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STRONG HF – A Positive Trial that Does Not Help Clinical Medicine

Sensible Medicine

Trials select their patients, test the drugs in run-in periods and use research coordinators to help patients navigate complex health systems. The Trial STRONG-HF studied two treatment strategies after a patient was discharged from the hospital after treatment for heart failure. In the real-world, there is none of that.

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Friday Reflection 41: Sometimes I Just Need to Complain

Sensible Medicine

A 76-year-old woman presents to a community hospital after waking with garbled speech and right-sided weakness. Case 1: Excess An elderly woman is admitted to a community hospital with a minor stroke. The hospital does an excellent job. By the time she leaves the hospital, she has no residual symptoms. I love my job.

Follow-Up 264
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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

A thoughtful H&P can avoid unnecessary tests that in turn produce false positive results that then demand further evaluation. Old-fashioned doctors routinely seek all of the patient's previous medical records, not just the discharge summaries. You make a hypothesis - a possible diagnosis - and then you test that hypothesis.

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What I Read This Week

Sensible Medicine

We so desperately need RCT data for our screening tests. In a multinational, open-label, randomized, parallel-group trial, patients aged 18–85 years, admitted to hospital with acute heart failure, were randomly assigned to either usual care or high-intensity care. So why does this article not make me more bullish on mammography?

Follow-Up 286
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Highs and Lows

Sensible Medicine

Luciana Luciana’s discharge day was getting close. Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Her hospital course was uneventful, and she made good therapeutic use of her time on the unit. Her door was open, and she waved me in.

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How Philips Has Pivoted In the COVID-19 Pandemic: Connected Care From Hospital to Home

Health Populi

I’d interviewed Roy at CES 2020 in Las Vegas in January to catch up on consumer health developments, and the March meeting was going to cover Philips’ innovations on the hospital and acute care side of the business, as well as to learn more about Roy’s new role as head of Connected Care.

Hospital 149
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Rehumanizing the Patient Experience

Minority Nurse

We wait for the test results. We wait to be discharged. ” If you’re waiting to be discharged from the hospital, what time you’ll be able to leave is anyone’s guess since one hand often doesn’t know what the other hand is doing. We wait to see the provider. We wait for our IV to be started.