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Why I don’t do “weight loss” as a primary care physician

Vida Family Medicine

From specialized obesity clinics to online services offering quick prescriptions, the options can feel overwhelming. While losing weight is often suggested to lower the risk of chronic conditions like diabetes, high blood pressure, or heart disease, the risk of prescribing weight loss is overlooked.

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Why Identifying and Managing Giant Cell Arteritis as an Emergency Is Crucial

Physician's Weekly

I’m the Vice Chairman of Rheumatology at the Cleveland Clinic and the co-director of the Center for Vasculitis Care and Research. And I’m here today to talk about giant cell arteritis in clinical practice. We don’t want to overtreat GCA, but again, under diagnosing it has life altering consequences.

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

GeriPal

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. Is your impression that HFpEFde is under diagnosed in older adults? Yes, over diagnosed in older adults are about right. Parag 13:23 So I think I would say under diagnosed.

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Amyloid Antibodies and the Role of the Geriatrician: Nate Chin, Sharon Brangman, and Jason Karlawish

GeriPal

Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA approval process that was in the kindest words “rife with irregularities”. That was an FDA decision.

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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95
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On Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg

GeriPal

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? Ramona: Glomerular Filtration Raterate. I probably should have said GFR. Eric: Yes. I just choose GFR.

IT 91
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Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera

GeriPal

How should I define cachexia and anorexia when I’m talking to fellow students or thinking about it in my own clinical practice? We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it.

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