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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. Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. 1) Healthcare is not at all customer centered. We meet people where they are and in many different ways.

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Dr. Marsh Shares 3 Tips for Healthy Feet

Logansport Memorial Hospital

For example, numbness in your feet may be a sign of diabetes or swelling could indicate high blood pressure. In this blog article, Dr. Scott Marsh, our podiatrist here at Logansport Memorial, shares some tips to keep your feet healthy. If you have diabetes, see your podiatrist for regular check-ups.

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Why Concierge, Concierge Doctor, and Concierge Medicine Are Revolutionizing Healthcare (And Why You Should Care)

Plum Health

In recent years, one of the most intriguing shifts has been the rise of concierge medicine—a model that’s redefining how patients interact with their healthcare providers. In this article, I want to give you a clearer understanding of what concierge medicine is, why it’s gaining popularity, and how it might be a good fit for you.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

Summary Transcript Summary Diabetes is common. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And yet we’re also in a different place in diabetes monitoring and management. Goldilocks zone).

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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden

GeriPal

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ).

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. Delighted to be here.

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

GeriPal

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient? Matthew, I get the lyrics.