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Don’t Let Numbers Fool You: Levothyroxine Isn’t a Cure-all

Patients with subclinical hypothyroidism often complain of symptoms commonly seen in patients with overt hypothyroidism: cold insensitivity, dry skin, fatigue, constipation, muscle cramps, poor memory, slowed thinking, and depression. Indeed, up to a quarter of people with normal TSH levels report up to two of these symptoms, pointing to the non-specific nature of these symptoms. How then should a clinician decide which patients might benefit from thyroid replacement therapy?

Guest Authors:  Mallory Kuchis, PharmD and Michael P. Kane, PharmD, BCPS, BCACP

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Addressing the Concerns and Needs of Transgender Persons

The transgender/gender nonconforming (TGNC) community faces a variety of challenges including access to healthcare, societal stigma, and discrimination. As a profession, pharmacy is well-positioned to reduce and address the barriers to care faced by TGNC individuals and to provide them with positive experiences within the healthcare system. However, formal instruction about this patient population’s social and medical needs is lacking in most pharmacy school curricula.

Guest Authors: Justin Bachman, PharmD and Abby Frye, PharmD, BCACP

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Is a Team-Based Approach in Primary Care Worth It?

A team-based approach to patient care is well established in acute care settings, but not as widely adopted in primary care settings.  Working within a team could have a positive impact on the efficiency of visits, quality of care, workload, job satisfaction, and patient satisfaction. Previous studies in acute-care hospital settings reveal positive outcomes, but there have been mixed results in primary care settings. Are the extra time, effort, and money necessary to change to a collaborative team-based approach worth it? Will it positively impact health care utilization, quality, and cost?

Guest Authors:  Lily Van, PharmD and Courtney Davis, PharmD, BCACP

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Top Ten Things Every Clinician Should Know About the 2017 Hypertension Guidelines

We interview Eric MacLaughlin, Joseph Saseen, and Kristin Rieser about the ACC/AHA Guidelines for the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure in Adults released in November 2017.  Dr. MacLaughin, a member of the Guideline Writing Committee, gives a insiders view of the guidelines development process and explains the rationale for lower blood pressure goals.  Drs. Saseen and Rieser talk about some of the practical considerations that we all must consider as we move forward to making these recommendations a reality.

Guests:  Kristin Rieser, Pharm.D., Joseph Saseen, Pharm.D, and Eric MacLaughlin, Pharm.D.

Music by Good Talk

Dressed for Success? Professional Attire and Patient Perceptions

Every health professional takes an oath to service patients. To fulfill this covenant, patient trust must be earned. Without trust, patients are unlikely to share sensitive, personal information, hindering the provision of optimal care. Gaining trust is influenced by many factors. What influence does attire have on patients’ perceptions of their healthcare providers?

Home-Based Primary Care: Can We Take These Results to the Bank?

Demonstration projects are underway as part of the ACA’s Independence at Home (IAH) program. The goal — reduce costs.

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