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.

IT 125

IT Patient-Centered Hospital Individual 125

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 121

IT Patient-Centered Patients Clinic 121

Rao Doctor

APRIL 3, 2025

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. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

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. Tamryn: Yes, 100%.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Mesa Family Physician

MAY 8, 2025

Whether you’re scheduling your annual physical , exploring the differences between a wellness visit vs physical , or simply wondering what’s covered under your insurance, understanding preventive care can empower you to take charge of your health. Annual Physicals: Covered or Not? How long is a physical good for?

Preventive Care 100

Preventive Care Preventative Care Wellness Visit Physicals 100

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.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 130

Illness IT Diagnosis Patient-Centered 130

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Do you have a weak immune system (e.g.,

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Vascular Physician

MARCH 29, 2022

While not as common as aortic artery aneurysms (AAA), the risk of mortality from PAAs necessitate a familiarity with the correlating clinical signs and symptoms. On physical examination, the affected region may be swollen and erythematous though non-tender.

Complication 52

Complication Screening Hypertension Patients 52

PEMBlog

JUNE 2, 2025

Clinical Case You are a senior resident working in the busy emergency department on an overnight shift. Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. All kids with hypertensive emergency need ICU-level care.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.”

Families 102

Families IT Family Diagnosis 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? Kate: Sure.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

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

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. Relationships are usually more complicated. I am not a board certified. I forgot about.

IT 98

IT Patient-Centered Patients Board-Certified 98

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

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?

IT 129

IT Families Family Patient-Centered 129

GeriPal

JULY 28, 2022

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. Was in Journal of Clinical Oncology and that was interesting. I have oncology on the brain.

Illness 111

Illness Hospital Patient-Centered Patients 111

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). Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues.

IT 83

IT Families Family Illness 83

GeriPal

AUGUST 29, 2024

Alex 01:24 And Elise Carey, who’s a palliative care doc and geriatrician and associate professor of medicine at the Mayo Clinic in Rochester, Minnesota. So the first thing, explain the diagnosis. Your patients expect you to care for them, their mental well being, their physical well being. This is a complicated case.

IT 133

IT Illness Families Family 133

GeriPal

DECEMBER 19, 2024

It’s one of the core things that we think about palliative care is you got the physical, psychological, social and spiritual symptoms. Eric 07:03 Yeah, it’s hard because you can also think about it, let’s say, because we see palliative heart failure clinics. Are there any palliative care psychiatry clinics?

Illness 102

Illness Mental Health IT Patient-Centered 102

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 110

Patients IT Families Family 110

GeriPal

JANUARY 11, 2024

Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. 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. Bill: Thank you.

Illness 144

Illness IT Medical Provider 144

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. So this is about two and a half, three years out from leukemia diagnosis.

Illness 131

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. But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. We did it by the clinic level.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic?

Families 108

Families Family Patient-Centered Patients 108

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. Should we focus on something else, both from a clinical and a research perspective? And I think the advanced planning debate is really a question of, how do we help this very complicated situation? Juliet: Sure.

Illness 98

Illness Patient-Centered IT Patients 98

Pamela Wible MD

JUNE 19, 2025

Drawing from her experience running a physician suicide helpline , she speaks candidly about the emotional toll of assembly-line medicine , the link between overwork and doctor suicide , and the revolutionary joy of reclaiming your career by launching your own ideal clinic. I was in a big-box clinic. Housewives were burned out.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

SEPTEMBER 14, 2023

That’s focused on older adults who are too frail to get into clinic. In that clinical experience, we saw a lot of older adults who would develop acute illness, often exacerbations of their chronic conditions. We relied on our clinical experience as geriatricians, that home-based primary care experience. Bruce: Sure.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Of note, we talk about candidates from all parties today. Ken 05:40 That’s right.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141

Physician's Weekly

JUNE 13, 2025

Walk-in clinics are overbooked, the emergency rooms at the hospitals all have overfull waiting rooms and doctors and nurses are doing 12-hour or longer shifts. Our women’s clinics are not plagued by political ideology. Please remind people of these serious complications which, though infrequent, cannot be reversed.

Vaccination 52

Vaccination Families Family IT 52