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

A Country Doctor Writes

Most medical practices are still stuck doing piecework. 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. A Country Doctor Writes: is a reader-supported publication.

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Post-Transplant Survival and Immunosuppressive Trends

Physician's Weekly

Shifting immunosuppressive trends in France revealed strong kidney transplant survival and a steady reliance on calcineurin inhibitors from 2009 to 2020. They used data from the French national healthcare database to identify all adults who underwent kidney transplantation between 2009 and 2020. years [IQR: 1.6–7.0

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

Permanente Medicine

Affiliation will allow groups to drive high-value care and innovation PORTLAND, ORE, April 16, 2025 – Oregon-based Northwest Permanente (NWP) and The Permanente Medical Group (TPMG) of Northern California announced a formal affiliation today. Most transactions are largely focused on size, scale, and finance.

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Episode 155: Antiracism in Medicine Series – Episode 5 – Racism, Power, and Policy: Building the Antiracist Health Systems of the Future

The Clinical Problem Solvers

Though the field of medicine often fails to think systematically, it is imperative that all healthcare workers learn to recognize racism, actively practice anti-racism, and acknowledge the many systems that impact people and community’s health. Harvard Medical School Primary Care Blog. 2009 Jun;101(6):501-12. Medical Care.

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

The Clinical Problem Solvers

Our guests explain how we can incorporate race-conscious medicine in clinical settings, medical education, and biomedical/epidemiological research to responsibly recognize and address the harms of racial inequality. These factors include a high-protein diet, muscle mass, creatinine generation, and certain medications.

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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. Welcome back Lona.

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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. It’s not a controlled substance medication. Eric: So I heard gabapentin is the 10th most commonly prescribed medication in the US. Cochrane Database of Systematic Reviews Review.