Rao Doctor

APRIL 3, 2025

In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex Smith: This is Alex Smith. Is that your experience?

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

MAY 11, 2023

But I would say that in terms of education, it’s really complicated because it’s so confounded by socioeconomic status and so many social determinants of health. Or is it going to get worse because they’re now having these complications from lecanemab? So, that’s one thing. Alex: Yeah. Eric: Okay.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JUNE 20, 2024

And that’s what makes these issues so challenging, because at one level, we use the same term to refer to that incredibly multifactorial, complicated, complex condition as we do to stress incontinence, which is also complex in its own way. But the solutions, as we’ll get to in a few minutes, are completely different.

IT 120

IT Patient-Centered Patients Clinic 120

Plum Health

OCTOBER 11, 2024

If you have a chronic condition like asthma, diabetes, or arthritis, unexpected complications or flare-ups can occur at any time. Your insights could help someone else in their healthcare journey! A clinic is a medical facility where healthcare professionals provide specialized medical care to patients.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

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 27, 2024

If they’ve said they had a traumatic experience receiving a diagnosis. And so in terms of, am I looking to put a DSM diagnosis to someone? What would be the benefit to myself, or hopefully for them to add a DSM diagnosis? Eric 21:58 I think for the coding, your encounter with a diagnosis. I wonder why?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would.

IT 102

IT Family Families Diagnosis 102

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

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 9, 2022

By diagnosis? And that’s where things like diagnosis triggers, if you will, prognostic triggers, and then the ideal need-based triggers. Eric: Our outpatient service does have guides around diagnosis and prognosis. That gets really complicated as well. Kate: A diagnosis. Is that appropriate at diagnosis?

Consulting 99

Consulting Patient-Centered Diagnosis IT 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

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. Relationships are usually more complicated. There are lots of people involved.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

JULY 11, 2024

I’ve seen patients post transplant when they start having complications. They are complicated. They’re complicated from a symptom standpoint. And so I honestly think it has to do with how complex the diseases and the complications that come from it. Amy 12:23 I find this one. What’s the goal?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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. Eric: And just for our listeners, can you briefly describe the case? Lynn: Sure. Anne Rohlfing: Yeah. Emily: Yeah.

Families 98

Families Family Patient-Centered IT 98

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? Eric: A lot of talk about the Aducanumab of the world, these amyloid antibodies diagnosing people with dementia really early on potentially for treatment, but also a diagnosis of dementia may limit people’s ability to do things like driving.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 16, 2022

We discuss with her how we should work-up and manage “urinary tract infections” (I’ve added air quotes to “UTI” in honor of Tom Finucane’s JAGS article titled “Urinary Tract Infection”—Requiem for a Heavyweight in which he advocated to put air quotes around the term UTI due to the ambiguity of the diagnosis.). That’s how I would do it.

Management 122

Management IT Medical Patient-Centered 122

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. What are the patients that we remember? Abby: Yeah.

IT 83

IT Family Families Illness 83

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. This is a complicated case. The post Stump the VitalTalk Communication Experts: Gordon Wood, Holly Yang, Elise Carey appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. What should I say? So you got to be better than AI.

IT 132

IT Illness Family Families 132

GeriPal

SEPTEMBER 28, 2023

And Gretchen does this really great thing is, if you actually focus, let’s say, on surgery, there’s really only four things surgery helps with, live longer, feel better, prevent disability, or make a diagnosis, only those four things. Abby: I’m going to use Alex’s words from before, that’s really complicated.

Family 144

Family Families Patient-Centered IT 144

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

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

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. So for the stepped care model, all patients see palliative care at the time of diagnosis.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis. Alex: That is not around the time of diagnosis.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one. Rajagopal appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. People who are suffering are not very visible.

Community 115

Community IT Relationship Healthcare 115

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And then from a dementia and multiple different diagnoses, how much should hospice look the same for everyone, or tailored to the patient or the diagnosis that we’re dealing with? I threw out a lot.

Family 106

Family Families IT Patients 106

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. It’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Holly: Oh absolutely.

IT 100

IT Complication Relationship Specialization 100

GeriPal

DECEMBER 19, 2024

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. But some of the nuance I would want to point out is that, like Brent mentioned, first of all, this is not a diagnosis.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

OCTOBER 19, 2023

Gretchen Schwarze like surgery, four things, live longer, feel better, be more functional, make a diagnosis. Eric: That’s a complicated form then. Nobody wants to have CPR, like Bob Barland says he hasn’t met a person who wants this intervention. What they want is things that are important to them, maybe live longer.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

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. They have a experience that you will never have had. Dani: Totally. Formulations are fluid. It doesn’t work like that.

Patients 109

Patients IT Family Families 109

GeriPal

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis.

Primary Care 94

Primary Care IT Clinic Provider 94

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

JULY 25, 2024

And as things sometimes happen in surgery, patients can experience complications and one complication, particularly in someone who’s frail, who’s not buying the cabbage, maybe they’re buying the chard at the farmer’s market.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. You didn’t ask about it, but for us, it was very important to examine differences for older adults with a diagnosis of dementia. You know, all of these things I think are.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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.

IT 113

IT Family Families Patient-Centered 113

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? appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. We see how hard it is. We wonder if they were told.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

SEPTEMBER 14, 2023

The pneumonia could get treated, but I think geriatricians, actually, were well aware of iatrogenic complications of care and quality gaps, even well before the IOM reports of the late 1990s and the like. We’re not paid, as part of a DRG, for any particular diagnosis. Bruce: This is, Ghostbusters, basically, a ham radio.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115