Neha Praveen的动态

?Exploring the Unexplored with Dr. Allan Detsky? What happens when evidence-based medicine meets the messy reality of patient care? According to Dr. Allan Detsky, distinguished internist and thought leader, only about 15% of clinical decisions are directly supported by randomized trials. The rest? That’s where a physician’s experience, insight, and a touch of pragmatism come into play. In the latest episode of Ditch the Labcoat, we dive into the uncharted waters of clinical decision-making with Dr. Detsky. ?? From the gaps in medical research to the challenges of managing real-world complexity, he unpacks why trials often leave us with more questions than answers—and why that's okay. ?? What you'll learn: Why most trials target highly specific populations (hint: efficiency is key). How physicians navigate the grey areas when guidelines fall short. The role of compassion and creativity in filling the gaps science can’t. ?? And that’s just the beginning. We also tackle the opioid crisis, climate change's impact on health, and even the murky world of unregulated health advice online. Intrigued yet? ?? Bonus: Big things are coming! Our website relaunches in December with even more blog content to keep the curiosity alive. Click play, and let’s rethink what it means to "follow the evidence." : https://lnkd.in/dYNjpAKs? ??? #EvidenceBasedMedicine #MedicineUnplugged #ClinicalWisdom #BeyondTheGuidelines #HealthCareReimagined #ResearchGaps #PhysicianPerspective #MedicalPodcast #DitchTheLabcoat?

??? Reflections on my Community Pharmacy Journey ??? Working in a community pharmacy brings me face-to-face with the fundamental realities of public health, and I've learned that what we practice in real life often diverges from what is "ideal" or "textbook." Here are some recurring challenges I've encountered while practicing in the field: ?? Self-Medication The rate of patients self-medicating is alarming. Many people underestimate the dangers of taking drugs without proper consultation, which puts them at serious risk of complications. ?? Antibiotic Misuse and Abuse Whether it’s the unnecessary demand for antibiotics for a viral infection or not completing prescribed courses, antibiotic misuse is rampant. This challenge is fostering a bigger problem—antibiotic resistance. ?? Wrong Approach to Obtaining Controlled Drugs Requests for controlled medications often come without prescriptions, with people either unaware of the regulations or attempting to circumvent them. It’s a daily reminder of why we need stricter policies and public education. ?? Financial Constraints and Limited Access to Optimal Healthcare Some of the residents I attend to face financial barriers that limit their access to quality medications. It’s heartbreaking to see patients choosing between the treatment they need and their basic necessities. ?? The "Know-It-All" Patient Attitude There are always a few patients who believe they know best—ignoring professional advice, seeking shortcuts, or assuming Google has all the answers. They will attimes want to teach you what you spend 5years in school to learn ??. It’s a challenge that requires a delicate balance of patience and assertiveness. To all the young healthcare professionals out there—these challenges are not just barriers, they are opportunities for us to rise, to educate, and to impact the community in meaningful ways. Are there any fellow pharmacists here who have encountered similar problems? How do you tackle these challenges in your practice? I'd love to hear your insights and strategies. #pharmacist #publichealth #healthcare #pharmacychallenges #communityhealth #superintendent

Dr. Ouyang is an emergency physician and an associate professor at Columbia University. When I started my training as an emergency room physician, my mind revolved around answering one fundamental question: What does this patient have? Every interaction was a diagnostic puzzle, an attempt to fit a patient’s symptoms together into a cohesive picture. But human beings are complex, and the ways people feel and describe their symptoms don’t always follow what medical students learn in textbooks. When I couldn’t figure out a clear cause for my patient’s symptoms, I would settle for answering the next best question: Does this person have anything soon to be life-threatening that needs to be diagnosed today? By: Helen Ouyang https://lnkd.in/ehQ6GY_Z

Lots of useful advice here gathered by Amanda Loudin for Medscape from experienced practitioners, and a great deal of it is in fact in the form of permission.?Permission to not know everything, and to learn from anyone and any source.?Permission to take care of ourselves and accept that we are not always going to be perfect, nor will our patients' bodies always respond as we hope they will.?Permission to fail without feeling complete responsibility or inordinate guilt.?My favorite is the permission to partner with patients, appropriately giving THEM the part of the responsibility for their outcomes that only THEY can control.?And giving THEM permission to follow our advice or not: it is THEIR body, after all (And as a lawyer I must also add: document any indication that they do not intend to follow our best advice)...but respecting and accepting their decision, nonetheless.?The very fact that you accept their decision will help many of them to understand that you are partners with them, and that you want them to attain, or maintain, good health.?Drew Remignanti, Shoshana Ungerleider, MD, @Daniel Opris, Dr. David Lenihan quoted.

Meet Lauren Cline, PharmD, MS, BCACP, she's a diabetes specialty pharmacist who is killing it in both the inpatient and outpatient setting! In this upcoming episode of Pharmacy Pathways, we dive into her journey from pharmacy school and residency to becoming the successful clinician she is today! Episode Premieres Monday, January 27th! Subscribe to my channel to receive alerts for when it drops! https://lnkd.in/e6HRD3wa Whether you're curious about specialized roles like diabetes stewardship or considering a pivot in your pharmacy career, Dr. Cline’s advice on leveraging clinical training for career pivots and her insights into advancing the pharmacist’s role in healthcare are not to be missed.

