Common Sense Family Doctor

DECEMBER 27, 2024

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients.

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Primary Care Insurance Patient-Centered Medical Student 52

The Clinical Problem Solvers

SEPTEMBER 19, 2024

Episode Learning Objectives After listening to this episode, learners will be able to… Understand how they can better center patient experiences by engaging with, and conducting their own, qualitative research. She has advanced training in Quality Improvement and Patient Safety Science. During this episode, we hear from Dr. S.

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Internal Medicine Patient-Centered Specialization Community 52

Logansport Memorial Hospital

APRIL 23, 2024

In this blog article, Dr. Scott Marsh, our podiatrist here at Logansport Memorial, shares some tips to keep your feet healthy. The post Dr. Marsh Shares 3 Tips for Healthy Feet appeared first on Logansport Memorial Hospital. For example, numbness in your feet may be a sign of diabetes or swelling could indicate high blood pressure.

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Appointment Diabetes Patient-Centered Specialization 52

Plum Health

OCTOBER 6, 2024

In recent years, one of the most intriguing shifts has been the rise of concierge medicine—a model that’s redefining how patients interact with their healthcare providers. In this article, I want to give you a clearer understanding of what concierge medicine is, why it’s gaining popularity, and how it might be a good fit for you.

Healthcare 52

Healthcare Appointment Chronic Condition Patient-Centered 52

PEMBlog

MAY 31, 2023

When we think of managing agitated patients we think of medicines – but that shouldn’t be our first option. These articles will take another look at the content included in this episode. However, medications can be adjuncts to non-pharmacologic means to help keep agitated children safe from harm.

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Management Patient-Centered Finance Transportation 89

GeriPal

MARCH 14, 2024

This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. And I think that we’re at this kind of crossroads right now in dysphagia, and dysphagia management where our patients are suffering. We revisit it, and make things better for our patients.

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IT Patient-Centered Hospital Individual 124

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

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

PEMBlog

MAY 17, 2023

Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients. These articles will take another look at the content included in this episode. Why then do we persist with the “is it medical/organic or psych” question? We have developed a series of pain focused episodes.

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Patient-Centered Mental Health Management Finance 68

GeriPal

JULY 19, 2024

Joseph Gaugler is the Director of the Center for Healthy Aging and Innovation at the University of Minnesota, director of the BOLD Public Health Center of Excellence on Dementia Caregiving, and Editor-in-Chief of the Gerontologist. There’s an article about her in New York Times. Should it? Who should get it if anyone?

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Screening Primary Care Patient-Centered IT 119

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Palliative Care the Next Generation: How the Service May Grow and Evolve AccentCare , a portfolio company of private equity firm Advent International, is another example.

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Specialization Illness Healthcare Patient-Centered 93

The Clinical Problem Solvers

APRIL 3, 2023

Michael’s Hospital in Unity Health Toronto, and Dr. Alika Lafontaine, the current President of the Canadian Medical Association. Persaud’s initial article on Osler here ] Osler lived in the time of Numbered Treaties and the North-West Rebellion under Louis Riel, when Indigenous rights were front and center.

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Medical Healthcare Individual Community 52

Aspiring Minority Doctor

DECEMBER 17, 2023

Headshot from this year that I forgot to post lol It's my 10th blogiversary, y'all! Okay, now I'll admit I've done a horrible job of keeping up with the blog lately especially given that this is only my fifth post of the year, but today is still super special for me. Looking back, it has literally taken a village though!

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Medical Student IT Medical Individual 52

GeriPal

DECEMBER 2, 2022

She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. You wrote about how when it comes to talking about patients with dementia, they’re rarely portrayed as resilient. Summary Transcript Summary. What would it take to transform dementia care?

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Community IT Individual Patient-Centered 101

Physician's Practice

JUNE 20, 2025

Reynolds Blog Article Innovative medical practices thrive by embracing change, prioritizing patient care and learning from setbacks to enhance success and satisfaction. Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas.

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Management Patient-Centered Appointment Patients 52

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. Summary Transcript Summary Coaching is in. When I was a junior faculty, coaching wasn’t a thing. We address: What is coaching? How does it differ from therapy? This is Eric Widera.

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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

Common Sense Family Doctor

FEBRUARY 1, 2025

Since the turn of the century, the rise of hospitalists and the corresponding decline in the number of office-based family physicians who provide inpatient care for their own patients has magnified the value of optimizing the handoff from hospital-based teams to primary care physicians.

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Hospital Management Primary Care Primary Care Physician 52

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. This field is not new. Today Liz Dzeng discusses her journey towards studying this issue in detail. Eric: Great.

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Hospital IT Patient-Centered Patients 125

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. Stay tuned for a GeriPal podcast with the authors of the other study next week. Welcome to GeriPal, Lyndsay. Is it you Lyndsay?

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Patient-Centered IT Illness Patients 122

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) Along the way we address: Is this degree of slowed cognitive decline meaningful to patients or care partners? We’ve talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA’s decision to approve it. . Transcript.

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IT Patient-Centered Healthcare Illness 105

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

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

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Telehealth Patient-Centered IT Patients 105

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? But does the geriatric assessment do anything?

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Patient-Centered IT Patients Clinic 129

GeriPal

NOVEMBER 14, 2024

Patients may feel like falls are just part of normal aging. If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. There may be lots of reasons behind this. She is a returning GeriPal guest.

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IT Patient-Centered Screening Community 124

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. Storytelling Helps Hospital Staff Discover The Person Within The Patient. Integration of Person-Centered Narratives Into the Electronic Health Record: Study Protocol.

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Patient-Centered Illness Healthcare IT 115

GeriPal

NOVEMBER 2, 2023

First, we’ve invited Jerry Gurwitz to talk about his recently published article in JAMA titled The Paradoxical Decline of Geriatric Medicine as a Profession (while it’s not the most upbeat title for the future of geriatrics, Jerry sees it as a call to action). Mike, welcome to GeriPal. Mike: Great to be here. Jerry: I sure am.

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Board-Certified IT Community Medical Student 91

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Then, “Keep your hand up if you frequently refer patients with cancer pain to a psychologist?” That rings true to me. All hands go down.

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Mental Health Patient-Centered Illness Screening 122

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? What else? Welcome back, Abby. Abby: Thank you. So glad to be here. Shunichi, welcome back to GeriPal.

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Family Families Patient-Centered IT 144

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. Eric is skeptical. Let it be (hint hint). This is Eric Widera.

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Management Patient-Centered Patients IT 116

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

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. He’s in Boston. Parag 01:06 Thank you.

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Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 20, 2022

And, who within ASPE guides aging policy and connects policy to every day health challenges experienced by patients and clinicians? Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA. Welcome back Lona.

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Patient-Centered Complication IT Patients 52

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. ABIM MOC credit will be offered to subscribers in November, 2024.

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Illness Patient-Centered Screening Clinic 136

GeriPal

JANUARY 16, 2025

So I think the first reason that we saw and felt the opportunity was ripe for updating was that some of us had come across some anecdotal examples of patients expressing some offense to that terminology. And I was asking this patient about if he had filled out an advanced directive. Can you guys do that one? Eric 02:39 Absolutely.

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Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. And I just want to highlight, Jennifer has a great JPSM article that just came out. Welcome to the GeriPal podcast, Jennifer. Jennifer: Thanks. Alex: (singing). Areej: Wow.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MARCH 2, 2023

The FDA-approved indications for gabapentin are only for treating patients with partial seizures or postherpetic neuralgia. valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. There are a lot of reasons that may explain the massive increase in use of these drugs.

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