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

A Country Doctor Writes

Six years ago, I wrote the essay below about an article I read in the New England Journal of Medicine. 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. We meet people where they are and in many different ways.

Patients 130
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. He was describing his, like, 87 year old grandma who was placed on a low salt diabetic diet.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

We got a couple of articles to discuss and a lot of different components of this. Why would CBT work for neuropathic pain and diabetes differently than it would work for neuropathic pain and cancer? Eric: Which brings us to an article. [laughter] Eric: Okay, Katie, we’ve got a lot to cover with substance use disorder.

Illness 136
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On Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg

GeriPal

Our guests Tim Farrell, Ramona Rhodes, and Nancy Lunderbjerg wrote an article in JAGS on this issue, and Sharon Brangman wrote a separate JAGS article on the need to achieve diversity in study populations. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request. Eric: Yes.

IT 91
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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. So you mentioned the burden of chronic multimorbidity and sort of flogging through the diabetes and the hypertension.

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8 Reasons Why Family Physicians are the Actual Stars of Medicine

Family Medicine Initiative

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. 2 , 4 I believe this is crucial and that all politicians should know about it.