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

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system.

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Oxygen Delivery and Devices with Dr. Bilal Jalil

Louisville Lectures

Bilal Jalil presents 'Oxygen Delivery and Devices" by first building and narrowing the differential for hypoxemia. He then discusses the factors that affect oxygen delivery as well as the nasal cannula flow and Fi02 relationship. Finally, he finishes with a talk on oxygen beyond nasal cannula.

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How to manage GLP-1s in the hospital

Today's Hospitalist

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. “I would not recommend starting a GLP-1 in the hospital.”

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

GeriPal

So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. So you mentioned the burden of chronic multimorbidity and sort of flogging through the diabetes and the hypertension. Patient just got discharged from the hospital, just coming back from the skilled nursing facility.

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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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On Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg

GeriPal

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? Eric: Six months ago. Ramona: Glomerular Filtration Raterate. I probably should have said GFR. Eric: Yes.

IT 92
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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. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Alex brought up the ESAs, the Edmonton symptom assessment scale. And so is there just a placebo effect? But you are right.

Illness 134