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Episode 68: Human Dx unknown with Rabih & UNC residents – lower extremity weakness

The Clinical Problem Solvers

Ann Marie Kumfer Dr. Kumfer is a third year resident at the University of North Carolina Internal Medicine Residency. She is pursuing a career in hospital medicine and is interested in medical education and diagnostic clinical reasoning. She completed medical school at Texas Tech University Health Science Center.

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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. This is my favorite article, Susan, that I talk about of M a nju is a New England Journal article that came out 2009. 2009, yeah, 2009.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

The one thing that we know is that education alone will not actually deliver behavior change. So if you look at anything pre 2009, seven or nine in emergency medicine, anything that was published as an intervention was essentially a primary palliative care intervention. So let’s just start there. I don’t know.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Caroline: Again, just further educating on the front lines and families in particular, I think is really important as well as these policy implications. Rehabbed to Death.