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ICU telemedicine programs bring essential critical care to community hospitals

Sound Physicians

With larger metropolitan hospitals struggling to manage the limited capacity of ICU beds, timely patient transfer isn’t always an available option, and even when it is an option, patients and their families in the community have an expectation that they can stay local for care.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

An essential part of the diagnostic process involves creating a problem representation (PR) and then trying to match that PR to a specific illness script. But, this requires an adequate understanding of the syndrome and having well-defined illness scripts. Part of the problem is that we are still figuring out this illness.

Illness 52
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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

In this post we’ll dive deeper into our illness script for Granulomatosis with Polyangiitis (GPA). A CXR showed a left upper lobe consolidation, and he was treated with antibiotics for presumed community-acquired pneumonia. Welcome back, Clinical Problem Solvers! A CT Chest showed multifocal cavitary lung nodules.

Illness 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Time spent diagnosing, monitoring, and treating asymptomatic prostate cancer in men with limited life expectancy distracts from monitoring and treating their symptomatic life-limiting illnesses. Also, limited life expectancy increases the likelihood of complications from most procedures, including radiation therapy.

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Episode 155: Antiracism in Medicine Series – Episode 5 – Racism, Power, and Policy: Building the Antiracist Health Systems of the Future

The Clinical Problem Solvers

Understand that collective action and a focus on community, rather than individualism, are most effective in combating racism and achieving health equity. One of the biggest barriers to health equity is the narrow focus on the individual and a failure to see health as a widespread community issue. Accessed December 9, 2020. Directors).

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Homeopathic Industry Group Wants Court to Exclude It From FDA’s Enforcement Plans

FDA Law Blog

Or maybe in high school English class you discussed whether The Turn of the Screw was a ghost story or a cautionary tale about mental illness. This lawsuit has FDA and the homeopathic health community looking at the same provisions of the 2020 CARES Act from vastly different perspectives. It’s a dessert topping; no, it’s a floor wax.

IT 100
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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Asthma 52