ActivityTypeTopicFaculty ChairLaunch DateCreditCredit Expiration Date
Cardiology
icon-david.gifDavid Visit 1 - 52-year-old male with recent NSTEMIThe PracticeCardiologyKiran Musunuru, MD, PhD, MPH07-Aug-091.5 AMA
1.5 ANCC
31-Aug-10david"I just had a heart attack…I got out of the hospital a few weeks ago."
11_Male_50-60_W_OV.gifDavid Visit 2 - 52-year-old male with NSTEMI and recently diagnosed diabetes returning for follow-upThe PracticeCardiologyKiran Musunuru, MD, PhD, MPH29-Oct-091 AMA
1 ANCC
28-Oct-10david"I'm sore all over."
icon_dona.gifDona Visit 1: An Elderly Woman Presenting With Unstable Angina/Non-ST-Elevation Myocardial InfarctionThe PracticeCardiologyA. Michael Lincoff, MD08-Oct-100.5 AMA
13-Oct-11dona"I used to have chest pain after walking only a couple of blocks, and now I have pain just sitting at home. I'm frightened, Doctor."
icon_dona.gifDona Visit 2: An Elderly Woman With Unstable Angina/Non-ST-Elevation Myocardial Infarction Presenting For Follow-upThe PracticeCardiologyA. Michael Lincoff, MD08-Oct-100.5 AMA
13-Oct-11dona"My chest pains have returned."
icon-donna.gifDonna Visit 1 - A 45-year-old female presenting for an initial cardiovascular consultationThe PracticeCardiologyMikhail Kosiborod, MD, FACC02-Dec-090.5 AMA
0.5 ANCC
01-Dec-10donna"I am worried about having a heart attack."
80_Female_40-50_W_OB.gifDonna Visit 2: A 45-year-old female presenting for cardiovascular disease follow-upThe PracticeCardiologyMikhail Kosiborod, MD, FACC24-Mar-100.5 AMA
0.5 ANCC
23-Mar-11donna"I've been having chest pain recently and find myself short of breath lately"
icon-michota.gifDr. Franklin A. Michota (ConsultService 1): Optimizing VTE Prophylaxis in the Inpatient SettingConsultServiceCardiologyFranklin A. Michota, MD29-Dec-091 AMA
1 ACPE
1 ANCC
28-Dec-10drmichota
esmerelda.gifEsmerelda Visit 1: An elderly Mexican-American female presenting with hypertensionThe PracticeCardiologyJames A. de Lemos, MD08-Mar-100.5 AMA
0.5 ANCC
07-Mar-11esmerelda"I'm here because my daughters won't leave me alone about my smoking and my blood pressure. I think I'm fine!"
esmerelda.gifEsmerelda Visit 2: An elderly Mexican-American female with hypertension returning for follow-upThe PracticeCardiologyJames A. de Lemos, MD09-Apr-100.5 AMA
0.5 ANCC
08-Apr-11esmereldaI've been taking the pills you gave me, but I haven't been able to exercise at all because my leg hurts a lot more now.
icon-howard.gifHoward Visit 1 - A 45-year-old male with hypercholesterolemia, psoriasis, and a family history of cardiac diseaseThe PracticeCardiologyMichael H. Davidson, MD, FACC, FACP28-Mar-090.5 AMA
31-Mar-10howardI am here for a routine physical
howard.gifHoward Visit 2: A 45-year-old male with hypercholesterolemia, psoriasis, and a family history of cardiac diseaseThe PracticeCardiologyTara Lynn Dall, MD25-Feb-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
09-Mar-11howard"I just need to get refills for the medications my other doctor prescribed."
jim.gifJim Visit 1: A 78-year-old male presenting for a post-discharge office visit following hip fracture repairThe PracticeCardiologyFranklin A. Michota, MD29-Dec-090.5 AMA
0.5 ACPE
0.5 ANCC
29-Dec-10jim"I had surgery 2 weeks ago, but I am still using a walker and my hip is still causing me some pain."
joseph.gifJoseph Visit 1: A 52-year-old African-American male presenting with erectile dysfunctionThe PracticeCardiologyPeter H. Jones, MD25-Feb-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
09-Mar-11joseph"I've been having trouble with sexual performance more often this year."
joseph.gifJoseph Visit 2: A 52-year-old African-American male with hypertension and erectile dysfunctionThe PracticeCardiologyPeter H. Jones, MD, FNLA04-May-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
03-May-11joseph"I'm back to talk about my progress with diet and exercise."
icon-louise.gifLouise Visit 1: A 65-year-old African-American woman with chest pain at restThe PracticeCardiologySanjay Kaul, MD, FACC, FAHA05-Mar-100.5 AMA
04-Mar-11louise"It started after dinner last night, and I thought it was heartburn. But the pain got so bad, and I just couldn't catch my breath."
icon_louise.gifLouise Visit 2: A 65-year-old African-American woman with recent NSTEMIThe PracticeCardiologySanjay Kaul, MD, FACC, FAHA03-Jun-100.5 AMA
02-Jun-11louise"I haven't had any chest pain, but I'm worried that I'll have another heart attack."
icon_louise.gifLouise Visit 3: A 65-year-old African-American woman with NSTEMI, 3-month follow-upThe PracticeCardiologySanjay Kaul, MD, FACC, FAHA07-Oct-100.5 AMA
06-Oct-11louise"I was walking every day with my husband until I twisted my knee on a curb and fell. It was very painful. At the emergency room, they said I had torn something. Now it hurts to walk at all."
icon-margy.gifMargy Visit 1 - 47-Year-Old Woman with Severe Hypertriglyceridemia and Type II DiabetesThe PracticeCardiologyTara Lynn Dall, MD19-Aug-090.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
31-Aug-10margy"I've been working really hard on my diet and exercise. I think it's working!"
icon-margy.gifMargy Visit 2 - 47-Year-Old Woman with Severe Hypertriglyceridemia and Type II DiabetesThe PracticeCardiologyTara Lynn Dall, MD12-Oct-090.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
11-Oct-10margy"I've been working on my diet and taking all those pills."
icon-marion.gifMarion Visit 1 - Early and Aggressive LDL-C Management: Perspectives on Commonly Asked QuestionsThe PracticeCardiologyJames Underberg, MD, MS, FACPM, FACP, FNLA14-Sep-090.5 AMA
13-Sep-11marion"My bad cholesterol has always been ok, but recently I read about the importance of fat in the blood. Should I be concerned?"
icon-marion.gifMarion Visit 2 - Early and Aggressive LDL-C Management: Perspectives on Commonly Asked QuestionsThe PracticeCardiologyJames Underberg, MD, MS, FACPM, FACP, FNLA05-Oct-090.5 AMA
04-Oct-11marion"My cholesterol should be lower. I am doing everything you asked."
icon-marion.gifMarion Visit 3 - Early and Aggressive LDL-C Management: Perspectives on Commonly Asked QuestionsThe PracticeCardiologyJames Underberg, MD, MS, FACPM, FACP, FNLA13-Oct-090.5 AMA
12-Oct-11marion"I am constipated and have stopped the last medicine you gave me."
icon-mark.gifMark Visit 1: A 59-year-old male recently discharged from the hospital following an open nephrectomy for renal cell carcinomaThe PracticeCardiologyFranklin A. Michota, MD21-Jan-100.5 AMA
0.5 ACPE
0.5 ANCC
20-Jan-11mark"Since I left the hospital, my legs have felt very heavy."
icon_marvin.gifMarvin Visit 1: Prevent the Event: Defining the Risk of AtherothrombosisThe PracticeCardiologyDavid S. Kountz, MD, MBA, FACP19-Aug-100.5 AMA
18-Aug-11marvin"I think I was told I have high cholesterol at a health screening at work 5 years ago but I didn't follow up. I would just like to know if my heart is OK or if I should be worried."
icon_marvin.gifMarvin Visit 2: Prevent The Event: Treatment Strategies For the ACS patientThe PracticeCardiologyDavid S. Kountz, MD, MBA, FACP24-Sep-100.5 AMA
23-Sep-11marvin"I have been getting a weird feeling in my chest when I shovel snow, but it usually goes away after I sit down for a while. I'm OK, aren't I?"
icon_marvin.gifMarvin Visit 3: Prevent The Event: Complexities of the Patient with ACSThe PracticeCardiologyDavid S. Kountz, MD, MBA, FACP24-Sep-100.5 AMA
23-Sep-11marvin"I made a lot of changes that you've recommended to me, like cutting down on smoking and eating better, and I am taking all my medications that have been prescribed for me. In spite of this, I still had a heart attack! And now I even have one of these stent things…"
icon_mellissa.gifMellissa Visit 1: Patient-centric Approaches to Dyslipidemia: Risk Recognition and Management of Low HDL-CThe PracticeCardiologyJames A. Underberg, MD, MS, FACPM, FACP, FNLA08-Mar-110.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
08-Mar-12mellissa"I just had a physical and they told me I had something abnormal with my arteries."
