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Mar 03 2018

High Value Care: Introducing a Framework & Hospitalization for Syncope and Pneumonia

High Value Care

87% of unnecessary testing is done by physicians.  But unnecessary services is just one component of the ballooning cost of healthcare in the US. Here, we illustrate the importance and context of healthcare costs and show how being cost-conscious can have an effect on how your care for patients who might require hospitalization for syncope and pneumonia.

Goals:

  • Introduce the framework for thinking about high value care
  • Work through decision trees for hospitalization for patients with syncope and pneumonia
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Feb 20 2018

Combination Therapy in Influenza

EBM, Journal Club

Influenza is still in season, and we are certainly seeing primary flu and secondary complications like pneumonia.  So here’s an interesting question: does combination therapy with the addition of clarithromycin and naproxen in patients hospitalized for acute influenza have any benefit?

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Feb 01 2018

Effect of IV Albumin on Renal Impairment and Mortality in Patients with Cirrhosis and SBP

EBM, Landmark Research

As general internists, we often encounter and are expected to medically manage the acute complications of decompensated cirrhosis: Gastrointestional bleed Spontaneous bacterial peritonitis Hepatic encephalopathy Hepatorenal syndrome This article tackles an important cornerstone of treatment for SBP: the use of…

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