AMMD

APRIL 9, 2025

This is why many people fail to get a diagnosis. In this article, I’m going to help guide you through signs, symptoms, and ways to test for SIBO. Studies estimate that 6-15% of healthy individuals and up to 80% of IBS sufferers may have SIBO (1). After all, SIBO may resemble other gut infections such as IBS or leaky gut.

IT 130

IT Diagnose Physicals Mental Health 130

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

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. So as you mentioned, dementia, there’s some research that show about 86% or 93% of those individuals will get that. This is Eric Widera.

IT 125

IT Patient-Centered Hospital Individual 125

FDA Law Blog

OCTOBER 14, 2024

Regulatory Background FDA regulates and generally requires premarket approval of all new drugs, which are defined as “articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease,” or “intended to affect the structure or any function of the body.” 21 U.S.C. §

Clinic 59

Clinic Patient-Centered Asthma Patients 59

GeriPal

JULY 19, 2024

What should we use to screen individuals? 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. Anna 01:38 Yeah.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

DECEMBER 2, 2022

So on today’s podcast we invite four brilliant individuals to talk about their perspective on how to change how we as a society and health care system partner with individuals with dementia. We’re going to be talking about things like creative engagement in individuals with dementia. Susan: Yeah, that was me.

Community 102

Community IT Individual Patient-Centered 102

Pamela Wible MD

JUNE 20, 2025

He overheard the term and used it to describe himself and clinic staff in a 1974 article on staff burnout detailing long-term physical and psychological job stress. Psychiatrists define burnout as a job-related dysphoria in an individual without major psychopathy—meaning you’re normal; your job is killing you. So what’s the real issue?

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

NOVEMBER 9, 2023

On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry. We make a diagnosis. Beth: Right now, I’m actually just doing individual coaching, but we are writing a grant to start group coaching next year.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

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

And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes. So say you have somebody new diagnosis, you’ve just put them on Metformin and something else, and you slap a CGM on them and they can see it.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Myriad Genetics

MARCH 19, 2024

Colorectal cancer, once considered a disease of the elderly, is now increasingly affecting younger individuals. Several factors may contribute to the rise of colorectal cancer cases in younger individuals in the U.S. The cancer had come back and was not responding to the same treatment as his initial diagnosis. Today, J.J.

Individual 52

Individual Screening Diagnose Families 52

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

Primary Care 97

Primary Care Diagnosis Screening IT 97

Physician's Weekly

JUNE 14, 2025

The following is a summary of “PLASMIC score to aid diagnosis of aHUS: an analysis of C5 inhibitor clinical trials and the PINC AI™ healthcare database,” published in the May 2025 issue of BMC Nephrology by Uriol-Rivera et al. Around 85% had scores ≤ 5 (range: 3–5), with similar distribution across trials. for detecting probable aHUS.

Clinic 52

Clinic Individual Healthcare Utilities 52

GeriPal

MAY 11, 2023

Issues with sleep, like insomnia, does it lead towards a diagnosis of dementia, increase your risk, or is it that people with cognitive impairment, an early-on symptom is sleep disturbances and it’s more of a sign or symptom of early cognitive issues? And because we can’t resist, we dip into aducanumab and lecanemab at the end.

Physicals 86

Physicals IT Hypertension Education 86

Physician's Weekly

JUNE 21, 2025

They used linked administrative health records in Catalonia to explore all patients with ischemic stroke aged 18–60 from 2016 to 2021, collecting information on PFO diagnosis, demographics, comorbidities, stroke recurrence, and mortality. The results showed that 13,780 individuals experienced ischemic stroke, with a crude annual incidence of 30.3

Diabetes 52

Diabetes Diagnosis Patients Individual 52

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

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 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. Eric 12:05 Any pearls on the diagnosis of HFpEF.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. It’s the same measure we used in the New England journal article.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Eric: Which brings us to an article. Jessie: Exactly.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

APRIL 14, 2022

And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . Article on buprenorphine in the elderly. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 103

Illness Patient-Centered IT Patients 103

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 123

Management IT Medical Patient-Centered 123

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

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 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 ). It sets space between us and the individuals we’re trying to take care of.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. For individuals with a life expectancy less than the time to benefit, the up front harms outweigh the downstream benefits. .

Clinic 68

Clinic IT Patients Medical 68

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

JUNE 30, 2022

In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. Fifty percent have a diagnosis in their record of decedents have dementia. Samir: Thanks, Alex and Eric.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication. We shouldn’t be mandating individuals, this should be an optional thing for individuals.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. So she had them early in diagnosis and then a little bit later. It’s all individual. We could have talked for hours! Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

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

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. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized.

Families 107

Families Family IT Patients 107

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. So in preparation for this, I read a couple articles about social work leadership in palliative care.

IT 102

IT Families Family Clinic 102

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. Oh, yeah, yeah.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

MAY 4, 2023

How do we see each of you as individuals who are having your own struggles? So you get to what the person individually might need around them, and last, how are you seeing this experience? I think it’s challenging for both sides in a lot of ways because none of us can really truly define what that period is supposed to look like.

IT 83

IT Families Family Illness 83

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. The last time we had you on the podcast, Bill, you talked about your cancer diagnosis and a personal experience with MAID, which you also, we’ll have a link to your blog post too about this as well. So they have to self-administer. 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 127

Patient-Centered IT Patients Illness 127