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

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. After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

MAY 11, 2023

Physical activity is a big one. 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. And because we can’t resist, we dip into aducanumab and lecanemab at the end. This is Eric Widera. So, that’s one thing.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

MARCH 14, 2024

Eric: And swallowing is complicated, right? Nicole: I was just going to add that I think a helpful analogy for me has been to think about our clinical assessment, sort of like if a physical therapist just stood at the door with their ear up to the door to listen if a patient fell, and then made a recommendation plan for exercise.

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IT Patient-Centered Hospital Individual 124

GeriPal

JANUARY 23, 2025

Eric 16:36 Okay, Connie, I got one last question about your article. Maybe even had come in with a complication. Emily 19:52 You know, some complication that might have even like, you know, kind of triggered that thought process about maybe it’s time for me to come off of the medication and just. . Why is that?

Specialization 119

Specialization IT Patient-Centered Medical 119

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

JULY 19, 2024

There’s an article about her in New York Times. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious. Anna 01:38 Yeah. Alex 01:38 And I love that Sarah McLaughlin’s having a comeback. She’s doing a tour. I saw her when I was in college two or three times. So this is great. Here we go.

Screening 119

Screening Primary Care Patient-Centered IT 119

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. Using these methods can reduce temperature discomfort and minimize complications. FEVER FAQs (contd.)

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Diagnosis Management Illness Diagnose 130

Medical Xpress

JUNE 16, 2025

This achievement is the result of an interdisciplinary collaboration among researchers in life science, physics, and computer science. But what we observed was much more complicated." 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.

Provider 110

Provider Medical Complication Diabetes 110

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

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.

Mental Health 52

Mental Health IT Medical Specialization 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 Family Families Physicals 137

Edge Family Medicine

OCTOBER 23, 2024

Regular physical exams at Edge Family Medicine are essential for maintaining your health and well-being. Whether you’re dealing with a chronic condition or simply maintaining wellness, regular physical exams are a key component of long-term health. Why Schedule Regular Physical Exams? This ensures your care stays on track.

Physicals 130

Physicals Family Medicine DO Chronic Condition 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. 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.

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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 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. 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. It used to be a much more complicated model. Eric: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Eric: We’re going to be talking about surgical communications, really based off a series of four wonderful articles in JAMA Surgery, titled Innovations In Surgical Communication.

IT 128

IT Family Families Patient-Centered 128

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.

Vaccination 88

Vaccination Individual IT Healthcare 88

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

SEPTEMBER 7, 2023

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. We brought up your JAGS article, which we’ll link to our show notes about some of the geriatric needs, falls. Drugs has to do with polypharmacy. And so that’s good for comorbid conditions.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. She died at the age of 55, and was born with cerebral palsy.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

NOVEMBER 17, 2022

We’ve got a, Sheryl published a great article, and Kenny and Ken published an editorial for that article. The songs about how saving lives is actually a pretty complicated business. And that’s why I think your article is so important is that we need standards. And which journal again? Eric: JAMA Network Open.

Community 97

Community IT Mental Health Medical 97

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. So my algorithm in that article is really based off the work Van Bo et all have done.

Management 122

Management IT Medical Patient-Centered 122

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. I actually like reading books and the physical,” and what the internet 2.0

IT 99

IT Patient-Centered Patients Healthcare 99

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

SEPTEMBER 5, 2024

And for this podcast in particular, both Bill and Louise wrote articles that we’re going to be discussing particular patient cases. So while you don’t have to, we’re gonna summarize these articles. If you have a chance to read those articles before you listen to this podcast, I highly recommend that you do.

Patients 98

Patients IT Patient-Centered Hospital 98

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 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. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. 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

GeriPal

SEPTEMBER 8, 2022

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’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Eric: Is that the same as complicated grief?

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 3, 2022

Eric: I got a question because it was a ways back, but we did a podcast on keep your hands to yourself from a JAMA IMR article that showed that use of mechanical ventilation for nursing home residents with advanced dementia doubled between 2000 and 2013, that was a John Tino study. I think it’s really, really complicated.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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. You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So figured out a little harmonica- Eric: That was wonderful.

Illness 144

Illness IT Medical Provider 144

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. Here are the main ways patients are diagnosed: Physical Exam : A healthcare provider may visually inspect the affected area, whether it's the vagina , vulva , mouth, or skin.

Diagnose 130

Diagnose IT Provider Healthcare 130

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

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. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. And I work right next to Don at the time. He was like, yeah, tell me about it.

Illness 130

Illness IT Physicals Patients 130

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 it was really good for my mental and physical… Physical health, obviously, but mental health really. We see how hard it is.

Illness 98

Illness Patient-Centered IT Patients 98

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.

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Primary Care IT Clinic Patient-Centered 79