To the Editor: Maintaining hydration is an important healthcare principle. Addressing patient hydration is an established goal in medicine.1 Physical and emotional health are enhanced by proper fluid and electrolyte balance. There also is a universal wish to extend enjoyable lives, but not to prolong unpleasant deaths.1–16
Objectives: Treating chronic migraine (CM) effectively is one of the greatest challenges a primary care provider (PCP) may encounter. Many patients with CM report dissatisfaction and minimal gains from treatment, despite using the best medical interventions available. For this study, patients with CM and their partners provided insight into how…
Objective: A paucity of data exists on the role of the interview day in programs and applicants’ final rank list. The objective of our study was to investigate the impact interview day has on our programs and our interviewees’ final rank list. Methods: For the 2020 appointment year, our program…
Objectives: Dialysis access creation is a common outpatient procedure that can be completed using general, regional, or local anesthetic techniques. There are few endorsed guidelines regarding opioid-based pain control following fistula creation. The purpose of this study was to determine whether utilization of regional anesthesia (RA) is associated with the…
Objectives: Frailty, a geriatric syndrome associated with high morbidity and mortality, has rarely been assessed in homebound older adults. As such, we evaluated the prevalence of frailty among older adults enrolled in a home-based primary care program. b We measured frailty using the Fried Frailty Phenotype criteria of unintentional weight…
Objectives: There is evidence of substantial declines in pediatric emergency department (ED) utilization in the United States in the first several months of the coronavirus disease 2019 (COVID-19) pandemic. Less is known about whether utilization changed differentially for socioeconomically disadvantaged children. This study examined how changes in pediatric ED visits…
We present the case of a 61-year-old male with hyperlipidemia and lumbar radiculopathy admitted to our hospital with rhabdomyolysis attributed to the recent initiation of statin therapy. Despite aggressive fluid resuscitation and an initial declination in his creatine phosphokinase (CPK) levels, he had persistent myalgias with progressive weakness. Rheumatologic and…
Despite the enormous death toll of the coronavirus disease 2019 pandemic, conversations about dying well have been sidelined. Health practitioners have instead focused on public health mitigation strategies, therapeutic options, and outcome data. When we have spoken of dying, the conversation usually entails advance directive completion and dying alone as…
At the time of writing (August 2021), Arkansas, Louisiana, Mississippi, and Florida each recorded >500,000 new coronavirus disease 2019 (COVID-19) cases, making the southern United States the epicenter of the epidemic.1 At present, 85% of the public trust their family physicians as reliable sources of information on COVID-19.2 This editorial…
Objectives: The coronavirus disease 2019 (COVID-19) pandemic has disproportionately afflicted vulnerable populations. Older adults, particularly residents of nursing facilities, represent a small percentage of the population but account for 40% of mortality from COVID-19 in the United States. Racial and ethnic minority individuals, particularly Black, Hispanic, and Indigenous Americans have…
Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic >5.5 million deaths have been reported;1 however, the magnitude of its impact is much greater and runs far deeper. The unmeasurable effect on the global economy, the social implications, and the stress placed on an already fractured healthcare system have…
Informed consent is broadly endorsed as a process that should facilitate shared decision making between a patient (or surrogate) and a physician (or other clinician). The goal of this collaborative process is to help patients make decisions that reflect what matters most to them, based on their guiding beliefs and…
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