Vida Family Medicine

JUNE 28, 2024

Ask questions: Ask what the doctor thinks are potential causes of your symptoms (this is called the differential diagnosis) and what they think is most likely. Many tests offered by alternative practitioners are not validated by high-quality clinical research and do not provide accurate or useful information.

Patients 52

Patients Primary Care Appointment Diagnose 52

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. Sometimes people call them health shocks, but we kind of all, like, clinically, intuitively know what these things are. Has really changed.

Illness 52

Illness Hospital IT Patient-Centered 52

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways. Eric 11:57 In, let’s say, my clinic. How do you think about this?

IT 121

IT Patient-Centered Patients Clinic 121

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. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Alright, let’s scope things out.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Permanente Medicine

MAY 20, 2025

When I started over 20 years ago, saw babies being born, used to do circumcisions in clinics, and then taking care of patients as they got more mature in their life, so to speak, and really loved that. I’m a family physician by training. Couldn’t imagine doing anything else. Let’s explore patient care a little more here.

Patient-Centered 52

Patient-Centered Patients Medical IT 52

FDA Law Blog

FEBRUARY 27, 2023

180 days past May 11, 2023) for those telemedicine relationships established during the COVID-19 emergency. Comments, including data from research and clinical practice, that provides evidence that an alternate maximum day supply (other than the proposed 30-day supply). within 30 days) in the doctor-patient relationship.

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 220(b)(2). (C) 18 U.S.C. § 18 US.C. § 220(a) (emphasis added).

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

GeriPal

DECEMBER 2, 2022

” And she was saying that because of the message that had come through in this public event, where she, as a person with a diagnosis of dementia, had been invited on an equal basis with everybody else. I mean, really moving pretty quickly for a woman in her mid eighties, and she says, “You have given my life back to me.”

Community 102

Community IT Individual Patient-Centered 102

Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. Yet moral injury is not an official diagnosis. Now is the time for brutal truth—and action.

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 220(b)(2). (C) 18 U.S.C. § 18 US.C. § 220(a) (emphasis added).

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

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

NOVEMBER 9, 2023

We make a diagnosis. We’re doing a lot of interactive relationship building. I think in medicine, in particular and probably in all clinical specialties, there is this sense of a rival fallacy of, “When I finish residency, I’ll be happy. It’s so different from therapy. ” They can coach you.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

GeriPal

JUNE 8, 2023

If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? So my background clinically is working with cancer patients and families and those who underwent bone marrow transplant, and a lot of times for their treatment regimen, it includes steroids.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. 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. And so bathe is an acronym.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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. So delivering those month visits in clinic, often in tandem with their other oncology appointments.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 137

Illness Patient-Centered Screening Clinic 137

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

Georgetown Pediatrics & Family Medicine

MARCH 16, 2022

This important work observed that there was a relationship between radioactivity and the heavy elements of the periodic table, and led to much advancement in medicine. Apgar was the first woman to become a full professor at Columbia University College of Physicians and Surgeons.

Medical 40

Medical Education Family Medicine DO 40

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. This is a clinical intervention. Lynn: Sure.

Families 98

Families Family Patient-Centered IT 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. Relationships are usually more complicated. There are lots of people involved.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. 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.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

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 74

Patients Clinic Patient-Centered Illness 74

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

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Is it that they’re clinically depressed or that they’re understandably sad at the situation that they’re in or specific issues? It’s high, it’s too high. Eric: Yeah.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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

JUNE 19, 2025

And so there’s one study that used Medicare beneficiary data, and when they look at diagnoses for transgender men and women compared to cisgender men and women, we see around one in five have a diagnosis of dementia in the medical record for the transgender community compared to around, like, 1 in 7, 1 in 8 versus gender people.

Individual 82

Individual Community IT Chronic Condition 82

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 114

Primary Care Patient-Centered IT Patients 114

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. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. Holly, welcome to GeriPal.

IT 133

IT Illness Families Family 133

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

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. But when we have people in rural areas of California, so we don’t know our clinical site, we go from San Francisco all the way to the Northern California border, super rural areas.

IT 127

IT Patient-Centered Illness Education 127

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

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. But it’s the people in the relationships that you meet. Hsien, welcome to the GeriPal podcast.

Education 128

Education IT Illness Healthcare 128

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Bill, welcome back to GeriPal. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

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.

IT 83

IT Families Family Illness 83

GeriPal

MARCH 20, 2025

I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. This is just because this arose organically in clinical practice as a way of balancing these underlying competing ethical issues. Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

APRIL 18, 2024

And you say, “Okay, that’s fine, but can it really … What about a real live clinical situation?” I think we’re getting closer to real live clinical situations, not just answering a test. And what they did was a whole bunch of scenarios where actor patients basically chatted with a chat bot. This is GPT-4.

IT 140

IT Electronics Patients Healthcare 140