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Risking It All For a New Business Model at Family Physicians of St. Joe

Family Physicians of St. Joseph

The practice steadily grew through the 80’s and 90’s, and Dr. Eggebrecht joined in 1993, at a time when family doctors still rounded in the hospital and delivered babies. In 2007, Dr. Mancini joined the practice, followed by Dr. Meadows in 2012, and Dr. Gendernalik in 2015.

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MyChart Messages the Wild West of Patient Communication

33 Charts

Why MyChart messages create a challenge for hospital systems So more contact and connection between doctors and patients seems like a good thing, right? It’s the physics of physician bandwidth: You can’t add something without taking something away. Absolutely. The problem is that doctors work in what I call a zero-sum medical day.

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Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer

GeriPal

By 2015 that number increased to 4% of US adults. Eric: And we have Tasce Bongiovanni, who is an acute care trauma surgeon at UCSF and the San Francisco General Hospital. We should be able to trust all the data that comes from our governing board. In 2002, 1% of adults were taking gabapentinoids (gabapentin and or pregabalin).

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The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

GeriPal

And then the second one in 2015. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. And so I was really thinking about why are some of my people that are hospitalized doing better than others? Many people starting to talk about loneliness epidemic. Eric: How about you, Thomas? Lightning round: magic wand.

IT 99
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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

The MAID issue then came on the table in Canada after the 2015 Supreme Court ruling in Carter v. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. But that was separate from MAID.

Illness 144
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Aging and Climate Change: Karl Pillemer, Leslie Wharton, & Ruth McDermott-Levy

GeriPal

And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. And we have gone from 250 members at the end of 2015 to about 26,000 right now across the United States and a number of chapters that have grown.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. Malaz: … to restrain them in the hospital.