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

PEMBlog

As many as 40% of these children will receive a chest x-ray (CXR) during their ED visit despite clinical guidelines advising most of these tests are low value. Understanding root causes of CXR use in the ED clinical setting is key to mitigating overuse of this test.

Asthma 52
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Social Risk Burden and Its Impact on Healthcare Use in IBD

Physician's Weekly

High social risk burden in adults with IBD drives emergency care use and medication gaps—spotlighting the urgent need for social screening in clinical practice. Social risk burden was categorized as none (0/6 domains), mild (1/6), moderate (2/6), and severe (≥3/6).

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What You Should Know About Radiation Oncology: Anish Butala, Emily Martin and Evie Kalmar

GeriPal

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. But I think where it ends up causing problems is just if they’re going to have many sessions, transport to and from, and just the overall cost that can be essentially not feasible for the hospice.

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

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Katie, welcome back to GeriPal. No, you can’t- Eric: Why not? Katie: Yeah, sure.

Illness 137
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. Now as I understand it, you and Dr. Widera talked in clinic about this and that. Should we abandon the term, “comfort measures?” Eric: Yeah.

Families 113