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Lessons Learned From My Hiatus

The Motivated MD

True we have a fulltime nanny, but we still both work full-time clinically and still wish to have a steady hand in our children’s lives. Second, we have had some unexpected transitions at my job, and this has left me to cover extra clinical obligations with some consistency. Keeping a personal finance blog is a tricky thing.

Finance 52
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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

So let’s just say you have a healthy 55 year old or 65 year old in your clinic. So whether it’s 50, 52, 55, 65, we should ask every person who comes into clinic at least once a year, how do you feel like your thinking is? So I’m in a specialty clinic, so I’m in this interdisciplinary memory assessment clinic.

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Group ACP and Equity: Sarah Nouri, Hillary Lum, LJ Van Scoy

GeriPal

It does seem that if communities, particularly historically marginalized communities, are interested in ACP, that fact should carry some weight in how resources are allocated to research and health care financing. And as you know, it’s a great article. Advance care planning doesn’t work. Your thoughts?

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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95
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Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly

GeriPal

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” I’m not going to talk about finances. We really see family engagement as a clinical intervention. This is a clinical intervention. Should you stop at “no?” I’m the doctor.

Family 97
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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. So they were a lot of preoccupied with other tasks, but clinical gestalt. The obstacles hindering referrals to palliative care services.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. And to keep it short work for an article.