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Defining Emergency

StorytellERdoc

I originally wrote this piece in December, 2010. When a critical illness or injury occurs, then, we should all be thankful that we live within a society where emergent, life-saving medical care is available. Lately, though, it seems the system meant to provide this care is being bogged down by questionable decision-making.

ER 100
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

James Stevermer and Kenneth Fink wrote in an AFP editorial : Few men diagnosed with and treated for prostate cancer will experience a mortality benefit, and an estimated 20% to 50% of those treated will never become symptomatic, even without treatment. Explaining the AAFP’s position, Drs. and 6.1%, respectively).

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Transforming the Culture of Dementia Care: Podcast with Anne Basting, Ab Desai, Susan McFadden, and Judy Long

GeriPal

When was that, 2010? Eric: 2010. Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. How do you maintain successful aging, which is often free of disease or illness or disability? You have this brain disease, it will get worse. It is progressive. There is no cure.

Community 102
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Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri

GeriPal

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 111
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The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

GeriPal

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. I think I feel more comfortable as a provider in trying to support people in their isolation.

IT 100
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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. That trajectory was in increase from 2000 to say, 2010. And now about two thirds of the market is for-profit hospices.

Families 107
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Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Chris 07:41 Yeah, it’s a really interesting thing, because the 2010 article was solving the problem of, hey, send us patients, we promise we won’t kill them. What we know was evidence based before?