PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 20, 2024

It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result. Alex 13:24 Eric is pushing on the like, the clinical, practical stuff. But that combination is actually quite common, and it’s quite challenging to diagnose and manage, at least in the traditional sense.

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IT Patient-Centered Patients Clinic 120

GeriPal

MARCH 14, 2024

You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Eric: So let me ask you this, Rale, because I feel like, it could be wrong, but the most common time where we start diagnosing dysphagia is during a hospital stay. Maybe we can ask for that. ” Nicole: Yeah, absolutely. Raele: Yes.

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IT Patient-Centered Hospital Individual 124

Physician's Weekly

JUNE 13, 2025

Among patients who have never smoked—“never-smokers”—those with lung cancer (LC) are more likely to have been diagnosed with an inflammatory disease, according to a study published in Nature Communications. Mining Data The researchers mined electronic medical record data from the United Kingdom’s Clinical Practice Research Datalink.

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Diagnose Screening Clinical Practice Electronics 105

GeriPal

JULY 19, 2024

And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months. It can’t be diagnosed and adios.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 27, 2024

If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right? The question I would ask is, how helpful is that in our clinical practice? And how do you think about it as a psychiatrist?

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Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 18, 2024

If somebody has cancer and they’re recently diagnosed, somebody has cancer and they’re undergoing active treatment, somebody has cancer and they’re in early remission, now they’re a year or two years, three years, four years out and they still have pain. Jessie: Yes. And then, looking at- Eric: Wow. So, one out of 10?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? But these tests were never designed to diagnose. Does a good history matter anymore?

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Primary Care Diagnosis Screening IT 96

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. Ashwin Kotwal: Yeah, and Thomas, I know this is something we’ve talked about as a group too, which is how do you translate some of these scales that we use in large studies to our clinical practice?

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IT Community Patient-Centered Medical 99

GeriPal

SEPTEMBER 1, 2022

They get some training in their master’s program on research and they get some training certainly on writing papers, but then you get into clinical practice and it’s like a language. And then my mom was diagnosed with lung cancer and she was treated there. And sometimes social workers feel intimidated by it, too.

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IT Family Families Clinic 102

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. 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.

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Family Families Patient-Centered IT 112

GeriPal

FEBRUARY 9, 2023

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. So with actors and a clinical scenario where you hold everything else standard. Amber: Thank you guys.

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Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. We’ve all been taught through fellowship or through clinical practice about how to assess pain. You can listen to our prior podcasts on substance use disorder here , here , here , and here. You know the case.

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Patients Clinic Patient-Centered Illness 73

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. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia.

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Illness Patient-Centered Patients IT 133

GeriPal

AUGUST 24, 2023

How do you do that in clinical practice, in a way that doesn’t take five hours of sitting down with somebody? So therapeutic humility is the ability to tolerate clinical ambiguity, to accept and honor the patient’s expertise, and also to be able to kind of relinquish the need to fix. We examine, we diagnose, we fix.

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Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 16, 2023

Not my normal clinical practice. And also the whole potential psychiatric diagnoses. I recently had an angry patient and I had the opposite enactment. I was so concerned about wanting this guy to like me that I let our visits run over a bunch. I started bending over backwards. Definitely a deviation.

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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. So we sent that to everyone 65 and older with upcoming visits, though we were tracking on our side the people who had diagnoses and things. Before the primary care visit.

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Primary Care IT Clinic Patient-Centered 79

GeriPal

DECEMBER 1, 2023

By rushing this into clinical practice and suddenly saying people that have positive amyloid based on an imperfect biomarker, especially now they have Alzheimer’s disease, I think we’re opening massive potential for harm and distress and predatory practices upon these people. I’m not. I share that vision.

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IT Clinic Illness Hypertension 116

GeriPal

JUNE 6, 2024

A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed. And so we have basic treatments for these issues that we train oncology clinicians to bring up in clinic practice. These are oncology nurse practitioners.

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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.

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IT Patients Diagnosis Clinic 59