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

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

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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

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

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. I am not a board certified. I forgot about.

IT 97

IT Patient-Centered Patients Board-Certified 97

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. Or there’s physical symptom needs. By prognosis?

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

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

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? I actually like reading books and the physical,” and what the internet 2.0 And there are these issues around, well when is the machine just summarizing what happened versus actually doing some interpretation? Eric: Yeah. Charlotta: Yeah.

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. Your patients expect you to care for them, their mental well being, their physical well being. This is a complicated case. Eric 10:36 But I asked Chachi Bt, I said to Chatty BT, I need to tell my patient they have cancer. What should I say? So you got to be better than AI.

IT 132

IT Illness Family Families 132

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. You were focused on physical and psychological distress and symptoms. I have oncology on the brain.

Illness 110

Illness Hospital Patient-Centered Patients 110

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 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. We know that this is necessary in theory, we know that health is not only absence of disease, but physical, social, and mental wellbeing. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

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

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

It’s one of the core things that we think about palliative care is you got the physical, psychological, social and spiritual symptoms. But some of the nuance I would want to point out is that, like Brent mentioned, first of all, this is not a diagnosis. Like 80 to 90% of patients we see have a psychiatric diagnosis.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

FEBRUARY 16, 2023

Keri: It does remind me, Dani, of that scapegoating phenomenon, when you’re talking about projection, where you see anger getting projected onto another person or a team, saying, “Oh, it’s the physical therapist’s fault or the oncologist is culpable.” I wish they were just a diagnosis. Dani: Totally.

Patients 109

Patients IT Family Families 109

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

JULY 25, 2024

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. Alex 05:48 I guess we didn’t do hospice specifically. Eric 05:50 Yeah. What’s in it again? It’s a measure of function. Kara 05:54 Yeah, exactly.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. 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? We see how hard it is. Juliet: Sure.

Illness 98

Illness Patient-Centered IT Patients 98

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

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. Just think about something like a nurse visit, a nursing visit, or a physical therapy visit. There are some subtleties there.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Cecilia Poon says, what are some best practices to highlight professional ethics?

Diagnosis 141

Diagnosis IT Diagnose Physicals 141