icon-raj.gifRaj Visit 1 - 50-year-old overweight man with dyslipidemiaThe PracticeCardiologyHarold E. Bays, MD18-Sep-090.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
17-Sep-10raj"I've seen a lot in the news about how being overweight can cause diabetes mellitus and I'm worried about long-term complications such as heart disease."
icon-raj.gifRaj Visit 2 - 50-year-old overweight man with dyslipidemiaThe PracticeCardiologyHarold E. Bays, MD12-Oct-090.5 AMA
0.5 ACPE
0.5 ANCC
0.5 CDR
11-Oct-10raj"I hope things are better."
icon_rick.gifRick Visit 1: A Middle-Aged Male Presenting With ST-Elevation Myocardial InfarctionThe PracticeCardiologyA. Michael Lincoff, MD07-Oct-100.5 AMA
13-Oct-11rick"I feel like my chest will implode from the pain."
icon_rick.gifRick Visit 2: A Middle-Aged Male With ST-Elevation Myocardial Infarction Returning For Follow-UpThe PracticeCardiologyA. Michael Lincoff, MD07-Oct-100.5 AMA
13-Oct-11rick"Since my heart attack, I've been following doctor's orders and actually feeling pretty good. Just one thing, though—I stopped taking my prasugrel for about a week because I was traveling on business and too busy to get a refill, but I'm back on it now. No big deal—right?"
icon-robert.gifRobert Visit 1 - Cardiovascular residual risk assessment and disease preventionThe PracticeCardiologyMichel P. Hermans, MD01-Jun-080.5 AMA
02-Jun-09robertCardiovascular residual risk assessment and disease prevention
icon-robert.gifRobert Visit 2 - Residual risk assessment and treatment follow upThe PracticeCardiologyMichel P. Hermans, MD21-Aug-080.5 AMA
21-Aug-09robertResidual risk assessment and treatment follow up
icon-robert.gifRobert Visit 3: Second follow-up visit for residual vascular risk reductionThe PracticeCardiologyMichel P. Hermans, MD05-Jan-101 AMA
04-Jan-11robert<EM> "I am here for a routine follow-up visit."</EM>
icon-rosita.gifRosita Visit 1 - Metabolic SyndromeThe PracticeCardiologyFrank M. Sacks, MD12-Sep-080.5 AMA
30-Sep-09rosita"I know I'm having a problem with my weight. I have tried dieting so many times - my weight goes up and down."
icon-rosita.gifRosita Visit 2 - Metabolic SyndromeThe PracticeCardiologyFrank M. Sacks, MD13-Feb-090.5 AMA
28-Feb-10rosita“I am here for a follow up visit – I was seen in this clinic eight weeks ago”
icon-sam.gifSam Visit 1 - 54-year-old African-American male with an acute inferior STEMIThe PracticeCardiologyMichael A. Blazing, MD02-Dec-090.5 AMA
0.5 ANCC
01-Dec-10sam"How am I doing?"
sam.gifSam Visit 2: 54-year-old African-American male with an acute inferior STEMI returning for follow-upThe PracticeCardiologyMichael A. Blazing, MD27-Jan-100.5 AMA
0.5 ANCC
26-Jan-11sam<EM>"I have persistent pain in my Achilles tendon. It really bothers me at night."</EM>
stanley.gifStanley Visit 1: A 67-year-old African-American male admitted to a rehabilitation facility following an ischemic strokeThe PracticeCardiologyArthur P. Wheeler, MD, FCCP26-Jan-100.5 AMA
0.5 ACPE
0.5 ANCC
25-Jan-11stanley<EM>"My stroke was devastating and I just want to be able to walk again."</EM>
Critical Care
icon_cheryl.gifCheryl Visit 1: A 67-year-old African-American female admitted to the ICU due to complications of nosocomial pneumoniaThe PracticeCritical CareMark A. Munger, PharmD, FCCP28-Jun-100.5 ACPE
27-Jun-11cheryl"My chest hurts when I breathe, and I can&#39;t seem to catch my breath."
icon_raul.gifRaul Visit 1: A Hispanic Male Presenting with Acute Decompensated Heart Failure, Difficulty Breathing, and Weight GainThe PracticeCritical CareMark A. Munger, PharmD, FCCP23-Aug-100.5 ACPE
22-Aug-11raul"I cannot catch my breath, and my weight has increased by 12 pounds in the last 10 days."
Dermatology
icon-sue.gifSue Visit 1 - A 34-Year-Old Woman With Longstanding Psoriasis and Onset of Stiffness and Foot PainThe PracticeDermatologyAbrar Qureshi, MD, MPH03-Dec-090.75 AMA
0.75 AANP
0.75 AAPA
03-Dec-10sue"I am having trouble getting in and out of the phototherapy booth, especially after sitting in the car on the way to your office. I need to stretch and loosen up before I step into the booth. It&#39;s also hard for me get up and move after sitting at my computer. Climbing stairs is the worst."
icon-sue.gifSue Visit 3 - A 34-Year-Old Woman With Newly Diagnosed Psoriatic Arthritis Starting TherapyThe PracticeDermatologyAbrar Qureshi, MD, MPH03-Dec-090.5 AMA
0.5 AANP
0.5 AAPA
03-Dec-10sue"I am willing to try the new therapies. What do we need to do to start? Can I start today? How fast will I feel better?"
Diabetology
icon_aaron.gifAaron Visit 1: A 45-year-old man with longstanding type 1 diabetes and lower extremity painThe PracticeDiabetologyKirit Tolia, MD, FACE08-Nov-101 AMA
07-Nov-11aaron"Maybe I&#39;m too old to keep playing basketball with my friends—the last couple of months my legs have been giving me a lot of pain."
icon_aaron.gifAaron Visit 2: A 45-year-old man with longstanding type 1 diabetes, lower-extremity pain, and GI symptoms, 3-week follow-upThe PracticeDiabetologyKirit Tolia, MD, FACE09-Nov-101 AMA
08-Nov-11aaron"I&#39;m still having pain in my legs, and I also wanted to talk to you about some stomach problems I&#39;m having." 
icon_aaron.gifAaron Visit 3: A 45-year-old man with longstanding type 1 diabetes, neuropathic pain, and ED, 10-week follow-upThe PracticeDiabetologyKirit Tolia, MD, FACE10-Nov-101 AMA
09-Nov-11aaron"The pain in my legs is getting better, but I would like more help with erectile dysfunction."
icon_annalisa.gifAnnalisa Visit 1: 53-year-old woman with poorly controlled diabetes and elevated cardiometabolic riskThe PracticeDiabetologyLyle D. Mitzner, MD06-Apr-110.75 AMA
05-Apr-12annalisa"I&#39;ve been experiencing some tightness in my chest every so often. Should I be worried about my heart?"
icon_annalisa.gifAnnalisa Visit 2: 53-year-old woman with poorly controlled diabetes and elevated cardiometabolic risk, 3-month follow-upThe PracticeDiabetologyLyle D. Mitzner, MD07-Apr-110.75 AMA
06-Apr-12annalisa"I&#39;m trying hard to exercise and follow the diet, and I think I&#39;m making some progress!"
icon_annalisa.gifAnnalisa Visit 3: 53-year-old woman with poorly controlled diabetes and elevated cardiometabolic risk, 6-month follow-upThe PracticeDiabetologyLyle D. Mitzner, MD08-Apr-110.75 AMA
07-Apr-12annalisa"I&#39;ve been doing what you told me, but I think my sugars are starting to go up anyway."
icon_dave.gifDave Visit 1: A 60-year old man with newly-diagnosed diabetesThe PracticeDiabetologyRichard E. Pratley, MD21-Apr-111 AMA
1 ACPE
1 ANCC
20-Apr-12dave"I feel fine, but my wife said I should see you. She says at my age I need to get myself checked out regularly."
icon_dave.gifDave Visit 2: Adjusting diabetes therapy to achieve goal in a 60-year old man with a recent diagnosisThe PracticeDiabetologyAnnis Marney, MD05-May-111 AMA
1 ACPE
1 ANCC
04-May-12dave"I can&#39;t take that medicine you gave me, but I think my diabetes is probably a lot better anyway. I&#39;ve been eating more fruit and vegatables."
icon-helen.gifHelen Visit 1 - 71-year-old female with type 2 diabetes who complains of fatigue and nocturiaThe PracticeDiabetologyWilliam M. Sullivan, MD22-Jul-090.5 AMA
31-Jul-10helen"I feel tired and often wake up in the middle of the night."
icon-helen.gifHelen Visit 2 - 71-year-old female with type 2 diabetes who was recently started on insulinThe PracticeDiabetologyWilliam M. Sullivan, MD22-Jul-090.25 AMA
31-Jul-10helen"I really need to lose some weight."
icon-helen.gifHelen Visit 3 - 71-year-old female with type 2 diabetes on insulin therapy but still not at goalThe PracticeDiabetologyWilliam M. Sullivan, MD22-Jul-090.25 AMA
31-Jul-10helen"The insulin injection is no problem, and I feel better than I have in a long time."
