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Migraine headaches: diagnostic and treatment tips

Common Sense Family Doctor

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

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Does transitional care management improve outcomes after discharge from the hospital?

Common Sense Family Doctor

I've spent the past week as the attending physician on my residency program's adult inpatient service. Practices developed novel workflows to support TCM and to ensure that it is financially sustainable, as reviewed in a 2023 article in FPM.

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Direct-to-consumer advertising distorts prescription drugs’ benefits and costs

Common Sense Family Doctor

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. The ad states that patients may pay as little as $5 per dose, 4 times per year.… Who could blame a patient for believing the drug doesn’t cost much.

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Pathways to primary care for underserved communities

Common Sense Family Doctor

Most family physicians have at some point heard the old saw "jack of all trades, master of none," which I have come to view as less insulting than is usually intended. The authors term "primary care yield" as the percentage of physicians who start training in primary care and complete it in primary care. in 2023-24.

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For family medicine workforce, HHS reorganization plan receives a failing grade

Common Sense Family Doctor

While I'm grateful for subspecialists who alleviate pain, rescue patients who are unable to breathe on their own, manage complicated fractures, and replace worn-out hips and knees, the gap between the number of family doctors we need and the number we have keeps getting wider. How can we train more family physicians?