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Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

A Country Doctor Writes

We may only have 15 minutes with each patient. A sore knee or an annual physical are like a closeup or a panorama. In primary care it is often necessary to think in terms of including more than our area of interest in our mental picture of our patient. I can take both kinds of pictures with my iPhone.

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Transfibular Total Ankle Arthroplasty Seems Effective for End-Stage Arthritis

Physician's Weekly

from MedStar Union Memorial Hospital in Baltimore, and colleagues retrospectively identified and evaluated 130 ankles from 122 patients with a mean follow-up of 5.9 for the 12-item Short Form Health Survey Physical Component Summary and Mental Component Summary, respectively; 2.3 Jonathan Day, M.D., Three cases of cysts occurred (2.3

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Causes of Brain Fog & How to Get Rid of It

AMMD

These include our physical environment, jobs, relationships, traffic, and unexpected events. Hypothyroidism (an under-active thyroid) is the most common form of thyroid dysfunction, and 90% of hypothyroidism patients have Hashimoto’s. Sleeping well can also lower your risk for diabetes and heart disease.

IT 130
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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden

GeriPal

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ).

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

GeriPal

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient? Matthew, I get the lyrics.

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

GeriPal

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 133
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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985.