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Archive for November, 2012

Screening for Diabetes is Essentially Worthless

November 29, 2012

A major study was just published in Lancet that addressed the issue of whether or not diabetes screening in primary care improves major health outcomes. This was a 10-year randomized controlled trial!! In other words, this study is the granddaddy of them all in terms of the rigor of its methods....
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The Undefinable Work of a Family Physician, and How it Saves Society a Fortune – Part II

November 18, 2012

I had some fun last week with a true patient care experience from one of my family physician colleagues. While the content was unusual and humorous, the case raises questions about the greater issue of support for the work of family physicians, and the lack thereof by all the payers, both...
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The Undefinable Work of a Family Physician, and How it Saves Society a Fortune – Part I

November 11, 2012

The following story is true. My imagination isn’t rich enough to make up this stuff. A colleague told me about this clinic encounter. A 60-year-old man came to clinic to talk about several issues. He had the insight to state that he was depressed. His parents died 5 years previously; therefore...
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The Brits are Also Having to Fight the Early Detection Fearmongers

November 4, 2012

Several physicians contribute regularly to BMJ. One of my favorites is a GP in Glasgow named Des Spence. Through their writings, I have gained a glimpse of the challenges faced by GPs in the UK, and the broader culture in which they work. In two of his columns this summer, he...
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