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Handoffs

I have started asking every patient I realize, for whatever reason, if they have received or intend to receive one of the three accessible U.S. vaccines against COVID-1 9. In less than 2 weeks, every adult in every commonwealth will be eligible to get the shots, and in the next few months the Pfizer vaccine […]

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Are physicians overdiagnosing melanoma?

In an editorial in the February 1 issue of American Family Physician, Dr. Jenny Doust and colleagues wrote about the problem of widening disease clarities, a common phenomenon in which the definition of a disease is “broadened over time to include milder and earlier contingencies, ” leading to harm “by exposing more patients to the […]

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Is physical therapy helpful for acute back pain with sciatica?

Although a referral to physical rehabilitation is a standard part of my treatment plan for cases with subacute or chronic low-pitched back hurting, there is little data on the effectiveness of physical care for acute back grief. A 2018 Family Physicians Inquiries Network( FPIN) Clinical Inquiry be made available in American Family Physician found that […]

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Adverse childhood experiences and their sequelae in primary care

In a recent editorial on the relationship between stress and chronic disease, Dr. Jennifer Middleton mentioned that adverse childhood suffers( Unities ), “such as physical or sex offense, evidenced domestic violence, loss or captivity of a parent, and poverty issues, ” are associated with last-minute development of diabetes, coronary thrombosis, asthma, and cancer. A 2019 […]

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Does COVID-19 harm mental health through stress, enforced isolation, or the virus itself?

Eight months ago, during the first gesticulate of the pandemic, my American Family Physician editor colleague Dr. Jennifer Middleton discussed World Health Organization and Centers for Disease Control and Prevention( CDC) -recommended strategies and resources for optimizing mental health issues in health care workers, cases, and children. A CDC representative national overlook conducted in late […]

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A foolish consistency: topical NSAIDs for acute pain and lung cancer screening

I be recognized that I don’t echo having speak Ralph Waldo Emerson’s essay “Self-Reliance, ” which contains the quotation: “A foolish consistency is the hobgoblin of little intellects, adored by little statesmen and philosophers and divines.” Instead, this sentence permanently inscribed itself into my mind after watching the 1998 dreamy slapstick “Next Stop Wonderland, ” […]

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How do primary care physicians prioritize preventive services?

Although many clinical preventive assistances, including childhood immunizations, have regrettably been shelved during the COVID-1 9 pandemic, it was difficult to address the lengthy list of screening tests, counseling, and preventive rehabilitations with an “A” or “B” letter grade from the U.S. Preventive Business Task Force( USPSTF) even when most primary health care inspects were […]

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Breast cancer screening is likely to be harmful after age 75

To increase acute upkeep capability during the COVID-1 9 pandemic, infirmaries have suspended elective surgical procedures, and family medicine practices have shelved visits for preventive care and monitoring of stable chronic diseases – particularly in cases older than 70 times, whose likelihood of development for serious illness from SARS-CoV-2 contracted in a health care setting […]

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Curiosity: what makes a doctor truly great

I have never been invited to give a commencement address. The closest I came was my own high school graduation, when I was the unofficial valedictorian. Since my academy did not have a tradition of the highest-ranked student addressing the class on graduation daytime, though, I didn’t get the chance. Our commencement speaker, a television […]