Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. If your symptoms get worse before your appointment, you may need to go to urgent care.

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ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 16, 2025

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. And that can really inform what your own institutional policy is. This is Eric Widera. Alex 01:24 This is Alex Smith. But we always talk about capacity being decision specific. Eric 20:31 Yeah.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Is this our role?

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IT Family Families Diagnosis 102

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system? Eric: Okay. Kate: 3,500.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 22, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. While everyone says we should be doing this to the best science available, every hospital has a different interpretation of that. ” Some say, “Everyone gets a PHQ-9.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Michael’s Hospital in the Department of Family and Community Medicine. You know, we found that 64% of the people we cared for never went to the hospital or ER.

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Healthcare IT Community Illness 100

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

APRIL 3, 2025

So Annie Since I was appointed timekeeper. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. It’s okay.

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IT Hospital Screening Patients 64

GeriPal

NOVEMBER 21, 2024

Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. Somebody shouts at my front Desk staff because they’re pissed off about their appointment time. I said, you know, I don’t usually start my appointments in laughter.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

MARCH 24, 2022

Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does. So I do think it often does happen that younger adults appoint a surrogate when they engage in estate planning, for example. And I don’t think necessarily, that appointment needs to be a medicalized process.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But the cancer specific databases just don’t have this information. It’s opening this stock box of, all of a sudden, now what do I do with this information? Katie: Yeah.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

OCTOBER 12, 2023

I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment. You may not see the big picture, like treating somebody with advanced dementia by hospitalizing them and starting antibiotics for aspiration pneumonia and potentially a peg tube.

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IT Family Families Patient-Centered 128

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. He’s now hospitalized to break up that methadone into three times a day dosing.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JANUARY 30, 2025

So delivering those month visits in clinic, often in tandem with their other oncology appointments. But we do have the information about referrals to other ancillary providers as part of that multidisciplinary team. Lynn 37:39 I was in the hospital. So it matters. It’s a piece of the intervention.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 16, 2023

And while I was in the hospital, I never actually got over, like you were talking about, Eric, my defensiveness, the sting to my ego and my character and my worth, enough to get to the place of thinking about how I could be a good doctor for him. Keri: It’s all normal, and it’s all data that can better inform our practice.

Patients 109

Patients IT Family Families 109

GeriPal

AUGUST 8, 2024

These kind of tropes inform the mindset that keeps people. So for 50 years, I’ve been saying to families, you know, when we go to the crematory, we do it by appointment, just like when we go to the cemetery to bury. And I can’t imagine anyone working in an end of life situation, in hospital palliative care situations.

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IT Family Families Relationship 124

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. That’s a lot of appointments that we have to account for over time. Eric 26:47 How soon after from a hospitalization, all. They’ve been in the hospital twice in the last six weeks.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

It was specific to the relationship with the patient, the patient’s social context in which they might take this information. I don’t need to know how to bill, to enter encounter information to code. At the Mayo clinic, for example, they’ve got a very robust hospital at home program. That makes sense.

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IT Electronics Patients Healthcare 139

GeriPal

DECEMBER 29, 2022

So, from my standpoint, what I always tell people is to get as much information as possible, so talk to other family members, make sure everybody is on the same kind of pathway. Is it getting to a doctor’s appointment? But with our most recent project, we’ve actually trimmed it down. Could one of the family members do this?

Family 96

Family Families IT Patient-Centered 96

GeriPal

DECEMBER 12, 2024

Another thing you could do is let’s really encourage discussion ahead of time between the appointed surrogate and the patient while the patient’s competent about patients preferences about their values. And then once we have the surrogate, let’s really try to give them the information they need to make decisions.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. Joe: Great to be here. Welcome back to GeriPal, Brooke. Brooke: Thank you.

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Telemedicine Telehealth Patient-Centered Board-Certified 73