PEMBlog

MAY 1, 2025

In this episode, we tackle the clinical mischief of Parvovirus B19 , a common viral infection with a surprisingly wide range of manifestationsfrom the classic slapped cheek rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. UpToDate , Jun. link] Edwards, Morven S.

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Complication Patient-Centered Patients Clinic 83

The Medical Futurist

JUNE 21, 2025

Treating less serious ailments gets faster, more targeted and more efficient, while the means for curing more serious and life-altering illnesses improve. Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. Here, I outlined the way technology delineates the future of eye care and vision.

Diabetes 98

Diabetes Patient-Centered IT Patients 98

PEMBlog

SEPTEMBER 26, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. No recent illnesses or any other symptoms. Clinical presentation can include subperiosteal bone hyperplasia, swelling of the overlying soft tissue as well as associated fever and irritability. mg/dL] Phosphorus 6.7

Patient-Centered 59

Patient-Centered Routine Screenings Diagnosis Clinic 59

GeriPal

OCTOBER 13, 2022

We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). One of your articles addresses that.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MARCH 14, 2024

Eric: And swallowing is complicated, right? 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. Eric: Because you need saliva to swallow, right? Nicole: Yes. Raele: Very helpful if you do, yeah. Nicole: Exactly. Raele: Yes. Raele: Yes.

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IT Patient-Centered Hospital Individual 125

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.)

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Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. The question I would ask is, how helpful is that in our clinical practice? If they’ve said they had a traumatic experience receiving a diagnosis. But before we do, we always have a song request.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? Listen in to learn more! Eric: Let me ask you a question.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. It's a common challenge many people face.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

Mesa Family Physician

MAY 8, 2025

These visits help catch illnesses before they become more serious, reduce healthcare costs in the long term, and improve overall quality of life. Terms like: Tertiary prevention of cardiovascular disease Tertiary prevention of heart disease refer to managing conditions after diagnosis to prevent worsening or recurrence.

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Preventive Care Preventative Care Wellness Visit Physicals 100

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

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Illness Mental Health IT Patient-Centered 102

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. By diagnosis?

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Consulting Patient-Centered Diagnosis IT 100

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Holly, welcome to GeriPal. Holly 01:23 Thank you.

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IT Illness Families Family 133

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 11, 2024

Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is a clinical intervention.

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Families Family Patient-Centered IT 98

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? So when I was a resident at Cleveland Clinic, I got to see really cutting-edge technology, some of the best surgeons in the country, and perhaps in the world, operating on patients. Joel: Yeah. Eric: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. Transcript.

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Illness Hospital Patient-Centered Patients 111

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would.

Families 102

Families IT Family Diagnosis 102

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you. Eric: Yeah.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

SEPTEMBER 28, 2023

A “Three-Stage Protocol” for Serious Illness Conversations: Reframing Communication in Real Time Transcript Eric: Welcome to the GeriPal podcast. And any examples from your own clinical experiences of miscommunication? Patient Values: Three Important Questions-Tell me more? What else? This is Eric Widera. Eric: Yeah.

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Families Family Patient-Centered IT 144

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Bill, welcome back to GeriPal.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness.

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Medical IT Patient-Centered Healthcare 100

GeriPal

MAY 4, 2023

We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical social worker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). But when I have, I find that they’re often some of the hardest patients to care for. Welcome to the GeriPal podcast, Abby.

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IT Families Family Illness 83

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Relationships are usually more complicated. Anyways, the current study is looking at the impact of music on well being after a new dementia diagnosis. So we’ve recruited 25 dyads, like I said, really close to their diagnosis.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. Alex: National POLST Collaborative. Good to know. And he’s a professional Uber driver for his daughter’s softball games.[laughter]

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Patient-Centered IT Patients Illness 127

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

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IT Families Family Patient-Centered 129

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Because I don’t come from a clinical background, so I have a whole different set of language in the way I approach something than someone with a medical background.

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Provider Illness IT Healthcare 119

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, we know little about the clinical experience of people with dementia in hospice. People with dementia make up about half of hospice admissions. What motivated you? Lauren: Yeah. I threw out a lot.

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Families Family IT Patients 107

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. 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.

Patients 110

Patients IT Families Family 110

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

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. Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. Clearly this issue is important to patients.

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Illness IT Physicals Patients 131

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. We did it by the clinic level. I’ve had fun relearning Spanish.

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Primary Care IT Clinic Illness 80

GeriPal

MAY 1, 2025

Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis.

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Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Annals of Int Med. Bruce: Sure.

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Hospital Patient-Centered Supply Chain IT 115