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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 157
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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.

Education 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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The T-Connector Approach: a simultaneous method for in-office assessment of home blood pressure monitor accuracy [Hypertension]

Annals of Family Medicine

Context Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension. Objective To introduce the novel approach of using a T-Connector between a patient’s HBPM and their physician’s office sphygmomanometer to permit a simultaneous blood pressure reading.

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Adherence Labeling: Understanding the Origins, Limitations, and Ethical Challenges of "Diagnosing" Nonadherence [Theory]

Annals of Family Medicine

Although increasingly sympathetic to structural forces that affect health behavior, standard models frequently conceptualize nonadherence as a phenomenon of patient behavior, a self-evident quality belonging to patients that is responsible for a myriad of undesired outcomes.

Diagnose 242
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Co-occurring Issues Facing Patients Who Use Unregulated Drugs: Insights From a Survey in Edmonton, Canada [Community based participatory research]

Annals of Family Medicine

76% (379/499) of participants expressed having a diagnosed or undiagnosed serious mental health problem, such as depression, anxiety, post-traumatic stress disorder, bipolar disorder, or schizophrenia. 40% (201/499) of participants were reluctant to seek medical care because they use drugs.

Community 130