foot_image.jpgImproving Management of Diabetic Peripheral Neuropathy 1: Recognition and Differential Diagnosis of DPNHarmony RoundsDiabetologyRichard S. Beaser, MD31-Dec-090.25 AMA
30-Dec-10DPN
foot_image.jpgImproving Management of Diabetic Peripheral Neuropathy 2: Pharmacologic and Nonpharmacologic Treatment of DPNHarmony RoundsDiabetologyRichard S. Beaser, MD31-Dec-090.25 AMA
30-Dec-10DPN
16_Male_50-60_W_OB.gifJavier Visit 1: A 54-year-old male with diabetes referred for insulin initiationThe PracticeDiabetologyCharles Choe, MD06-May-100.5 AMA
05-May-12javier"I am here for a diabetes check-up"
icon-kendra.gifKendra Visit 1 - 50-Year-Old Woman With Severe Treatment-Resistant Depression, Type II Diabetes, and HypertensionThe PracticeDiabetologyWayne Katon, MD29-May-091 AMA
31-May-10kendra"I've gained 20 pounds in the month since I was hospitalized."
icon-kendra.gifKendra Visit 2 - 50-Year-Old Woman With Severe Treatment-Resistant Depression, Type II Diabetes, and HypertensionThe PracticeDiabetologyWayne Katon, MD28-Aug-091 AMA
31-Aug-10kendra"I feel better, but I'm having a lot of trouble sleeping and I have no energy during the day."
icon-lindy.gifLindy Visit 1 - 39-Year-Old Woman With Impaired Fasting Glucose, Refractory Hypertension, and Weight GainThe PracticeDiabetologyLaurie Bailey, MD31-Jul-091 AMA
31-Jul-10lindy"People see me as this vibrant person, but I feel like I'm acting."
icon-lindy.gifLindy Visit 2 - A 39-Year-Old Woman With Impaired Fasting Glucose, Refractory Hypertension, and Weight GainThe PracticeDiabetologyLaurie Bailey, MD31-Aug-091 AMA
31-Aug-10lindy"I&#39;m feeling a lot better, and I&#39;m happy I&#39;ve lost some weight. Do you think it would be OK if I stop taking the antidepressants now?"
icon-marie.gifMarie Visit 1 - Diabetic Patient with Fatigue, Headaches and Leg PainThe PracticeDiabetologySherita H. Golden, MD, MHS29-Aug-080.5 AMA
31-Aug-09marie"Something's going on with my diabetes...I have no energy and I'm always getting headaches... I also have pain in my feet"
icon-marie.gifMarie Visit 2 - Depression and DiabetesThe PracticeDiabetologySherita H. Golden, MD, MHS01-Nov-080.5 AMA
30-Nov-09marie"My depression is improving and I am sleeping better, but I still have persistent foot pain."
icon_robin.gifRobin Visit 1: A 46-year-old woman with newly diagnosed diabetes and cardiometabolic risk factorsThe PracticeDiabetologyGlenn Matfin, MSc (Oxford), MB, ChB, FACE, FACP, FRCP15-Apr-110.75 AMA
14-Apr-12robin"I just moved here from California and my new doctor said I might have diabetes."
icon_robin.gifRobin Visit 2: A 46-year-old woman with newly diagnosed diabetes and cardiometabolic risk factors, 3-month follow-upThe PracticeDiabetologyGlenn Matfin, MSc (Oxford), MB, ChB, FACE, FACP, FRCP19-Apr-110.75 AMA
18-Apr-12robin"I want to exercise but I have trouble finding time. I really want to lose weight."
icon_robin.gifRobin Visit 3: A 46-year-old woman with newly diagnosed diabetes and cardiometabolic risk factors, 5-month follow-upThe PracticeDiabetologyGlenn Matfin, MSc (Oxford), MB, ChB, FACE, FACP, FRCP21-Apr-110.75 AMA
20-Apr-12robin"The medication made me sick for a while, but now I feel better and I&#39;ve lost some weight!"
icon_stan.gifStan Visit 1: 52-year-old man with diabetes and persistent dyslipidemiaThe PracticeDiabetologyGreeshma K Shetty, MD14-Apr-110.75 AMA
13-Apr-12stan"My last doctor said my diabetes was under control, but I haven&#39;t had a checkup in about a year."
icon_stan.gifStan Visit 2: 52-year-old man with diabetes and persistent dyslipidemia, 3-month follow-upThe PracticeDiabetologyGreeshma K Shetty, MD18-Apr-110.75 AMA
17-Apr-12stan"The walking is okay, but I find the diet challenging. Still, I have lost some weight."
icon_stan.gifStan Visit 3: 52-year-old man with diabetes and persistent dyslipidemia, 6-month follow-upThe PracticeDiabetologyGreeshma K Shetty, MD20-Apr-110.75 AMA
19-Apr-12stan"I feel like I have more energy recently, but I haven&#39;t lost more weight."
Endocrinology
icon.jpgAdvances in Male Hypogonadism: Translating Evidence Into Clinical Practice: Virtual Grand RoundsHarmony RoundsEndocrinologyGlenn R. Cunningham, MD14-Mar-110.5 AMA
13-Mar-12advancesinmalehypogonadismtranslatingevidenceintoclinicalpractice
icon_cynthia.gifCynthia Visit 1: A woman concerned that she may need osteoporosis treatmentThe PracticeEndocrinologyNing-Ai Liu, MD, PhD22-Dec-100.5 AMA
21-Dec-11cynthia"I had a bone scan that said I was at risk for osteoporosis. A friend of mine had the same test, and now she&#39;s being treated with medication. Should I be treated, too?"
icon_gregory.gifGregory Visit 1: A 62-Year-Old Man With Fatigue and Low EnergyThe PracticeEndocrinologyGlenn R. Cunningham, MD11-Mar-110.5 AMA
10-Mar-12gregory"Lately I just have no energy or strength."
icon_jeffrey.gifJeffrey Visit 1: A 65-Year-Old Man With Type 2 Diabetes Mellitus and Reduced LibidoThe PracticeEndocrinologyGlenn R. Cunningham, MD10-Mar-110.5 AMA
09-Mar-12jeffrey"I&#39;ve been putting on weight and sex is sometimes difficult."
osteo_icon.jpgOsteoporosis: Prevention, Diagnosis, and Treatment in Postmenopausal Women 1: Harmony Round SeriesHarmony RoundsEndocrinologyNing-Ai Liu, MD, PhD05-Jan-110.5 AMA
04-Jan-12osteoporosispreventiondiagnosisandtreatmentinpostmenopausalwomen
icon_rose.gifRose Visit 1: A 68-year-old Caucasian woman concerned about osteoporosis treatment side effectsThe PracticeEndocrinologyNing-Ai Liu, MD, PhD23-Dec-100.5 AMA
22-Dec-11rose"I stopped my osteoporosis treatments because I was worried about side effects. What should I do now?"
Fibromyalgia
icon_emily.gifEmily Visit 1: Fibromyalgia concomitant with rheumatoid arthritisThe PracticeFibromyalgiaPhilip J. Mease, MD10-Dec-100.75 AMA
09-Dec-11emily"I feel so bad when I get up in the morning that I&#39;m thinking my rheumatoid arthritis is getting worse. Even after I&#39;ve been up awhile, I still ache all over and nothing seems to help."
icon_emily.gifEmily Visit 2: Fibromyalgia concomitant with rheumatoid arthritisThe PracticeFibromyalgiaPhilip J. Mease, MD01-Mar-110.5 AMA
01-Mar-12emily"I don&#39;t feel as much pain throughout the day as I used to, but I&#39;m still not sleeping well, and I&#39;m so tired when I get up in the morning."
fibro.JPGFibromyalgia in Primary Care 1: A Case Management Approach to Assessment and Decision-MakingHarmony RoundsFibromyalgiaLarry Culpepper, MD, MPH30-Mar-110.75 AMA
29-Mar-12fibromyalgiainprimarycare
icon_maria.gifMaria Visit 1: Fibromyalgia with history of depressionThe PracticeFibromyalgiaPhilip J. Mease, MD18-Apr-110.5 AMA
18-Apr-12maria"I hurt all over and can&#39;t seem to think straight about anything. I wake up feeling weak, and lately I&#39;ve been thinking that my life is falling apart." 
icon_timothy.gifTimothy Visit 1: A 45-Year-Old Man Presenting With Widespread Chronic PainThe PracticeFibromyalgiaMichael R. Clark, MD, MPH06-Dec-100.5 AMA
05-Dec-11timothy"I thought I had pain before, but this time the pain is everywhere."
icon_timothy.gifTimothy Visit 2: A 45-Year-Old Man With Widespread Chronic Pain, Returning for Follow-UpThe PracticeFibromyalgiaMichael R. Clark, MD, MPH13-Dec-100.5 AMA
12-Dec-11timothy"My pain is a little better, but not as much as I would like."
