The Curbsiders Internal Medicine Podcast

#396 Recap, Top Pearls from #SGIM23

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May 22, 2023
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INSIGHT

Basic Income Cuts Emergency Use

  • Unconditional basic income reduced ED visits by about a third in a low-income Boston neighborhood.
  • Cash recipients used more outpatient subspecialty care, suggesting improved access to planned care.
ADVICE

Use Trauma-Informed Universal Precautions

  • Use universal trauma-informed precautions: ask permission, offer chaperones, announce actions, and mind draping.
  • Avoid coercive phrasing like "for me" and remain in the patient's line of sight during exams.
INSIGHT

Chlorthalidone Not Clearly Superior

  • The VA trial comparing chlorthalidone to HCTZ found no significant difference in cardiovascular outcomes.
  • Chlorothalidone may lower BP more but brings more hypokalemia and limited combo-pill options.
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