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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.

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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Recall from our first article in the “Clinical Reasoning Corner” that pretest probability represents the relative probability we attribute to a certain disease before we gather further diagnostic data. As this article explains , using LRs can be time consuming, making it impractical to apply them to every clinical decision.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. All kids with hypertensive emergency need ICU-level care. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.

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GeriPal Takeover! Nancy Lundeberg and Annie Medina-Walpole

GeriPal

We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. And then I got to choose the first article.

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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. Because I also feel like we target people’s low sodium diets in the hospital.

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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. Eric: Which brings us to an article. Eric: This comes down to also like, if I find… As an oncologist, somebody has very high hypertension, is it my role to control that hypertension? Jessie: Exactly. Eric: Oh, you were? Eric: Yeah.

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How to choose between Pediatrics and Internal Medicine for post-graduation?

Tiny Physician

This article is for those who are perplexed between IM or Pediatrics and want to know more about the subject in detail and the possible circumstances that they will have to face during residency. Emergencies Image taken from American Academy of Pediatrics The pediatric and adult emergency scenarios are totally different.