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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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Friday Reflection 41: Sometimes I Just Need to Complain

Sensible Medicine

She is discharged on dual-antiplatelet agents and an increased statin dose. They also repeated all the tests that the community hospital had done. Fortunately, healthcare is free, and the patient was not harmed by the testing. The initial pathology was inconclusive, so further genetic testing was done on the sample.

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Insights from Digital Health Leaders at ViVE 2025

EvidenceCare

Dr. Wilcoxs journey into digital health started with a simple observation: patients in the post-anesthesia care unit were experiencing unnecessary delays in discharge, leading to longer hospital stays. The idea of integrating multiple solutions into one seamless experience is something I hadnt seen as much in the past, Wilcox shared.

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Are you protecting your career? 5 essential questions about your NP liability insurance

KevinMD.com

Initial testing and symptoms suggested a concussion, leading to discharge. A nurse practitioner (NP) in urgent care saw a patient with a severe headache following a fall. However, when the patient’s worsening condition later revealed an elevated white blood cell count, they were rushed for further evaluationbut it was too late.

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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

None of these trials adequately test or quantify the benefit of postpartum depression screening, not to mention universal depression screening. Fortunately, she was discharged the next morning. After COVID lockdowns, she struggled to readjust to in-person schooling. She had overdosed on her antidepressants.

Follow-Up 360
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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.

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Advice for Internship: Part II

Sensible Medicine

Whatever else goes on in the hospital, this is a problem that needs to be addressed, if not solved, prior to discharge. For any test you order, what is the diagnostic hypothesis you are testing? Ask yourself, “what is the pre-test probability of the disease I am testing for?”

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