Where Provider Discourse Gets Distilled & Shared



ClinicallySignificant

2008-2016 Insurance coverage increased, primary care visits decreased. Why?

Posted by Daniel Patrick on

Researchers examined 142 million primary care visits for insured adults and found the following: Commercially insured adults have been visiting Primary Care Physicians less often. Declines were largest among youngest adults, those without chronic conditions, and those living in the lowest-income areas. Nearly one half of insured adults haven't visited a primary care physician in the past year. Out-of-pocket cost for problem-based visits rose 31.5% Visits to 'alternative venues, such as urgent care clinics'  increased by 46.9% *Limitations: Data were limited to a single commercial insurer and did not capture nonbilled clinician–patient interactions. Backbone of a Healthcare System Primary care represents healthcare...

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F! Alzheimer's. Give cognitive decline the FINGER with better FOOD, FUN, FRIENDSHIPS

Posted by Daniel Patrick on

Finnish researchers gave the FINGER to cognitive decline back in 2014 changing the way researchers and doctors approach prevention of Alzheimer's, dementia, and cognitive decline.  The FINGER (the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability, or FINGER Study) found that lifestyle interventions could protect thinking and memory as people age.  FINGER Study was the first large-scale, long-term, randomized controlled trial showing cognitive protection in elderly at increased risk of dementia using lifestyle interventions: FOOD: nutritional guidance FUN: physical activity, cognitive stimulation FRIENDSHIP: Social stimulation + Management vascular/metabolic risk factors Improved lifestyle factors produce superior benefits as compared to any drug currently available. Modeled after the FINGER, the U.S....

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"Instead of counseling people like we used to about food... we're just putting them on insulin." - Sarah Hallberg, DO

Posted by Daniel Patrick on

One particular message continues to make its rounds from the World Congress on Insulin Resistance, Diabetes, and Cardiovascular Disease. The message is from Sarah Hallberg's low-carb diet presentation for reversing type 2 diabetes. "Carbohydrate restriction is a viable patient choice for type 2 diabetes reversal." Nutritional ketosis supports diabetes reversal Low-carb nutritional patters have extensive clinical evidence for improvement of type 2 diabetes Keto diet is not a fad, it's the old way of treating people before insulin Possible 'misuse' of insulin in type 2 diabetes- where nutritional counseling 'the way we used to about food'  American Diabetes Association and...

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Why we may need a primary care revolution- Harvard?

Posted by Daniel Patrick on

Disclosures Speaker is a primary care advocate Speaker has a relationship to Bicycle Health Why revolution? US has best healthcare system in the world Major Challenges Cost 2x more than any other country Worse outcomes vs comparable countries Life expectancy Infant mortality Payments for primary care visits undervalues the role and skill of providers Burnout, student loan burden, lower salaries and prestige compared to other specialties, workforce shortage What is Primary Care  "Primary Care is an opportunity to really develop relationships with patients. I believe deeply in the value of relationships." Over a career have developed multi-generational continuity of care their...

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Doc, Are low carb diets a viable option for Reversal of Type 2 Diabetes?

Posted by Daniel Patrick on

“Carbohydrate restriction is a viable patient choice for type 2 diabetes,” Sarah Hallberg, DO, MS, ACSM-CEP, FNLA, FOMA. Evidence presented by Dr. Hallberg suggests, "Adherence to a ketogenic eating plan, with proper medical support, could yield diabetes remission and sustained cardiometabolic improvements in a person with type 2 diabetes. Dr. Hallberg addressed the World Congress of Insulin Resistance, Diabetes and Cardiovascular Disease. “Nutritional ketosis supports diabetes reversal by reducing insulin resistance while providing alternative fuel to glucose with favoring signaling properties.” Dr. Hallberg expressed her frustrations with peoples' low-carb diet perceptions saying, “One of my biggest frustrations is when we hear...

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