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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

We walked down to the emergency room and reviewed his chart. Then things started to get a little bit different… His chest x-ray had some peripheral infiltrates, and the emergency department providers ordered a CT scan. Yet, managing uncertainty is the “name of the game” in diagnostic reasoning.

Illness 52
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things.

Screening 119
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Finding the Right Clinic: A Guide to Quality Care

Plum Health

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. Patients who have a trusted primary care doctor are more likely to follow medical advice, manage their chronic conditions effectively, and ultimately enjoy better health outcomes. What does it mean to go to clinic?

Clinic 52
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When to Go to Urgent Care for a Sore Throat: How Can Urgent Care Help?

Doctor On Demand

However, there are “Red Flag” symptoms that require urgent evaluation and management. When to go to the ER for a sore throat Go to the emergency room (ER) if your sore throat causes any difficulty swallowing or breathing. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52
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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’ve seen patients post transplant when they start having complications. They are complicated.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

We are fortunate to have Tammie Quest, emergency and palliative trained and long a leader in this space, to help us unpack and contextualize these findings. Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? That’s when they got enrolled.