Gastroenterology
icon_sandra.gifSandra Visit 1: A 34-Year-Old Woman With Onset of Bloody Diarrhea in Established Ulcerative ColitisThe PracticeGastroenterologyDaniel H. Present, MD28-Oct-100.5 AMA
27-Oct-11sandra&quot;After the bowel urgency and bleeding started, I just knew the next few weeks would be difficult"
icon_sandra.gifSandra Visit 2: A 34-Year-Old Woman with Refractory Ulcerative ColitisThe PracticeGastroenterologyDaniel H. Present, MD28-Dec-100.5 AMA
27-Dec-11sandra"My frustration level has reached a new high, Doctor, and I am ready to try anything for relief."
Geriatrics
neuron_image.JPGAlzheimer's Disease in Primary Care 1: Screening and Assessment ToolsHarmony RoundsGeriatricsDiana Kerwin, MD11-Oct-100.5 AMA
11-Oct-11alzheimersdiseaseinprimarycare
neuron_image.JPGAlzheimer's Disease in Primary Care 2: Monitoring Patients with Alzheimer’s DiseaseHarmony RoundsGeriatricsCharles P. Vega, Jr., MD10-May-110.5 AMA
10-May-12alzheimersdiseaseinprimarycare
icon-claire.gifClaire Visit 1 - Elderly Female Presenting with Onset of Resistant HypertensionThe PracticeGeriatricsLaurie Bailey, MD17-Apr-090.75 AMA
30-Apr-10claire"I may have forgotten to take my medications once or twice."
icon_dorothy.gifDorothy Visit 1: A 78-year-old woman who presents with complaints of memory problemsThe PracticeGeriatricsDiana Kerwin, MD12-Oct-100.5 AMA
11-Oct-11dorothy"I&#39;m having trouble remembering things."
icon_dorothy.gifDorothy Visit 2: A 78-year-old woman with worsening cognitive abilitiesThe PracticeGeriatricsDiana Kerwin, MD13-Oct-100.5 AMA
12-Oct-11dorothy"I&#39;m not sure if the medicine is working."
icon-harry.gifHarry Visit 1: 68-year-old male presents to his PCP for a routine annual physical examinationThe PracticeGeriatricsCharles Cefalu, MD22-Feb-100.5 AMA
21-Feb-11harry"I&#39;m here for my annual check-up and I feel fine."
icon-harry.gifHarry Visit 2: 68-year-old male with progressive dementia returns for follow-up visitThe PracticeGeriatricsCharles Cefalu, MD22-Feb-100.5 AMA
21-Feb-11harry"I don&#39;t feel like I&#39;m getting any better and my wife thinks my memory is worse."
Gynecology
icon_nicole.gifNicole Visit 1: A 23-Year-Old Female Presenting for Contraceptive Method Selection Discussion and AdherenceThe PracticeGynecologyRameet Singh, MD, MPH, FACOG01-Jun-100.5 AMA
0.5 ACPE
0.5 NPWH
31-May-11nicole"I am here because the lady at the pharmacy told me I could come here for birth control. Last week, the condom came off when I was having sex with my boyfriend. I went to the pharmacy the next day to get the morning after pill. I took it, but I want regular birth control pills because I don&#39;t want to get pregnant now."
icon_nicole.gifNicole Visit 2: A 23-Year-Old Female Presenting for a Follow-Up Visit and to Switch Contraceptive MethodsThe PracticeGynecologyRameet Singh, MD, MPH, FACOG12-Aug-100.5 AMA
0.5 ACPE
0.5 NPWH
11-Aug-11nicole"I made this appointment for a regular check-up. I also think I want to try other birth control, something different than pills."
icon-rachel.gifRachel Visit 1 - "Irregular Periods and Increased Body Hair"The PracticeGynecologyAdam N Repole, MD, FACOG22-Jun-080.5 AMA
22-Jun-09rachel"Irregular Periods and Increased Body Hair"
Infectious Diseases
icon-alicia.gifAlicia Visit 1 - 55-Year-Old Female Presenting with a Diabetic Foot UlcerThe PracticeInfectious DiseasesJohn Fleischli, DPM22-Dec-090.5 AMA
0.5 CPME
22-Dec-10alicia"Several days ago, while walking barefoot, I saw blood coming from the bottom of my foot. I noticed there was a blister."
icon-alicia.gifAlicia Visit 2 - 55-Year-Old Female Presenting with a Diabetic Foot UlcerThe PracticeInfectious DiseasesJohn Fleischli, DPM22-Dec-090.5 AMA
1 CPME
22-Dec-10alicia"Doc, my foot is still not healed and seems to be more red now."
icon-andy.gifAndy Visit 1 - 63-Year-Old Male Presenting with an Ulcer under His Left FootThe PracticeInfectious DiseasesRobert G. Frykberg, DPM, MPH25-Nov-090.5 AMA
0.5 CPME
30-Nov-10andy"I have had an ulcer under my left foot for several months now, but it hasn&#39;t gotten better by cleaning it with soap and water and trying to stay off it."
icon-andy.gifAndy Visit 2 - 63-Year-Old Male Presenting with Diabetic Foot InfectionThe PracticeInfectious DiseasesRobert G. Frykberg, DPM, MPH25-Nov-090.5 AMA
1 CPME
30-Nov-10andy"I&#39;m feeling a bit better—my appetite has returned and my blood sugar is much better as well. The redness and swelling in my foot is coming along, I guess. But I&#39;m still tired. Plus I&#39;m urinating a lot, and it looks weird—sort of foamy. When can I go home?"
8389ThumbnailImage.jpgComing Soon to a Hospital Near You: The Impact of CA-MRSA on the Management of MRSA Infections in Hospitalized PatientsClinicalUpdateInfectious DiseasesChristopher J. Crnich, MD, MS18-Feb-110.5 AMA
17-Feb-12comingsoontoahospitalnearyou_ca_mrsa
icon_jd.gifJ.D. Visit 1: A 36-Month-Old Boy Presenting for Assessment of Respiratory DistressThe PracticeInfectious DiseasesStephen Pelton, MD15-Apr-110.5 AMA
14-Apr-12jd"My son&#39;s fever hit 105° F this AM and he just seems less active."
Neurology
icon_brian.gifBrian Visit 1: A young Caucasian male presenting with sensory and motor symptoms in his hands as well as worsening fatigueThe PracticeNeurologyHarold Moses, Jr., MD07-Apr-111 AMA
1 CA-BRN
07-Apr-12brian"I am having problems with my hands, doctor, and it&#39;s interfering with my work."
icon_bridgette.gifBridgette Visit 1: A Young Female Referred for Diminished Vision and ComplicationsThe PracticeNeurologyHoward L. Zwibel, MD07-Jun-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 AANP
06-Jun-11bridgette&quot;I&nbsp;am concerned as I&nbsp;have pain behind my right eye and blurred vision in that eye.&quot;
icon_bridgette.gifBridgette Visit 2: A Young Female with a History of Relapsing-Remitting Multiple Sclerosis: 3-month Follow-upThe PracticeNeurologyHoward L. Zwibel, MD28-Jul-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 AANP
27-Jul-11bridgette"I am not experiencing any of the symptoms I previously had and have been taking my medication regularly."
icon_carin.gifCarin Visit 1: A Young Female Presenting with Pain and Impaired Vision in Her Left EyeThe PracticeNeurologyKathleen Costello, MS, ANP-BC, MSCN07-Jun-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 AANP
06-Jun-11carin"My eye really hurts, and I can&#39;t see very well. Am I going to go blind?"
icon_carin.gifCarin Visit 2: A Young Female with a History of Clinically Isolated Syndrome: Delayed 3-month Follow-upThe PracticeNeurologyKathleen Costello, MS, ANP-BC, MSCN22-Jul-100.5 AMA
0.5 ACPE
0.5 ANCC
0.5 AANP
21-Jul-11carin"Look at me, I look awful. I cannot inject anymore!"
icon_ivonne.gifIvonne Visit 1: A 33-Year-Old Woman With Multiple Sclerosis Presenting With Cognitive SymptomsThe PracticeNeurologyMaria Pia Amato, MD27-Oct-100.5 AMA
0.5 ANCC
26-Oct-11ivonne"I am having trouble keeping up at work. It seems like it&#39;s taking longer for me to complete simple tasks."
icon_ivonne.gifIvonne Visit 2: A 33-Year-Old Woman With Multiple Sclerosis Presenting With Cognitive Symptoms, Fatigue, and DepressionThe PracticeNeurologyMaria Pia Amato, MD28-Oct-100.5 AMA
0.5 ANCC
27-Oct-11ivonne"I have been feeling very tired and depressed in the last few months. I don&#39;t think the injections are helping me."
icon_kathy.gifKathy Visit 1: A young Caucasian female presenting with depression, cognitive dysfunction, and gait disturbancesThe PracticeNeurologyBen W. Thrower, MD06-May-111 AMA
1 CA-BRN
06-May-12kathy"Since the car accident, I have been having headaches and difficulty thinking straight, doctor."
