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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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Approach to steatotic liver disease in the office: Diagnosis, management, and proposed nomenclature

Canadian Family Physician

Objective To provide an update on the most recent developments regarding diagnosis and outcomes of steatotic liver disease (SLD), review new nomenclature applied to SLD, and provide an approach to the diagnosis and management of SLD. Subtle differences are present among patients diagnosed with SLD.

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Subclavian Steal Syndrome

Vascular Physician

Treatment Options Conservative management includes lifestyle changes such as smoking cessation, weight loss, and regular physical exercise. Medications to use include controlling dyslipidemia, hypertension, and diabetes along with antiplatelet therapy.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. The sheer prevalence of this condition raises the pretest probability dramatically, thereby diminishing the discriminatory effects of our tests and makes COVID-19 a realistic possibility in almost any presentation (whether it is causal or just incidental).

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

Today's Hospitalist

Key takeaways: Hospitalists will increasingly have to manage inpatients taking GLP-1s. THE BLOCKBUSTER GLP-1 receptor agonists are a transformative class of medications increasingly tied to better outcomes across a variety of conditions and organ systems, not just in patients with obesity and type 2 diabetes.

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Why Regular Check-ups Matter: Preventive Care at Mesa Family Physicians

Mesa Family Physician

Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address. Our goal is to help Mesa’s senior population maintain independence and quality of life through proactive health management.

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

GeriPal

He was describing his, like, 87 year old grandma who was placed on a low salt diabetic diet. So I have a two and a half year old, and during my last pregnancy, I had gestational diabetes. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible.