Sensible Medicine

JUNE 28, 2024

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 265

Follow-Up Tests Hospital Discharges 265

The Healthcare Blog

NOVEMBER 14, 2024

Two weeks after my emergency room discharge, I continued to live life as if nothing happened, returning to work without any healthcare follow-up to address my emotional burden. At only nine weeks gestation I had not seen my OB physician yet, but I was able to follow up in the office to talk about my next steps.

Follow-Up 107

Follow-Up Discharges Triage Insurance 107

Sensible Medicine

MARCH 20, 2025

” However, if I complained to my colleagues that I had to do normal hospital things and, further, noted that I resented these same colleagues because my proximity to bodily fluids makes my job nobler than theirs, no one would want to work with me. We know more about hospital governance than most doctors do.

Hospital 166

Hospital Patient Care Huddles/Rounds Follow-Up 166

Sensible Medicine

SEPTEMBER 9, 2024

The Trial STRONG-HF studied two treatment strategies after a patient was discharged from the hospital after treatment for heart failure. Actual cardiologists performed these visits, which included up-titration of meds, but, also, as Adam correctly notes, patients had MD-level assessments. Here were the results. A: It does not.

Discharges 305

Discharges Follow-Up Admissions Hospital 305

Sensible Medicine

SEPTEMBER 8, 2024

Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial I’ve come out pretty strongly against GDMT. The primary endpoint was 180-day readmission to hospital due to heart failure or all-cause death.

Follow-Up 286

Follow-Up Discharges Hospital Medication 286

Sensible Medicine

JANUARY 27, 2025

years of follow-up, death due to coronary heart disease (CHD) or nonfatal myocardial infarction (MI) was lower in the CTA arm (38% relative; 0.7% Yet, in the US (and Germany), procedures make hospitals and doctors lots of money. This was the original primary endpoint ).

Tests 306

Tests Diagnostics Follow-Up Medication 306

Scrubs

SEPTEMBER 26, 2024

An Oregon hospital, Asante Rogue Regional Medical Center, is embroiled in a $303 million lawsuit following an alarming case of fentanyl theft and medical malpractice. The remaining patients, who survived the ordeal, are part of a collective lawsuit against the hospital . According to the U.S.

Hospital 182

Hospital Sterilization Follow-Up Patient Safety 182

Scrubs

JUNE 27, 2023

The teenager was experiencing a range of strange symptoms, including severe pain all over her body, when her mother took her to Johns Hopkins Children’s Hospital. Over time, “your senses get ramped up so if a drop of water touches your skin, it can feel like somebody’s jabbing you with a knife.”

Hospital 189

Hospital Follow-Up Scheduling Medication 189

Sensible Medicine

DECEMBER 16, 2024

JMM The CHAGASICS Trial: A Disturbing Failure of Peer Review at a Leading Cardiology Journal By Anis Rassi Jr, MD, PhD, FAHA, FACP, FACP, Scientific Director, Anis Rassi Hospital, Goiânia, Brazil I submitted a letter to the editor regarding the CHAGASICS trial, which was recently published in JAMA Cardiology (October 2024).

Follow-Up 245

Follow-Up Hospital Medication Admissions 245

Sensible Medicine

MARCH 10, 2025

This was a prospective randomized open-label trial done in 7 hospitals in Australia. Trial Results After 3 years of follow-up, the CAC score-informed group showed significantly greater reductions LDL-C levels compared to usual care. Patients were asymptomatic adults who had a first degree relative with CAD before age 60.

Tests 219

Tests Follow-Up Communication Medication 219

Scrubs

MARCH 6, 2023

They escorted her to a local hospital where she was diagnosed with a malignant brain tumor before undergoing surgery to have the mass removed. Palmer reached out to the Mount Pleasant Police Department for a follow up,” the department said. On February 19, 2023, Ms. The officers wrote that she is now doing well and in recovery.

Follow-Up 246

Follow-Up Hospital Medication 246

Scrubs

APRIL 5, 2023

Dereck Paul is the co-founder of Glass Health, a start-up in San Francisco that offers artificial intelligence chatbot services to doctors looking to ease the burden of routine processes, such as patient documentation. And now doctors are using it to answer routine clinical questions.

Documentation 355

Documentation Follow-Up Medication Hospital 355

Scrubs

FEBRUARY 6, 2023

Beggs shared the videos on TikTok where she quickly racked up hundreds of thousands of views. She now has over 600k followers on the app. I work 12-hour shifts at the hospital and when that’s over, I go home and work on being an influencer and my business,” said Beggs. In fact, it’s enhancing her knowledge and experience.

