The Medical Futurist

JUNE 21, 2025

Matthew Enevoldson, PR Manager at SkinVision told The Medical Futurist that technology such as their own is becoming more integrated within the health system, to both ensure that those who need treatment are made aware of it and that those who have an unfounded concern do not take up valuable time and resources.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Nate, welcome back to the GeriPal Podcast. Absolutely.

Primary Care 96

Primary Care Diagnosis Screening IT 96

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. Finally, collaborative care models where the HIV clinician, mental health professional, and case management work as a team can help improve mental health outcomes in Black women.

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.

Individual 82

Individual Community IT Chronic Condition 82

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.

Families 102

Families IT Family Diagnosis 102

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. Is that your feeling, too?

Medical 99

Medical IT Patient-Centered Healthcare 99

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. And well skilled.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. And I believe it needs the community.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. And this has been really interesting because people are like, they just got their diagnosis.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

FEBRUARY 29, 2024

Alex: And, it means pain management. laugher] Alex: And, so we put them together and I feel like there’s been a real coming together of the Geriatrics and Palliative care communities and sort of cross-fertilization between the two and efforts between the two. Eric: That was the SAT answer. Eric: I’ve heard that before.

IT 126

IT Patient-Centered Illness Education 126

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. COVID-19 diagnosis of self Yes 24 (44.4) 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

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

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. I have oncology on the brain.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. So she had them early in diagnosis and then a little bit later. Brad: Yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

FEBRUARY 17, 2022

I you use the Lee Schonberg prognostic index for community dwelling older adults you will be directed to the tool, and it will automatically place the life expectancy at the calculated prognostic estimate. . And so many older adults with diagnosis of osteoporosis have never received any therapy for it. See screenshot below.

Clinic 68

Clinic IT Patients Medical 68

GeriPal

MAY 4, 2023

I will say one of the challenges in the field is many hospices don’t know how to take care of children or young people, and so you have these folks in the community who you’re trying to provide services to, and you just can’t connect them to the same types of resources you’re used to using. Who’s your community?

IT 83

IT Families Family Illness 83

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 106

Families Family IT Patients 106

GeriPal

JUNE 22, 2023

And then from that, through community activists, ACT UP, legislators who felt that there needed to be something done, doctors within CDCR who cared passionately about the HIV population and others, all came together and we were able to eventually get funding for this 17-bed inpatient hospice. It’s by choice, just like in the community.

Families 132

Families Family IT Community 132

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. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis. How do you see the light? Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? But we know that 30% of all decedents who are Medicare beneficiaries either die from dementia or have an existing diagnosis of dementia, which is something we talk about quite often, Joel and I. Joel: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. And importantly the patient has to have capacity and they have to be able to take the drug themselves. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

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. Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. Lindsey: Thank you so much.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. And the entire community of palliative care said yes, not a palliative care study. Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing? English or spanish speakers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. Alex 16:55 My guess is probably not something that most geriatricians or internists or family medicine docs caring for older people have on their differential diagnosis. Is a new diagnosis of HIV.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? Yeah, for sure.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). Alex: Is that publication out?

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. I don’t know how our patients manage that. And by the way, the cancer’s back when you get your next scan in three months.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. But what happened when we finally… When he did get the diagnosis, it all fell into place.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And the point of that is that so many people, in my experience, and I’m sure it’s the same initial diagnosis of cancer, that’s the last thing that I want to talk about. And I said, sure. And I had that mortified look on my face of God.

Illness 130

Illness IT Physicals Patients 130

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. And then we also looked at subgroups with who are 75 years and older.

Primary Care 79

Primary Care IT Clinic Illness 79

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?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

And we now continue to manage all the comfort care patients, which in the setting of a packed hospital, that’s really done some great offloading. The part that I loved of this campus was this was the community arm of the university. We are a community-based hospital. Just shoot me if I ever get that diagnosis.”

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136