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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. We provide many more services over the phone and virtually and we have a whole division for preventative care. We meet people where they are and in many different ways. 1) Healthcare is not at all customer centered.

Patients 130
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Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

A Country Doctor Writes

The past medical history has historically been abused by other specialty providers using a common EMR. Or it may look like these examples: 60 year old male with hypertension, COPD and anticoagulated atrial fibrillation returns for followup. His 10 year cardiovascular risk is average but his BMI is approaching 30. In-house HbA1c is 9.

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Approach to steatotic liver disease in the office: Diagnosis, management, and proposed nomenclature

Canadian Family Physician

Objective To provide an update on the most recent developments regarding diagnosis and outcomes of steatotic liver disease (SLD), review new nomenclature applied to SLD, and provide an approach to the diagnosis and management of SLD. Subtle differences are present among patients diagnosed with SLD.

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Drinking the Disease: Arsenic Exposure in Well Water from the Perspective of Patients and Providers [Social determinants and vulnerable populations]

Annals of Family Medicine

Chronic exposure has been associated with diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy, and QT prolongation. This is the first study elucidating clinician knowledge on the risk and symptomatic presentation of patient arsenic exposure from well water.

Patients 130
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Lupus Emergencies in Children and Adolescents

PEMBlog

Emergency medicine providers should maintain a high index of suspicion for these entities in children and adolescents with known or suspected SLE. Below is a focused overview of key lupus-related emergencies, with attention to ED-relevant presentations, diagnostics, and treatment strategies. Rapid clinical deterioration is common.

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How to Prevent a Potentially Fatal Aortic Dissection

Vascular Physician

Understanding High Blood Pressure High blood pressure, or hypertension, is a common medical condition in which blood pressure flows through the arteries with a force that is consistently higher than normal. Unfortunately, high blood pressure does not always present with symptoms that are noticeable by the patient.

ER 52
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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