PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Parvovirus B19 is best known for causing fifth disease, but in certain patients it can lead to some serious complications like aplastic crises, fetal hydrops, or chronic anemia. So as you can see, this virus does a lot of stuff.

Complication 86

Complication Patient-Centered Patients Clinic 86

GeriPal

MARCH 14, 2024

Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby. Eric: Oh boy. That’s going to be one of our topics, huh? Alex: It’s back. It’s back. To talk about this. Nicole, welcome to GeriPal. Nicole: Thanks so much for having us. I have one.

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IT Patient-Centered Hospital Individual 124

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Complication 97

Complication Patient-Centered IT Patients 97

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. Today, we’re going to talk about likelihood ratios – let’s dive in!

Clinic 52

Clinic Diagnosis Hypertension Patients 52

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 119

Screening Primary Care Patient-Centered IT 119

PEMBlog

SEPTEMBER 24, 2024

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. Bronchopulmonary sequestration C. Lymphoma D. of all CLMs.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

Mere Mortal MD

MAY 22, 2025

People are not usually fond of hospitals, especially if they happen to be the patient. A hospital is a place for sick people, a place where death lurks around the corner, where a blood sucking phlebotomist pokes around your veins after strapping a blue rubber band tightly around your upper arm. Thanks for reading Mere Mortal MD!

Hospital 221

Hospital Patients Nurse Practitioner IT 221

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. Most sore throats are common cases, so it can be hard to know when to seek urgent care or when to just rest at home. Swollen neck Neck swelling may suggest an infection spreading into deeper tissues.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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. Millions of Americans continue to live with complications of this disease and long COVID. We need all tools available to prevent complications of COVID-19.

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Vaccination Medical Student Patient-Centered Community 65

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? It's a common challenge many people face. Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Regular check-ups ensure early detection of health issues.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

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? Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” That’s a huge amount of news all at once. This is Eric Widera.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

IT 102

IT Family Families Diagnosis 102

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. We can’t possibly meet the needs of all people with newly diagnosed serious illness. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . What’s the role of implementation science? We cover a lot of ground!

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

JUNE 15, 2023

Hallucinations, or when the AI lies or b *s, then denies it When the AI approaches sentience, is it ethical to unplug it? I’m sure this is a subject we will return to, given the rapid progress on AI. Which I thought were great questions. Maybe we could jump into that. Eric: It said, “How about Sparky?” What is artificial intelligence?

IT 99

IT Patient-Centered Patients Healthcare 99

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. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. .

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 91

IT Patient-Centered Healthcare Patients 91

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 25, 2022

For-profit hospices having much higher rates of their patients visiting the emergency department and being hospitalized, in addition to disenrollment. Eric: We have a smorgasbord, if you will, of papers that got published recently around hospice, and that’s why we’re calling it a hospice super special. Is it you, Melissa?

Family 106

Family Families IT Patients 106

GeriPal

FEBRUARY 16, 2023

As Keri put it in the podcast, we must go beyond “a hammer and a nail” philosophy to approaching anger by developing a toolkit for anger that is vast and varied. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Is that you Dani? Dani: It is me. laughter] Alex: Not at all.

Patients 109

Patients IT Families Family 109

GeriPal

JUNE 13, 2024

Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Eduardo, welcome to the GeriPal podcast.

Illness 133

Illness Patient-Centered Patients IT 133

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. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. It was amazing.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. People are living with HIV into advanced ages. The average age at death is likely in the 60s. Meredith wore a shirt that said Silence=death.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 And we have some great guests.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. I’m happy to talk about it at any time.” All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. This is Eric Widera.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist. We’ll have a link to that in our show notes. We’re gonna double up on that subject. Alex 01:07 We haven’t figured it out. Alex 01:48 All right.

IT 113

IT Families Family Patient-Centered 113

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

JANUARY 17, 2024

Complications that you should be aware of include bacteremia, endocarditis, septic arthritis, or osteomyelitis. This episode will help you recognize cellulitis and even differentiate it from erysipelas which is totally a different thing. As always, I’m your host, Brad Sobolewski, and today’s episode is all about cellulitis.

IT 59

IT Patients Diagnosis Clinic 59

Pamela Wible MD

JUNE 19, 2025

Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. Physician burnout describes a dangerous mix of emotional exhaustion, depersonalization, and a loss of meaning in work. But is it really burnout—or something more serious? Thank you for joining us Dr. Wible. To be real. Think about it.

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Clinic Nurse Practitioner IT Medical 246

PEMBlog

DECEMBER 4, 2024

Aside from coughing forever, there’s some important complications you need to be aware of. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension. Greater than 50 percent of kids under 12 months of age with pertussis could require hospitalization.

IT 52

IT Vaccination Diagnosis Complication 52

Physician's Weekly

JUNE 17, 2025

By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. Ekirch, who was diagnosed with small fiber neuropathy in 2023, was recommended by her doctor to try an expensive blood plasma treatment called intravenous immunoglobulin to ease her near-constant pain.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

GeriPal

JULY 16, 2024

Eric Widera reminds us of the history of the Goldwater Act created by the American Psychological Association in the 1960s which states that psychiatrists should refrain from diagnosing public figures, and the American Medical Association code of ethics which likewise discourages armchair diagnosis (rule established in 2017). Ken 02:33 Bravo.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141