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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. in 2019, with 78% receiving radiation therapy and 22% undergoing surgery.

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Using technology to reclaim our time

Today's Hospitalist

Since the mid-1990s, our capacity for innovation has never stopped as hospitalists navigate a complex landscape of acute illnesses, interprofessional collaborations and the imperative to provide efficient, high-quality care. We have seen explosive growth and become a cornerstone of modern health care systems.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

Clin Infect Dis 2019; 68:13. Per the CDC, diagnosed mycoplasma infections increased steadily through the summer of 2024, peaking in August for 2 to 4 year olds and 5 to 17 year old age groups. It’s often accompanied by wheezing and or rails, and fever and illness are typically milder. 2024 Dec;56(1):2386636.

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. A negative test can also provide false reassurance. Decreasing respiratory viral testing in critically ill patients. Most children do not need and should not be tested for respiratory viruses.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

She happened to focus on some specific for-profit hospice providers. They were all actually publicly traded or private equity owned for-profit hospice providers. And I didn’t read it as damning of all for-profit providers, but I think it needed to happen. It feels somewhat random in some ways. Eric: Lack of a caregiver.

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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. Although I saw that hospice was providing a lot of really great quality care for these patients, I also saw a lot of problems.

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