Also sometimes referred to as intensivists, critical care specialists are physicians with specialized training in the diagnosis and management of life-threatening conditions. Some of these conditions affect vital organs like the heart and lungs, those that make breathing difficult or impossible, and those that affect entire organ systems, like the renal system. Critical care specialists are typically found in a hospital's intensive care unit where they monitor patients with life-threatening conditions and make determinations as to the best course of treatment. Hospice care & Palliative medicine specialists focus their practice on pain management, symptom relief and qualify-of-life treatments to relieve the suffering of terminally ill patients.
Transtheoretical Model The transtheoretical model (87, 91) was originally developed for smoking cessation, but it has also been applied to adherence with other health behaviors, such as drug abuse, diet, exercise, seat belt use, avoidance of sun exposure, cancer self-exams, and condom use (92, 93). Feb 22, 2018 - AL SHAMMAA INTERNATIONAL GROUP LLC. ALABAMA STATE OF. ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE.
These doctors have specialized expertise in the treatment of patients with serious illnesses, advanced diseases and conditions resulting from catastrophic injury. Though often they work within hospice settings, they prevent and alleviate suffering appropriate at any age and stage of disease and can work alongside practitioners providing curative treatments.
Hospice care & Palliative medicine focuses on depression, pain, fatigue, constipation, nausea, shortness of breath, loss of appetite and difficulty sleeping, among other conditions. They also alleviate psychosocial distress and other stressors that accompany terminal illnesses. They are skilled in guiding families through legal and ethical decision-making in end-of-life care and can address spiritual issues at these times. By coordinating care across settings by improving communication among providers, they improve access to information for families so that they understand the patient's condition and treatment options.
A pulmonologist is a physician who specializes in the diagnosis and treatment of conditions related to the lungs and respiratory tract. These specialists are similar to critical care specialists in that their patients often require mechanical ventilation to assist their breathing. Pulmonologists diagnose and treat patients with conditions such as asthma, cystic fibrosis, asbestosis, pulmonary fibrosis, lung cancer, COPD, and emphysema. Exposure and inhalation of certain toxic substances may also warrant the services of a pulmonologist. Some of the tools and tests pulmonologists use to diagnose a patient are a stethoscope in order to listen for abnormal breathing sounds, chest X-rays, CT scans, blood tests, bronchoscopy, and polysomnography.
An internist is a physician who focuses on the diagnosis and treatment of conditions that affect the adult population—both acute and chronic. These doctors are often who adults see as their primary physicians because they treat a broad range of illnesses that do not require surgical or specialist interventions. They also work to help a patient maintain optimal health in order to prevent the onset of disease. In addition to treating the common cold and flu, internists also treat chronic diseases like diabetes and heart disease. A family practitioner is a doctor who specializes in caring for people of all ages, at all stages of life. Rather than focusing on the treatment of one disease or patient population, family practitioners are often the doctors that people see for their everyday ailments, like cold and flu or respiratory infections, and health screenings.
When necessary, family practitioners will provide referrals for conditions that require the expertise of another specialist. The doctors may also provide physicals, inoculations, prenatal care, treat chronic diseases, like diabetes and asthma, and provide advice on disease prevention. What is a Group Practice? According to The Medical Group Management Association, a group practice is any relationship between three or more physicians who share facilities, expenses, profits and other resources like support staff and equipment. Group practices tend to fall into two categories: those that organize around a particular medical specialty and those that encompass several specialties like East Boston Neighborhood Health that specializes in internal medicine Why Group Practice? As medicine became more complex in the twentieth century, the need for group practices made more sense.
Physicians found it impossible to know everything about the emerging drugs and technologies on the medical landscape. In addition, the cost of providing a full range of diagnostic services, such as tests and X-rays, in one location became prohibitive to the individual practitioner. Hence, doctors from various disciplines began to team together in order to provide more comprehensive care to their community of patients.
Benefits of Group Practice As medicine became more complex in the twentieth century, the need for group practices made more sense. Physicians found it impossible to know everything about the emerging drugs and technologies on the medical landscape. In addition, the cost of providing a full range of diagnostic services, such as tests and X-rays, in one location became prohibitive to the individual practitioner.
Hence, doctors from various disciplines began to team together in order to provide more comprehensive care to their community of patients. Copyright © 2019 Vitals Patient Exchange. US Patent No. All Rights Reserved.
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The PCSK9 inhibitor evolocumab seems to robustly reduce LDL cholesterol levels among nearly all treated patients, according to a new analysis of the FOURIER trial. These findings put to bed the notion that many who receive the expensive drug might be nonresponders, the authors say. Given the finding from the that many patients treated with the now defunct monoclonal antibody bococizumab developed antibodies to the drug, there has been apprehension that patients might react similarly to treatment with the two US Food and Drug Administration-approved PCSK9 inhibitors evolocumab (Repatha; Amgen) and alirocumab (Praluent; Sanofi/Regeneron).
“The medical community has thought that ‘Okay, maybe we should be giving these drugs to people who really respond to these drugs,’ and because of that there has been concern that maybe there is a lot of variation in terms of how patients respond to these medications,” lead study author Arman Qamar, MD (Brigham and Women’s Hospital, Boston, MA), told TCTMD, adding that insurers often require proof of patient response for reauthorization as well. But looking at data from more than 27,000 individuals from the FOURIER trial, Qamar and colleagues found that 94.7% of the cohort had at least a 50% reduction in LDL cholesterol over 1 year, 97.9% had at least a 30% reduction, and 99.5% saw at least some reduction.
Their results were published online last week ahead of print in JAMA Cardiology. This should reassure both patients and physicians that prescribing evolocumab leads to a “consistent reduction in LDL cholesterol,” Qamar said.
Payers should also be confident enough to know that when a physician prescribes evolocumab, “no formal checking for responder status to LDL cholesterol needs to be done,” he added. Disclosures. The FOURIER trial was supported by a research grant from Amgen.
Qamar reports receiving support from the National Heart, Lung, and Blood Institute T32 postdoctoral training grant and the American Heart Association Strategically Focused Research Network in Vascular Disease grant. Blaha reports serving on the scientific advisory boards of Amgen and Sanofi/Regeneron, receiving research grants from the Amgen Foundation, and serving on the FDA’s Epidemiologic and Metabolic Drug Advisory Committee.