Follow-Up 278

Follow-Up Scheduling Documentation Collaboration 278

Scrubs

FEBRUARY 10, 2023

Her six-year-old daughter Lorette had a fever and needed to be picked up. The nurse quickly set up a birthing area in her office using a low pediatric cot, the same place where she normally treats kids for tummy aches. Carcamo’s contractions were getting more frequent and there wasn’t time to get her to the nearest hospital.

Follow-Up 278

Follow-Up Hospital 278

Scrubs

AUGUST 11, 2023

trillion, was spent on hospital services. Patients around the country are getting stuck with enormous medical bills as hospitals continue to mark up the cost of their services, including those for routine medical procedures and advanced surgeries. In the end, the patient is forced to make up the difference.

Billing 245

Billing Medication Insurance Hospital 245

Minority Nurse

FEBRUARY 17, 2025

“The Black Angels were a group of African American nurses who were called up from the Jim Crow South between 1929 and1952 to avert a public health crisis set off by white nurses who began quitting Seaview Hospital, New York’s largest municipal TB sanatorium,” Smilios shares.

Follow-Up 102

Follow-Up Hospital Medication 102

Sensible Medicine

FEBRUARY 14, 2025

RM is a 72-year-old man who comes to the office for routine follow-up of spinal stenosis, hypertension, and peripheral vascular disease. I was obsessed with the sport long before I began telling people, “I want to be a doctor when I grow up.” Sensible Medicine is a reader-supported publication. It is March.

Huddles/Rounds 172

Huddles/Rounds Follow-Up Medication Collaboration 172

Sensible Medicine

SEPTEMBER 30, 2024

I begin with this semantic point about causal language because it ends up being one of my two main criticisms of the analysis. This occurs because older patients have more drug-drug interactions, decreased drug clearance, and less robust reflex mechanisms to maintain blood pressure when standing up. These were the treatment arm.

Long Term Care 313

Long Term Care Follow-Up Medication Hospital 313

Scrubs

MAY 9, 2023

He’s been chronicling the journey on social media to show his followers what it means to give back to the community. For his next act of kindness, Tsiliacos teamed up with Good Morning America to surprise a group of 167 nurses at Shriners Children’s Hospital/Northern California for Nurses’ Week 2023.

Follow-Up 246

Follow-Up Hospital 246

Sensible Medicine

APRIL 16, 2024

I admit that I do not follow the Medical AI literature closely. I imagined that the tool was picking up more than just vascular calcifications and heart size. On the one hand this was an ideal population to train on: a large group of people who had had chest x-ray, were being followed, and were at high risk for CV disease.

Follow-Up 248

Follow-Up Tests Admissions Hospital 248

Scrubs

MAY 8, 2023

Tina LaTorella, a nurse at Winchester Hospital in Winchester, Mass., She followed the source of the noise to find one of the houses in her neighborhood in flames. It was a hectic morning, but LaTorella still managed to work through her shift at the hospital. A GoFundMe had been set up to help them pay for expenses. “My

Follow-Up 246

Follow-Up Hospital 246

The Healthcare Blog

JANUARY 27, 2025

One morning, you wake up to a missed call and a voicemail from your PR leader. You follow up and learn that this wasnt just any employee. The patient safety team moves quickly to investigate, and they discover that the patient was a young woman who had given birth to her first child just two weeks ago at one of your hospitals.

Follow-Up 102

Follow-Up Discharges Appointments Hospital 102

Sensible Medicine

JANUARY 15, 2024

Doctors and hospitals incur penalties if a patient with an MI is not on a beta-blocker—unless there is a darn good reason put down in the chart. A place where a learner can go to look up the seminal trials that established modern day cardiology practice. About 16,000 patients were randomized from more than 200 hospitals.

Hospital 335

Hospital Tests Admissions Follow-Up 335

Scrubs

FEBRUARY 14, 2023

“I wasn’t somebody who played with dolls, except my sister’s dolls, and I would line them up in the hallway in our house in California and I would play hospital ship.” She started in the coronary care department but eventually moved up to the ICU and emergency department, but the facility wasn’t exactly equipped for urgent care.

Follow-Up 245

Follow-Up Hospital Medication 245

Sensible Medicine

MAY 31, 2023

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. ” As the conversation wrapped up, I started putting the papers back on her bed.

