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A 20-month-old boy brought to the emergency department with swelling on the right side of the neck and fever (temperature, 39.3°C [102.7°F]) of 1 day’s duration. The parents reported that the child had had intermittent fevers and poor weight gain for the past 3 months but no vomiting, diarrhea, rash, drooling, or difficulty in swallowing.

A 14-year-old girl is seen because of long-standing nasal itch, intermittent nasal congestion, and clear nasal discharge. Allergies to house dust mites and to cats shown on prior skin testing. Often has marked eye swelling when exposed to cats. Receives antihistamines when in flare-up and prior to cat exposure. The consumption of dairy products exacerbates all of the above.

Medication adherence increased in patients who received a 90-day supply compared with those who received a 30-day supply, according to a recent presentation at the Academy of Managed Care Pharmacy’s Annual Meeting.

Many patients who take fish oil capsules complain of burping, which is often accompanied by an unpleasant fishy taste or odor.

Many pharmacological options exist for allergic rhinitis. Intranasal corticosteroids are the most effective medication class for patients with moderate to severe symptoms; those with milder intermittent symptoms can be treated with a second-generation oral or intranasal antihistamine.

How health reform imacts your practiceWhat provisions may have an immediate impact on your practice, and what to expect in the futureAMA

Health reform subsidy calculator: coverage in exchanges/gatewaysFor persons under age 65 who purchase coverage on their own and are not covered through their employer, Medicare or MedicaidKaiser Family Foundation

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I found “In Africa With the Pygmies” by Dr Scott Kellerman very moving.

A 14-year-old girl is seen because of long-standing nasal itch, intermittent nasal congestion, and clear nasal discharge. Allergies to house dust mites and to cats shown on prior skin testing. Often has marked eye swelling when exposed to cats. Receives antihistamines when in flare-up and prior to cat exposure. The consumption of dairy products exacerbates all of the above.

The recent signing of health reform legislation signals a watershed event in the delivery of health care in our country. It is the culmination of a tangled legislative battle, but it ignores 3 of the 4 pillars of health reform. In this article, I describe these pillars, and then outline how recent legislation falls short.