Link to the Show / Show Notes This summary covers the issue of November 26, 2009. Featured are articles on niacin or ezetimibe and carotid intima-media thickness; biventricular pacing in patients with bradycardia and normal ejection fraction; a novel antibody associated with autoimmune pancreatitis; and rituximab, B-lymphocyte depletion, and preservation of beta-cell function; a review article on diuretics for hypertension; a case report of a woman with chronic renal failure, leg swelling, and skin changes; and Perspective articles on pain management, drug safety, and the FDA; on getting to the real issues in health care reform; and on controlling U.S. health care spending.