The Clinical Problem Solvers

FEBRUARY 9, 2020

I still struggle to know when it is the right time to use LRs, and often find myself reaching for them in times of diagnostic ambiguity or when I am considering unfamiliar diagnoses. Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! To do that, we need to rely on LRs.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MARCH 14, 2024

Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby. Eric: Oh boy. That’s going to be one of our topics, huh? Alex: It’s back. It’s back. To talk about this. Nicole, welcome to GeriPal. Nicole: Thanks so much for having us. I have one.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JUNE 20, 2024

On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Someone else suggested, “Under Pressure,” but we’ve done it already. We settled on, “Oops…I did it again,” by Britney Spears. I suggested even flow. That’s a good one.

IT 120

IT Patient-Centered Patients Clinic 120

PEMBlog

SEPTEMBER 24, 2024

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. Bronchopulmonary sequestration C. Lymphoma D. of all CLMs.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. Alex: Recollection.

Physicals 86

Physicals IT Hypertension Education 86

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

Doctors for America

MAY 30, 2025

Millions of Americans continue to live with complications of this disease and long COVID. We need all tools available to prevent complications of COVID-19. Our impact areas focus on access to affordable care, community health and prevention, and health justice and equity.

Vaccination 65

Vaccination Medical Student Patient-Centered Community 65

Mesa Family Physician

MARCH 6, 2025

James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Identifying health concerns before symptoms appear gives us tremendous advantages in treatment success and minimizing long-term complications.

Preventative Care 100

Preventative Care Preventive Care Appointment Screening 100

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

IT 102

IT Families Family Diagnosis 102

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Families 98

Families Family Patient-Centered IT 98

PEMBlog

JUNE 2, 2025

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

AUGUST 25, 2022

Eric: If I remember your article correctly, there was maybe some better things with for-profits, like more community engagement with low-income communities and more engagement with minority communities. We’re going to be talking about each one of these papers. But before we do, I think somebody has a song request.

Families 106

Families Family IT Patients 106

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Alex: Can’t tell…maybe a little bit.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 13, 2024

We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Summary Transcript Summary I always find cachexia in serious illness puzzling. ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo, welcome to the GeriPal podcast.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. But before we jump into that topic, John, do you have the song request for Alex? John: I do. It was on his last album. You were a what?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. It was amazing.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. People are living with HIV into advanced ages. Eric 01:28 Wonderful.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. Jennifer, welcome to the GeriPal Podcast. Jasmine, is it you?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. You got it.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

I’m happy to talk about it at any time.” All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. Treatments for vaginal dryness and atrophy ACS links , NCCN links , Cancersexnetwork , and a great handout that Areej created And I get to sing Lady Gaga, also a first for GeriPal! Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130

PEMBlog

JANUARY 17, 2024

Complications that you should be aware of include bacteremia, endocarditis, septic arthritis, or osteomyelitis. This episode will help you recognize cellulitis and even differentiate it from erysipelas which is totally a different thing. As always, I’m your host, Brad Sobolewski, and today’s episode is all about cellulitis.

IT 59

IT Patients Diagnosis Clinic 59

Pamela Wible MD

JUNE 19, 2025

Wible held town hall meetings and she invited citizens in her community to design their own ideal clinic. Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. Physician burnout describes a dangerous mix of emotional exhaustion, depersonalization, and a loss of meaning in work.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Alex: Good challenge.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

DECEMBER 4, 2024

Aside from coughing forever, there’s some important complications you need to be aware of. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension.

IT 52

IT Vaccination Diagnosis Complication 52