Discharges 240

Discharges Hospital Follow-Up Admissions 240

Sensible Medicine

FEBRUARY 6, 2024

If applicants are more impressive on paper, but no more impressive in the clinics and hospitals, aren’t we doing something wrong? They were dedicated, followed directions, worked hard, were skilled at the “customer service” side of medicine, and were mature enough to know that medicine was for them.

Admissions 324

Admissions Follow-Up Customer Service Tests 324

Sensible Medicine

NOVEMBER 3, 2023

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.   I usually see people who die alone in the hospital. Some of these patients die alone in the hospital, with nobody at their bedside.

Hospice 314

Hospice Bookkeeping Follow-Up Appointments 314

Sensible Medicine

DECEMBER 20, 2023

I’ve been following the general conversations and have been particularly interested in AI’s potential to improve diagnostic performance. I started with a steroid two years ago, but the pain was too severe and I ended up with an injection in my back. What follows is the suggested reply to the partner of a patient of mine.

Appointments 267

Appointments Diagnostics Scheduling Follow-Up 267

Sensible Medicine

JUNE 8, 2024

I asked Anupam Jena if he could run the Medicare analysis on docs with R01s vs those without, but he felt it would be limited by thin data, and also pointed out that what they lost in clinical skills, they might make up for in intelligence. Most have given up the lab, and are largely clinicians or work in other sectors.

Follow-Up 310

Follow-Up Hospital Tests Medication 310

Sensible Medicine

FEBRUARY 16, 2024

She meets her existing patients and picks up a new one, Bill. They found a medication that made it harder to induce VT and sent him up to the medical floor for admission and monitoring with instructions to initiate that medication. After a mean follow-up of 10 months, 8.3% Bill is 35 and has a severe cardiomyopathy.

Billing 339

Billing Admissions Follow-Up Medication 339

Practice Index

JANUARY 30, 2025

The Government has promised to achieve three big shifts in the NHS, one of which is the so-called left shift of activity from hospital to community. More patient-initiated follow-ups, greater use of the NHS App, and GPs to support patients activating choice of treatment provider are also included.

Follow-Up 90

Follow-Up Care Plan Documentation Hospital 90

Scrubs

MAY 7, 2023

When you call a patient to follow up and they don’t pick up. When the hospital refuses to hire anyone new and all the trouble falls on you and your one friend who hasn’t quit yet. When you realize that you’re basically paying to work as a nurse.

Follow-Up 246

Follow-Up Scheduling Tests Hospital 246

Coronis Health

MARCH 13, 2024

Offering a Lifeline As a means of providing some measure of temporary relief, CMS began on March 9 to release funds to hospitals and other providers as a stop-gap measure to offset the current hold on payments due to the effects of the cyberattack on various healthcare operations.

Hospital 105

Hospital Follow-Up Insurance Certification 105

Sensible Medicine

MAY 17, 2024

So here is a follow up with the unoriginal claim that the most valuable things I have learned from my patients are not about the practice of medicine. We should add to the saying, “There but by the grace of God go I” the addendum “but, when I end up there, I’ll be OK.” I wanted to learn from her.

Follow-Up 302

Follow-Up Appointments Medication Hospital 302

Scrubs

FEBRUARY 17, 2023

A 15-second clip of her dancing at a soul club recently went viral on TikTok, racking up over 7.5 Hodkin, a community health practitioner at Sheffield Children’s Hospital, said young people need a physical outlet to channel their anxiety as they continue to recover from the isolation brought on by the pandemic. “In million views.

Follow-Up 264

Follow-Up Hospital 264

Sensible Medicine

DECEMBER 11, 2023

Instead of measuring AF with a monitor, like most studies, the authors decided to measure what is most important to patients: time to any hospital episode related to treatment for atrial arrhythmia. Another novel part of the AVATAR trial was the choice of primary endpoint. IOW: did a patient require medical attention of an arrhythmia.

Follow-Up 291

Follow-Up Medication Hospital 291

Sensible Medicine

AUGUST 25, 2023

She responded to treatment with prednisone and was thankful at a follow-up appointment three weeks later. Over the years following her diagnosis, CT developed an impressive array of complications from the prednisone: hypertension, diabetes, a spinal compression fracture. What did I learn from her?

Diagnostics 244

Diagnostics Tests Hospital Follow-Up 244