Obstructive Sleep Apnea
icon_kenneth.gifKenneth Visit 1: A 45-year-old man with hypertension complaining of fatigueThe PracticeObstructive Sleep ApneaLeo Toupin, MD21-Sep-100.5 AMA
20-Sep-11kenneth"I don&#39;t know why, but I&#39;m just so tired lately."
icon_kenneth.gifKenneth Visit 2: A 48-year-old man with hypertension complaining of fatigue, returns after 3-year lapseThe PracticeObstructive Sleep ApneaLeo Toupin, MD21-Sep-100.5 AMA
20-Sep-11kenneth"Has it really been 3 years since my last visit? And I&#39;ve gained 17 pounds?? Wow, I guess I should have come back sooner. I am so tired these days I have to take a nap in the afternoon."
icon_kenneth.gifKenneth Visit 3: 48-year-old man with hypertension and diabetes newly diagnosed with obstructive sleep apnea, 6-week follow-upThe PracticeObstructive Sleep ApneaLeo Toupin, MD26-Oct-100.5 AMA
25-Oct-11kenneth"I have to admit that I feel more rested now that I&#39;m using the CPAP machine when I sleep. But it&#39;s so uncomfortable, and my wife complains about the noises it makes."
Oncology/ Hematology
icon_alan.gifAlan Visit 1: A 50-Year-Old African-American Man Presenting Symptoms With NSCLCThe PracticeOncology/ HematologyMary Pinder-Schenck, MD14-Sep-100.5 AMA
14-Sep-11alan"I thought I hurt my hip but now I found out I have cancer."
icon_epoc.pngEmploying Targeted Therapies for Treatment of Advanced Non–Small Cell Lung Cancer (NSCLC)ClinicalUpdateOncology/ HematologyCorey J. Langer, MD 07-Jan-110.5 AMA
07-Jan-12employing_targeted_therapies_treatment_nsclc
icon_fred.gifFred Visit 1: A 67-year-old patient presenting with a renal massThe PracticeOncology/ HematologySumanta Kumar Pal, MD17-Mar-110.75 AMA
17-Mar-12fred"I have blood in my urine."
3D6684.jpgGenetic Profiling in Early-Stage Breast Cancer 1: Neo-Adjuvant Chemotherapy for Operable Breast CancerHarmony RoundsOncology/ HematologyEleftherios (Terry) P. Mamounas, MD, MPH, FACS01-Mar-110.5 AMA
01-Mar-12geneticprofilinginearly-stagebreastcancer
icon_helene.gifHelene Visit 1: An Elderly Female with Stage IIIA Non–Small-Cell Lung CancerThe PracticeOncology/ HematologyMary Pinder-Schenck, MD23-Aug-100.5 AMA
23-Aug-11helene"I just found out I have lung cancer and I want to have surgery as soon as possible."
icon_james.gifJames Visit 1: A 65-year-old man presenting with newly diagnosed non-small cell lung cancerThe PracticeOncology/ HematologyChristopher G. Azzoli, MD20-Jan-110.75 AMA
20-Jan-12james"I have been diagnosed with metastatic lung cancer and I was told I need chemotherapy. Can you help me?"
icon_james.gifJames Visit 2: A 65-year-old man returning after treatment for non–small cell lung cancerThe PracticeOncology/ HematologyChristopher G. Azzoli, MD21-Jan-110.75 AMA
21-Jan-12james"How long do I need to stay on chemotherapy? I am tired of all this treatment."
icon-jane.gifJane Visit 1 - Postmenopausal woman with suspected metastatic breast cancerThe PracticeOncology/ HematologyMonica N. Fornier, MD17-Dec-090.5 AMA
16-Dec-10jane"My back hurts and I&#39;m always tired."
icon_jane.gifJane Visit 2: Postmenopausal Woman With Metastatic Breast Cancer and Ongoing TreatmentThe PracticeOncology/ HematologyMonica N. Fornier, MD09-Jun-100.75 AMA
08-Jun-11jane"I feel good. Do I need to continue my chemotherapy treatment?"
icon_jonathan.gifJonathan Visit 1: Hematology referral after emergency treatment of a pulmonary embolismThe PracticeOncology/ HematologyRuben Mesa, MD10-Mar-110.75 AMA
10-Mar-12jonathan"I hadn&#39;t been feeling well for a few months even before my doctor diagnosed me with a pulmonary embolism. I was tired, had dizzy spells, and started to lose weight, but I just thought I was overworked and didn&#39;t think it was serious."
icon_karen.gifKaren Visit 1: A 49-Year-Old Female with Early Stage Breast CancerThe PracticeOncology/ HematologyClifford A. Hudis, MD14-Dec-100.5 AMA
14-Dec-11karen"I have seen two medical oncologists and they are confusing me with conflicting advice….I don&#39;t know what to do!"
icon_karen.gifKaren Visit 2: A 49-Year-Old Female with Early Stage Breast Cancer, Returning for Follow-upThe PracticeOncology/ HematologyClifford A. Hudis, MD28-Feb-110.5 AMA
28-Feb-12karen"I&#39;m here to make a decision on my treatment."
icon_katrina.gifKatrina Visit 1: A 54-year-old smoker with a new diagnosis of NSCLC: gathering critical information for treatment decisionsThe PracticeOncology/ HematologyChristopher G. Azzoli, MD01-Dec-101 AMA
30-Nov-11katrina"I have lung cancer. My cough and back pain are getting worse."
icon-melanoma.gifManagement of Melanoma, Phase 1Harmony RoundsOncology/ HematologyJonathan S. Zager, MD 20-Jun-080.5 AMA
20-Jun-09melanoma
icon-melanoma.gifManagement of Melanoma, Phase 2Harmony RoundsOncology/ HematologyJonathan S. Zager, MD28-Jul-080.5 AMA
18-Jul-09melanoma
prostate2_vc.jpgManagement of Newly Diagnosed Prostate CancerHarmony RoundsOncology/ HematologyLeonard G. Gomella, MD, FACS16-Mar-090.5 AMA
31-Mar-10prostate cancer
iStock_000006926155_0.jpgMechanism of Action and Biological Activity of Emerging Therapies in Non-small Cell Lung Cancer: The Road AheadHarmony RoundsOncology/ HematologyDavid S. Ettinger, MD20-May-100.5 AMA
19-May-11mechanismofactionandbiologicalactivityofemergingtherapiesinnon-smallcelllungcancer
3280kidney.jpgNew Developments with Targeted Therapies for Patients with Advanced Renal Cell Cancer: Targeted Therapy for Clear-Cell RCCHarmony RoundsOncology/ HematologyRonald Bukowski, M.D.11-May-100.5 AMA
10-May-11newdevelopmentswithtargetedtherapiesforpatientswithadvancedrenalcellcancer
icon_ovarian.jpgPatient Cases in Ovarian Cancer Screening and Management to Improve SurvivalEActivityOncology/ HematologyRobert C. Bast Jr., MD03-Dec-101.5 AMA
02-Dec-11patient_cases_ovarian_cancer_screening_management
icon-peter.gifPeter Visit 1 - A 71-Year-Old Recently Diagnosed with Prostate CancerThe PracticeOncology/ HematologyHoward M. Sandler, MD, MS16-Mar-090.5 AMA
31-Mar-10peterI was just diagnosed with prostate cancer and want to know what my treatment options are.
icon-peter.gifPeter Visit 2 - A 71-Year-Old Recently Diagnosed with Prostate CancerThe PracticeOncology/ HematologyHoward M. Sandler, MD, MS16-Mar-090.5 AMA
31-Mar-10peter“I went for a second opinion about my prostate cancer and am now ready to start my therapy.”
icon-bensinger.gifPractical Aspects of HSCT for Hematologic Malignancies: Addison, OwenConsultServiceOncology/ HematologyWilliam I. Bensinger, MD15-Feb-111 AMA
15-Feb-12williambensingermd
icon-tim.gifTim Visit 1 - a 67-year-old with prostate cancer diagnosed 7 years agoThe PracticeOncology/ HematologyRobert Dreicer, MD28-Feb-090.5 AMA
28-Feb-10tim"I gained weight since I've been on therapy, and am having other side effects. I am worried that my prostate cancer is getting out of control."
icon-tim.gifTim Visit 2 - a 67-year-old with prostate cancer diagnosed 7 years agoThe PracticeOncology/ HematologyRobert Dreicer, MD28-Feb-090.5 AMA
28-Feb-10tim“I still have fatigue. Also, I now have mid-back pain which is new but somewhat mild, and unlike the back pain I had in the past.”
