GeriPal

JUNE 20, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 120

IT Patient-Centered Patients Clinic 120

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

Plum Health

OCTOBER 11, 2024

They also provide immunizations and lifestyle advice tailored to your specific needs. It creates a continuous health history that benefits both you and your provider. They're designed to provide quick, efficient medical attention for conditions that require timely care but aren't life-threatening.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. 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. This requires emergency treatment.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 27, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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.

Families 102

Families IT Family Diagnosis 102

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? David 12:34 Yeah.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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

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

JUNE 9, 2022

By diagnosis? Kate: You just embed it into routine care and workflows, and you really aim for a broader population,, outcomes that are routinely collected care that can be provided in the course of routine care, and not trying to manipulate and control all of the factors. That gets really complicated as well. Kate: A diagnosis.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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. Eric: Yeah, I love that too.

Families 98

Families Family Patient-Centered IT 98

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Eric: Yeah. From a personal emotional perspective, what do you think makes it hard? Nick: Such a good question. It was incredible.

IT 83

IT Families Family Illness 83

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? I think the AI can allow for that complexity but still provide some guidance. 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

For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. Eric: And then as we talk about Venn diagrams, probably the most common reflexive thing that providers do when they hear about lower urinary tract symptoms is they check a UA.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

AUGUST 29, 2024

And for many years, I think there was a focus on physicians and then providers. So the first thing, explain the diagnosis. Gordon 12:01 One absolute right answer to all these questions, and we will provide that. This is a complicated case. What should I say? So what you have to be is what Chat GPT responded.

IT 132

IT Illness Families Family 132

GeriPal

JANUARY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 28, 2023

Before we talk about miscommunication, would love to hear briefly from each of you, how or why did you get interested in this topic at all just around patient communication, patient-doctor communication, patient-provider communication. Abby: I’m going to use Alex’s words from before, that’s really complicated.

Families 144

Families Family Patient-Centered IT 144

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. I think that there are some really great for-profit hospices out there that are actually able to provide more services and more open access for patients. And then at the regional level-. Eric: A minute.

Families 106

Families Family IT Patients 106

GeriPal

DECEMBER 19, 2024

This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine.

Illness 101

Illness Mental Health IT Patient-Centered 101

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. The model is predominantly physicians, advanced practice providers. 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 Families Family Patient-Centered 128

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. And then there are a number of groups that go out in vans and cars and go out into the surrounding community of Kerala to provide care for patients who are in their homes. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one.

Community 115

Community IT Relationship Healthcare 115

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

OCTOBER 19, 2023

I think that policy in the emergency department is showing that no matter what that provider is looking to see if a patient has a preference. Gretchen Schwarze like surgery, four things, live longer, feel better, be more functional, make a diagnosis. Eric: That’s a complicated form then. You write who the surrogate is.

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. And I think limiting the visits really triggered a deep sense of abandonment in him from a provider that he felt attached to.

Patients 109

Patients IT Families Family 109

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I became more and more involved in it, including becoming involved in research and developing some of the programs initially to provide care for people with both drug use and HIV related problems, women with HIV vulnerable populations.

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 that really is what prompted me to get certified as a sexual education provider. Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? And I said, sure.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Families 106

Families Family 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. And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? Healthcare provide. Healthcare companies. 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? Alex 04:49 Amyloid.

IT 113

IT Families Family 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? And I also think, we still operate under pay for… We get paid for the services we provide, right? We see how hard it is. We wonder if they were told.

Illness 98

Illness Patient-Centered IT Families 98

GeriPal

JANUARY 5, 2023

“Typically when we think about conscience in medical ethics we think about it in terms of a negative claim of conscience, where a clinician refuses (or objects) to provide care. Lisa was writing about providing abortion care, but she just as easily could have been writing about providing medical aid in dying in states where it is illegal.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

SEPTEMBER 14, 2023

And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. And the treatments are different than what hospice might provide in the home setting. I trained at Hopkins. We had, since the late seventies, a home-based primary care program.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115