Practice Changer
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Clinicals
How I discuss addiction stress-free with patients
A 5-step process for more effective crucial conversations about addictions with your patient while reducing your own stress
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Clinical News
‘Racist’ Pulse Oximeters : Lawsuit filed to add warning labels
In Dark skinned patients, healthcare Providers must always remember this critical flaw in Pulse Oximeters
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Clinicals
10 early warning signs of Dementia
Mild Cognitive Impairement can precede Dementia and can manifest in subtle signs that are often ascribed to 'ageing'
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Editorials
Why are food & drinks prohibited at nurses’ stations?
Healthcare staff dislike the food & drinks restriction in nurses' stations since they aren't told the reason why
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Clinicals
Does Foul-smelling Urine mean a UTI (Infection)?
How reliable is urine smell in predicting a Urinary Tract Infection ?
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Cases
Clinical Case: One Patient, Two Anemias
A clinical case to highlight the importance of evaluating anemia causes with basic labs first
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Good To Know
American English accent tips for IMGs, Doctors & nurses !
Tips and Tricks for Foreign Healthcare workers (Doctors, IMGs and Nurses ) to get fluent in American English and Accent
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Editorials
How important is your clinical attire ?
Clinician-paitent relationship affects patients’ satisfaction & medical compliance - don't let attire come in the way
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Fun Stuff
How to make mundane or ‘boring’ cases matter !
Physical presence of a patient is a powerful memory maker when we read something in context.
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Basics
Thiamine is nothing without Magnesium !
Thiamine-Magnesium dependence does not seem to be well known in clinical circles
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Tips
Does intial BP spike in strokes have diagnostic value ?
BP elevation - or not - in acute stroke, can be indicative of pathologic mechanism of stroke
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Editorials
Cough-induced complications: Serious but often ignored…
Why it is important for clinicians to address chronic cough more seriously !
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Clinicals
Joints, Transfusions & Infections : The weird link !
Blood transfusions after joint replacements add a surprising risk
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Basics
Magnesium level recheck: Don’t be fooled !
A Mag level recheck done too soon after IV bolus can give you a false sense of success
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Tips
Thiamine deficiency isn’t limited to just Alcoholism
Here are other common conditions associated with Thiamine deficiency besides Alcoholism
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Tips
Iron replacement often forgotten after GI bleeds
Iron loss from bleeds is significant, while replenishment is slow.
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Clinicals
IV Insulin to treat Hyperkalemia: Smaller dose works !
Why do more when you can get by with less !
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Clinicals
The Paradox of Mirtazapine (Remeron) dose !
The sedating effect of Mirtazapine has a paradoxical inverse relation to it's dose - at least it's supposed to !!
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Clinicals
Does it matter if a dialysis patient still makes urine ??
Having residual renal function despite being on chronic dialysis confers some benefits
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Artificial Intelligence in Medicine
Using ChatGPT to create medical sign-outs/hand-offs
Another possible use of ChatGPT in clinical practice
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