The Clinical Problem Solvers

FEBRUARY 9, 2020

Recall from our first article in the “Clinical Reasoning Corner” that pretest probability represents the relative probability we attribute to a certain disease before we gather further diagnostic data. As this article explains , using LRs can be time consuming, making it impractical to apply them to every clinical decision.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

The Medical Futurist

MAY 18, 2025

They are often overwhelmed by physically and mentally daunting tasks, and the result is often an unpleasant experience for everyone involved. But even in 2024, millions live outside the reach of conventional emergency services be it in Vanuatu or the Inuit communities up North in Canada.

Healthcare 64

Healthcare Hospital Medical Patient-Centered 64

GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

Community 102

Community IT Individual Patient-Centered 102

GeriPal

JANUARY 12, 2023

If you want to do a deeper dive in ACE units, check out some of the following articles: The original NEJM paper on ACE units from 1996. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics. Kellie: Yes.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. This is Eric Widera.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JANUARY 23, 2025

Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Eric 16:36 Okay, Connie, I got one last question about your article. We’re starting to adopt them as well for different cultural communities. Amy, welcome to GeriPal.

Specialization 120

Specialization IT Patient-Centered Medical 120

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. We talk about diagnosis, et cetera, but it’s almost more of a community conversation. It’s going to be at home what community resources are out there. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious. Anna 01:38 Yeah. So this is great.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. We don’t have to go into that, but I do want to highlight, you had a JAGS article that was published on pre-hospitalization dysphagia and feeding tube placement in nursing home residents with advanced dementia. Raele: Yeah, it’s beautiful, colorful images.

IT 125

IT Patient-Centered Hospital Individual 125

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

JUNE 8, 2023

It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. They know how to manage a lot of these back at home and in the community, so giving them that sense of control even towards the end is I think hugely important. Nadine: I’m going to go back to behavior change. Absolutely.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Edge Family Medicine

FEBRUARY 10, 2025

When to Visit in Person Annual physical exams & vaccinations. At Edge Family Medicine , we provide comprehensive in-person care , ensuring accurate diagnosis and effective treatment for conditions requiring a physical assessment. Convenient location in Upland, CA , serving nearby communities. Why Choose Edge Family Medicine?

Telemedicine 130

Telemedicine DO Family Medicine Chronic Disease Management 130

AMMD

FEBRUARY 14, 2025

Thankfully, there are many ways to go about this that I will uncover in a new article soon. This article is going to focus what is cancer and the root causes. In my interview with Dr. Nasha Winters , we discuss the monumental shift taking place in the medical community. Prevention is KEY! What Is Cancer?

IT 130

IT Chronic Disease Patient-Centered Utilities 130

GeriPal

APRIL 3, 2025

We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. 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 then I got to choose the first article.

IT 65

IT Hospital Screening Patients 65

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. In their communities? And I love the podcast that we did because it really highlights… We pride ourselves in palliative care, and focusing on physical, psychological, social, and spiritual suffering. With their regular providers? Eric: Yeah.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 8, 2024

Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. BJ: Mm-hmm.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 8, 2025

And it kind of made its way into medicine probably around, I’m going to say the 50s after there was a fairly interesting Time Life article that was published. And when that article went to print, it just went ballistic. Gordon Alwasa. Am I saying that right? I always get. Sorry, Demoralization and chronic pain.

Illness 109

Illness IT Patient-Centered Patients 109

PEMBlog

JUNE 2, 2025

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. I like it, John. William: Yeah.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

MAY 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community.

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Community IT Relationship Healthcare 116

GeriPal

MAY 22, 2025

And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. Eric 04:42 There was even less on GeriPal.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. Would you also just mind mentioning kind of the JPSM article too? What drove you to write that article on this important trip to Seattle? And my article is about when I was a mid to junior faculty member trying to build this career.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. It’s the same measure we used in the New England journal article. So you know, we talked about the community that we established over the last seven years with this study.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young.

Families 133

Families Family IT Community 133

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. Eric: But if we’re using organ donation example, there are really no physical benefits for the organ donor. Alex: Yeah. Just establish that right now.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

FEBRUARY 29, 2024

The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. Because this is not… Our traditional academic route of dissemination is focusing on communities that don’t have a lot of access to Geriatrics or Palliative care or learning opportunities. Lynn: Great.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

FEBRUARY 6, 2025

We’ve had difficulty in recruiting and engaging in those communities, and that’s on our end. It’s not on the community’s end. So it matters a lot to the person, to their family, to the community. But you wrote an article about what primary care Needs. Alex 26:33 Yeah. Nate 26:36 Right.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MARCH 2, 2023

I could go on and on, but listen to the podcast instead and for a deeper dive, take a look at the following articles and studies: Gabapentin in the Perioperative setting: Prolonged use of newly prescribed gabapentin after surgery. Eric: Although pregabalin, right, more misuse of pregabalin out in the community. J Am Geriatr Soc.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

JUNE 29, 2023

But the other was she read an article about our hospice in the May of 2018 New York Times magazine. And that article really, it’s by Suleika Jaouad, and it focused on some of the peer workers that we have. And she read that article and was very moved by the work that these men are doing, and so she wrote the song about that.

IT 97

IT Families Family Board-Certified 97

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. We’re going to be linking to two important JAGS articles that our guests wrote just recently in JAGS. Ashwin 00:49 Excited to be back. Kate 01:09 Yeah.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

MAY 4, 2023

So if a young person is saying, “I’m going to try my 10th round of chemotherapy even though I physically am suffering. We really need to figure out who we are in the world and that takes your physical identity, your sexual identity, your vocational goals. Those decisions are not wrong or bad decisions.

IT 83

IT Families Family Illness 83

GeriPal

DECEMBER 8, 2022

So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin. I see you’ve heard of it.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

APRIL 28, 2022

So I wonder Nathan, comment, if you could for us, on these comics, graphic art as a mechanism for teaching people, whether it’s within the palliative care community or the broader audience of clinicians that this clearly would appeal to as well. But yeah, there’s a growing community of graphic medicine folks. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145