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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system.

Patients 130
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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Many parts of the country are currently experiencing dramatic surges in cases, with entire hospitals in New York being dedicated to the care of COVID-19 patients. It started off like any other cardiology admission that we’d had during that month.

Illness 52
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How to manage GLP-1s in the hospital

Today's Hospitalist

Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. That’s according to two internists who work closely with hospitalized patients who take GLP-1s. “I would not recommend starting a GLP-1 in the hospital.” Nor should they be.

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

GeriPal

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. He was describing his, like, 87 year old grandma who was placed on a low salt diabetic diet. I don’t know.

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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? Eric: Six months ago. Ramona: Glomerular Filtration Raterate. I probably should have said GFR. Eric: Yes.

IT 91
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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

So you mentioned the burden of chronic multimorbidity and sort of flogging through the diabetes and the hypertension. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. But I think the most important thing is just to, to recognize, to ask these types of questions.

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8 Reasons Why Family Physicians are the Actual Stars of Medicine

Family Medicine Initiative

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. 2 , 4 I believe this is crucial and that all politicians should know about it.