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. Both conditions can present with similar symptoms. And the presentation for GERD varies by age.

Diagnosis 52

Diagnosis Management Patient-Centered Diagnose 52

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

The Clinical Problem Solvers

DECEMBER 20, 2021

Appreciate how intergenerational trauma may surface amongst Asian-Americans, and how these intergenerational relationships may also offer fertile ground for generating understanding. Highlight how structural racism against Asian-Americans surfaces in clinical settings, and describe means of counteracting such structures.

Community 52

Community Patient-Centered Relationship Healthcare 52

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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Rather, most of us live and make decisions in relationship to one another. Nice to be here.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

Family 102

Family Families IT Diagnosis 102

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 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it.

IT 137

IT Family Families Physicals 137

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? So we put those cutoffs, and I asked the question earlier, how helpful are those cutoffs in clinical practice?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Wonderful work.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Alex: How is your family doing?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

The Clinical Problem Solvers

MAY 30, 2022

Be present in the birthing moment and see the full humanity of the birthing person and the life-changing nature of birth. These statistics not only reflect the number of birthing people dying in childbirth but also evince the number of children growing up without a parent and the number of families losing a loved one.

Community 52

Community Patient-Centered Family Families 52

GeriPal

APRIL 4, 2024

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. ICU care was pretty rudimentary.

Family 112

Family Families Patient-Centered IT 112

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting. Eric: So yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. And so I really gain that and I love the chorus words that she uses in this song.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

NOVEMBER 21, 2024

The clinical trials and the this and that. But if we’re going to have a family meeting, that’s a different circumstance. Eric 11:58 So going back to the case that you presented at the start, so you’re seeing this person use a whole lot of humor. They’re doing. They’re doing. They know which.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. You present your. If we think of discrimination, how people are treated by their biological family.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. But then recognizing that our relationships impact our health even outside the context of stress.

IT 99

IT Community Patient-Centered Medical 99

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

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. ” And you start entering into a conversation about support or relationships and things of that nature.

Patient-Centered 99

Patient-Centered IT Family Families 99

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. Alex: And we’re delighted to welcome John Loughnane who is a palliative care doctor and end-of-life doula and co-founder of Present for You.

Provider 117

Provider Illness IT Healthcare 117

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 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

Family 93

Family Families IT Patient-Centered 93

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. I finished my fellowship in ’88. Why did you go into it?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. I loved the relationship that we developed and the fun we had.

IT 104

IT Patient-Centered Family Families 104

GeriPal

SEPTEMBER 12, 2024

So whether it’s an encounter with a patient or whether it’s a family meeting or a clinical practice meeting or a feedback session with a fellow, the idea that we have both the ability to be very full and open and also selective and disciplined about how it is that we. I backed into that role. That’s true.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

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. Because sometimes they have much more longstanding relationships with these patients than me meeting them for a slice in time and trying to shuffle the deck, so to speak.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). From just the abstracts we had so many questions.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 3, 2024

How the act of drawing can help us sloooow down, pay attention to the people and world around us, and ultimately let go… The possibility of incorporating drawings in research and even clinical care. First you have to be a volunteer and see what it’s like to be present at the bedside. And I said, you can’t take any photos.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JANUARY 26, 2023

And again, that can create a food desert, which can create health issues for patients and their families, so that’s an example of structural racism, but again, it’s baked into laws. We wrote a grant to try to look at a way of improving diversity in clinical trials, and the grant just ended. I probably should have said GFR.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. There’s something. Eduardo 10:42 Sure, Eric.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 5, 2023

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. So I first want to just say thank you to Ernesto’s family. And I described a code that I led as a senior resident. Sunita: Yes.

Illness 136

Illness IT Patient-Centered Family 136

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations.

Family Physician 130

Family Physician Family Families GP 130