PEMBlog

JUNE 14, 2023

This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum. Pediatrics October 2020; 146 (4): e20201174. McEnany, Olutosin Ojugbele, Julie R. Doherty, Jennifer L.

Mental Health 98

Mental Health Management Patient-Centered Illness 98

Common Sense Family Doctor

DECEMBER 14, 2024

Active surveillance is a management strategy that is intended to limit overtreatment of localized prostate cancer by monitoring patients with periodic PSA measurements and prostate biopsies to delay or avoid curative therapy (radical prostatectomy or radiation therapy) and its adverse effects. and 6.1%, respectively). in 2000 to 59.8%

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

Today's Hospitalist

MAY 9, 2025

Since the mid-1990s, our capacity for innovation has never stopped as hospitalists navigate a complex landscape of acute illnesses, interprofessional collaborations and the imperative to provide efficient, high-quality care. Beyond time savings, ambient AI can enhance the quality of our patient interactions. The result?

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

FDA Law Blog

JULY 31, 2023

CARA amended the Controlled Substances Act (“CSA”) to enable physicians or patients to request pharmacists to partially fill prescriptions for schedule II substances including opioids and to allow remaining quantities to be filled up to 30 days after issuance of the prescription (up to 72 hours for emergency oral prescriptions). 21 U.S.C. §

Electronics 98

Electronics Consulting Patients Medical 98

FDA Law Blog

AUGUST 4, 2022

Recognizing that this out-of-pocket cost still represents a significant financial barrier for many patients, Pfizer proposed a Direct Copay Assistance Program for Medicare Part D beneficiaries using tafamidis. Under Medicare’s pricing formula, beneficiaries who take tafamidis are responsible for a copay of approximately $13,000 per year.

Manufacturing 98

Manufacturing Medical Government IT 98

Doctor On Demand

APRIL 16, 2025

For those who desire medication for symptom relief, I suggest my patients try a common OTC medicine called guaifenesin, which can help to further thin the mucus.” “Hydration is very important, and drinking plenty of water helps to thin mucus and makes it easier to clear the airways.”

Medical 52

Medical Board-Certified Asthma Telehealth 52

The Clinical Problem Solvers

AUGUST 25, 2020

Police presence in medical spaces can add to Black patients’ feelings of not having a “safe space” and we must consider our roles in potentially perpetuating violence in this way. Jefferson & Hedwig Lee (2020) Illness spillovers of lethal police violence: the significance of gendered marginalization. N Engl J Med.

Community 52

Community Patient-Centered Relationship Education 52

FDA Law Blog

NOVEMBER 1, 2023

The PR takes on two specific statutory grounds raised by the June 22, 2020 HHS memo —the requirements for “interstate commercial” and “commercial distribution”—and argues that they are not impediments to FDA jurisdiction over LDTs.

Manufacturing 81

Manufacturing Hospital Healthcare Medical 81

PEMBlog

SEPTEMBER 13, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. Glucose We all need it.

Patients 52

Patients Screening Illness Physicals 52

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. But how to talk to patients about the risk and benefits when starting. Ariel: Sure.

Specialization 104

Specialization Medical Patient-Centered Provider 104

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Persons with disabilities were more likely to experience serious illness, death, and adverse consequences by the COVID-19 pandemic. Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states. 95% CI 0.51, 0.7) 95% CI 0.51, 0.7)

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

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. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice?

Diabetes 74

Diabetes Management Patient-Centered Families 74

The Clinical Problem Solvers

MAY 2, 2022

Dr. Davila is a palliative care physician at Massachusetts General Hospital and her work examines racial and ethnic inequities in patient-clinician communication. Our Black and Hispanic patients are less likely to have had trust-building experiences and more likely to have had trust-eroding experiences with the healthcare system.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. Storytelling Helps Hospital Staff Discover The Person Within The Patient. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. What’s in a story?

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. What do different patient populations need? But watch out! Alex 01:06 Yeah, go in person.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. The patient’s capacity to make decisions was marginal, and his sons were shouldering much of the responsibility.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

OCTOBER 19, 2023

Caveat as well that RCTs should not be placed on pedestal as the only answer- often patients enrolled in RCTs do not represent real world patients – observational studies do. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. I’ve had a patient in one room, they have stage four breast cancer. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study.

IT 137

IT Families Family Physicals 137

The Clinical Problem Solvers

NOVEMBER 16, 2020

Much of the data promoting biological difference amongst races comes from poorly-designed studies where race as a variable is ill-defined or confounding variables are inadequately controlled. How is racism causing the outcomes that I am seeing in my patient? Published online July 2, 2020. Published online June 19, 2020.

