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Should We Screen for Atrial Fibrillation? ESC Says Yes (2024), Evidence Says…?

Family Medicine Initiative

ACC/AHA/ACCP/HRS Guideline (2023): “It is not yet established that patients at high risk of developing AF by a validated risk score benefit from screening.” Although not a guideline, still relevant: The German Arznei-Telegramm concluded in 2021, 2023, and 2024 that atrial fibrillation screening is not recommended in asymptomatic individuals.

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Well-being Investment: Movement & Exercise

Joy in Family Medicine Coaching

You Know This - still - it’s a good time to review through the lens of self instead of patient care. Lower risks of cardiovascular events and all-cause mortality. For very sedentary individuals every step above 2,200 steps is beneficial. Today we go a bit more in depth on movement and exercise. Wear a fitness tracker.

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Delayed SEC Access and Survival in axSpA

Physician's Weekly

Secukinumab showed moderate effectiveness but delayed access and reduced survival in later-line use, especially among publicly insured patients. They assessed patients aged ≥ 18 years with axSpA or axPsA who received ≥ 1 dose of SEC. events per 100 patients per year [95% CI 5–12]. The incidence of AEs was 7.9

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Green Practice News: April 2025

My Green Doctor

In This Issue : New Research: Teaching Patients about Climate Resilience Make the Pledge Today to Go Green Get Ready for Earth Day 2025 (part 2)! According to the 2023 report of the Lancet Countdown, mortality caused by extreme heat events increased by 53.7% from 2000 to 2018 among people over 65 years old. Contact us today!

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Supporting Healthy Aging With Tailored Obesity Management Strategies

Physician's Weekly

First, to meet protein needs, patients can be counseled to include 30 grams of high-quality protein sources at each meal. I envision primary care clinicians playing an important role in assessing the individual needs of the older adult patient and helping them access essential elements of the care plan.

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Discover Direct Primary Care: An Excellent Choice for Uninsured, Underinsured, and High Deductible Health Plan Holders - Detroit and Royal Oak

Plum Health

Raquel Orlich treats a Plum Health member Are you a self-employed individual, uninsured, underinsured, or enrolled in a high deductible catastrophic health plan in the Detroit or Royal Oak area? While your insurance covers significant events, DPC takes care of routine healthcare needs affordably.

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Traditional vs. Subscription Primary Care Payment Model: Which Fits You?

Plum Health

Direct Access to Your Doctor : Many DPC providers limit their patient load, meaning you get more face-to-face time with your doctor, often with little to no wait time. Traditional primary care practices tend to have more patients, which can lead to longer wait times and potentially longer waits for appointments.