GeriPal

JUNE 20, 2024

George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways. And we can talk about that later in terms of potential clinical implications that may have code. How do you think about this from a clinical perspective when you’re seeing individuals in your office?

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MARCH 14, 2024

So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Here at UW Health, we call it our Swallow Service. Eric: Fancy. Raele: Yes.

IT 124

IT Patient-Centered Hospital Individual 124

Annals of Family Medicine

NOVEMBER 20, 2024

In 2023, the American Academy of Pediatrics released new clinical practice guidelines (CPG) for the evaluation and treatment of pediatric obesity. Most had overweight or obesity (29% and 34%, respectively), and 15% had a child diagnosed with overweight or obesity by a doctor. Very few parents (5%) were aware of the CPG.

Clinical Practice 130

Clinical Practice Clinic Education Primary Care 130

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JULY 19, 2024

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. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 119

Screening Primary Care Patient-Centered IT 119

Physician's Weekly

JUNE 13, 2025

Among patients who have never smoked—“never-smokers”—those with lung cancer (LC) are more likely to have been diagnosed with an inflammatory disease, according to a study published in Nature Communications. Mining Data The researchers mined electronic medical record data from the United Kingdom’s Clinical Practice Research Datalink.

Diagnose 105

Diagnose Screening Clinical Practice Electronics 105

GeriPal

JUNE 27, 2024

If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right? The question I would ask is, how helpful is that in our clinical practice? And so bathe is an acronym. I am seeing it in the patient’s chart.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Katie, welcome back to GeriPal. Jessie: Yes. And then, looking at- Eric: Wow. So, one out of 10?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? So let’s just say you have a healthy 55 year old or 65 year old in your clinic.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

SEPTEMBER 1, 2022

Jennifer Temel study did not have a social worker as part of the clinical team. Eric: … social work-led research, social work-led clinical program. And again, Arden was able to produce that paper when she was both practicing and studying in a PhD program, right? So … Barbara: Yeah. And I love that podcast.

IT 102

IT Family Families Clinic 102

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Sach Kale set up an outpatient clinic focused on substance use disorder for patients with cancer. Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). What do they do?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

APRIL 13, 2023

Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 9, 2023

Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades.

Family 112

Family Families Patient-Centered IT 112

GeriPal

FEBRUARY 16, 2023

Alex: And we’re delighted to welcome back to the GeriPal podcast, Keri Brenner, who is also a psychiatrist and palliative care doctor and clinical associate professor at Stanford. I’m really excited about this because clinically this happened to me, somebody was very angry at something we were talking about.

Patients 109

Patients IT Family Families 109

GeriPal

AUGUST 24, 2023

And so the importance of the picture and the epiphany that really came many years later, I published a paper in the Journal of Clinical Oncology called Dignity in the Eye of the Beholder. How do you do that in clinical practice, in a way that doesn’t take five hours of sitting down with somebody?

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JUNE 13, 2024

How should I define cachexia and anorexia when I’m talking to fellow students or thinking about it in my own clinical practice? I think the very simple, practical thing is involuntary weight loss. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Eric 08:37 And that’s because you randomized clinics, you didn’t randomize patients interventions. We did it by the clinic level. Is that right?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. So too systolic hypertension in elderly people, clinical trials. Alex: That’s right.

IT 116

IT Clinic Illness Hypertension 116

GeriPal

JUNE 6, 2024

Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don’t ask, then have increased anxiety about not asking. And it actually came up during a clinical encounter that I had. Clearly this issue is important to patients. Sharon, welcome to Jerry Powell.

Illness 130

Illness IT Physicals Patients 130

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

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IT Patients Diagnosis Clinic 59