PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). Time course of symptom resolution in patients with community-acquired pneumonia.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

OCTOBER 13, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. I think there’s maybe a little bit of debate as to when those turn from being just normal age related changes to then being something more, but it happens in many different areas of healthcare. Eric: Lovely.

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IT Patient-Centered Hospital Individual 125

GeriPal

JUNE 20, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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IT Patient-Centered Patients Clinic 121

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Our Community Advisory Board (CAB) guided this work. Only a few received stage 1 diagnoses. Verbatim transcripts in English and Spanish were analyzed in NVivo 14.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

The Medical Futurist

JUNE 21, 2025

Their success is understandable : they offer a fast and easy method to check any skin conditions, typically for a fraction of the cost of a traditional healthcare appointment. It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

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. I agree with you.

Physicals 86

Physicals IT Hypertension Education 86

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? How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Community-based organizations led by Black women may be even more impactful.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. For instance, our indigenous communities, such as some of our indigenous communities use the Term two spirit, to identify their sexual orientation and also sometimes their gender identity.

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Individual Community IT Chronic Condition 82

Myriad Genetics

NOVEMBER 25, 2024

November is Family Health History Month, an observance dedicated to sharing crucial health information within families and encouraging individuals to take proactive steps in their healthcare. Shortly after her breast cancer diagnosis, Kathy became involved in patient advocacy – even before she knew of her own genetic predisposition to cancer.

Family 52

Family Families Screening Individual 52

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Certainly my bias is that healthcare professionals really do have a role in this discussion. “Do you guys do this?” Eric: Yeah. Emmy: Yeah.

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IT Families Family Diagnosis 102

GeriPal

SEPTEMBER 1, 2022

When you think about leadership and we think about health care, we still live in a healthcare system that has a hierarchy. And so there are different levels of power within our healthcare system. We need to figure out how to create this community of palliative care social work scholars. What does this diagnosis mean to you?

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IT Families Family Clinic 102

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). It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 23, 2023

In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. Eric: Lynn or Anne? But there was an impact on us as a team too. Lynn: Sure. Anne Rohlfing: Yeah.

Family 98

Family Families Patient-Centered IT 98

GeriPal

AUGUST 31, 2023

So she had them early in diagnosis and then a little bit later. I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness. Brad: Yeah. It was a complete shock.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Joe 41:30 Yeah.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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. There were rules a little bit, because the healthcare system likes to have some level of consistency as people move in. Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MAY 9, 2024

Matt Tyler (aka Pallidad for those on Twitter ): Matt is the Hospice and Palliative care doctor who created How To Train Your Doctor , which helps patients living with serious illness find tips on “owning” their healthcare plan on his Instagram and YouTube pages. I do think other healthcare providers need to learn about this.

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Education IT Illness Healthcare 128

GeriPal

FEBRUARY 9, 2023

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? So we did a perfect cross so that the race and actual primary diagnosis was perfectly matched across groups.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. I have oncology on the brain. And most people just haven’t dealt with that before.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. 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.

Families 107

Families Family IT Patients 107

GeriPal

JANUARY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with severe mental illness (SMI) who develop dementia are a particularly complex and understudied population with various healthcare needs. Objective: To describe individual characteristics and healthcare use in older adults with SMI across home care services (HCS) profiles before and after the first dementia diagnosis.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Those have a very, very long time horizon.

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 27, 2025

So let’s say a patient who has lung cancer, relatively newly diagnosed, has a long history of substance use disorder, had been taking methadone as an outpatient, and now has this pain. You know the case. Eric 31:10 Okay, do the case. Alex 31:10 Do the case. Because we just talked about methadone. Pearls tips?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Within eight weeks of diagnosis of advanced disease. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. Eric 29:20 Yeah.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

But we all know intuitively as clinicians and as people in the community, we see people have these events and then we see them have a much faster decline after that. In the community? But also one of the reasons we want to focus on the community was that actually most people with dementia live in the community.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . I think that we forget that the clinical encounter is very often just two people in a room experiencing each other, and that that’s what is the beginning of that sacred space of healthcare and healing.”

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 96

Primary Care IT Clinic Provider 96

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. So ultimately, you know, we had to get buy in at. Is that right?

Primary Care 80

Primary Care IT Clinic Illness 80

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. Eric 19:11 Yeah, I love that, too, because I always think about healthcare systems, too. AMA PRA Category 1 credit(s) ™. What are the prognoses associated with various PPS scores?

Families 108

Families Family Patient-Centered Patients 108

GeriPal

DECEMBER 21, 2023

Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. As you know the healthcare system right now, we struggle.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? And as I was walking, literally outside of the room, she said, doctor Aljawari, can I ask you one question before you leave?

Illness 131

Illness IT Physicals Patients 131

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. You can broaden the scope of diagnoses.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Pamela Wible MD

JUNE 19, 2025

Read transcript and/or download & listen to MP3 below:  Physician burnout—symptom of a broken system “Burnout” has become one of the most talked-about issues in healthcare—but behind the buzzword lies a deeper crisis. Wible held town hall meetings and she invited citizens in her community to design their own ideal clinic.

Clinic 246

Clinic Nurse Practitioner IT Medical 246