Ophthalmology
icon_celia.gifCelia Visit 1: A new patient being evaluated for potential LASIK surgeryThe PracticeOphthalmologyStephen C. Pflugfelder, MD24-Aug-100.75 AMA
24-Aug-11celia"I&#39;m here to be evaluated for LASIK surgery—my contact lenses bother me, so I&#39;d like to get rid of them."
icon_celia.gifCelia Visit 2: Patient with Level 3 dry eye and secondary Sjögren’s syndrome who remains desirous for LASIK surgeryThe PracticeOphthalmologyStephen C. Pflugfelder, MD07-Oct-100.75 AMA
07-Oct-11celia"My eyes are a little better with the drops you gave me, but not that much. I really wish you would perform LASIK surgery so that I can get rid of my contacts."
icon_jimmy.gifJimmy Visit 1: 47-year-old man with episodic severe nighttime eye pain, morning eye redness and burningThe PracticeOphthalmologyStephen C. Pflugfelder, MD21-Jan-111 AMA
21-Jan-12jimmy"I keep waking up with pain in my eye after I&#39;ve been asleep for a few hours. I thought it would go away, but it hasn&#39;t."
icon_jimmy.gifJimmy Visit 2: 47-year-old man with meibomian gland dysfunctionThe PracticeOphthalmologyStephen C. Pflugfelder, MD24-Jan-110.5 AMA
24-Jan-12jimmy"I&#39;m mostly better since I starting using the medications you prescribed last time I was here."
icon_kevin.gifKevin Visit 1: A new patient with a first-degree relative recently diagnosed with glaucomaThe PracticeOphthalmologyDale K. Heuer, MD24-Aug-100.75 AMA
24-Aug-11kevin"My sister was recently diagnosed with glaucoma, and her ophthalmologist told her that all her first-degree family members should be checked for glaucoma, too. So here I am."
icon_kevin.gifKevin Visit 2: A patient with a first-degree relative diagnosed with glaucoma returns for further workupThe PracticeOphthalmologyDale K. Heuer, MD20-Sep-100.75 AMA
20-Sep-11kevin"At my first visit, you asked me to come back in six weeks and bring a copy of my sister&#39;s visual fields. Here they are."
icon_molly.gifMolly Visit 1: Patient with retinal vein occlusionThe PracticeOphthalmologyDavid Boyer, MD31-Jan-110.75 AMA
31-Jan-12molly"Thank you for seeing me on such short notice, doctor. The vision in my right eye suddenly became blurry yesterday, and I thought I should get it checked right away."
dryeye.jpgOnline Competitions and Case Studies in Dry EyeEActivityOphthalmologyStephen C. Pflugfelder, MD11-Jan-112 AMA
11-Jan-12online_competitions_case_studies_dry_eye
icon_svetlana.gifSvetlana Visit 1: Established glaucoma patient with newly identified disease progressionThe PracticeOphthalmologyDale K. Heuer, MD21-Oct-100.75 AMA
21-Oct-11svetlana"I am sorry, doctor, I lost my insurance and could not afford to keep coming for regular visits. But I just got a new job so I can start coming in again."
icon_svetlana.gifSvetlana Visit 2: Established glaucoma patient with disease progression and developing cataractThe PracticeOphthalmologyDale K. Heuer, MD11-Nov-100.5 AMA
11-Nov-11svetlana"I think my vision is getting worse, doctor. It is harder and harder to read, especially in dim light."
Pain Management
bob.gifBob Visit 1: A 61-Year-Old Man With Chronic Back PainThe PracticePain ManagementBruce D. Nicholson, MD02-Feb-100.75 AMA
17-Jun-11bob<EM>"My back pain is getting worse, but I&#39;m sure a higher dosage will do the job."</EM>
bob.gifBob Visit 2: A 61-Year-Old Man With Chronic Back PainThe PracticePain ManagementBruce D. Nicholson, MD17-Jun-100.75 AMA
16-Jun-11bob"My back still hurts me—I have done almost everything that I have been asked to do. I think I really need my narcotic medication again so I can deal with the nonstop pain."
icon_dawn.gifDawn Visit 1: A 38-Year-Old Female Presenting with Chronic PainThe PracticePain ManagementBill McCarberg, MD25-Aug-100.5 AMA
24-Aug-11dawn"I hurt everywhere. My pain is so bad, I cannot sleep even though I am tired all day long. My mother has rheumatism and I am sure I have it too."
icon_dawn.gifDawn Visit 2: A 38-Year-Old Female Presenting with Chronic Pain, Returning for Follow-UpThe PracticePain ManagementBill McCarberg, MD27-Oct-100.5 AMA
26-Oct-11dawn"My pain is about the same but my sleep is better"
icon_dawn.gifDawn Visit 3: A 38-Year-Old Female Presenting with Chronic Pain, Returning for Second Follow-UpThe PracticePain ManagementBill McCarberg, MD07-Dec-100.25 AMA
06-Dec-11dawn"I saw my weight today; wow, my pain is better and my weight is going down. This is as good as I have felt in months."
fibro_avatar.gifFibromyalgia 1: Properly Diagnosing and Managing ComorbiditiesHarmony RoundsPain ManagementMichael R. Clark, MD, MPH25-Nov-090.5 AMA
24-Nov-10fibromyalgia
fibro_avatar.gifFibromyalgia 2: Tailoring Therapy and Implementing a Multi-Disciplinary Team ApproachHarmony RoundsPain ManagementMichael R. Clark, MD, MPH25-Nov-090.5 AMA
24-Nov-10fibromyalgia
177_Male_40-50_W_OB.gifJerome Visit 1: A 52-year-old man with lower back pain of three years’ durationThe PracticePain ManagementLesley M. Arnold, MD13-May-100.5 AMA
12-May-11jerome"I&#39;ve had back pain for years, and I injured my back again at work a few months ago. I&#39;ve had all kinds of treatments, but none of them do much. The pain moves around; it feels like my whole body hurts. I&#39;m exhausted all the time and can&#39;t sleep or work."
icon_jerome.gifJerome Visit 2: A 52-year-old man with lower back pain, returning for follow-upThe PracticePain ManagementLesley M. Arnold, MD20-Oct-100.5 AMA
19-Oct-11jerome"The pain is a little less, but I feel restless all the time, can&#39;t sleep, and can&#39;t focus during the day."
icon-john.gifJohn Visit 1 - 42-year-old with constant pain and a history of consuming non-prescribed opioidsThe PracticePain ManagementThomas E. Elliott, MD19-Jun-090.75 AMA
30-Jun-10john"I have bad arthritis and need a new doctor who will prescribe narcotics to stop my pain!"
icon-john.gifJohn Visit 2 - 42-year-old with joint pain and depression in office for follow-upThe PracticePain ManagementThomas E. Elliott, MD19-Jun-090.75 AMA
30-Jun-10john"I'm not feeling any less pain, but my sleep and mood are better."
icon-laura.gifLaura Visit 1 - Opioid Management EducationThe PracticePain ManagementThomas E. Elliott, MD28-Oct-080.75 AMA
31-Oct-09laura"I really want to get back to work"
icon-laura.gifLaura Visit 2 - Opioid Management EducationThe PracticePain ManagementThomas E. Elliott, MD28-Oct-080.75 AMA
31-Oct-09laura"I really thought my back would feel a lot better at this point"
icon-pamela.gifPamela Visit 1 - Six month history of aching and sorenessThe PracticePain ManagementPaul J. Christo, MD, MBA01-Dec-081 AMA
30-Nov-09pamela"I'm experiencing deep aching and a gnawing soreness that fluctuates in its intensity"
icon-pamela.gifPamela Visit 2 - Why do I feel worse?The PracticePain ManagementPaul J. Christo, MD, MBA01-Dec-081 AMA
30-Nov-09pamela"I stopped taking my medication because my symptoms have gotten worse, and I couldn't tolerate the fatigue, swelling and numbness in my legs any longer."
icon-sarah.gifSarah Visit 1 - Treating fibromyalgia with concomitant conditions The PracticePain ManagementMuhammad B. Yunus, MD26-Jan-091 AMA
31-Jan-10sarah“I hurt in my left arm, neck and back. I’m so tired of being tired.”
icon-sarah.gifSarah Visit 2 - Have we been able to manage the FMS and reduce risks?The PracticePain ManagementMuhammad B. Yunus, MD26-Jan-091 AMA
31-Jan-10sarah“I’m feeling a little better, but my knees and back hurt.”
stacey-image.gifStacey Visit 1: A 44-year-old female presenting with a three-year history of widespread painThe PracticePain ManagementLesley M. Arnold, MD 26-Mar-100.5 AMA
25-Mar-11stacey"The pain got so bad that I had to see someone. Some days, the pain is so bad that I don&#39;t even feel like moving. The pain killers don&#39;t work anymore, and I have trouble sleeping. I&#39;m exhausted all the time and I can hardly work. I don&#39;t know what to do." 
stacey-image.gifStacey Visit 2: A 44-year-old female who is sleeping better, but still experiencing widespread painThe PracticePain ManagementLeslie M. Arnold, MD08-Apr-100.5 AMA
07-Apr-11stacey"I&#39;m sleeping better, but the pain during the day is still too much to bear."
