PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. He had easy work of breathing, and physical exam was only notable for decreased breath sounds over the left lower lobe. What’s the Diagnosis? This is the second of the four cases. mg/dL, normal <0.1

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Again, otherwise the diagnosis is based on history and physical examination.

Diagnosis 52

Diagnosis Management IT Patient-Centered 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. I agree with you.

Physicals 86

Physicals IT Hypertension Education 86

PEMBlog

AUGUST 30, 2023

Research suggests most CXRs are performed because ED clinicians (and many parents) are concerned for the possibility of missing pneumonia or another diagnosis requiring specific management. However, the impact of such resources has not yet been deeply explored.

Asthma 52

Asthma Electronics Utilities Clinical Practice 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. How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections.

Complication 97

Complication Patient-Centered IT Patients 97

FDA Law Blog

FEBRUARY 27, 2023

Relatedly, DEA states: Recent studies have revealed that, in some populations, upward of 94 percent of the unhoused community had a cell phone, while a limited amount owned or had access to computers, tablets, or internet access.

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

GeriPal

JUNE 20, 2024

So one thing that we found, well, not just us, but it’s very commonly used in the diagnosis and management of incontinence and frail older adults as incontinence, as a geriatric syndrome, is a 48 hours voiding record. Now, again, in the context of a busy clinical visit, you may not have the time to really go through it in detail.

IT 120

IT Patient-Centered Patients Clinic 120

Tiny Physician

FEBRUARY 15, 2022

Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health. This may result in errors in the diagnosis of the patient whom the doctor was examining initially.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. So, it’s definitely possible in sort of that oldest old category that there may be what we call silent aspiration, where someone aspirates, and then they don’t cough or clear their throat, so you actually wouldn’t even know that they’re aspirating.

IT 124

IT Patient-Centered Hospital Individual 124

GeriPal

JUNE 8, 2023

It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. So say you have somebody new diagnosis, you’ve just put them on Metformin and something else, and you slap a CGM on them and they can see it. Nadine: I’m going to go back to behavior change. Absolutely.

Diabetes 74

Diabetes Management Patient-Centered Family 74

Edge Family Medicine

FEBRUARY 10, 2025

When to Visit in Person Annual physical exams & vaccinations. At Edge Family Medicine , we provide comprehensive in-person care , ensuring accurate diagnosis and effective treatment for conditions requiring a physical assessment. Convenient location in Upland, CA , serving nearby communities. Need to schedule a visit?

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

Primary Care 96

Primary Care Diagnosis Screening IT 96

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. Gender expression is your physical outward manifestation of how you express your gender identity. It was personal to me, but also right. Johnson, actually. Sorry, Martha.

Individual 82

Individual Community IT Chronic Condition 82

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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. Or somebody who has other physical cognitive problems at any age. Emmy: Ended up starting a program, outpatient at our hospital at the time. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . It’s easier to concentrate on cure, diagnosis, cure. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And the community came in.

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

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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

FEBRUARY 29, 2024

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. So, I’m super proud of being able to reach out to people in rural communities. Lynn: Great.

IT 126

IT Patient-Centered Illness Education 126

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.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 4, 2023

So if a young person is saying, “I’m going to try my 10th round of chemotherapy even though I physically am suffering. We really need to figure out who we are in the world and that takes your physical identity, your sexual identity, your vocational goals. It was incredible. Those decisions are not wrong or bad decisions.

IT 83

IT Family Families Illness 83

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.

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. And very time-consuming.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

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 ). . Why did you do this?

IT 95

IT Clinic Screening Patients 95

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. The last time we had you on the podcast, Bill, you talked about your cancer diagnosis and a personal experience with MAID, which you also, we’ll have a link to your blog post too about this as well. So they have to self-administer. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 9, 2024

How you actually physically started doing this and built up so many followers over time and why are you doing it? And then for Hsien and for Sammy, this is a real social movement that you’re trying to… The movement upstream, getting people to consider what are the serious issues at the time of diagnosis with serious illness.

Education 127

Education IT Illness Healthcare 127

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. We say it’s about 4% of those who are bereaved, who are from community-based samples. This led her on a remarkable journey. So it’s different.

IT 100

IT Complication Relationship Specialization 100

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. We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management. English or spanish speakers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. And I said, sure. We haven’t really talked about this.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 21, 2023

Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. But what happened when we finally… When he did get the diagnosis, it all fell into place. Number one, number of days you are in the community. Diane: Yeah.

Patient-Centered 125

Patient-Centered IT Family Families 125

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. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 05:50 Yeah.

Family 106

Family Families Patient-Centered Patients 106

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 Patient-Centered 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

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. It’s dangerous and unsustainable; emotionally, physically, spiritually, financially for the patients—and for us.

Clinic 246

Clinic Nurse Practitioner IT Medical 246