GeriPal

DECEMBER 2, 2022

Ab: I learn from them, and I tell sometimes the family members that the person with dementia, your loved one, is fine and you are replaying the event that happened a week ago and you’ve replayed that event 100 times and that’s causing a distress. It has to be seen as valued to clinical outcomes. How do we move on?

Community 101

Community IT Individual Patient-Centered 101

Pamela Wible MD

JUNE 20, 2025

During that time, psychologist Herbert Freudenberger volunteered at a New York City free clinic treating addiction. 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. Yet moral injury is not an official diagnosis.

Medical Student 246

Medical Student Diagnosis Medical Physicals 246

The Clinical Problem Solvers

MAY 13, 2020

Ambulatory cardiac event monitoring demonstrated an episode of complete heart block, and myocardial perfusion imaging showed a focal perfusion defect in the left ventricle (thought to represent a prior myocardial infarction versus sarcoidosis). Clinically, it typically presents aggressively with pulmonary symptoms (e.g.,

Diagnosis 52

Diagnosis Patients Clinic IT 52

Myriad Genetics

FEBRUARY 8, 2024

My parents weren’t there to go to sporting events or birthday parties,” said Lisa. When Lisa saw a new provider at her clinic, she was told she was a good candidate for the MyRisk ® Hereditary Cancer Test with RiskScore. The way Lisa handled this breast cancer diagnosis, and this treatment is unbelievable,” said Terry.

Family 52

Family Families Diagnosis Screening 52

GeriPal

FEBRUARY 17, 2022

This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. And so many older adults with diagnosis of osteoporosis have never received any therapy for it. Toward the end we talk about the launch of ePrognosis’ new Time to Benefit tool.

Clinic 67

Clinic IT Patients Medical 67

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 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 17, 2023

Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA approval process that was in the kindest words “rife with irregularities”. That was an FDA decision.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. And this has been really interesting because people are like, they just got their diagnosis.

IT 96

IT Patient-Centered Patients Board-Certified 96

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.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

OCTOBER 17, 2024

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. Eric 12:05 Any pearls on the diagnosis of HFpEF. Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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 128

IT Families Family Patient-Centered 128

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95

IT Clinic Screening Patients 95

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 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 30, 2022

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. Fifty percent have a diagnosis in their record of decedents have dementia. Eric: Let’s say tomorrow, a patient comes into your clinic.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover. Tsai-Chin 01:02 Thank you.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. There are clinics. Welcome to the GeriPal podcast, Michele. Michele: Thank you for having me. Eric: And you’re also the medical director of the hospice unit here.

Family 132

Family Families IT Community 132

Physician's Weekly

JUNE 11, 2025

“People with human immuno deficiency virus (HIV; PWH) face an approximately 2-fold increased risk of atherosclerotic cardiovascular disease (ASCVD) compared with individuals without HIV,” researchers wrote in Clinical Infectious Diseases. Modeling for hard MACE, MI, and stroke provided generally similar results for most variables.

Hypertension 52

Hypertension Individual Clinical Practice Diagnosis 52

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

Physician's Weekly

JUNE 24, 2025

Declining IMID mortality mirrors broader CVD improve­ments, suggesting shared care benefits,” wrote lead study author Issam Motairek, MD , of the Cleveland Clinic, and colleagues. “The observed decline in CVD mortality among patients with IMIDs is encouraging, yet sex disparities persist.

Patient-Centered 52

Patient-Centered Hypertension Management Diagnosis 52

GeriPal

JULY 6, 2023

Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults. 60% of all medical costs have nothing to do with your health diagnosis. And then, the system responds in turn. Do I have access to good food?

Community 89

Community Nurse Practitioner Provider IT 89

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. This is Eric Widera.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? The folks that we were seeing either in clinic or inpatient, were probably a lot sicker than the ones that we’re seeing now.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? They got sick.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . I think that in almost every clinical encounter, we struggle with what’s ours and what’s someone else’s? Poetry helps us grapple with our own experiences of illness. How much are we there as people?

Patient-Centered 93

Patient-Centered IT Community Illness 93

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

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. But I think clinical concerns are legitimate to bring up. Ken 05:40 That’s right.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141