Pediatrics
icon-bethany.gifBethany Visit 1 - Practical Influenza Prevention for the Pediatric Practice: Pre-School Age ChildThe PracticePediatricsJulia A. McMillan, MD22-Aug-080.5 AMA
31-Aug-09bethanyUrgent visit for low grade fever and ear discomfort
icon-caroline.gifCaroline Visit 1 - Practical Influenza Prevention in for the Pediatric Practice: High-Risk ConsiderationsThe PracticePediatricsJulia A. McMillan, MD15-Nov-080.5 AMA
30-Nov-09carolineAsthmatic child entering the first grade
icon-grace.gifGrace Visit 1 - Practical Influenza Prevention for the Pediatric Practice: School - Aged ChildrenThe PracticePediatricsJulia A. McMillan, MD02-Oct-080.5 AMA
31-Oct-09graceWell child starting new school
icon-flu.gifPractical Influenza Prevention for the Pediatric Practice: Are You Ready For Flu Season? Phase 1Harmony RoundsPediatricsJulia A. McMillan, MD23-Jul-080.5 AMA
31-Jul-09influenza
Psychiatry
icon_andrew.gifAndrew Visit 1: A middle-aged male with a history of major depressive episodesThe PracticePsychiatryBradley N. Gaynes, MD, MPH24-Nov-100.75 AMA
24-Nov-11andrew"I think I would have been better off being a high school science teacher."
icon_andrew.gifAndrew Visit 2: A middle-aged male with treatment-resistant depressionThe PracticePsychiatryBradley N. Gaynes, MD, MPH20-Dec-101 AMA
20-Dec-11andrew"I don&#39;t think the medications are helping"
icon-barbara.gifBarbara Visit 1 - A 46 YO Female Presenting with Difficulty Sleeping and Persistent DepressionThe PracticePsychiatryGlenn J. Treisman, MD, PhD29-Jun-090.5 AMA
30-Jun-10barbara"I came to see you because I just can't sleep. I might get 3 or 4 hours of sleep a night. It's been like that for about a week now. It's affecting everything, and I'm snapping at everyone. I think I need a sleeping pill. Its funny, even though I've been getting only 3 or 4 hours of sleep every night, I still have enough energy during the day. I even washed both of our cars the other night because my husband wasn't doing it right. It's not like I feel I really need to sleep, but this insomnia for the past week or so has been driving me crazy. I can't concentrate at work. I eat, gain weight, feel guilty, and eat some more."
icon-barbara.gifBarbara Visit 2 - A 46 YO Female Presenting with Depression and Continued InsomniaThe PracticePsychiatryGlenn J. Treisman, MD, PhD29-Jun-090.5 AMA
30-Jun-10barbara"I think I am starting to feel more like myself although I still worry that I am upsetting my husband with my "short fuse" and my concern over my performance at work. Often I feel like my thoughts are just racing and it is hard for me to focus. I am afraid to miss any work and I hope that these aches and pains will just go away if I get more rest."
icon_jason.gifJason Visit 1: A young man with schizophrenia recently discharged from hospitalThe PracticePsychiatryAlex J. Kopelowicz, MD08-Oct-100.75 AMA
08-Oct-11jason"I want to go back to work"
icon_jason.gifJason Visit 2: A young man with schizophrenia with the goal of becoming a CPAThe PracticePsychiatryAlex J. Kopelowicz, MD02-Nov-100.75 AMA
02-Nov-11jason"Things are going pretty well"
icon_lisa.gifLisa Visit 1: A woman with bipolar disorder who wants a second opinionThe PracticePsychiatryHolly A. Swartz, MD24-Jan-111 AMA
24-Jan-12lisa"I&#39;m not happy with my current treatment"
icon-maryanne.gifMaryAnne Visit 1: A middle-aged woman going through a troublesome divorceThe PracticePsychiatryLesley M. Arnold, MD22-Feb-101 AMA
21-Feb-11maryanne"The divorce is causing me so much stress it physically hurts"
icon-maryanne.gifMaryAnne Visit 2: A middle-aged woman with persistent pain and depressionThe PracticePsychiatryLesley M. Arnold, MD22-Feb-101 AMA
21-Feb-11maryanne"I&#39;m feeling a lot better but I still have pain."
icon-tracey.gifTracey Visit 1 - A Middle-Aged Female Presenting with DepressionThe PracticePsychiatryGlenn J. Treisman, MD, PhD29-Jun-090.5 AMA
30-Jun-10tracey"I was surprised at my recent weight loss. I lost about 12 lbs. recently and it seems to have happened so quickly. I have such a hard time sleeping at night. I lay awake at night and feel so alone and hopeless."
icon-tracey.gifTracey Visit 2 - A Middle Age Female Presenting with Difficulty SleepingThe PracticePsychiatryGlenn J. Treisman, MD, PhD29-Jun-090.5 AMA
30-Jun-10tracey"I am really having a difficult time sleeping lately. I have difficulty falling asleep, difficulty staying asleep during the night and I wake up very early in the morning and I feel tired all day."
Pulmonary Disease
icon_emma.gifEmma Visit 1: Middle-Aged Woman Presenting with a Persistent CoughThe PracticePulmonary DiseaseNicola A. Hanania, MD, MS02-Jul-101 AMA
01-Jul-11emma"I can&#39;t get over the cough, I constantly feel fatigued, I think my age is catching up with me."
icon_emma.gifEmma Visit 2: 54-Year-Old Female Diagnosed with COPD, Returning for Follow-upThe PracticePulmonary DiseaseNicola A. Hanania, MD, MS02-Jul-101 AMA
01-Jul-11emma"I am doing better – my cough is better, though it isn&#39;t gone – but I still don&#39;t feel strong.  I can get around better than before, but I still get tired so easily."
icon-fran.gifFran Visit 1 - A 56-year-old Woman with a 5-year History of Progressive Breathlessness Despite Pharmacologic TherapyThe PracticePulmonary DiseaseJames K. Stoller, MD, MS18-Aug-090.5 AMA
31-Aug-10fran"I can't keep up with friends who are older than me."
icon-fran.gifFran Visit 2 - 56-year-old Woman with Worsening Pulmonary FunctionThe PracticePulmonary DiseaseJames K. Stoller, MD, MS18-Aug-090.5 AMA
31-Aug-10fran"I am having a lot of trouble of breathing. Is there anything you can do?'
icon_gus.gifGus Visit 1: A Middle-aged Male Experiencing Greater Challenges with His Diagnosis of COPDThe PracticePulmonary DiseaseNicola A. Hanania, MD, MS, FCCP, FRCP(C), FACP16-Nov-101 AMA
15-Nov-11gus"I can&#39;t walk properly, I can&#39;t get around, I can&#39;t do anything I want to do. I&#39;m sick of being sick. I&#39;m done with this."
icon_gus.gifGus Visit 2: A Middle-aged Male Presenting with Symptoms of Advanced COPDThe PracticePulmonary DiseaseNicola A. Hanania, MD, MS, FCCP, FRCP(C), FACP16-Nov-101 AMA
15-Nov-11gus"I was doing better after the last visit but now I can barely breathe and I&#39;m coughing my lungs out."
icon-ian.gifIan Visit 1 - Chronic Dyspnea in a 42-Year-Old ManThe PracticePulmonary DiseaseJames K. Stoller, MD, MS19-Aug-090.5 AMA
31-Aug-10ian"I have been active my whole life... Now I find myself limited when I exercise.. I can't work out at the same capacity."
icon-ian.gifIan Visit 2 - Worsening Pulmonary Functioning and Follow-UpThe PracticePulmonary DiseaseJames K. Stoller, MD, MS19-Aug-090.5 AMA
31-Aug-10ian"I am still not able to tolerate exercise even though I have been in rehab.. I know part of it is from my smoking, and I am trying hard to quit."
lungs.pngTraversing the Clinical Challenges and Complexities of Asthma Assessment and Treatment: Improving Control of Asthma SymptomsHarmony RoundsPulmonary DiseaseZab Mosenifar, MD, FCCP, FACP01-Apr-100.5 AMA
31-Mar-11traversingtheclinicalchallengesandcomplexitiesofasthmaassessmentandtreatment
Rheumatology
icon_ann.gifAnn Visit 1: An overweight, middle-aged woman with knee painThe PracticeRheumatologyMichael H. Weisman, MD05-Oct-100.5 AMA
04-Oct-11ann"My knee has hurt for several months, and now I&#39;m having trouble going up and down the stairs." 
icon_carol.gifCarol Visit 1: 44-Year-Old Female with Pain, Swelling, and Stiffness in Her Hands, Feet, and ShouldersThe PracticeRheumatologyJonathan Kay, MD20-Jul-100.75 AMA
19-Jul-11carol"My fingers hurt and I can&#39;t turn a doorknob."
icon_carol.gifCarol Visit 2: 44-Year-Old Female Returning for Follow-up Reporting Persistent Swelling and Tenderness in Multiple JointsThe PracticeRheumatologyJonathan Kay, MD31-Aug-100.75 AMA
31-Aug-11carol"My shoulders feel a bit better, but my hands and feet are still giving me problems."
icon_carol.gifCarol Visit 3: A 44-Year-Old Female Being Treated for RA Discovers a Lump In Her Right ArmpitThe PracticeRheumatologyJonathan Kay, MD30-Sep-100.5 AMA
30-Sep-11carol"The pain and swelling in my shoulders, hands, and feet feel much better, but I found this lump in my armpit."
icon_edward.gifEdward Visit 1: A 19-year-old college freshman with persistent low back painThe PracticeRheumatologyMichael H. Weisman, MD03-Jun-100.5 AMA
02-Jun-11edward"My back isn&#39;t getting better, even after a couple months of rest."
