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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

My take, and extrapolation, is that there are three reasons why healthcare has failed to evolve in usefulness of both our product (the care we deliver) and our technology (our EMRs), our customer centeredness and the value/cost relationship of the services we provide. 1) Healthcare is not at all customer centered.

Patients 130
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How to manage GLP-1s in the hospital

Today's Hospitalist

Key takeaways: Hospitalists will increasingly have to manage inpatients taking GLP-1s. Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. That’s according to two internists who work closely with hospitalized patients who take GLP-1s.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 136
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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

And so there’s complexity in Understanding how each state manages this. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that.

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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Because I also feel like we target people’s low sodium diets in the hospital. Alex 04:47 Probably was, yeah.

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Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera

GeriPal

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine.

Illness 133
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8 Reasons Why Family Physicians are the Actual Stars of Medicine

Family Medicine Initiative

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. 2 , 4 I believe this is crucial and that all politicians should know about it.