Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 9, 2022

By diagnosis? And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. I have never myself called a palliative care consult as a trainee because we didn’t have one. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

OCTOBER 20, 2022

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

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. And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU.

Family 98

Family Families Patient-Centered IT 98

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Is that your feeling, too?

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Matt: We have seen pilot level studies, interventions like that one to do clinical ethics consultation.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. Fifty percent have a diagnosis in their record of decedents have dementia. Joel: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? They’re asking you for a consultation. This is a complicated case. After a very long 1 hour consult, you’re exhausted.

IT 132

IT Illness Family Families 132

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

IT 128

IT Family Families Patient-Centered 128

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. Eric: Yeah. What are the patients that we remember?

IT 83

IT Family Families Illness 83

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. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So figured out a little harmonica- Eric: That was wonderful. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 19, 2024

Eric 12:11 And we consult psychiatry. People who have serious medical illness and have psychiatric complications as a result, or people who have coexisting psychiatric illness and serious medical illness and that this issue of maid sort of brings things. Like 80 to 90% of patients we see have a psychiatric diagnosis.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. When we think about palliative care delivered here, like individuals with chronic pain, non-serious illness chronic pain, non-life threatening illness, oftentimes if we get consulted on them, we don’t even see them, may just be discontinued in most palliative care places.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 7, 2024

I thought that was an interesting take on doing this, because a mother-daughter relationship can be complicated, can be wonderful, and it’s hard to navigate when you lose your mother. Eric: When I try to think about what a doula does, should I call it a consult? Alex: That is not around the time of diagnosis. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

I wish they were just a diagnosis. I recently had this patient in clinic who, for complicated reasons that I won’t go into, our outpatient clinic had to put limits on his frequency of visits with me. And we received this consult to assist with goals of care. They have a experience that you will never have had.

Patients 109

Patients IT Family Families 109

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. We started a clinic here in 2008 at the VA, and what we found was that, you know, our median time from consult to death before we started clinic was like 18 days, somewhere around there, like somewhere around two weeks. Eric 10:44 No, all consults.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

FEBRUARY 24, 2022

And I think the advanced planning debate is really a question of, how do we help this very complicated situation? That this is iterative from diagnosis to end-of-life, right? And I think a lot of times when we get consulted, we’re asked for the outcome, right? We see how hard it is. We see when they don’t understand.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? And for all the ways in which every single case of brain death is so complicated, you might step back and say that brain death is working out okay in the real world, right? And a lot of my work has kind of been that vein. Alex 04:49 Amyloid. Sean 17:40 Yeah.

IT 113

IT Family Families Patient-Centered 113