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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. Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down.

Patients 130
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Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

A Country Doctor Writes

My system lets me choose whether to import everything or essentially nothing from the patient’s past medical history. And the past medical history reminds me of a bag person, dragging around everything they own in a stolen supermarket shopping cart. His 10 year cardiovascular risk is average but his BMI is approaching 30.

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Problem Representation

The Clinical Problem Solvers

The defining features of a case can include key or differentiating features (see more details and examples here ): Key feature : a feature that is present consistently and ideally exclusively in the condition. Differentiating feature : a feature shared among other similar conditions but not present in many diseases.

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Subclavian Steal Syndrome

Vascular Physician

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

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How to Prevent a Potentially Fatal Aortic Dissection

Vascular Physician

How to Prevent a Potentially Fatal Aortic Dissection High blood pressure is a well-known medical condition that many people understand is a risk factor for heart attacks, strokes, and diabetes. Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient.

ER 52
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Arterial vs. Venous Ulcers of the Lower Extremity

Vascular Physician

Hypertension and smoking are two major risk factors that may damage the most inner part of the arteries called the intima, leading to local inflammation and fibrosis that increase the resistance of the vessels and therefore restrict blood flow. Leg swelling due to arterial disease, in the absence of other medical problems, is uncommon.

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Prevention of Dementia: Kristine Yaffe

GeriPal

Then I went to medical school and I thought, “Well, should I go into psych? A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. Eric: Going to some specifics, let’s go into vascular risk factors like hypertension. Should I do neuro? Should do medicine?”