Center for Family Medicine

JUNE 13, 2025

These conditions can lead to heart attacks, strokes, and other serious complications. The gradual buildup of plaque in the arteries often goes unnoticed until a major event occurs. Keep an eye on your blood sugar Type 2 diabetes becomes more common with age, especially for men who are overweight or have a family history of the disease.

PCP 52

PCP PCP Diabetes Primary Care 52

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

The world of diets and dietary theories is complicated and can be overwhelming. Yes, both are important, but family, faith, work, money and the environment we create matter too. We follow ALL VACCINATION GUIDELINES set forth by the American Academy of Pediatrics and the American Academy of Family Medicine! Learn more.","robots":"index","keywords":"skin

Referral 40

Referral Family Medicine DO Primary Care 40

Maine Academy of Family Physicians

OCTOBER 22, 2023

6-week Medical Student Externship - Medical Student Externship Report – Molly Mann, MS2 2023 July – August "My externship experience consisted of shadowing Dr. Der Simonian at the Falmouth Family Medicine office and at the Maine Medical Center Mother Baby Unit.

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40

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 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? She falls and breaks her hip. She has advance dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

FEBRUARY 8, 2024

They’re starting to decompose even in the toes and fingers, and we’ll sit there and tell their family, we think they’re suffering, because we are suffering watching them, and we want them to make a decision that’ll make us feel better and take the suffering away as quickly as possible. What are you seeing?”

IT 137

IT Family Families Physicals 137

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Andrew complicates this definition , stating it raises more questions than answers. Particularly patients, families. That their loved one is in there.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. And one person even called the system 75 times and that was just a light-bulb event for me. Welcome, Katie, to the GeriPal podcast. Katie: Thanks for the opportunity. Katie: Awesome.

Community 114

Community Transportation IT PCP 114

GeriPal

MARCH 9, 2023

Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events. Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. Most participants are White and well-resourced. So, creating a- Alex: Control condition. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? What I need to navigate with that patient and their family, is it valuable to you? And when they talk to patients and families, it’s a pretty easy sell. Every time.

IT 128

IT Family Families Patient-Centered 128

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. Relationships are usually more complicated. I had no idea.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

MAY 25, 2023

Complicated grief? And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. And that family was not necessarily a trusted network. Depression?

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 13, 2024

And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. Alex 24:58 I’m so glad you mentioned the family. I’m going to go tonight for dinner with the rest of the family. There’s something.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MAY 15, 2025

The events are conditions that’ll be set into place unless some active choice to the contrary is chosen. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Because it’s complicated and we don’t want to over complicate prayer listeners.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

JANUARY 26, 2023

And again, that can create a food desert, which can create health issues for patients and their families, so that’s an example of structural racism, but again, it’s baked into laws. Eric: And it’s even more complicated, right? So it’s no surprise, to me, that the outcomes will be different.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.” Do you know those?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. How do you make decisions about work and family? Alex: I’ve got to show you the back of the Jersey.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? Take a stab, Alex, in one sentence, I think more total time bias is when the start time for one group doesn’t begin until some event happens and therefore they have to survive until that event. Maria 36:03 Yes.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 5, 2024

So in some ways, it was an iatrogenic event. There was also a second event in that the pressures chosen weren’t the ideal ones. I mean, obviously nobody fed her the pill with the intention of choking her, but it wasn’t like suddenly she had another event out of the blue because she had a bad heart.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JULY 25, 2024

And so we know that the decision to enter a nursing home is incredibly challenging for families, especially because it often comes with thoughts that they’re, like, abandoning their loved one, really. So it’s not just like the patient or the family, but it’s also the healthcare system. James 19:32 Yeah, exactly.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. So people are less able to have the language when the loss event actually happens. Turns out, it’s maybe not. And we don’t talk about it as much.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

Pamela Wible MD

JUNE 19, 2025

Born into a family of physicians who warned her not to pursue medicine. Families can sue the employer financially liable for killing their own employees by overworking them (when they die of heart attacks, strokes and they’re found dead like by their computer because they’ve been working for so long). It’s Japanese.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

JULY 16, 2024

If you are concerned that your silence can be a form of complicity and bad behavior, too, we have a certain amount of expertise. The point is, I see something concerning here, and the outcome of the evaluation can lead to a whole range of different conclusions, ranging from a one time event. There is a tension. Eric 29:15 Yeah.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141