How to manage difficult patients, and more.

Madhav C. Menon, MD, State University of New York, Syracuse, NY

Thomas J. Douglas, MD; Richard P. Sharpe, MD; and Paul A. Lucha, DO, Naval Medical Center, Portsmouth, VA

Darin F. Doumite, Medical Student IV, Synergy Medical Alliance/St. Matthew's University, Saginaw, MI; Brian Beeman, MD, Synergy Medical Alliance/St. Matthew's University, Saginaw, MI; and Dennis Boysen, MD, Synergy Medical Education Alliance and Michigan State University, Saginaw, MI

Jeffrey B. Albright, MD, Kaiser Permanente, Southern California Permanente Medical Group, and South Bay Medical Center, Harbor City, CA; G. Peter Fakhre, MD, Mayo Clinic Jacksonville; Kyle K. Shaddix, MD, Mayo Clinic Jacksonville; and Philip P. Metzger, MD, Mayo Clinic Jacksonville, Jacksonville, FL

Yasmin S. Hamirani, MBBS; Evangeline Ndigwe, MS; Suvarchala Kompella, MD; Heather Mannuel, MD; Kris Shekitka, MD; Jeffrey Siebel, MD; and Jesus Esquivel, MD, St. Agnes Hospital, Baltimore, MD

Bernard M. Jaffe, MD, Editor-in-Chief

Ilya Sabsovich, MD, Elmhurst Hospital Center, Elmhurst, NY, and Mount Sinai School of Medicine, New York, NY; Ravi Desai, MD, Mount Sinai School of Medicine, New York, NY; Rafael Alba, MD, Universidad Inberoamericana School of Medicine, Santo Domingo, Dominican Republic; Jose Yunen, MD, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY; and David Sammett, MD, Elmhurst Hospital Center, Elmhurst, NY

Trudy L. Seivwright, MD; Franklyn Geary, MD; Roland Matthews, MD; and Rosalind Gregory-Bass, MD, Morehouse School of Medicine, Atlanta, GA

Although most sacrococcygeal teratomas recur in childhood, this case demonstrates that recurrences are possible in adults.

Neil H. Baum, MD, Tulane Medical School, New Orleans, LA; and Ann Ezzell, BA, University of Tennessee College of Medicine, Memphis, TN

Most patients are successfully treated using PDE5 inhibitors, but if treatment failure occurs, physicians have many therapeutic options at their disposal; these options are outlined by the authors.

Ilya Sabsovich, MD, Elmhurst Hospital Center, Elmhurst, NY, Mount Sinai School of Medicine, New York, NY; Ravi Desai, MD, The Mount Sinai Hospital, Mount Sinai School of Medicine, New York, NY; Rafael Alba, MD, Universidad Iberoamericana School of Medicine, Santo Domingo, Dominican Republic; Jose Yunen, MD, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY; and David Sammett, MD, Elmhurst Hospital Center, Elmhurst, NY

The authors discuss the etiology of pneumoperitoneum and provide insights on how it may occur in the absence of a ruptured viscus.

Andrew Foy, BS, Jefferson Medical College, Philadelphia, PA; and Howard Weitz, MD, Thomas Jefferson University Hospital, Philadelphia, PA

Abnormal cardiac troponin levels are occasionally found in patients who have not had a myocardial infarction. The authors discuss the factors that may contribute to a false elevation and outline how to determine whether analytical interference has occurred.

? Small magnets pose serious risk
? Flat colorectal lesions
? Keep it to yourself, doctor!
? Conquering the communication gap

Yvette C. Terrie, BSPharm, RPh

With spring comes hay fever, and with these seasonal allergies come a variety of OTC treatment options.

Robert Lee Page II, PharmD, FAHA, FCCP, BCPS, CGP

Caused by long-term, uncontrolled comorbidities, the incidence of chronic kidney disease is rising in the United States due to an aging population and an increase in diabetes cases.

Dana A. Brown, PharmD, BCPS

With the phase out of CFC-containing metered dose inhalers, pharmacists are in a pivotal position to educate patients on how to use the new devices.

Dana A. Brown, PharmD, BCPS

Appropriate treatment, monitoring, and patient education can control asthma and its symptoms and allow patients to live fully active lives.

Eileen Koutnik-Fotopoulos, Staff Writer

MTM services improve patient outcomes and provide pharmacists with new financial opportunities.

Eileen Koutnik-Fotopoulos, Staff Writer

A new report from the CARE program shows that pharmacy compliance with dual-label Plan B is extremely high.

Barbara Sax

Kayla Hatt, this month's RESPy winner, is dedicated to serving the pharmacy profession through leadership and advocacy.

Joseph L. Fink III, BSPharm, JD

In a case of accused negligence in a nursing home, do state regulations establish a legal standard of care?

Cmdr John Burke

The country's pharmaceutical diversion problems have captured the attention of the president, which hopefully will lead to more national measures to curb the problem.

Tzippora Halpert, PharmD Candidate; Dean Pham, PharmD; Roger A. Santos, PharmD; and David Q. Pham, PharmD, BCPS

The National Asthma Education and Prevention Program's Expert Panel has issued revised guidelines for treating asthma in children and adults.

Susan Farley

Susan Farley

John R. Horn, PharmD, FCCP, and Philip D. Hansten, PharmD

By careful monitoring of patients who are prescribed clopidogrel, drugs likely to reduce its effectiveness can be avoided.

Martin A. Erickson III, RPh

Lauren S. Schlesselman, PharmD

Anna D. Garrett, PharmD, BCPS, CPP

Robert M. Thornby, PharmD Candidate, and Dana A. Brown, PharmD, BCPS

Kathleen Jaeger, GPhA President and Chief Executive Officer

James C. McAllister III, MS, FASHP

Pharmacy's advocacy for optimizing medication use and dedication to caring for patients should be a global, profession-wide commitment.

Guido R. Zanni, PhD

The National Guideline Clearinghouse Web site is a handy reference tool for pharmacists looking for current, reliable information on clinical practice.

Elias B. Chahine, PharmD, and Dana A. Brown, PharmD, BCPS

Pharmacists are well-positioned to recommend screening and ensure that protocols are followed when presented with patients suspected to have hepatitis C.