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The article discusses the importance of kindness in clinical medicine and the challenges that medical students may face in encountering unkind behavior. The faculty emphasizes that kindness is a crucial skill in medicine and is linked to wisdom. Students recognize the importance of kindness in various domains, including interactions with attending physicians, patients, and each other. However, the erosion of kindness during medical education and in practice is a concern. While institutions may champion kindness, individuals must still navigate challenging situations and prioritize kindness. The article suggests that academic institutions can play a role in promoting and reinforcing kind behavior as a key component of good patient care. [Extracted from the article]

An editorial is presented on the integration of humanities in medical education, emphasizing its role in enhancing students' cognitive skills, ethical understanding, and kindness in patient care. Topics include the challenges of incorporating humanities due to a lack of empirical data, the concept of wisdom in medical practice, and specific examples of incorporating fine arts, literature, and poetry to foster empathy and ethical behavior in medical students.

The article explores the importance of wisdom in clinical medicine, particularly in the era of artificial intelligence (AI), and its relevance to future clinicians' adaptation to AI capabilities. Topics discussed include the attributes of clinical wisdom, the impact of AI on clinical medicine, and the cultivation of a culture of kindness, context, judgment, and well-being in medical education and practice.

All medical students at the University of South Dakota Sanford School of Medicine (SSOM) have rural healthcare rotations. Because SSOM has adopted kindness as a focal point in its new five year strategic plan, we designed a qualitative study to assess students’ perception of kindness in the rural setting. [ABSTRACT FROM AUTHOR]

The article informs about an atypical presentation of normal pressure hydrocephalus (NPH) with a focus on primarily gait impairment but no cognitive change, leading to questions about the diagnosis of a variant or "partial" NPH. Topics include the challenges in diagnosing NPH, the use of lumbar punctures as a treatment option, and the consideration of serial LPs in patients for whom ventriculoperitoneal shunt surgery is risky or declined.

We describe two patients with prominent hand deformities attributable to Parkinson's disease. This uncommon condition, which mimics inflammatory arthritis, can be hard to diagnose and is disabling. As these two cases illustrate, hand deformities attributable to Parkinson's can be a late complication of the disease or present in the early stage as initial symptomatology. [ABSTRACT FROM AUTHOR]

Erdheim-Chester disease (ECD) is a very rare form of non-Langerhans histiocytic disorder which affects multiple systems and can present in a variety of different ways. We present two patients diagnosed with ECD whose symptoms, progression and treatment differ dramatically. [ABSTRACT FROM AUTHOR]

The article focuses on the ethics of the medical care services provided to the American Indians living in South Dakota. It talks about the ethics in the medical research and treatment being influenced by the political, cultural and historical changes. It tells about the medical care services provided by the Indian Health Service (IHS) facilities in South Dakota.

The article offers information on telehealth is not an entirely new concept and it has actually been used for decades in the U.S. Topics include the adoption of virtual technologies by healthcare ethics services has been more limited, and the more sociological and anthropological factors are further has complicated by other constraints for remote ethics consultation such as lack of protocols for reimbursement.

An editorial is presented the role of humanities in medical education, suggesting that incorporating the humanities can lead to better clinical skills, personal well-being, and protection against burnout for physicians. It emphasizes the importance of wisdom gained from exposure to various aspects of the humanities, including literature, history, and the arts, in fostering a sense of balance, calm, and meaning in both clinical work and personal life.

A case study of a patient with left-right disorientation is presented and how new historical details not previously disclosed shed light on his diagnosis of seizures and resolution of left-right confusion after treatment with anticonvulsants. The article discusses the idiom "more than meets the eye" and how it applies to medicine, particularly in challenging diagnoses.

The article focuses on uncertainty and context of patient care. Topics discussed include risk and benefit of treatment, the case of a 69-year-old male patient who stopped the use of dapsone to treat insomnia following autologous bone marrow transplant for multiple myeloma, and physician and patient relationship.

The article discusses headaches and the problems they can pose for patient and clinician alike. According to the author, the classifications used by Diamond textbooks as well as "The International Classification of Headache Disorders" second edition are difficult to integrate into daily care. Instead, he favors the types migraine, chronic tension-type, and other.

