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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

The USPSTF claims "screening interventions" decrease the prevalence of depression at six-month follow-up by an odds ratio of 0.60. This number is surprising when we consider the following: A meta-analysis of six RCTs found the benefit of SSRIs, compared to placebo, to be small and statistically insignificant at six months.

Follow-Up 360
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The AI Doctor Will Message You Now

Sensible Medicine

I’ve been following the general conversations and have been particularly interested in AI’s potential to improve diagnostic performance. The test characteristics of most data from the history is poor. I started with a steroid two years ago, but the pain was too severe and I ended up with an injection in my back.

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Artificial Intelligence can be the Catalyst for Transformative Change at NIH

Sensible Medicine

Dr. Bhattacharya’s appointment was partly to prevent a repeat scenario. Traditionally, NIH (and science in general) identifies priorities by looking at historical burdens of diseases or by following the leads of existing research. This resulted in an incomplete response rather than a holistic, data-driven strategy.

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Doctor’s Failure to Follow Up on Medical Test Leads to Large Settlement

Pulmonology Advisor - Practice Management

Ordering diagnostic tests is a standard procedure for physicians; yet if the test results aren’t reviewed and acted upon, what was the point of ordering the test? However, Dr P, who had an extremely high caseload at the medical center, failed to follow up on this finding. However, Mr W would not make it until then.

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Friday Reflection 28: Four of the Things Patients Have Taught Me

Sensible Medicine

We read about diseases and their associated diagnostic tests and treatments. Clinical findings and blood tests hint at the diagnosis, but the only truly confirmatory test is a biopsy of the temporal artery – a small procedure but a procedure all the same. Diagnostic tests give you more than just a diagnosis.

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Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

Even though my practice is made up of about 750, overwhelmingly older people, mostly with chronic medical conditions, I only attend to the death of a patient a few times a month. PT’s own appointments with me are mostly consumed by discussion about LT.  Acceptance followed and waxed and waned.

Hospice 312
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Telehealth Analysis: The Pros & Cons

We Care Online

Convenience and Time Savings Telehealth appointments save time for both patients and healthcare providers. Rather than sitting in a waiting room or spending hours commuting to and from appointments, patients can log into a video call from their home, office, or even while traveling.