AMMD

FEBRUARY 14, 2025

The average age of a breast cancer diagnosis has statistically been around 65. I will have an article about the dangers of gadolinium dye soon. I also did a screening blood test to look for circulating tumor cells, which I will have an article on this soon! Breast Cancer, as are all cancers, is on the rise. Don’t worry!

Diagnosis 130

Diagnosis Screening IT Patient-Centered 130

PEMBlog

OCTOBER 26, 2023

Other complications include obstruction due to intussusception or volvulus, leading to bowel ischemia and shock. Recognizing the characteristic features and understanding the differential diagnosis is crucial in managing patients with lower gastrointestinal bleeding. The Diagnosis of Meckel’s Diverticulum: A Continuing Challenge.

Diagnosis 64

Diagnosis Complication Consulting Management 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

Physician's Weekly

JUNE 11, 2025

Experts shared updated guidance for treating chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) in a recent viewpoint article published in Blood Advances. CT Imagin g: CT is recommended at diagnosis if lymphadenopathy or splenomegaly is present, or if clinically indicated.

Management 52

Management Diagnosis Complication Screening 52

PEMBlog

JANUARY 21, 2025

This article delineates the salient clinical features, associated complications, cost considerations, and risk profiles for each virus, thereby providing a framework for informed clinical decision-making. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. So people who have Medicare mostly fee for service in a dementia diagnosis should have access to a care, essentially a care navigator for the duration of their condition, or at least the duration of the program. But it seems very apropos to the topic. Anna 01:38 Yeah. Here we go.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MARCH 14, 2024

Eric: And swallowing is complicated, right? 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. Eric: Because you need saliva to swallow, right? Nicole: Yes. Raele: Yes.

IT 124

IT Patient-Centered Hospital Individual 124

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex Smith: This is Alex Smith. Is that your experience?

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

MAY 11, 2023

But I would say that in terms of education, it’s really complicated because it’s so confounded by socioeconomic status and so many social determinants of health. Or is it going to get worse because they’re now having these complications from lecanemab? AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. Mody for the mentorship and for the opportunity to bring together these articles.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. And I was looking for articles, and I wasn’t seeing as many as I expected.

IT 97

IT Patient-Centered Patients Board-Certified 97

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

SEPTEMBER 28, 2023

Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens. Yeah, I think we took a pretty broad definition in the article, but really it’s any failure to communicate clearly and adequately. And I think of the Doug White article?

Family 144

Family Families Patient-Centered IT 144

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

IT 128

IT Family Families Patient-Centered 128

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. Fifty percent have a diagnosis in their record of decedents have dementia. Eric: Yeah. Joel: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. But really those urinary tract signs and symptoms should be driving your diagnosis.

Management 122

Management IT Medical Patient-Centered 122

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 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. I mean, I think, you know, people talk about withdrawal syndrome and it is an official DSM for diagnosis, but I’m not sure it’s. Eric 39:13 No, there was actually in Colorado, I think there was that Atlantic article or New Yorker. David 20:00 Yeah, I think so.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

JUNE 15, 2023

For example, there was one article that we reviewed for Jags where it asked great questions, they gave great prompts, and ChatGPT answered great questions about antipsychotics and gave a list of references to back up ChatGPT’s assertions. Now actually suggesting perhaps that you missed a diagnosis that you should have considered?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 23, 2023

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.” In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate.

Family 98

Family Families Patient-Centered IT 98

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). I’m unsure what they do, how often they’re used, and who pays for their work. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. Dani and colleagues article on Palliative Care Psychiatry: Building Synergy Across the Spectrum. Eric 33:23 Article on Thaddeus Pope. And you can talk.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. What are the patients that we remember? Abby: Yeah.

IT 83

IT Family Families Illness 83

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. It’s something we need to pay attention to, which is what we were talking about in the article. People with dementia make up about half of hospice admissions. Melissa: Sure. I threw out a lot.

Family 106

Family Families IT Patients 106

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So figured out a little harmonica- Eric: That was wonderful. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 19, 2023

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! Gretchen Schwarze like surgery, four things, live longer, feel better, be more functional, make a diagnosis. OK, I’ll step off my soap box.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. And I got from your article, while the peaks follow this pattern, people feel a lot of different things where it just reminds me of the times I’ve grieved.

IT 100

IT Complication Relationship Specialization 100

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. It’s easier to concentrate on cure, diagnosis, cure. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one.

Community 115

Community IT Relationship Healthcare 115

AMMD

APRIL 1, 2025

Technically, no… but it’s a little more complicated than that. Before I do, I want to set the intention for this article. Additionally, ensuring you have a proper diagnosis prevents treating the wrong problem. If you suspect candida overgrowth, getting an accurate diagnosis is essential. How Is Candida Diagnosed?

Diagnose 130

Diagnose IT Provider Healthcare 130

GeriPal

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. A review article, which I still like to go to. Is a new diagnosis of HIV.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 25, 2024

Summary Transcript Summary We are dusting off our crystal balls today with three amazing guests who have all recently published an article on prognosis over the last couple months: Kara Bischoff, James Deardorff, and Elizabeth Lilley. Eric 00:13 And Alex, we have a super special today, three different articles. This is Eric W id era.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. Here are some articles that Kira and I have written about the topic, and that’s really how my interest in addressing sexual health concerns started. And I said, sure. And she’s like, is it okay for me to kiss my husband now? Sharon 15:21 Right.

Illness 130

Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

Eric 01:07 So we have an amazing lineup of guests and we’re going to be talking about a pragmatic study on advanced care planning, which we’ll have links to in our show, notes for the actual article. But before we dive into the study and the implications it has for the practice that we do, I believe someone has a song request.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? I think, Winston, in your article, you even said for probably brief periods of time, they’re still conscious. Eric 30:09 And again, listeners, we’ll have links to Sean’s article on our website. It’s coming up very much right now.

IT 113

IT Family Families Patient-Centered 113

GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” And I think the advanced planning debate is really a question of, how do we help this very complicated situation? We see how hard it is.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JANUARY 5, 2023

Yvonne Lindgren article mentioned on podcast. This is a key issue, and I want to cite… Here’s this nice article from Rights to Dignity: Drawing Lessons From Aid in Dying and Reproductive Rights by Yvonne Lindgren, who I don’t know. George Janis wrote this article in a law review. SPONSOR: . Alex: Yeah.

Provider 19

Provider Medical Hospital IT 19