Physician's Weekly

JUNE 24, 2025

Fontana and Gitanjali Srivastava, MD , shared their perspectives with PW about current and potential MASLD treatments and their impacts on patient care. Dr. Srivastava: This study is crucial because it provides robust evidence supporting weight loss as a primary intervention for MASLD. PW: Why was it important to do this study?

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Patient-Centered Diabetes Referral Primary Care Doctor 52

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%

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Screening Routine Screenings Complication Diagnose 52

Physician's Weekly

JUNE 11, 2025

In an article for Obesity , researchers investigated how to better design lifestyle-based weight loss programs for older adults in order to address muscle and bone health concerns. First, to meet protein needs, patients can be counseled to include 30 grams of high-quality protein sources at each meal. This might look like 3.5

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Management Primary Care Physicals Telehealth 52

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. These articles are part of a new series called Clin-Star Corner , a new series in JAGS that reviews practice changing articles in the care of older adults. .

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Complication Patient-Centered IT Patients 97

AMMD

FEBRUARY 14, 2025

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! This is why conventional physicians treat DCIS in patients with surgery, radiation, and sometimes chemotherapy. In 2024, I had another scare.

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Diagnosis Screening IT Patient-Centered 130

GeriPal

JANUARY 23, 2025

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ). in the usual care group.

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Specialization IT Patient-Centered Medical 119

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious.

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Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 12, 2023

Which patients are eligible to go to an ACE unit? 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. So I picked the Ed Sheeran song, The A Team, because it reminds me of our ACE team that goes around the hospital and cares for our older patients.

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Hospital Patient-Centered IT Nurse Practitioner 100

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?

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Diabetes Management Patient-Centered Family 73

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Rectal method is more appropriate for infants, children and unconscious or comatose patients who are not able to hold the thermometer in their mouth. Understanding the patient’s medical history is crucial for an accurate diagnosis. FEVER FAQs (contd.)

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Diagnosis Management Illness Diagnose 130

GeriPal

JANUARY 25, 2024

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. The article we discuss today, also published in JAMA , addresses these two gaps. Your research is a lot in this patient population, right? With their regular providers? Important implications.

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Patient-Centered IT Illness Patients 122

Medical Xpress

JUNE 16, 2025

But what we observed was much more complicated." The content is provided for information purposes only. The traditional model is simple: SCN neurons were believed to act like runners in a relay race, passing the light signal along in a linear chain. Some SCN neurons were activated by light, while others were inhibited.

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Provider Medical Complication Diabetes 109

GeriPal

OCTOBER 20, 2022

And, who within ASPE guides aging policy and connects policy to every day health challenges experienced by patients and clinicians? This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. Sonali: Thank you for having me.

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Patient-Centered Complication IT Patients 52

GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. Patients may feel like falls are just part of normal aging. Providers may feel a sense of nihilism, that there just isn’t anything they can do to decrease the risk of falling.

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IT Patient-Centered Screening Community 124

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I was looking for articles, and I wasn’t seeing as many as I expected. Come join us.

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IT Patient-Centered Patients Board-Certified 96

GeriPal

SEPTEMBER 28, 2023

First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Patient Values: Three Important Questions-Tell me more? Simple, right? Not so much, as each one of these steps is fraught with miscommunication. What else?

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Family Families Patient-Centered IT 144

Medical Xpress

JUNE 16, 2025

Edwards edited by Gaby Clark , reviewed by Andrew Zinin Gaby Clark scientific editor Meet our editorial team Behind our editorial process Andrew Zinin lead editor Meet our editorial team Behind our editorial process Editors notes This article has been reviewed according to Science Xs editorial process and policies.

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Mental Health IT Medical Specialization 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

A more Western perspective on health care emphasizes the role of physicians and health care providers and marginalizes the role and contributions of doulas and midwives. One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California.

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Community Patient-Centered Mental Health Board-Certified 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? And then one patient who really knew more about a topic than I did, which unfortunately happens much more often.

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Medical IT Patient-Centered Healthcare 98

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis. This is Eric Widera. Alex 00:12 This is Alex Smith.

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Management Patient-Centered Patients IT 116

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. William: Thanks so much.

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Patient-Centered IT Patients Clinic 129

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.

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Patient-Centered Hospital Patients IT 132

Edge Family Medicine

OCTOBER 8, 2024

At Edge Family Medicine, we prioritize early detection to give our patients the best chance at a healthy life. By identifying health issues in their initial stages, patients can make informed decisions and act promptly. Edge Family Medicine offers high-quality, patient-focused care that centers on early detection and prevention.

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Family Medicine DO Screening Family 130

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. Upon entering the room, you find the patients nurse at the bedside already in mid-conversation with the patients parent. Use IV labetalol or nicardipine continuous drips to lower blood pressure.

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Hypertension Management Physicals Lab Testing 75

GeriPal

OCTOBER 12, 2023

Summary Transcript Summary For surgeons and patients, deciding if and when to operate can be challenging. Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. We hope you enjoy this episode. Alexis, welcome to GeriPal. Alexis: Thanks for having me. Alexis: Yeah.

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IT Families Family Patient-Centered 128

GeriPal

MARCH 9, 2023

Early data on efficacy in patients with anxiety and demoralization are promising. Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). Research is exploding. You’ve been trained?

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Patient-Centered Community IT Medical 91

GeriPal

JUNE 30, 2022

You have a patient with dementia severe enough that she cannot recognize relatives. Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Samir: For me, it really came out of an interest in improving the care of patients who undergo surgery. AlexSmithMD.

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Patient-Centered Complication Patients IT 101

GeriPal

FEBRUARY 8, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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IT Families Family Physicals 137

GeriPal

FEBRUARY 23, 2023

Summary Transcript Summary You know when you walk out of a patient’s room and have that sense, “This isn’t going to go well.” The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. Should you stop at “no?” Lynn: I do. Alex, can you play Send the Sun, by Nikki Lane?

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Family Families Patient-Centered IT 97

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?

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IT Patient-Centered Patients Healthcare 99

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Would you also just mind mentioning kind of the JPSM article too?

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Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. So while you don’t have to, we’re gonna summarize these articles. The patient case.

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Patients IT Patient-Centered Hospital 98

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. We discuss the moral distress that clinicians felt including, as one physician put it, a sense of your soul being ripped out.

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Hospital IT Patient-Centered Patients 125

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Had multiple physical, psychological complications as a result of that.

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Patient-Centered Patients IT Illness 98

GeriPal

MAY 4, 2023

But when I have, I find that they’re often some of the hardest patients to care for. I just had this experience where in the space I was in, very few people believed that this was even a legit thing to study and certainly that it would make a difference for the patients we cared for. Eric: Yeah.

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IT Family Families Illness 83

GeriPal

NOVEMBER 21, 2024

Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That? Coping in the setting of a serious illness about a patient encounter you had with somebody who used an. You probably haven’t read in a while what that patient encounter was like. Should I laugh at that?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JUNE 16, 2022

For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out.

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Management IT Medical Patient-Centered 122