Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

Rao Doctor

APRIL 3, 2025

Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. Digital thermometers are commonly used due to their accuracy and ease of use.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

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 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So delivering those month visits in clinic, often in tandem with their other oncology appointments. Who will emerge victorious? So no differences between the modalities.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. Alex 00:33 Our next guest is Margaret Ross, who’s a clinical psychologist and researcher at St. Dr. James, welcome to the GeriPal Podcast. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

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. Or somebody who has other physical cognitive problems at any age. Eric: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic. Absolutely.

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IT Families Family Diagnosis 102

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 22, 2024

Is it that they’re clinically depressed or that they’re understandably sad at the situation that they’re in or specific issues? A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. It’s high, it’s too high. Or is it that I’m just not screening?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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

APRIL 3, 2025

It always has clinical relevance to practice today. So I’m going to ask Eric and Ken to identify their favorite topic that they’ve covered to discuss any of the updates that they’re thinking that can be relevant to clinical care of older people. Ken 26:17 You presented that. Eric 26:13 Was actually one of mine.

IT 64

IT Hospital Screening Patients 64

GeriPal

FEBRUARY 8, 2024

I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Naomi, your thoughts on this?

IT 137

IT Families Family Physicals 137

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

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IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

MARCH 28, 2024

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. These were clinically significant and statistically significant improvements. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

DECEMBER 15, 2022

And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare. So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing.

IT 105

IT Patient-Centered Healthcare Illness 105

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 96

Primary Care Diagnosis Screening IT 96

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And I think that’s where this clinical trial which looked at seven versus 14 days was really practice-changing for many of us. It’s very rare and they may be a male patient. So you’re right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 22, 2022

And I think also some of the stuff we’ll be talking about, when it comes to communication, I mean, a lot of the clinical encounter is listening to the music. Tell me about the clinical enc… How do you think the uncanny valley fits into medicine and communication training and skills? What is the uncanny valley? Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

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. I think at the age of 91, a patient should have a say, really, in terms of, hey, I can present you with some of the reasons I think we should make a switch, but what do you think?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. And to Jackie and Bob, who are actually the other two people in our writing group.

IT 128

IT Families Family Patient-Centered 128

GeriPal

APRIL 13, 2023

Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers.

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IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Ashwin 17:00 And I think that just plays into how we should be thinking about this clinically. Well, being a pretty comprehensive definition. Eric 04:19 Yeah.

IT 67

IT Patient-Centered Individual Screening 67

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. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. Jenny 04:15 Good question. Oh, my gosh.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. You present your. But you know, the clinical piece, I think it starts out with collecting sexual orientation, gender identity in your databases. So that’s how. Just how you. Your gender.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? 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. Welcome back to GeriPal.

Patients 109

Patients IT Families Family 109

GeriPal

FEBRUARY 9, 2023

Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

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. I think it’s very present in maid.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). And when I was getting my PhD, I wanted to find something that spoke to me, and I had been doing clinical work in nursing homes. So, the top two were that assisted living communities, in those communities the resident should be present during assessment and care planning. Transcript.

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Community IT Mental Health Medical 97

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. So we identified what we call them minimal clinically important difference for the G87 and the facet SP.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 13, 2024

How should I define cachexia and anorexia when I’m talking to fellow students or thinking about it in my own clinical practice? I think I’m preventing some potential extra non synthesis that is not happening because you are lacking that bottleneck little hydrosoluble vitamin that might be present. Eduardo 10:42 Sure, Eric.

Illness 133

Illness Patient-Centered Patients IT 133

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. Sonu: Prior to that it was illegal and actually in the criminal code, so not only illegal, it’s actually a prohibition in the clinical code. Bill, welcome back to GeriPal. Eric: Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And so the importance of the picture and the epiphany that really came many years later, I published a paper in the Journal of Clinical Oncology called Dignity in the Eye of the Beholder. Which is… In fact, I was approached by the Mayo Clinic recently.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Joan: A lot of my work comes out of my clinical practice.

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Nurse Practitioner Hospital Families Family 60

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. Is that how we presented ourselves? Michael 45:57 Yeah, I think I would sort of just end by quoting Michael Balint from the Tavistock Clinic in London. Whats in a name?

IT 104

IT Patient-Centered Families Family 104

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. But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion. Ivermectin to treat cancer.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 3, 2022

And so the key there is, of course these were prospectively measured where patients were called every month from 1998 through actually the present day among those who are still alive. Julien: I want aggressive physical therapy and occupational therapy for every single one of our patients all the time, multiple times a day.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96