The Clinical Problem Solvers

MAY 14, 2020

Decisions have been dichotomized to ”COVID versus not COVID,” and people that have displayed none of the cardinal respiratory symptoms are being diagnosed with the disease. The second major factor complicating our diagnostic reasoning during this time is the dramatic shift in prevalence of the disease in the community.

Illness 52

Illness Diagnosis Emergency Room Diagnose 52

PEMBlog

MAY 27, 2025

Community-acquired pneumonia (CAP) remains a high-volume driver of ED visits, and yet, risk stratification tools tailored to well-resourced emergency departments are limited. Population : Children 3 months to <14 years with clinically diagnosed CAP (radiographic confirmation not required). What Did They Do?

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Chronic Condition Clinic Community Hospital 75

PEMBlog

MARCH 4, 2025

In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Mycoplasma pneumoniae as a Cause of Community-Acquired Pneumonia in Children. Plus, well discuss whether M. Pediatr Emerg Care. 2025 Feb 17.

Patient-Centered 91

Patient-Centered Diagnosis Complication Community 91

PEMBlog

MAY 20, 2025

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin ( jennifer.marin@chp.edu ) from UPMC Childrens Hospital of Pittsburgh. We know that nine out of ten children that go to the ER do not go to children’s hospital ERs.

Families 101

Families Family Hospital Patient-Centered 101

GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

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Community IT Individual Patient-Centered 102

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? What happens after they develop dysphagia in the hospital?

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IT Patient-Centered Hospital Individual 125

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. On hospital day #2, peritoneal fluid cultures returned positive for E. coli, confirming a diagnosis of SBP. for chronic abdominal wall pain.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. Lona: Absolutely.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 24, 2024

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. Time course of symptom resolution in patients with community-acquired pneumonia.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

The Clinical Problem Solvers

DECEMBER 16, 2020

education, income, number of previous hospitalizations) that also lead to clinical outcomes, not only race-based stratification. Establishing a Task Force to Reassess the Inclusion of Race in Diagnosing Kidney Diseases. J Epidemiol Community Health. We might group people across socio-demographic categories (ex. doi:10.1001/jama.2020.13378

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

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 120

Screening Primary Care Patient-Centered IT 120

The Medical Futurist

JUNE 21, 2025

It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. 8) VisualDx Thousands of hospitals, clinics, and medical schools use VisualDx to aid diagnostic accuracy, enhance medical education, and improve patient outcomes. Cureskin aims to help alleviate the situation.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

Doctors for America

MAY 30, 2025

COVID-19 infection continues to result in hundreds of thousands of hospitalizations annually, and causes the deaths of hundreds of Americans each week. Moreover, these restrictions assume that preexisting diagnoses perfectly predict a patients’ risk of severe COVID-19 disease, ignoring several years of scientific evidence to the contrary.

Vaccination 72

Vaccination Medical Student Patient-Centered Community 72

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 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. They all self-identified as a hospital based practice.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 129

Community Families Family IT 129

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Emmy: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

APRIL 3, 2025

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes.

IT 65

IT Hospital Screening Patients 65

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 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. 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.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Families 98

Families Family Patient-Centered IT 98

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

SEPTEMBER 1, 2022

We need to figure out how to create this community of palliative care social work scholars. It creates that community where you’re like, “Oh, I’m not alone. And I’ve got a whole community of people to support me.” And then my mom was diagnosed with lung cancer and she was treated there.

IT 102

IT Families Family Clinic 102

GeriPal

AUGUST 25, 2022

For-profit hospices having much higher rates of their patients visiting the emergency department and being hospitalized, in addition to disenrollment. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized. Because people, they go to the hospital, then they revoke. Go ahead, Lauren.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 115

IT Provider Patients Families 115

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. So then you drill down further, just like you said, Eric, when you were going back between different hospitals. Eric: Yeah.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JANUARY 26, 2023

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? You go into this community, perform this study, you leave. Ramona: Glomerular Filtration Raterate.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. He’s now hospitalized to break up that methadone into three times a day dosing.

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. Lynn 37:39 I was in the hospital. Lynn, what were you doing in Covid 2020?

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MAY 9, 2024

Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. So I think that people like us feel more comfortable just talking to the public because that’s what we do every day of our careers, but not in the confines of a clinic or a hospital room. Alex: Not frequently, no. Sammy: Oh, okay.

Education 128

Education IT Illness Healthcare 128

GeriPal

JUNE 23, 2022

So that would be palatable to the community that I could look at, whether we were over-screening those 80 and older. If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. So maybe the oldest age group.

Screening 100

Screening PCP PCP IT 100

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

JANUARY 11, 2024

So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. Because in medicine as somebody who works in the hospital, there’s always other treatment options.

Illness 144

Illness IT Medical Provider 144

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. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Thank you for that gift to our community and to the patients. Is it just loss of.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

AUGUST 8, 2024

You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. The thing about green burial is it emphasizes participation by the next of canon, the immediate family in the community. So green burial, I think, works very well. Whatever happens, we try to imagine them.

IT 125

IT Families Family Relationship 125

GeriPal

OCTOBER 3, 2024

They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. And, like, you try to find a caregiver’s name in a hospital chart, you just can’t. Eric 36:36 I dare anybody to try to look up somebody’s caregiver’s name in a hospital chart. Yeah, yeah.

IT 123

IT Patient-Centered Patients Relationship 123

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Individuals living in the community aged 65 and older, diagnosed with SMI, who received a first dementia diagnosis between January 2013 and December 2015. Group 1 consisted of older individuals, mainly diagnosed in the hospital and with poorer COC. Study Design and Analysis: Retrospective cohort study.

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Diagnosis Healthcare Illness Primary Care 130