Center for Family Medicine

MAY 7, 2025

Early detection of diabetes can help prevent complications like heart disease, kidney damage, and nerve problems. If getting enough sleep is not enough or energy levels are down, consulting a healthcare professional is advised. However, knowing when to get blood sugar levels checked can be confusing.

Diabetes 52

Diabetes Healthcare Professional Chronic Condition Family Medicine 52

Plum Health

MAY 19, 2023

Transparent Pricing: With DPC, you know exactly what you're paying for - no hidden costs, no complicated insurance bills. Join the Plum Health DPC Family Today Join the Plum Health DPC family and start enjoying a fresh, personalized approach to healthcare.

Primary Care 52

Primary Care Insurance Medical Advice Healthcare 52

Center for Family Medicine

MAY 14, 2025

Consulting a healthcare professional is crucial before beginning any new regimen. Certain supplements may interact with medications, making professional guidance essential to avoid complications. The post Arthritis Relief: 3 Supplements To Help With Joint Pain appeared first on Center for Family Medicine - Sherman Texas.

Healthcare Professional 52

Healthcare Professional Patient-Centered Management Family Medicine 52

Vascular Physician

NOVEMBER 5, 2023

Causes of Chronic Venous Insufficiency Common causes of CVI include: Prolonged standing or sitting Deep vein thrombosis (DVT) Obesity Pregnancy and hormonal changes Family history and genetic factors Risk Factors for Chronic Venous Insufficiency Certain factors could make you more likely to be affected by CVI.

Complication 52

Complication Appointment Management Healthcare 52

Vascular Physician

DECEMBER 21, 2022

As a result, your kidneys may not be able to properly function, which can lead to other serious health complications. Schedule Your RAS Consultation at The Vascular Institute When it comes to protecting the health of your renal arteries, there's no time to waste. How Common is RAS?

IT 52

IT Complication Appointment Diagnose 52

Physician's Weekly

JUNE 11, 2025

A registered dietitian could be consulted to help develop a comprehensive, personalized plan that aligns with these nutritional targets. Social support from family and friends ensures the patient has a robust support system to continue engaging in lifestyle behavior change.

Management 52

Management Primary Care Physicals Telehealth 52

Vascular Physician

JUNE 12, 2022

Here's what you should know about claudication before scheduling your consultation with the experts at the Vascular Institute of the Rockies. Contact us today to schedule your consultation. If you experience pain or discomfort whenever you walk or exercise, it may be a sign of a condition known as claudication. What is Claudication?

Treatment Plan 52

Treatment Plan Consulting Diabetes Individual 52

Imperial Center Family Medicine

MAY 19, 2025

Recognizing subtle symptoms of high blood pressure or hypertension early is paramount for mitigating associated health risks before complications develop. Contact us today at 919-873-4437 or online to schedule your initial hypertension consultation. What Are the Signs and Symptoms of High Blood Pressure?

Hypertension 52

Hypertension Family Medicine DO Management 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What is the role of the family caregiver system, how they play a role? We don’t need to check sugars all the time,” that also is a shock for patients and families.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And the sort of the ask was, “Oh yeah, you can talk to the family, right?

Families 98

Families Family Patient-Centered IT 98

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And you’re in the ICU family meeting, and it gets heated. So it’s a lot, but it’s good.

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IT Illness Families Family 133

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. David: Right. Eric: Okay.

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Patient-Centered IT Illness Patients 123

Physician's Weekly

JUNE 19, 2025

Dozens of listeners responded with their stories, including Bob, who is being identified only by his first name to guard his family’s privacy and whose daughter has epilepsy. Because… Dan: Bob’s new job meant… a new insurance plan for the family. Bea Bosco is our consulting director of operations.

Insurance 52

Insurance IT Board-Certified Medical 52

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? 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?

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IT Families Family Patient-Centered 129

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. 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. And I practiced both on the palliative care consult team and in the ICU.

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Consulting Patient-Centered Diagnosis IT 100

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? She falls and breaks her hip. She has advance dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous.

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IT Families Family Illness 83

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. Eric: So how do you put that all together?

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Consulting Patient-Centered Patients IT 116

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. Tamra: I wrote this… Eric: Thinking that the perceived role for inpatient physical therapist is a discharge consultant.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

NOVEMBER 21, 2024

But if we’re going to have a family meeting, that’s a different circumstance. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is. So help serves and hinders in everybody.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

JUNE 15, 2023

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. And then when we started coming up with mortality models or other sorts of prediction models with five factors or seven factors, people were like, “That’s too complicated. Eric: Really?

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

DECEMBER 14, 2023

It’s the clinicians on the rounding team, yes, but also the multidisciplinary team is really important, how they support the patient, the family, the doctors, the nurses, but also how the broader institutional structures such as ethics committees, et cetera, how they support. Is that right too?

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? What is sludge?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

The world of diets and dietary theories is complicated and can be overwhelming. Yes, both are important, but family, faith, work, money and the environment we create matter too. We follow ALL VACCINATION GUIDELINES set forth by the American Academy of Pediatrics and the American Academy of Family Medicine! Learn more.","robots":"index","keywords":"skin

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Referral Family Medicine DO Primary Care 40

GeriPal

FEBRUARY 16, 2023

So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond. What feelings do we have toward the patient and toward their families? And countertransference is everywhere.

Patients 110

Patients IT Families Family 110

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. Alex: And we’re delighted to welcome Carmen’s sister, Katie Quatman-Yates, who’s a physical therapist and is also associate professor at the Ohio State University.

Community 116

Community Transportation IT PCP 116

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. But you really should be looking at family history, personal history. Aren’t they asking you, what are you doing, mom?

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. Eric: When I try to think about what a doula does, should I call it a consult? It just depends.

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Provider Illness IT Healthcare 119

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. And it’s very traumatic obviously for the family and all of that and the team really. Yeah, that’s a more complicated story.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MAY 12, 2022

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. What do you think about that?

Community 116

Community IT Relationship Healthcare 116

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

DECEMBER 19, 2024

So in those cases, can we adopt an approach to mental health care that centers primarily around quality of life of patients and their families? Eric 12:11 And we consult psychiatry. And I’ll say we were clinically at the VA doing inpatient palliative care consults. We do not have a psychiatrist, but we have consultants.

Illness 102

Illness Mental Health IT Patient-Centered 102

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. And making most I can do, I can use my mouth even though I only have six fingers here. So figured out a little harmonica- Eric: That was wonderful.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. She entertained her family. Thanksgiving’s coming up, you’re having your family, Christmas coming up. You’re going to go traveling to Hawaii with your family, and, you know, you want to die in January. This shouldn’t have happened. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

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.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. And I think the advanced planning debate is really a question of, how do we help this very complicated situation? It’s hard for your family to know. It’s part of our family mythology. We see them struggle, right?

Illness 98

Illness Patient-Centered IT Patients 98