The Motivated MD

NOVEMBER 19, 2024

True we have a fulltime nanny, but we still both work full-time clinically and still wish to have a steady hand in our children’s lives. Second, we have had some unexpected transitions at my job, and this has left me to cover extra clinical obligations with some consistency. Keeping a personal finance blog is a tricky thing.

Finance 52

Finance Education Family Families 52

My Green Doctor

MAY 29, 2025

And yet, the global health sector receives less than 1% of all climate adaptation finance. We must transform healthcare into a frontline responder for climate resilience. This means: Direct influence: Training healthcare professionals to understand and manage the growing connections between environment and illness.

Healthcare Professional 52

Healthcare Professional Healthcare Finance Education 52

GeriPal

FEBRUARY 6, 2025

So let’s just say you have a healthy 55 year old or 65 year old in your clinic. So whether it’s 50, 52, 55, 65, we should ask every person who comes into clinic at least once a year, how do you feel like your thinking is? So I’m in a specialty clinic, so I’m in this interdisciplinary memory assessment clinic.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JUNE 5, 2025

So they were a lot of preoccupied with other tasks, but clinical gestalt. You know, I work in the VA and we have somebody who doesn’t have the finances to support a stay in a nursing home and they’re on hospice. But some of these things are addressable potentially through education. Kathleen 20:36 Right.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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 93

Illness Hospital IT Patient-Centered 93