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Bouncebacks from SNFs: How one health system is making progress

Today's Hospitalist

WITH PATIENT ACUITY levels rising in hospitals, it makes sense that the patients being discharged to SNFs are likewise increasingly complex. By some estimates, one in four patients discharged to a SNF are readmitted. “We developed our own program to follow patients into SNFs,” Mr. .

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Defining Emergency

StorytellERdoc

Several patients with chest pain (one requiring immediate catheterization), two patients with respiratory distress (one from skipping dialysis and one from a COPD exacerbation), and three patients from a motor vehicle collision presented almost simultaneously to our ER. A month back, I was in the middle of a very busy shift.

ER 100
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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

Recognizing the characteristic features and understanding the differential diagnosis is crucial in managing patients with lower gastrointestinal bleeding. 2006 Oct;99(10):501-5. ” An et. The Meckel’s scan is the preferred diagnostic modality, and prompt surgical consultation may be necessary for symptomatic cases.

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PEMPix 2023 Online Case 4: You Can’t Get Fooled Again

PEMBlog

Platelets 134 × 10 9 /L Alk phos 470 U/L AST 84 U/L ALT 40 U/L VBG pH 7.320, pCO2 81, HCO2 22 Urine Drug Screen positive for cannabinoids The patient had chest x-ray without any notable pathology. The patient was ultimately diagnosed with tyrosinemia type 1, an autosomal recessive disorder of amino acid metabolism. mg/dL Hct 30.7%

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Is it the patient?

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HIV, Aging, and Palliative Care: Peter Selwyn and Meredith Greene

GeriPal

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Care Ecosystem.