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

KevinMD

I’ve counseled families through heartbreaking prognoses, navigated complex care plans, and educated patients about conditions like Alzheimer’s disease. I thought I understood what it meant to live with a memory disorder, until my mother became my most challenging, most personal patient.

Diagnosis 157
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Coach McLungsSM, Facilitating Shared Decision Making for Asthma - Patients and Caregivers Perspectives [Health care informatics]

Annals of Family Medicine

SDM involves a collaborative process between patients and providers to make informed healthcare choices. Despite its proven benefits in enhancing patient outcomes, real-world constraints such as time, training, and staff availability hinder its widespread implementation. Intervention/Instrument: Survey.

Asthma 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

It evaluated the nature and impact of stigma, health literacy, effective communication with healthcare providers, and the emotional responses associated with a CS diagnosis. Mothers noted withholding their diagnosis due to feelings of shame, guilt, or embarrassment.

Provider 130
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Important Outcomes for Type 2 Diabetes Mellitus: The Patients Perspective [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Patient Important Outcomes (PIOs) was first introduced in the literature with the criticism that research studies were designed with outcomes relevant to health care providers, but not relevant/important to patients. Study Design & Analysis: Mixed methods study employing physician survey and patient focus groups.

Diabetes 130
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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. Study Design A behavioral health curriculum was designed for second year residents.

Education 130
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My First Case of Algophobia? Or Münchausen Syndrome? Or maybe Just Another Patient with Opiate Induced Hyperalgesia, Allodynia, or Maybe Just Opiate Use Disorder?

A Country Doctor Writes

My problem managing Jimmy’s medications is that he keeps getting hurt, more often than most other patients I have run into. My problem managing Jimmy’s medications is that he keeps getting hurt, more often than most other patients I have run into. We also have patients with various forms of allodynia like fibromyalgia.

Patients 130
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One Disease With Many Names: Which One You Use Makes a Difference in the PA Process

A Country Doctor Writes

I have a patient with severe lung disease who is on oxygen 24/7. So I called the patient’s pharmacy and they don’t have it in stock, but they can get it and my insurance would require a prior authorization. So I sent in a prior auth request with the diagnosis of chronic respiratory failure with hypoxemia.

Diagnosis 130