BMJ

JULY 17, 2020

A multilayered view of stigmatizing discourses lays the foundation for eliciting a series of suggestions for quelling stigma, to be implemented at the individual, community, and national levels, as suggested by the WHO. Yet, as Tenkorang 7 made the point, it is simply not enough to only implement approaches at the community level.

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Community Individual Physicals Finance 40

GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Summary Transcript Summary. How do you do that? Mary Lynn: Thank you.

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IT Patients Individual Relationship 139

FDA Law

OCTOBER 30, 2022

This draft guidance proposes updates to FDA’s Breakthrough Devices Program, which is outlined in a separate December 2018 guidance document. FDA intends to incorporate these updates into the December 2018 Breakthrough Devices Program guidance after considering public comment.

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Diagnosis Clinic Provider IT 59

FDA Law

JUNE 23, 2021

Valentine — For the last 13 years, this blogger has been at the center of what has now been dubbed “patient-focused drug development.” For 6 years, I served as a patient liaison within FDA in what was then called the Office of Special Health Issues. By James E. The practice of medicine was viewed as paternalistic.

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Patients Patient-Centered Clinic Community 52

The Clinical Problem Solvers

DECEMBER 16, 2020

19:05 Clarifying the “ethics vs science” argument and critiquing research techniques 22:00 Resurgence of race-based speculation in COVID-19-related research 25:57 Implantation of ideas about innate racial inferiority within medicine 28:32 Will removal of race from algorithms potentially harm our patients?

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

FDA Law

AUGUST 2, 2022

However, in January 2018, then-Attorney General Jeff Sessions rescinded the Cole and Ogden Memos. CRCC also requests such guidance should explicitly protect patients using cannabis for medical treatment. 21 U.S.C. § 812(b)(1). Merrick Garland, Testimony Before the Senate Subcommittee on Appropriations , (01:06:35) (Apr. 26, 2022).

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Medical Individual Provider Community 96

PEMBlog

SEPTEMBER 24, 2024

At that point, he was referred to pulmonology who started the patient on albuterol, manual chest physiotherapy, and a steroid inhaler with a plan for a fourth chest x-ray four weeks later. On arrival, the patient was febrile to 38.3C. Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS).

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Diagnosis Diagnose Patients Asthma 52

The Clinical Problem Solvers

AUGUST 25, 2020

Policing and health outcomes Evidence has shown that excessive policing not only impacts the individual health of Black and brown people who’ve interacted with the police, but it also impacts the health of their communities at large.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Our last podcast was with Laura Petrillo in 2018 – 5 years ago seems ancient history – though many of the points still apply today (e.g. Goldilocks zone).

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Diabetes Management Patient-Centered Families 74

FDA Law

FEBRUARY 27, 2023

The Ryan Haight Act did not limit the ability to prescribe controlled substance medications by telemedicine so long as the patient and prescriber had a least one in-person visit. a prescriber that engages in telemedicine with the patient), including a review of PDMP data for the past year. 21 U.S.C. § 802(54)(D)(i).

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Telemedicine Telecommunication Telehealth Medical 59

FDA Law

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. However, Graves’s clients were physicians/physician offices — not individual patients in need of lab services.

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. However, Graves’s clients were physicians/physician offices — not individual patients in need of lab services.

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To assess the impact of neighborhood poverty, as measured by the Distressed Communities Index (DCI), on TKA in Maryland. Compared to the poorest neighborhoods, patients living in prosperous areas (OR = 1.97, 95% CI 1.65-2.34) It is a cost-effective and efficient treatment for individuals with end-stage osteoarthritis.

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Individual Insurance Community Healthcare 130

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. They were stunned by the number of calls for lift assistance for older adults who had fallen. Their job was done.

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Community Transportation IT PCP 115

Physician's Weekly

JUNE 19, 2025

On Fridays, Stephanie Johnson has a busy schedule, driving her navy-blue Jeep from one patient’s home to the next, seeing eight in all. Forget a lunch break; she often eats a sandwich or some nuts as she heads to her next patient visit. “Our patient isn’t just the older adult,” Johnson said. “Hello.

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Nurse Practitioner Families Family Primary Care 52

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients?

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Medical IT Patient-Centered Healthcare 99

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? But does the geriatric assessment do anything?

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Patient-Centered IT Patients Clinic 129

The Clinical Problem Solvers

NOVEMBER 6, 2023

Harrison, a community organizer and trans theorist, and Dr. Psyche A. Identify ways to navigate clinical interactions with patients while respecting them and affirming their experiences with food and fatness. During this episode, we hear from Da’Shaun L. This discussion is hosted by Sudarshan Krishnamurthy and Ashley Cooper.

Community 52

Community Manufacturing Patients Medical 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

MARCH 2, 2023

The FDA-approved indications for gabapentin are only for treating patients with partial seizures or postherpetic neuralgia. valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. There are a lot of reasons that may explain the massive increase in use of these drugs.

