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Episode 68: Human Dx unknown with Rabih & UNC residents – lower extremity weakness

The Clinical Problem Solvers

Ann Marie Kumfer Dr. Kumfer is a third year resident at the University of North Carolina Internal Medicine Residency. She is pursuing a career in hospital medicine and is interested in medical education and diagnostic clinical reasoning. She completed medical school at Texas Tech University Health Science Center.

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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. This is my favorite article, Susan, that I talk about of M a nju is a New England Journal article that came out 2009. 2009, yeah, 2009.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. Was the clinician working frontline in those community hospitals? hospice use).

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Rehabbed to Death.