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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

This week’s Journal has a very profound article about why healthcare has not evolved through its technology the way other sectors of society have. 1) Healthcare is not at all customer centered. 1) Healthcare is not at all customer centered. A Country Doctor Writes: is a reader-supported publication.

Patients 130
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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. Conclusions To meet pressing needs for ADRD diagnosis and management, early detection of cognitive issues in primary care settings is needed.

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Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

Both of our groups have walked the walk and have achieved superior and equitable patient outcomes, created fulfilling environments to practice medicine, and committed to managing the costs associated with care.” TPMG teams are sharing programs for diabetes management to support patients in NWP.

Medical 52
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Race, racism, and racial inequality have tangible impacts on people’s livelihoods, much less their experiences in the healthcare system. However, the diagnostic approach used to determine changes in clinical management of renal disease (i.e. This can contribute to a more holistic understanding of disease progression and management.

Clinic 52
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Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

GeriPal

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

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

GeriPal

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. For example, with peritoneal dialysis and conservative management.

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Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer

GeriPal

This long and sordid history of gabapentin and pregabalin is beautifully described in Seth Landefeld and Mike Steinman 2009 NEJM editorial. 2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. J Am Geriatr Soc. Cochrane Database of Systematic Reviews Review. Annals of IM. This is Eric Widera.