The article informs that medical school poses daunting challenges for most students, and medical students gain knowledge of diagnosis and treatment, as well as hone an understanding of the culture of medicine. It also informs that the students intently watch their faculty to make sense of both declared and unspoken rules of hierarchy, work ethic and codes of conduct.

The article offers information on the introduction of Longitudinal Ethics Curriculum at the University of South Dakota Sanford School of Medicine. Topics discussed include micro-ethics of care, value and judgment issues that are confronted in every day clinical practice, and appreciation by the faculty for importance of these less dramatic value and judgment issues that are confronted regularly win clinical practice.

The article offers information on differential diagnosis practices adopted by physicians. Topics discussed include medical students go for rare condition diagnosis rather than beginning with more common and likely entities; role of experienced physicians in both recognizing common conditions and at generating a differential diagnosis when confronted with uncommon symptoms; and views on several technology used for diagnosis like magnetic resonance imaging and computerized tomography scan.

An unusual case of apparent Parkinson's disease caused by a brain tumor (meningioma) is presented. The role of brain imaging in the evaluation of a patient with Parkinson's symptoms is discussed. [ABSTRACT FROM AUTHOR]

The article focuses on the quality of care and safety of Creutzfeldt-Jakob Disease (CJD) management. Two case studies which involve men who experienced progressive visual loss and cognitive disorder are discussed. Studies have shown that majority of patients with CJD showed abnormalities on fluid-attenuation inversion recovery in magnetic resonance imaging (MRI) that could help in CJD diagnosis. It adds that careful lumbar puncture must be done and that clinical laboratories should be alerted of cerebrospinal fluid from CJD patients.

Vitamin D deficiency can result in symptomatic osteomalacia which may cause bone pain and muscle weakness. Two patients with symptomatic osteomalacia after gastric bypass surgery are discussed. [ABSTRACT FROM AUTHOR]

In this article the author considers the importance of quality, safety, and ethics in medicine. He notes that while evidence-based medicine is held up to an ideal, clinical expertise and adherence can be inconsistent. The author notes that some have recommended a multidisciplinary institutional effort as opposed to individual clinicians.

The article discusses the importance of listening and acquiring an accurate patient history in order to provide effective healthcare. Topics include a short story, the disadvantages of jumping to conclusions and misunderstandings, and the necessity of interpersonal communications and understanding a person's perspective.

The article discusses the importance of clinical ethics in clinical work for maintaining joy and meaning. Topics include implications of bioethics for medical students and clinicians, need of understanding the ethical dilemmas in healthcare, and need of adopting positive attitude and qualities like kindness, virtue, and compassion in clinical work.

The article offers information on the role of medical schools and perspective of clinicians towards the kindness. Topics discussed medical schools ways to best prepare and inspire students to become superb physicians; focuses on kindness at all levels of medical education and patient care; and highlights the professional responsibilities inn which include the language of professionalism.

The article presents a study which focuses on the performance of brain imaging in patients with Parkinson's disease. The study uses the features of the of Parkinson's identified by a neurologist such as rigidity or gait impairment and tremor. Results show the sensitivity of the magnetic resonance imaging (MRI) compared to computerized axial tomography (CAT).

The article describes a case of a patient with anti-NMDA receptor encephalitis. Topics noted include the signs and symptoms displayed by the patient, development of anti-NMDA receptor encephalitis as a paraneoplastic phenomenon, importance of testing the level of N-methyl-D-aspartic acid antibody in the serum and cerebrospinal fluid, and treatment of the disease with high dose steroids, plasma exchange or immunoglobulin, and immunosuppressive therapy.

A first person narrative is presented that explores the author's experience of secondary intention in medicine.

The article describes the case of a 62-year-old female patient with diabetes who complained of numbness in her legs, lower torso and hands. Particular focus is given to her medical history, as well as the result of her lumbar magnetic resonance imaging (MRI) and neurologic tests. She was diagnosed with symptomatic vitamin B deficiency. Also mentioned are a possible minimalistic approach to the case, alternative laboratory tests and total cost of the patient's diagnostic assessment.