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

A Country Doctor Writes

We provide many more services over the phone and virtually and we have a whole division for preventative care. We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). We meet people where they are and in many different ways.

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.

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Age, Self-Rated Health, and Medical Conditions are Associated with Patient-Provider Discussions of Colorectal Cancer Tests [Population health and epidemiology]

Annals of Family Medicine

Preventive Services Task Force recommends screening for CRC in adults aged 45 to 49 years (grade B), all adults aged 50 to 75 years (grade A), and selectively offering CRC screening in adults aged 76 to 85 years (grade C). We further eliminated respondents if they were missing data on any of the variables in the study.

Provider 130
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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

Despite recommendations for routine screening, this is rarely done. Chronic exposure has been associated with diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy, and QT prolongation. Arsenic cannot be seen, tasted, or smelled.

Patients 130
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Molecular Analysis Improves FH Prognosis & Risk Stratification

Physician's Weekly

Adding genetic testing to clinical familial hypercholesterolemia screening improves risk assessment, prognosis and helps to guide targeted therapy. Rodríguez-Padial and colleagues found that patients with DLCN scores of 6 or higher were younger, experienced less hypertension, and had higher rates of smoking.

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Telehealth for Maternity Care: Qualitative Perspectives of Clinicians and Mothers [Qualitative research]

Annals of Family Medicine

Research has associated telehealth interventions with reduced self-reported smoking during pregnancy, reduced risk of gestational hypertension, and continuation of breastfeeding. This concern is in part due to the risk of replacing in-person visits, which are beneficial for building rapport in the mother-infant-provider relationship.

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Proactive Wellness: The Lifesaving Benefits of Regular Check-ups 

East Cary Family Physicians

Regular health check-ups are proactive visits to your healthcare provider when you are not experiencing any specific symptoms or ailments. Many health conditions, such as hypertension, diabetes, and certain cancers, can develop with little to no noticeable symptoms in their initial stages. What are Regular Health Check-ups?