GeriPal

JUNE 20, 2024

Alex 13:24 Eric is pushing on the like, the clinical, practical stuff. And that’s what makes these issues so challenging, because at one level, we use the same term to refer to that incredibly multifactorial, complicated, complex condition as we do to stress incontinence, which is also complex in its own way.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MARCH 14, 2024

Eric: And swallowing is complicated, right? But again, most of my clinical practice, until recent years, has been in the acute care setting. Are there things that we can do to prevent the complication of aspiration, which we most fear, aspiration pneumonia? Eric: Because you need saliva to swallow, right? Nicole: Yes.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. And that model just made sense. So it just seemed to make common sense and I’ve really been sort of hooked on the model ever since. Eric: What do you think, Kellie?

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

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. Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JULY 19, 2024

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 12, 2025

So in my practice, I typically recommend multi fraction or higher dose regimens for patients who have extra osseous extension or complicated bone Metastases, which, you know, most of the data surrounding equivalency of pain relief is in this sort of uncomplicated bone metastasis population.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JUNE 27, 2024

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? So if we look at the strict diagnostic criteria, yes, there are kind of time based components to that.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. Legalization is moving forward in several states , following the lead of Oregon and Colorado. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. How do you do that in clinical practice, in a way that doesn’t take five hours of sitting down with somebody? That the wish to… Eric: Complicated. Harvey: Complicated. She died at the age of 55, and was born with cerebral palsy.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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 the very simple, practical thing is involuntary weight loss. Cachexia is one of those that kind of always confuses me. Like, how would I define it? Eduardo 10:42 Sure, Eric.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 28, 2024

I treat patients with acute leukemias and related diseases, so I kind of know some of this from my own clinical practice. But I think it’s clear that paying for an RN is cheaper than having a doctor and having a brick-and-mortar clinic, even if telehealth is a part of that. Tom: Yeah, I think it is different.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MAY 25, 2023

Complicated grief? Sarah: And I think this is something I’ve taken into my clinical practice of we should be thinking about planning more broadly, really. And I know a lot of our social work colleagues and our nurses, I think at least in our practice, do a lot more of that. Did they have PTSD? Depression?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. Eric: That’s a complicated form then. You write who the surrogate is.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

FEBRUARY 16, 2023

Not my normal clinical practice. I recently had this patient in clinic who, for complicated reasons that I won’t go into, our outpatient clinic had to put limits on his frequency of visits with me. I recently had an angry patient and I had the opposite enactment. I started bending over backwards.

Patients 109

Patients IT Family Families 109

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. We were agnostic on the timing.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

Don 13:50 Well, you know, I think one of the issues, though, when you ask about prevalence data, especially, say, in the oncology world, not only does it matter about how you ask the questions, but because it’s such a complicated topic, people may infer very different things as to what you’re talking about. Sharon 15:21 Right.

Illness 130

Illness IT Physicals Patients 130

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

IT 59

IT Patients Diagnosis Clinic 59