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Patient-Centered IT Healthcare Medical 96

GeriPal

OCTOBER 10, 2024

Show me your scars.” Scars, really? I’ve been there. You probably have too. On the one hand, I don’t think interprofessional teamwork needs to be scarring. On the other hand, though it goes against my middle-child “can’t we all get along” nature, disagreement is a key aspect of high functioning teams. Alex 02:38 Love it.

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Screening IT Families Family 120

Physician's Weekly

JUNE 11, 2025

The systematic review of peer-reviewed intervention was published from 2018 to 2023. The researchers recommended including community members in intervention design, healthcare systems, and policies. Of the 669 participants, the mean age from studies was 45.4 years, and 91% of the participants were Black women with HIV.

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Mental Health Healthcare Professional Community Healthcare 114

Common Sense Family Doctor

MAY 11, 2025

A less heralded ruling with health implications occurred in 2018, when the Roberts Court held that a prior federal law forbidding states to legalize sports betting was unconstitutional.

Management 52

Management Referral Mental Health Community 52

The Clinical Problem Solvers

MAY 30, 2022

We all must recognize the codification of racism within our institutions and work to unlearn these hierarchies in order to better care for Black and Indigenous patients. The exact statistics vary by location and by the overall level of investment in services such as childcare and parental leave within each community.

Community 52

Community Patient-Centered Families Family 52

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. And maybe, just maybe, Eric and I will be reinstated and return as hosts next week -Alex Smith ** This podcast is not CME eligible. So this is something. This is the plenary to attend.

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IT Hospital Screening Patients 64

GeriPal

JULY 21, 2022

Eric: For those of you don’t know, Emmy was on our podcast back in 2018 … man, pre-COVID times. Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song?

Families 102

Families IT Family Diagnosis 102

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Social pain and loneliness. The intro is the upbeat guitar driven version.

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Community IT Relationship Healthcare 115

BMJ

FEBRUARY 8, 2021

Two out of three drug overdose deaths in 2018 involved an opioid – be it prescription opioids, heroin, or synthetic opioids. 6 As a result of these and many other actions, the death toll from opioid overdose fell by more than 4% between 2017 and 2018. 2 Opioids contribute a large share of this overdose crisis.

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Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. Afterwards, we chat with the prison’s chaplain, Keith Knauf. And it’s an incredibly compelling place to work. Eric: Yeah. Michele: I do.

Families 132

Families Family IT Community 132

GeriPal

FEBRUARY 6, 2025

And my wife went to over, I want to say, 20 concerts. Eric 00:58 Have you been to a concert? Nate 00:59 I went one in Milwaukee, Wisconsin, and I’m so glad I did. I loved it and this was his favorite song and so I wanted to do it. Alex 01:07 And Bruce Springsteen did a stage dive. We were talking about this before. Nate 01:11 Very healthy man.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MARCH 24, 2022

2018 Systematic Review of Systematic Reviews on ACP. 2018 Systematic Review of Systematic Reviews on ACP. We’re going to be talking about advance care planning, serious illness communication, what’s what, what’s up with both, is either of them good. Among other topics. We can work it out! AlexSmithMD.

Illness 73

Illness IT Healthcare Patient-Centered 73

FDA Law

OCTOBER 17, 2023

FDA previously released the final guidance document in December 2018 outlining the program’s principles, features, designation criteria, and other considerations. Additionally, the 2022 draft guidance suggested the addition of a new section to the 2018 guidance on reducing disparities in health and healthcare.

Medical 53

Medical Diagnosis Healthcare Clinic 53

GeriPal

JUNE 29, 2023

But the other was she read an article about our hospice in the May of 2018 New York Times magazine. He taught us a little about the different flowers and plants, and along the way a little about why he does what he does. One story that Allan told perfectly sums this up. We have pictures of this online on our GeriPal website.

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IT Families Family Board-Certified 97

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I want to say like 2017, 2018, something like that.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

FDA Law

MAY 16, 2024

UMHS agreed to resolve the allegations in August 2018 for $4,300,000 and compliance with a three-year Memorandum of Agreement (“MOA”). A registered nurse also admitted she replaced fentanyl and hydromorphone with saline solution for administration to patients. The tech’s husband distributed the drugs in the community.

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Hospital Patient-Centered Medical Provider 59

GeriPal

OCTOBER 3, 2024

Alex 00:08 UCSF’s Division of Palliative Medicine are looking to build on their research and clinical programs and are interviewing candidates for the associate chief of research position and for full time physician faculty to join them in the in-patient and out-patient settings. Sit down and draw each other for only one minute.

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IT Patient-Centered Patients Relationship 122

Family Medicine Initiative

APRIL 10, 2024

Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. million people in 2018), shows that the longer you know your GP, the better off you are. Over time, communication improves.

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Family Physician Families Family GP 130