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When the diagnosis is personal: What my mother’s Alzheimer’s taught me about healing

KevinMD

I’ve spent my career as a neurologist diagnosing and managing neurodegenerative diseases. I’ve counseled families through heartbreaking prognoses, navigated complex care plans, and educated patients about conditions like Alzheimer’s disease.

Diagnosis 152
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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Post-rotation, 64% of residents felt more comfortable diagnosing OUD. Notable, 92.9%

Education 130
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Decisional Regret Two-Year after Diagnosis with Low-risk Prostate Cancer in a Population-based Sample [Cancer research (not screening)]

Annals of Family Medicine

Context: Men newly diagnosed with low-risk prostate cancer (LPC) have multiple treatment options available, each with potential effects on quality of life (QOL). Objective: To assess decisional regret (DR) and QOL changes by treatment choice (surgery, radiation or active surveillance) two years after diagnosis in a cohort of men with LPC.

Diagnosis 130
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Understanding Barriers to Congenital Syphilis Prevention and Care Through Provider and Patient Perspectives [Infectious diseases (not respiratory tract)]

Annals of Family Medicine

Objective This study explores barriers to CS prevention and care by investigating perspectives from prenatal healthcare providers and mothers of diagnosed infants. Population Studied The study included ten physicians and advanced practitioners and seven mothers who had delivered infants diagnosed with CS.

Provider 130
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High use of the emergency department among patients in Krakow, Poland: An alternative to seeking primary care? [Acute and emergency care]

Annals of Family Medicine

Individuals who frequently attend the ED comprise up to 10% of patients, while accounting for a third of ED visits. Objective: To describe frequent ED use among patients in Krakow, Poland. Population Studied: Adult patients (≥18 years of age) with high ED use (≥5 visits per year) were included. median: 6, IQR: 2.0).

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Effects of the COVID-19 pandemic on primary care for diabetes in Canada: Results from a mixed-methods study [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: To understand if the pandemic resulted in changes in care for patients with diabetes. 2) Qualitative interviews were conducted to understand patient experiences with navigating diabetes care during the pandemic and analyzed using qualitative description. Results: We identified 84,617 patients for the cohort study.

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Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Annals of Family Medicine

A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD.