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Quality of Life, Dyspnea, and Functional Exercise Capacity Following a First Episode of Pulmonary Embolism

We aimed to evaluate health-related quality of life (QOL), dyspnea, and functional exercise capacity during the year following the diagnosis of a first episode of pulmonary embolism. Methods This was a prospective multicenter cohort study of 100 patients with acute pulmonary embolism recruited at 5 Canadian hospitals from 2010-2013. We measured the outcomes QOL (by […]

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Concierge Medicine Is Here and Growing!!

An increasing number of primary care physicians are downsizing to a concierge medical practice (also termed “retainer-based medicine”). In a concierge medical practice, the physician limits the number of patients in his practice and offers exclusive services for an annual fee. The patient pays a surcharge for increased access and additional services from their physician.1 […]

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Conquering ‘Neurophobia’

The evaluation of a patient with neurologic disease remains one of the most daunting and anxiety-provoking tasks in clinical medicine. From the perspective of physicians who are not trained in neurology, the performance and interpretation of the neurologic examination is shrouded in mystery. The angst associated with the study of neuroscience begins in medical school […]

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surgical instruments laid out for use

The Complexities of Iron Deficiency in Patients After Bariatric Surgery

  To the Editor: Iron deficiency is one of the most common micronutrient deficiencies after bariatric surgery and is often overlooked by healthcare providers when patients present with vague symptoms or laboratory results do not demonstrate straightforward iron-deficiency anemia. Thus, it is imperative that providers order tests and interpret laboratory results carefully so they can […]

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Humanizing the Electronic Medical Record with the Personal Fact

The current model of patient care promotes a system wherein patients are viewed as diseases with treatment plans rather than individuals with a lifetime of experiences. This is further exaggerated by the electronic medical record, wherein streams of impersonal data are presented above the patient narrative. Quantitative data are crucial for medical management, but it […]

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