A Country Doctor Writes

JUNE 21, 2025

My take, and extrapolation, is that there are three reasons why healthcare has failed to evolve in usefulness of both our product (the care we deliver) and our technology (our EMRs), our customer centeredness and the value/cost relationship of the services we provide. 1) Healthcare is not at all customer centered.

Patients 130

Patients Patient-Centered Hypertension Healthcare 130

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. For example, with peritoneal dialysis and conservative management.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So if you look at anything pre 2009, seven or nine in emergency medicine, anything that was published as an intervention was essentially a primary palliative care intervention. Corita 10:59 No, it was rather simple. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77