Navigating the complexities of subarachnoid haemorrhage (SAH) can be daunting, especially for those early in their medical careers. To help you feel confident and informed, I've crafted a practical guide that breaks down the essentials of SAH—covering everything from diagnosis to management. This guide is tailored specifically for junior doctors, offering clear, actionable insights to aid in your daily practice. Stay ahead in your training and ensure you're equipped with the knowledge to provide the best care for your patients. ?? **Read the full guide here: https://lnkd.in/epYb9WG8 #MedicalEducation #JuniorDoctors #SubarachnoidHaemorrhage #Healthcare #Medscribe #MedicalTraining

We asked our community how long it took to receive their diagnosis of myalgic encephalomyelitis (ME, aka ME/CFS). The answers came in quickly and almost every one was measured in years- not months. And these are those able to get a diagnosis. It has been estimated that around 90% are undiagnosed (NAM report). We are working hard to change that scenario for all those who are yet to be diagnosed and those who are diagnosed but need knowledgeable care. #MEAction’s annual #MillionsMissing campaign has a theme of Teach M.E. Treat M.E. this year. Learn more at millionsmissing.org. #TeachMETreatME is a campaign to educate hospital systems and medical schools about ME/CFS. It is also an effort to encourage your own clinicians to learn more about ME by taking a free continuing medical education (CME) course co-authored by MEAction’s Jaime Seltzer and Mayo Rochester clinicians. It is a Concise Clinical Review so while thorough, it is meant to be done in a manageable time frame. We need your help! Can you please write to your clinicians (via email or message through your portal) and ask them to take the CME? We offer sample language: https://lnkd.in/ebARUZ33 *Please note: The text starts to move fast as the video goes on. #pwME #MyalgicEncephalomyelitis #MECFS #LongCovid #MedEd #CME #chronicIllness Video description: Background of a black screen with name, years to diagnosis, and the country the person lives in show on the screen in white lettering. They change and get faster and faster as they go. At the end the text switches to what those years meant- years of waiting, being gaslit, etc.

Clinical Trials Day 2024 Celebrating clinical trials, especially everyone involved in them and there are lots - investigators, research nurses, trial coordinators, pharmacists, data managers, health economists, monitors, lab technicians, trial managers, statisticians, scientists, consumer representatives, IT, physiologists, psychologists, funders, sponsors, regulatory and ethics bodies.... it's a long list and sorry to those we have missed. We all do clinical trials in different disease areas, our focus may be on prevention, diagnosis, treatment, supportive or palliative care, some of our trials are simple, some are extremely complex but at the root is 'caring' - caring for people, for patients, for familes, for whānau, for communities. Sometimes we lose sight of that so today is a day to remember and celebrate what we do. Have a great day! #ClinicalTrialsDay #CTD2024 #ClinicalTrials #ClinicalResearch #CancerTrials #CancerResearch

Medical Jargon of the Day: Gastroesophageal Reflux Disease (GERD) ?? Did you know? Gastroesophageal Reflux Disease (GERD), often referred to as acid reflux, is a digestive condition where stomach acid or bile irritates the food pipe lining. Symptoms can range from heartburn to more persistent discomfort if untreated. Understanding medical terminology like GERD helps future healthcare professionals provide better care and patient education. At Pre-Health Shadowing, we’re committed to equipping students with essential knowledge and virtual shadowing opportunities to prepare them for careers in healthcare. What other medical terms would you like to see explained? Drop them below! ???? #MedicalEducation #GERD #HealthcareLearning #PreHealthShadowing #FutureHealthcareProfessionals #MedicalJargon #DigestiveHealth

Reflecting on my journey as an ED resident, here are 5 key principles I wish I knew from the start: 1?? Never assume a patient's vitals in the ED. Always recheck before making decisions as a patient's condition can change rapidly. 2?? In emergency medicine, our goal is not just to react to crises but to anticipate and prevent them. Recognizing the signs of potential deterioration in a patient's condition and taking proactive measures can make all the difference. It's about staying vigilant, being prepared, and acting swiftly to ensure the best outcomes for our patients. 3?? Don't hesitate to ask for help when performing a new procedure, regardless of how busy the ED may be. 4?? Maintain professionalism at all times. The ED can be a stressful place and emotions can run high. Avoid arguing or shouting in front of patients as they deserve our utmost respect and care during their difficult times. 5?? Patients arriving after midnight often require admission. Even seemingly trivial complaints warrant thorough evaluation, especially during night shifts when fatigue may impact diagnostic accuracy. Let’s not send them home ! Let's keep these principles in mind as we strive to provide exceptional care in the ED. Here's to continuous learning and growth in the rewarding field of emergency medicine! #EmergencyMedicine #PatientCare