Sensible Medicine

JUNE 28, 2024

What there was -- courtesy of colleagues from across the country – were cases illustrating needless excess, careless follow-up, poor commitment to clinical care, and the devaluation of primary care that undermines our entire system. 1 What did the medical center do? They did the Zio patch and sleep study.

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Doximity

MARCH 21, 2025

She estimates that this prompt saves her up to two hours per week , and sometimes even more when demand is high. She estimates that this prompt saves her about an hour daily , adding up to 7 hours weekly and nearly 28 hours monthly. Follow-up in three months with repeat labs. GPT helps me generate them efficiently."

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Sensible Medicine

FEBRUARY 15, 2024

It’s been a few years since I first heard about the Galleri test produced by the Menlo Park startup Grail. Galleri is a blood-based screening test for cancer. For a couple of reasons, I didn’t work very hard to learn about the Galleri test. Second, I was worried that this test might have real promise.

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Sensible Medicine

MAY 28, 2024

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.

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Sensible Medicine

SEPTEMBER 8, 2024

We so desperately need RCT data for our screening tests. We discuss in Ending Medical Reversal why we should be suspicious of single center studies. In this group, medications were up-titrated to recommended doses within 2 weeks of discharge and four scheduled outpatient visits were completed in the 2 months after discharge.

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Sensible Medicine

SEPTEMBER 9, 2024

The worry I have about medical science is that a lot of our experiments produce little to no knowledge. Trials select their patients, test the drugs in run-in periods and use research coordinators to help patients navigate complex health systems. Most experts held this trial up as a win for aggressive up-titration of medicines.

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Sensible Medicine

MARCH 20, 2025

When I first started working in medical education, I was trained to refer to all physicians by “Doctor Lastname;” I was trained to be gracious even when they did not respond to my third email that said “Response Needed” in the subject line; they may be dealing with true life-or-death situations, I was told.

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Sensible Medicine

FEBRUARY 6, 2024

There are many more people competing for slots in medical school and residency and the number of “slots” have increased at a slower pace than the applicants. They spend money on test prep courses and needle their teachers into inflating grades. Because it is more competitive to get to where they are.

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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. “So, what tests they would order and what treatments they would order.”

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Sensible Medicine

AUGUST 4, 2024

I’ve got a pretty stable approach to reading the medical literature. I even have a talk, “keeping up on the literature.” All had urea breath tests for Helicobacter pylori , the bacteria that causes most peptic ulcer disease and is closely associated with gastric cancer. The follow-up was 11.2

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Pulmonology Advisor - Practice Management

SEPTEMBER 6, 2024

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? He was 64 years old and had a host of medical issues, including diabetes, chronic obstructive pulmonary disease , and deep vein thrombosis.

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Sensible Medicine

MARCH 1, 2024

He acknowledges that we have little to no data that our currently accepted cancer screening tests reduce all cause mortality. ” Going further, Dr. Attia argues that our studies of screening tests do a poor job of finding the benefit of screening. There is a very small chance this test will save your life.

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Scrubs

AUGUST 4, 2023

However, much of that spending may not be medically necessary. Providers are typically paid for each test and procedure they perform, which can lead to a conflict of interest, especially when patients have to foot the bill. Find out why medically unnecessary care is on the rise and what patients can do to protect themselves.

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MedQuest College

FEBRUARY 6, 2025

Building trust and empathy in diagnostic medical sonography is vital for delivering exceptional patient care. As a diagnostic medical sonographer, you play a crucial role in the healthcare journey by providing accurate imaging that aids in diagnosis and treatment. However, the technical aspects of the job are only part of the equation.

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Sensible Medicine

APRIL 16, 2024

Anyway, this person was telling me about a novel effort to use AI to predict readmission for a certain medical problem. The idea was that interventions could then be tested in the high-risk groups. .” I admit that I do not follow the Medical AI literature closely. The ASCVD calculator is not that accurate.

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Sensible Medicine

JULY 14, 2023

One of the many privileges of being a physician, and a professor of medicine at a “prestigious” medical school, is getting to talk to young people who are considering a career in medicine. What reliably follows is a conversation with a smart, earnest, mature, and absurdly accomplished young adult. I’ve never said no.

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Sensible Medicine

JULY 31, 2023

And it puts to the test an everyday practice in US cardiology. Ischemia is medical jargon for finding obstructions in coronary arteries. The second area of uncertainty was the question of going right to the cath lab for angiography after a positive stress test. It was a conservative vs early invasive approach to ischemia test.

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Northwest Career College

APRIL 9, 2025

As a Medical Assistant, setting goals will help one enhance their skills, remain organized, and ensure career growth. This post will consider five SMART goals each Medical Assistant can follow in practice. This post will consider five SMART goals each Medical Assistant can follow in practice.

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Sensible Medicine

NOVEMBER 27, 2023

Don’t get hung up on the specific medical problem. The medical question comes up pretty often: What to do with moderate anemia (low red blood cell counts) in a patient recovering from a heart attack (myocardial infarction = MI)? (We The MINT trial tested these two strategies. No drug companies. No devices.

