PEMBlog

OCTOBER 2, 2024

Red flags that you should always ask about include hematemesis, melana, dysphagia, and Unintentional weight loss, these all need further investigation for complications like esophagitis or another diagnosis such as EOE or peptic ulcer disease. If any of those red flags are present, you should definitely consider a further diagnostic workup.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. And so someone knocked on my door when I was in fellowship and said, it was the EMS coordinator, the emergency medical service coordinator next door, our educator, and said, “Hey, we have this really weird problem. AMA PRA Category 1 credit(s) ™.

Community 116

Community Transportation IT PCP 116

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. How do you think about non pharmacological approaches, or maybe even in the people who just have a shorter, maybe less complicated anxiety, but it’s still impacting their sleep? Eric 24:51 Yeah.

Illness 130

Illness IT Diagnosis Patient-Centered 130

The Clinical Problem Solvers

APRIL 5, 2022

This is the last of three episodes interrogating the relationships between race, place, housing, and health. Dr. Kushel detailed how the use of dehumanizing language equates to complicity in a narrative that systemically harms our neighbors with lived expertise in homelessness.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. I’ve seen patients post transplant when they start having complications. They are complicated. They’re complicated from a symptom standpoint.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It used to be a much more complicated model. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world? AMA PRA Category 1 credit(s) ™. David: Right. David: Yeah. Eric: Okay.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Family Families Physicals 137

GeriPal

MAY 22, 2025

Relationships are usually more complicated. Widera and Smith have no relationships to disclose. Guests Jenny Chen, Tyler Jorgensen, & Theresa Allison have no relationships to disclose. You’ve done research on caregivers, too, and the engagement of music and caregivers. There are lots of people involved.

IT 98

IT Patient-Centered Patients Board-Certified 98

The Clinical Problem Solvers

FEBRUARY 8, 2023

One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California. She also discusses the importance of the patient-provider relationship and shared-decision making, which helps ensure that a full range of services are being offered to patients.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

NOVEMBER 21, 2024

And so I let him educate me. Potentially harmful elements of that coping mechanism for your relationship with your four year old. And if you look what they did early on, the very first things were relationship rapport building and how was somebody coping with their illness? This is so complicated.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. Relational autonomy was was first introduced to bioethics by feminist scholars, who observed that most people do not make decisions as isolated islands.

Family 98

Family Families Patient-Centered IT 98

GeriPal

JULY 21, 2022

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

AUGUST 29, 2024

We’ve done work with medical improvised, we’ve done work in museum based education. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. And just sort of acknowledge that because this person’s probably had a longer relationship, this patient, than I have. Anne 26:34 Yes.

IT 133

IT Illness Family Families 133

GeriPal

APRIL 10, 2025

Yeah, that’s a more complicated story. But yeah, it’s complicated. The one thing that we know is that education alone will not actually deliver behavior change. This is what gets to be complicated for standardization. Does just communication education, has that been shown to work? And it was like 29eds.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JANUARY 26, 2023

It can influence education systems. So I think you can see how there’s a lot of work to do among multiple sectors within healthcare, including education and training. Eric: And it’s even more complicated, right? It can influence a whole bunch of things and have deleterious effects. We just haven’t looked at it.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? Widera and Smith have no relationships to disclose. Guests Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath have no relationships to disclose. Eric 06:16 To it in our show. AMA PRA Category 1 credit(s) ™.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St. Naheed 07:33 Yeah. Naheed 36:55 Yeah.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

AUGUST 11, 2022

Brian: I guess I’m thinking about hearing all this as a more recent product of medical education here. And learners were excited about it and interested in it because a lot of these people were fantastic educators. The things that I’m most proud of are my people, the people who I’ve educated and trained.

Illness 110

Illness IT Family Families 110

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. I hope that in the future we’ll have the ability to detect who are the patients who are at elevated risk for those complications beyond the events that we see. AMA PRA Category 1 credit(s) ™.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 13, 2025

We gave these tools to oncology and fusion room N that was complicated. So absolutely, it is complicated. So my research is kind of focused on explor ing the relationship between communication and the grief in the early bereavement stage. From just the abstracts we had so many questions. Yael 24:49 Yeah. And I totally agree.

Consulting 64

Consulting Community Patient-Centered Family 64

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. This is, you know, has to do with our personal relationship. And there’s like the emphasis on the relational component and what that means in terms of the relationship between the caregiver and the patient and the person.

Family 94

Family Families IT Patient-Centered 94

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JULY 28, 2022

But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. We needed to build the relationships and trust and really provide a really good example of the value of palliative care outside of end of life care and advanced care planning.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

SEPTEMBER 7, 2023

So I would say that a lot of the education we received were on cutting edge research and the latest drugs in clinical trials, the latest cellular therapies that are coming out. So they are an important part of developing a relationship where one of the manifestations clearly is, “Well, yeah, I felt good about that.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. And in fact, after a complicated ethics issue, we will oftentimes go in and try and debrief them. Widera and Smith have no relationships to disclose. Guests Louise Aronson and Bill Andereck have no relationships to disclose. This shouldn’t have happened.

Patients 98

Patients IT Patient-Centered Hospital 98

Family Medicine Initiative

APRIL 10, 2024

This graph illustrates that the benefit of long-term GP-patient relationships is even dose-dependent (longer GP-patient-relationship = lower risk of dying prematurely): Why do long-term GP-patient relationships improve health and reduce costs? GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™.

Family 108

Family Families Patient-Centered Patients 108

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. Older adults may not have received AIDS education. Meredith 17:07 Yes.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. And then I subsequently entail, yeah, it was interesting. Sharon 15:21 Right.

Illness 131

Illness IT Physicals Patients 131

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. There’s also education that goes with it, educating, like, what does that mean? Widera and Smith have no relationships to disclose.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80

GeriPal

AUGUST 22, 2024

That also speaks to a lot of the particular family relationships and, of course, in that case, allegations of mistreatment along racial lines and so forth. 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?

IT 115

IT Family Families Patient-Centered 115

Mesa Family Physician

MARCH 6, 2025

Tertiary Prevention: Managing Existing Conditions Tertiary preventive care focuses on managing existing chronic diseases to prevent complications, improve quality of life, and reduce the negative impact of disease. These measures are taken after a disease has been diagnosed.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

GeriPal

JANUARY 5, 2023

By way of… Sort of starting this off, it’d be great if one of you would come up and help educate our audience in some lay terms, what are rights of consciousness? Robert: Professional relationship. Alex: … professional relationship to the patient? What are we talking about here? Robert: Yes, I do.

Provider 19

Provider Medical Hospital Patient-Centered 19