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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. We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). We meet people where they are and in many different ways.

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

If a patient only has one medical problem and never had any surgeries, why would any reader of their medical record prefer to view one or more full screens or pages of what has NOT happened to this patient, at least not as of some date in the past when that was nailed down as the patient’s medical profile. Dietary strategies reviewed.

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Drinking the Disease: Arsenic Exposure in Well Water from the Perspective of Patients and Providers [Social determinants and vulnerable populations]

Annals of Family Medicine

Despite recommendations for routine screening, this is rarely done. Chronic exposure has been associated with diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy, and QT prolongation. Arsenic cannot be seen, tasted, or smelled.

Patients 130
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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 practitioners at Mesa Family Physicians get to know your health patterns over time, making it easier to spot subtle changes that might indicate developing issues.

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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. I think actually that’s a way to link the inpatient and the outpatient, because the inpatient measure domain 4 has a social vulnerability domain where you have to screen for social isolation.

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Redefining Alzheimer’s Disease: A Podcast with Heather Whitson, Jason Karlawish, Lon Schneider

GeriPal

You can easily have fibrinoid necrosis of your kidneys and not have hypertension, but the pathology of hypertension is most commonly associated with fibrinoid necrosis. Jason: You could have hypertension and have no signs and symptoms. So too systolic hypertension in elderly people, clinical trials. You can see it.

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