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Hans Duvefelt, MD
Family Physician, Writer. Practicing in Bucksport and Van Buren, Maine
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Hans Duvefelt, MD Jan 22
Our study revealed that the placebo cream reduced participants’ allergic reactions only when the provider projected warmth and competence. When the provider acted colder and less competent, the placebo cream had no effect.
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Hans Duvefelt, MD Jan 21
35 years since my Family MedicineResidency and still loving it. 60h/wk, 2 clinics 220 miles apart.
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Hans Duvefelt, MD Jan 21
Replying to @MDaware
As a foreigner, trained I Sweden, having worked under socialized Medicine there, FQHC, cash practice and student health here, I tell my patients every day, “There more than one way to look at this.
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Hans Duvefelt, MD Jan 21
Non-clinical coworkers give me blank stares when I suggest they stop using Outlook and make the EMR their appointment book and message hub. They're no fools; they know how clunky my technology is.
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Hans Duvefelt, MD Jan 19
Fecal transplants cure them, but we’ve been using immunosuppressants to treat them. Wouldn’t that ultimately cause harm? And, BTW, 4th century Chinese ingested feces to cure diarrhea.
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Hans Duvefelt, MD Jan 17
He came in with heartburn. I diagnosed COPD. Both were controlled with a sample inhaler.
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Hans Duvefelt, MD Jan 16
Replying to @GillisMd
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Hans Duvefelt, MD Jan 14
aSOAP is not the same as putting the assessment and plan up top. It mixes all the elements of the progress note in concise form: It reveals how the clinician thinks.
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Hans Duvefelt, MD Jan 13
A Country Doctor Reads: January 13, 2019
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Hans Duvefelt, MD Jan 11
Replying to @NEJM
It’s all about inflammation
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Hans Duvefelt, MD retweeted
Doc Around the Clock Jan 11
As Anthem is among health insurers refusing to pay ER bills for "inappropriate" visits, I put together an algorithm to help Anthem subscribers decide if they should to to the ER
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Hans Duvefelt, MD Jan 10
In order to get to know somebody, do you step back for some kind of “birds eye view” and ask many wide ranging questions, or do you lean in, look them in the eyes, lower your own voice and invite them to speak freely?
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Hans Duvefelt, MD Jan 7
I have kvetched about this before, but today I have a better argument and a better analogy for how to get the quality work done without slowing down the clinic flow or offending patients any more than we have to:

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Hans Duvefelt, MD Jan 6
Almost 1,000 hits today: “Put simply: If anybody wants to define and manage our work for us instead of letting us do it, they become responsible for the outcomes if we aren’t given the time or the tools we, as the ones who went to school, know we need.”
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Hans Duvefelt, MD Jan 6
The idea was that cholesterol treatment was a numbers game. You had to reach certain targets. But already then we knew there were drugs that could lower cholesterol that didn't seem to cut heart attack risk at all.
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Hans Duvefelt, MD Jan 5
Tendon rupture, psychosis and now aneurysms. Avoid use in PVD, Ehler-Danlos, hypertension, elderly: FDA Warns on Aortic Aneurysms with Fluoroquinolones
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Hans Duvefelt, MD Jan 4
There Are Few Shortcuts to Health
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Hans Duvefelt, MD Jan 3
Sugar Hampers Gut Bacteria Linked to Leanness
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Hans Duvefelt, MD Jan 3
Physicians are Influencers
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Hans Duvefelt, MD Jan 1
MedPage Today - one of the best quotes of the year: "It's like the early days of VCRs -- Betamax or VHS -- more than 100 times over, or 100 times worse." -- Hans Duvefelt, MD, on the lack of EMR interoperability. What We Heard This Year
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