Clinical Practice 52

Clinical Practice Clinic Medical Education 52

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. Eric 04:55 Does it need an experience directly? I guess that’s an event.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

FEBRUARY 13, 2025

How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

DECEMBER 5, 2024

We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. Because we all interface with it at the end of the day as patients. That was January 2020. We had, you know, it was a Monday night in June of 2020.

IT 107

IT Community Patients Families 107

GeriPal

SEPTEMBER 12, 2024

Eric 04:44 Could just make you a little bit more resilient, you can increase your Rvus so you can see more patients. It’s really not about helping the patient or physician. And also, by the fall of 2020, I was pretty sure that I didn’t want to be a leader anymore. If you were just. If you could make it, if we.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

SEPTEMBER 21, 2023

I think that’s something we’ve seen even with the most recent issues that came out, not new issues, but came to the surface with the racial reckoning that we saw in 2020 related to murders and deaths and killings and that sort of stuff that helps to reshape how we refer to different groups of individuals in our community.

Community 128

Community Families Family IT 128

GeriPal

APRIL 21, 2022

Poetry puts us in our patient’s shoes. Poetry holds us in that liminal space so many of our patients are in. Poetry helps us grapple with our own experiences of illness. Isn’t that what we always work with, with patients, with our colleagues, with ourselves? To let it go. . Alex: Mm-hmm (affirmative).

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 29, 2022

Journal of Patient Experience. December 2020. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. I mean, it’s something that frustrates me on a daily basis, the number of times that I’ve had to argue with patients and even my own grandparents.

Families 96

Families Family IT Patient-Centered 96

BMJ

AUGUST 20, 2021

doi: 10.1136/fmch-2021-001143 The COVID-19 pandemic has resulted in profound changes in patient and prescriber behaviour. In the United Kingdom (UK), primary care practitioners are the first-line clinicians which most patients encounter, providing initial assessment and treatment of a wide variety of conditions.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. And then to see her show up in our hospice unit in April of 2020, it just completely broke my heart. Turns out, it’s maybe not.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. I think I could get them to hospital, to treat an acute illness. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

OCTOBER 31, 2024

Summary Transcript CME Summary In March 2020, we launched our first podcast on COVID-19. And the reason why I’m choosing is because it’s respiratory virus season and we don’t want our patients to catch their breath. Over the past four years, we’ve seen many changes—some positive, some negative. All good ones.

Vaccination 127

Vaccination IT Patient-Centered Patients 127

Physician's Weekly

JUNE 26, 2025

Within an hour of receiving a covid vaccination in November 2020, Utah preschool teacher Brianne Dressen felt pins and needles through her arms and legs. He directed the patients to seek local help. system for monitoring the rare ill effects of vaccines. Once a rock climber, she became a couch potato. Kennedy Jr.

Vaccination 52

Vaccination Patient-Centered Government IT 52

GeriPal

JUNE 2, 2022

Eric: All right, before we start talking about COVID in older adults and those with serious illness, do you have a song request for Alex? it was April, 2020. We’re actually lower of COVID deaths in this country than we’ve ever been since March of 2020. So really very honored to have you on here. Monica: Yeah.

Vaccination 100

Vaccination IT Hospital Management 100

FDA Law Blog

MAY 19, 2022

By Faraz Siddiqui — Last June, we blogged about a lawsuit brought by the Pharmaceutical Research and Manufacturers of America (PhRMA) challenging CMS’s ill-conceived Accumulator Adjustment Rule (“final rule”), which amended the Medicaid Rebate best price regulation. See 42 C.F.R. §§ 447.505(c)(8)-(12).

Manufacturing 40

Manufacturing Patients Insurance Government 40

FDA Law Blog

JANUARY 9, 2024

In late 2020, industry groups challenged the final rule in federal court, but the case was dismissed for lack of standing. Additionally, industry stakeholders remain convinced that the SIPs will impact drug quality and patient safety , and they may bring further lawsuits against these programs.

Supply Chain 59

Supply Chain Manufacturing Chronic Condition Government 59

GeriPal

JULY 16, 2024

So you have to kind of walk a fine line in saying, I am unable to make a diagnosis without seeing a patient. But to actually make a diagnosis without the patient in front of you. And that’s why we have a comprehensive evaluation of patients. Eric 30:42 Trump did a MoCA in 2020, I remember that he did the OmoC ever.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141