous breathing.
Adobe PDF

History of Diabetes Diagnosis and Treatment in Lancaster County
Jocelyn M. Dialectos
This history of diabetes through the ages emphasizes the local experience, including Amish  remedies, and the final years of Charles Demuth – an early recipient of insulin in 1923.
Adobe PDF
  Adobe PDF
Spotlight on Clinical Research
Heather Madara and Roy S. Small, M.D.
This article focuses on amyloid cardiomyopathy – reviewed by Dr. Small in the Fall 2020 issue; MRI in patients with abandoned pacer leads; and pulsed pacing to increase cardiac contractility.