Research different options to find the right pediatrician
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Check credentials and licensing
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What to consider when choosing the right tech stack?
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Look for experience in treating your child's age
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Consider location and availability
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Periodical Summary
In the POST-PCI study, it was found that routine stress testing in diabetic patients versus standard care at one year and followed for two years, has shown that adverse cardiac outcomes and death rates were not improved by routine stress testing.
Doctor Max's Comment
This is an interesting study in that diabetic patients with acute coronary syndromes from ischemic heart disease may present with atypical symptoms, or worse yet, no symptoms. In the past I have been much more aggressive with screening my diabetic patients post-PCI because of this fact. Indeed, if routine stress testing is just doing a standard stress test without imaging, the conclusions of this study may be misleading. My post-PCI screening ALWAYS uses imaging modalities like stress echocardiography or nuclear imaging. Of course, these days most insurance companies will not approve post-PCI testing within the first year in an asymptomatic patient. As clinicians, we need to be aware of dyspnea with low level of activity and/or unexplained severe fatigue can be anginal-equivalents especially in females and diabetic patients. With regard to diabetic patients, trust your intuition and don’t disregard your “spidey sense.”