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Defining Emergency

StorytellERdoc

Lately, though, it seems the system meant to provide this care is being bogged down by questionable decision-making. Instead of providing emergent care, it seems I spend at least half of my emergency room time now playing doctor to chronic illnesses. To office appointments sent to the ER because "we are overbooked today."

ER 100
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Prescribing Red Flags and Suspicious Controlled Substance Orders: Current Cautionary Tales

FDA Law Blog

Houck — Separate decisions by federal district courts in Texas and Puerto Rico in the past two months provide cautionary tales for every pharmacy and wholesale distributor dispensing or distributing controlled substances. Providers should be aware of the other drugs prescribed to their patients. By Larry K. Holiday CVS, L.L.C.

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Circulating tumor cell count guidance may improve long-term outcomes for patients with metastatic breast cancer

Medical Xpress

The use of circulating tumor cell (CTC) count to guide the choice between chemotherapy and endocrine therapy as first-line therapy for patients with metastatic, estrogen receptor (ER)-positive/HER2-negative breast cancer provided overall survival benefit, compared with physician's choice of treatment, according to data from the STIC CTC trial presented (..)

ER 64
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How to Prevent a Potentially Fatal Aortic Dissection

Vascular Physician

Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient. Unless they are seeing their primary care provider for regular check-ups, they may not be made aware of their high blood pressure until they present for evaluation for another medical condition.

ER 52
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Supporting Healthy Aging With Tailored Obesity Management Strategies

Physician's Weekly

If low bone density is present, it’s often treated alongside a weight loss program. First, to meet protein needs, patients can be counseled to include 30 grams of high-quality protein sources at each meal. Distributing intake throughout the day has been shown to enhance muscle synthesis, and targeting 90 g/day provides 1.2

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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

The “Clinical Reasoning Corner” will provide an introduction to the topics that keep our reasoning rooted in the core principles of clinical problem solving. Pre and posttest probabilities provide a framework that helps us decide which diagnostic tests to send, interpret their results, and prioritize our differential.

Clinic 52
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Fleece Pajama Bottoms 2019

StorytellERdoc

I can't pinpoint the moment exactly, but several years ago I began to notice that many of our ER patients were presenting for treatment wearing nice fluffy fleece bottoms. Most of these earlier bottoms for the younger patients were of superheroes and childhood figures, like kitties and ponies. Little Pony is my favorite!"

ER 100