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Sensible Medicine

APRIL 22, 2024

I chose the verb stun because chelation was way outside the box that contains medical thinking. It had long follow-up and enrolled patients who had established heart disease. The clinical equivalent of their approach was similar to stress testing for finding coronary stenoses. Medical science is hard.

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ACI Medical & Dental School

JANUARY 9, 2025

Our In Demand Career Spotlight Series focuses on careers in the medical and dental industries where demand for skilled workers outpaces supply. At ACI Medical & Dental School, you can be certified for these in-demand careers in just four months with the hands-on training, skills, and credentials youll need for your new job.

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Sensible Medicine

MAY 25, 2023

Have I been neglecting the medical literature? For calcium deposits in breast arteries to be important, we would need to know that some action based on this finding, whether it be further diagnostic testing, lifestyle modification, or medical therapy, actually benefits a woman. Why didn’t I know this?

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Sensible Medicine

JULY 30, 2024

A pretty good portion of what we post on Sensible Medicine could be considered critical appraisal of the medical literature. Thus, it was an easy decision when a group of medical students asked if we would consider posting an appraisal that came out of their journal club. You also get a chance to appraise the appraisers.

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Sensible Medicine

DECEMBER 15, 2023

At our second visit, we discussed pharmacologic therapy, and I started a medication. During our third visit we adjusted the medical regimen. They were healthy and needed to deal with a single issue or felt like it was time for a “check-up.” This doesn’t mean snake oil and unnecessary tests and referrals.

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Sensible Medicine

AUGUST 25, 2023

We read about diseases and their associated diagnostic tests and treatments. We listen to how they are affected by diseases, how they tolerate medications, how they describe symptoms, and what they have learned about a disease in their decades of experience. (I Diagnostic tests give you more than just a diagnosis.

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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. He is otherwise well, with only hypertension, well-controlled on one medication. I am not a palliative care physician or even a geriatrician.

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The HIPAA Journal

MAY 6, 2024

Marlton, NJ-based Continuum Health Alliance has recently confirmed that it has experienced a security incident that exposed the data of 377,119 patients of its client, Consensus Medical Group, a physician-owned medical group in Evesham, NJ. No financial information or Social Security numbers were present in the file.

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We Care Online

NOVEMBER 5, 2024

The digital transformation of healthcare has enabled medical professionals to connect with patients in ways that were unimaginable just a decade ago. This article explores how medical professionals can effectively leverage digital platforms to foster stronger patient relationships and improve outcomes.

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Sensible Medicine

JUNE 26, 2023

For me this is the type of medicine practiced when a doctor gives a name to a symptom that is part of the human condition (fatigue, achy muscles, grief, loss of libido, dysthymia…) and medicalizes it, offering a treatment, usually without evidence that the treatment even helps. ” Enter testosterone replacement therapy.

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Sensible Medicine

JULY 9, 2023

Yet, like most unexpected clinical changes in my career, I ended up learning unexpected truths. ” Of course, the medical industrial complex didn’t leave him alone; Instead, they sunk their teeth into him. A few years before, on a routine visit, they drew a a large battery of blood tests, and recommended colonoscopy.

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Sensible Medicine

NOVEMBER 17, 2023

RF is a 74-year-old man with multiple, progressive medical problems. There were letters he needed written, forms to be filled out for handicapped parking placards and durable medical equipment, and seemingly endless documentation for homecare services. Give me the test and the antibiotics. “Yeah, I am a total dog.

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ACI Medical & Dental School

JANUARY 14, 2025

Students interested in becoming Medical Assistants are often curious about what the work schedule will be like. Medical Assistants in New Jersey typically work full-time hours , which means they usually work about 40 hours per week. Some Medical Assistants may work part-time, which could range from 20 to 30 hours per week.

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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.

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The Healthcare Blog

APRIL 2, 2024

Then someone discovered that the largest living thing in the world was actually the 106 acre, 47 thousand tree Pando aspen grove in central Utah, which genetic testing revealed to be a single organism. United channeled almost $52 billion of that cash into buying health-related businesses, nearly all of which end up housed inside Optum.

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Sensible Medicine

AUGUST 7, 2024

For example, Bergman reports a 2002 study in which ventilated premature babies were placed to sleep on either their tummies or backs, and the following states were measured: quiet sleep, active sleep (which is less restorative than quiet sleep), crying time, number of stress responses (startle, tremor, and twitch), and oxygen saturation.

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Mobius MD

JANUARY 28, 2025

Preventable medical errors are still a serious issue in healthcare, contributing to patient harm, increased costs, and diminished patient trust. A landmark study from Johns Hopkins identified medical errors as the third leading cause of death in the United States, with an estimated 250,000 deaths annually attributed to preventable mistakes.

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Sensible Medicine

JANUARY 8, 2024

NHANES is one of the many registries that measure health parameters in adults and then follow them for years. In this study, among 10,000 adults, nearly 2000 had completed hearing tests and had hearing loss. The effect held up even when the researchers accounted for differences such as age, ethnicity, education, and medical history.

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