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

A Country Doctor Writes

Most medical practices are still stuck doing piecework. 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.

Patients 130
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Oxygen Delivery and Devices with Dr. Bilal Jalil

Louisville Lectures

He then discusses the factors that affect oxygen delivery as well as the nasal cannula flow and Fi02 relationship. Dr. Bilal Jalil completed medical school at the he Aga Khan University, Karachi, Pakistan and his residency at the University of New Mexico Hospital, Albuquerque, NM. Jalil, M.D.

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How to manage GLP-1s in the hospital

Today's Hospitalist

Because many medications can cause weight gain, doctors should consider more weight-neutral alternatives. Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. “I would not recommend starting a GLP-1 in the hospital.”

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STATEMENT RELEASE: Reproductive Health Coalition Statement on Impact of Medicaid Cuts

Doctors for America

Medicaid provides care for low-income families, people with disabilities, children, the elderly, and pregnant people, as well as many safety-net hospitals, community health centers, and nursing and long-term care facilities. Medicaid allows low income women to address medical conditions prior to pregnancy, improving outcomes.

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

GeriPal

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

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

GeriPal

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions.

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

GeriPal

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. And that’s because we were on the podcast.

Illness 136