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Notes from practice.

Our physicians writing about chronic care, early detection, and what actually keeps patients out of the hospital. No product pitches. Just the thinking behind the work.

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The pound a day nobody asked about

Richard Ferrans, MD, ScM6 min read

A patient with heart failure who gains a pound a day is not gaining weight. They are retaining fluid, and that fluid has a predictable destination. Why the most preventable admissions are the ones nobody sees coming, and what a single weekly question would change.

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