The Clinical Problem Solvers

DECEMBER 16, 2020

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. September 12, 2018. This reminds us that using race as a catch-all can shroud other factors (ex. Links References discussed throughout episode Tsai J. link] Tsai J. Race Matters?

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

FDA Law Blog

FEBRUARY 27, 2023

The rule would permit a practitioner using a telemedicine encounter to prescribe controlled substances without an in-person visit under various situations involving both an audio-visual telehealth evaluation, or an in-person evaluation performed by a “referring” provider. 21 U.S.C. § 802(54)(D)(i).

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

GeriPal

JUNE 8, 2023

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. It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. Goldilocks zone). Nadine: I’m going to go back to behavior change.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 116

Community Transportation IT PCP 116

GeriPal

JULY 21, 2022

Eric: For those of you don’t know, Emmy was on our podcast back in 2018 … man, pre-COVID times. Or somebody who has other physical cognitive problems at any age. This is something we’ve heard from people: that if you just bring it up every year as part of your routine physical, like, “Any concerns about driving?”

Families 102

Families IT Family Diagnosis 102

GeriPal

MARCH 2, 2023

JAMA Surgery 2018 Gabapentin and mood stabilizers in the Nursing Home Setting: Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications. Eric: Any other interesting tidbits or facts that we should know as providers about gabapentin or Lyrica dosing or pharmacology? J Am Geriatr Soc.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

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. Michele: The article was 2018, but I think Bonnie read the article more recently. Eric: How long ago was this? Alex: A few years back.

Families 133

Families Family IT Community 133

GeriPal

SEPTEMBER 7, 2023

William: So ASCO decided to make a high priority this year to redo the guidelines, which were originally released in 2018. And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. Drugs has to do with polypharmacy. I like it, John. William: Yeah.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

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. Alex joined in 2018. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. Alex 05:15 Oh, really? And so we did this song.

IT 65

IT Hospital Screening Patients 65

GeriPal

APRIL 24, 2025

I think they may not be likely to provide much benefit, but because they’re water soluble and you just pee it out, they’re probably not causing much harm, except for potentially financial harm if they’re very costly. It’s just that he was foregoing things that we think would have provided him more benefit.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

Tiny Physician

MARCH 30, 2022

For example, a doctor working at a primary health center may not able to provide adequate care for a pre-term newborn child. If the doctor has provided the same level of patient care that another similarly qualified doctor would provide under the same situation, then there is no dereliction of duty.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

MAY 12, 2022

What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And then there are a number of groups that go out in vans and cars and go out into the surrounding community of Kerala to provide care for patients who are in their homes. But remember that here we were focused on needs.

Community 116

Community IT Relationship Healthcare 116

GeriPal

FEBRUARY 6, 2025

So for primary care providers, you order that blood test, you own that. So prior to the new criteria that were proposed in 2018, the criteria were the presence of amyloid in tau was the definition of Alzheimer’s disease. And a primary care provider has 18 minutes. And how can I expect a primary care provider to do that?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MARCH 3, 2022

I want to say like 2017, 2018, something like that. I think there’s so much more, that’s known now about Alzheimer’s and out in the general public, hopefully providers are having these conversations, but we can’t really take too much comfort in it because of those findings that you just mentioned by John Tino.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

PEMBlog

JUNE 5, 2024

When it comes to physical examination of a child with a suspected cervical spine injury, remember, immobilize the c spine, either by hand, so another team member holding inline c spine, or by placing a collar, like an Aspen or Miami. I’ve provided a link in the show notes. Pediatrics. 2019 Jul;144(1):e20183221.

Patient-Centered 52

Patient-Centered Patients IT Hospital 52

GeriPal

MARCH 27, 2025

And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up. And I think these conversations, and I mean that in a way that these conversations are designed to not just be had in isolation between a primary care provider and a patient.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. And so the definition of advance care planning really switched in, I think, 2017, 2018, there was kind of a United States definition and then an international consensus definition. What are your values? Eric: Yeah.

Illness 98

Illness Patient-Centered IT Patients 98

Pamela Wible MD

JUNE 19, 2025

Isn’t it weird that now we’re labeling the majority of doctors with burnout in 2018? It’s dangerous and unsustainable; emotionally, physically, spiritually, financially for the patients—and for us. I’m just actually providing really good primary health care. Does that make any sense at all?

Clinic 246

Clinic Nurse Practitioner IT Medical 246