148_Female_30-40_H_NW.gifHeather Visit 1: A 23-year-old woman with pain and stiffness in multiple jointsThe PracticeRheumatologyMichael Weisman, MD05-May-100.5 AMA
04-May-11heather"My fingers are stiff, and I&#39;m having trouble writing. Even driving the car bothers me now."
icon_hand.jpgIdentifying Rheumatic Conditions in the Primary Care Setting 1: Harmony Round SeriesHarmony RoundsRheumatologyMichael H. Weisman, MD10-Nov-100.5 AMA
09-Nov-11identifyingrheumaticconditionsintheprimarycaresetting
icon_jessica.gifJessica Visit 1: 35-Year-Old White Female with Persistent Back and Foot PainThe PracticeRheumatologyPhilip Mease, MD20-Jul-100.75 AMA
19-Jul-11jessica"My doctor can&#39;t figure out why I continue to have so much pain despite trying everything to treat this."
icon_jessica.gifJessica Visit 2: 35-Year-Old White Female Presenting for Follow-Up Following Initial Diagnosis of SpAThe PracticeRheumatologyPhilip Mease, MD31-Aug-100.5 AMA
31-Aug-11jessica"I&#39;ve been taking my medicine, but my back and left foot still hurt, and I can&#39;t chase the kids so well."
icon_jessica.gifJessica Visit 3: A 35-Year-Old White Female Diagnosed with SpA is Being Seen on Follow-upThe PracticeRheumatologyPhilip Mease, MD30-Sep-100.5 AMA
30-Sep-11jessica"I&#39;ve been taking my new medicine, and my back and foot are feeling pretty good, but I have this awful rash on the palms of my hands."
icon_joanne.gifJoanne Visit 1: An Older Female Presenting With Worsening Joint PainThe PracticeRheumatologyLeonard Fromer, MD09-Aug-100.5 AMA
09-Aug-11joanne"My joints hurt when I play tennis."
icon_joanne.gifJoanne Visit 2: An Older Female With Worsening Joint Pain, Returning For Follow-UpThe PracticeRheumatologyLeonard Fromer, MD09-Aug-100.5 AMA
09-Aug-11joanne"My arthritis is worsening and making me more disabled each day."
120_Female_30-40_W_NW.gifJoyce Visit 1: Case Series in Rheumatoid Arthritis, Part 3: Identification of Early Rheumatoid ArthritisThe PracticeRheumatologyJohn J. Cush, MD28-Apr-100.75 AMA
27-Apr-11joyce"Recently the joints in my fingers, wrists and feet are getting stiff and are causing me pain. Could I have arthritis at 44?"
120_Female_30-40_W_NW.gifJoyce Visit 2: Case Series in Rheumatoid Arthritis, Part 4: 3-Month Follow-Up After Start on BiologicThe PracticeRheumatologyJohn J. Cush, MD28-Apr-100.75 AMA
27-Apr-11joyce"I feel like a new person! I can play with my son and don&#39;t feel pain like I used to."
136_Female_40-50_W_OW.gifLinda Visit 1: Case Series in Rheumatoid Arthritis, Part 1: Partial Response to a BiologicThe PracticeRheumatologyJohn J. Cush, MD28-Apr-100.75 AMA
27-Apr-11linda"I want something that is going to take the pain away and help me to function better."
136_Female_40-50_W_OW.gifLinda Visit 2: Case Series in Rheumatoid Arthritis, Part 2: 3-Month Follow-Up After Switch to Another BiologicThe PracticeRheumatologyJohn J. Cush, MD28-Apr-100.75 AMA
27-Apr-11linda"I still have occasional pain in my wrists, but overall I am feeling a lot better."
icon-sue.gifSue Visit 2 - A 34-Year-Old Woman With Newly Diagnosed Psoriatic ArthritisThe PracticeRheumatologyM. Elaine Husni, MD, MPH03-Dec-090.5 AMA
0.5 AANP
0.5 AAPA
03-Dec-10sue"I have tried naproxen, especially for my right foot. I used to take it a couple of times a week and now I take it every day, but it still hurts to pick up my children and I just can&#39;t seem to keep up with my family."
174_Male_40-50_W_NW.gifVal Visit 1: A 45-year-old man with a painful, swollen knee of 2-days durationThe PracticeRheumatologyMichael Weisman, MD25-May-100.5 AMA
24-May-11val"It started two days ago, and it&#39;s so painful I can&#39;t sleep at night."
Sleep Disorders
icon-alex.gifAlex Visit 1: A Community-Based Primary Care Physician with a Hospital PracticeThe PracticeSleep DisordersMichael J. Thorpy, MD08-Jan-090.5 AMA
0.5 AANP
08-Jan-10alex"I'm fine, I'm sure. I know I've been a little more tired than usual because of my increased workload, but that's only temporary. Everybody goes through it at one time or another."
icon-ella.gifElla Visit 1: An Inner-City Police Officer Recently Transferred to the Night ShiftThe PracticeSleep DisordersMichael J. Thorpy, MD08-Jan-090.5 AMA
0.5 AANP
08-Jan-10ella"I didn't realize what changing shifts was really all about. I just assumed I could do it no problem, you know? But I feel half sick all the time."
Urology
icon-alice.gifAlice Visit 1 - The Brain-Bladder Behavior ConnectionThe PracticeUrologyJoel E. Streim, MD23-Dec-080.5 AMA
31-Dec-09alice"Alice started having real bad incontinence about a week ago, and we're just not able to deal with it any more."
icon-alice.gifAlice Visit 2 - The Brain-Bladder Behavior ConnectionThe PracticeUrologyJoel E. Streim, MD23-Dec-080.5 AMA
31-Dec-09alice"Alice has returned two weeks after her initial visit for worsening of incontinence, confusion and agitated behavior."
icon-arthur.gifArthur Visit 1 - Patient with persistent lower urinary tract symptoms despite BPH treatmentThe PracticeUrologyAllen D. Seftel, MD31-Jul-091 AMA
31-Jul-10arthur"This urgency to urinate is so frustrating, and it is having a big impact on my relationship with my wife. It is also having an impact on my life."
icon-arthur.gifArthur Visit 2 - Patient with OAB and BPH complains of continued urgency after TUMTThe PracticeUrologyAllen D. Seftel, MD31-Aug-091 AMA
31-Aug-10arthur"That surgery didn't take care of everything, Doc. I'm still having these urgent feelings.."
duke_logo.jpgDuke OAB Virtual Grand Rounds 1: Diagnosing Overactive Bladder in Primary CareHarmony RoundsUrologyJoyce Copeland, MD09-Mar-110.75 AMA
08-Mar-12dukeoabvirtualgrandrounds
duke_logo.jpgDuke OAB Virtual Grand Rounds 2: Managing Overactive Bladder in Primary CareHarmony RoundsUrologyJoyce Copeland, MD19-Apr-110.75 AMA
18-Apr-12dukeoabvirtualgrandrounds
icon_george.gifGeorge Visit 1: A Middle-Aged Caucasian Male Presenting With Signs of HypogonadismThe PracticeUrologyLouis Kuritzky, MD26-Oct-100.5 AMA
25-Oct-11george"Doc, I know I&#39;m not a &#39;spring chicken&#39; any more, but my energy level is just in the trash."
icon_george.gifGeorge Visit 2: A Middle-aged Caucasian Male with Hypogonadism, Returning for Follow-UpThe PracticeUrologyMohit Khera, MD, MBA, MPH17-Dec-100.5 AMA
16-Dec-11george"I feel better, but the gel is very expensive and I&#39;m worried that my hair might be getting thinner."
icon-mary.gifMary Visit 1 - Primary care patient with 2-year history of symptoms of overactive bladderThe PracticeUrologyLouis Kuritzky, MD30-Jun-091 AMA
30-Jun-10mary"Yes, the urgency and frequency of urination bothers me a lot, but I was embarrassed to bring it up."
icon-mary.gifMary Visit 2 - Bothersome lower urinary tract symptoms no longer responsive to medical treatmentThe PracticeUrologyAllen D. Seftel, MD31-Aug-091 AMA
31-Aug-10mary"My family doctors did a pretty good job of helping me with my bladder problems over the years, but now nothing seems to work – is there anything you can do?"