Do you support or treat patients with Heart Failure or Cardiomyopathy?

Harvard Health Publishing, a division of Harvard Medical School, is seeking providers who care for or support patients with cardiomyopathy or heart failure. We’d like 20 minutes of your time to discuss patient education. What resources do you currently use to teach patients about their condition and how to manage it? What kinds of educational resources do you wish you had? Help us understand what information your patients need, and the best ways for you to share it with them.

Each qualified provider will participate in a 20-minute interview. Interviews will be conducted at a time and place that is convenient for the provider. Ideally, these will be conducted face to face, but remote accommodations may also be made.

Qualified providers will receive a $75.00 gift card as our thank you upon completion of the interview. (more…)

Transforming Resident Clinics

One of my first primary care patients as an intern was Mr. S., a 65 year-old fast-talking, salesman-type. He had a deep tan and a strong golf game. On our first meeting, he asked about my favorite Scotch, and told me he drank three glasses of Talisker every evening with a cigar (in addition to a half-pack of cigarettes per day). I listened, energetically nodded my head (we were developing rapport, I thought), and glanced over at the reminders on my computer screen. He was due to have an abdominal aortic aneurysm (AAA) screening ultrasound. I explained the test, and told him I would be in touch with the results.

Negative for an AAA, the report showed an incidental finding of a heterogeneous appearing liver. When the results came back it was late in the evening and I did not know how, or whether, to act upon this finding. UpToDate (Waltham, MA) provided little guidance. So I placed a liver e-consult with my clinical question. Within a few days I received a note in my in-basket from a hepatologist recommending several lab tests to risk-stratify the patient and, if they were negative, to follow-up with a dedicated liver ultrasound in one year.