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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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Low Lumbar Muscle Mass Linked to ICU Mortality

Physician's Weekly

Mortality was the primary outcome, divided into short-term (ICU, hospital, 28- and 30-day) and long-term (> 30 days) categories, MEDLINE and Embase were searched without date limits. Screening was done using Rayyan, data extraction by a custom tool, and quality was assessed using the JBI Cohort Study Checklist.

Illness 52
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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. How to screen for hearing loss. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. Transcript.

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

GeriPal

And I think of the analogy of, like, cancer screening. The stopping the cancer screening doesn’t have that same sort of momentum. Eric 16:36 Okay, Connie, I got one last question about your article. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin.

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Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

GeriPal

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Or is it that I’m just not screening?

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

The article we discuss today, also published in JAMA , addresses these two gaps. You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. David: Exactly.

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

GeriPal

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. We got a couple of articles to discuss and a lot of different components of this. Jessie: Exactly.

Illness 136