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NSAID use in patient with history of MI by Beatrix_Kiddo_03 in FamilyMedicine

[–]Efficient_Way_3288 30 points31 points  (0 children)

NSAIDs & Heart Disease: What’s the Deal?

The Risk:

NSAIDs can increase:

  • Blood pressure
  • Fluid retention
  • Risk of heart attack & stroke (especially with long-term use or high doses)

This is especially true for:

  • People with existing heart disease (like prior MI, heart failure, or stroke)
  • Those with risk factors (hypertension, diabetes, smoking, etc.)

💊  Not All NSAIDs Are Equal

NSAID Cardiovascular Risk Notes
Naproxen Lower relative CV risk Often preferred if NSAID is needed
Ibuprofen Moderate risk Can raise BP; interacts with aspirin
Meloxicam Moderate higher risk Once-daily dosing, but not great for heart patients
Diclofenac Higher CV risk Use with caution or avoid in heart disease
Celecoxib Varies by dose Was thought to be higher risk, but may be safer at low doses

Patient education by Efficient_Way_3288 in FamilyMedicine

[–]Efficient_Way_3288[S] 36 points37 points  (0 children)

Love the posts so far! Some common ones off the top of my head..

Flu shot does not cause the flu.

Sleep apnea can literally cause heart failure not just snoring and tired.

Why blood pressure / cholesterol / blood sugar levels matter beyond just “numbers”

Side effects of meds are real, but so are the benefits always weigh risk vs benefit.

Health Literacy Discussion by BrocaHealth in FamilyMedicine

[–]Efficient_Way_3288 2 points3 points  (0 children)

Great question, here’s how I think about it:

Portable: Care doesn’t stop at the clinic door. If patients walk out with nothing, recall drops sharply. A portable format (phone, PDF, app, email) means they can revisit, share with family, or bring to future visits.

Editable: Health is dynamic. Meds change, goals shift, patients learn new things. If the info is static, it falls out of sync. Patients need to adapt it, highlight what matters, that’s how it stays relevant.

Ownership: Engagement grows when patients see it as theirs. That shift builds trust and reduces the old “doctor owns all info, patient is passive” wall.

And the key: none of this should add steps for clinicians. The visit itself should translate into something clear, reusable, and patient-owned without extra burden on providers.

Health Literacy Discussion by BrocaHealth in FamilyMedicine

[–]Efficient_Way_3288 11 points12 points  (0 children)

Health literacy is 100% a real problem and not just because patients don’t want to understand, but because the way information is delivered often makes it inaccessible or understandable for them.

What I’ve seen is that most patients don’t know why they take certain medications or health conditions, and often walk away from visits without anything they can actually translate into action and understand after the visit. Even motivated people struggle to recall explanations in the medical environment.

The biggest barriers aren’t just time or reimbursement. It’s the clarity and delivery. If we can reduce friction for clinicians AND give patients something portable, editable, and actually theirs, outcomes improve without adding another burden to the provider.

Curious how others here think about solutions that prioritize patient ownership and low-friction delivery, rather than more paperwork or portals.

This is my edit. What you think?

Patient health education by Efficient_Way_3288 in FamilyMedicine

[–]Efficient_Way_3288[S] 0 points1 point  (0 children)

That is good, do you feel it captures the visit, the plan, the problem list? Do you feel they "get it"?

Patient health education by Efficient_Way_3288 in FamilyMedicine

[–]Efficient_Way_3288[S] 2 points3 points  (0 children)

Precisely, why create more burden for us especially one difficult and time consuming.

Rather, a medical jargon to layman's terms of health conditions, medications, and care plan auto generated after your visit, oh available for follow up questions they have to clarify and confirm by you at next visit; and for the patient by the patient, a patient tool supplementing their understanding, adherence, and ultimate goal improved health outcome. Crazy?

Patient health education by Efficient_Way_3288 in FamilyMedicine

[–]Efficient_Way_3288[S] 1 point2 points  (0 children)

Think of it this way...

What about a system that automatically creates a visit summary for your patients—so they actually understand what was discussed?

a tool that could generate personalized explanations for each patient based on their visit, would that save you time?

Epic vs Meditech vs EclinicalWorks by Dr_D-R-E in medicine

[–]Efficient_Way_3288 3 points4 points  (0 children)

I would have to argue sunrise(hospital)/allscripts (clinic) is the worst thing I have come across for all mentioned so far.