Physician's Weekly

JUNE 11, 2025

Chae : The four pillars of obesity care is a helpful framework that defines the essential elements of obesity care, which include nutrition therapy, physical activity, behavioral modification, and, if clinically indicated, medical interventions (eg, medication management, bariatric procedures, and complication management).

Management 52

Management Primary Care Physicals Telehealth 52

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Complication 97

Complication Patient-Centered IT Patients 97

FDA Law

MARCH 21, 2024

Panelists also concluded that, in these early days of MoCRA registration and issuance of guidance , organization and preparation are key tools to handling requirements for adverse events (AEs) and recalls. The MoCRA rollout, though, does not preclude that FDA may practice some regulation by enforcement if it deems such action necessary.

Complication 64

Complication IT Provider 64

GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Here we go.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

MAY 19, 2022

Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . which advocates for an updated, wait for it… equianalgesic table! . Drew: Yeah.

IT 139

IT Patients Individual Relationship 139

Physician's Practice

JUNE 9, 2025

The results also shed light on emerging concerns that could further complicate operations in 2025, including economic uncertainty and regulatory shifts. While some areas have shown modest improvement, many respondents report that key issues are becoming more difficult to manage, with optimism about the year ahead in short supply.

Chronic Disease Management 52

Chronic Disease Management Management Chronic Disease Patients 52

CDOCS

MAY 4, 2021

The possible complications were communicated so that the patient could make an informed decision and proceed with treatment. This unexpected complication set the restorative phase of treatment back a couple of months, but the results were favorable after 6 weeks verified with 3D imaging. Much faster than the local lab turnaround times.

Patient-Centered 52

Patient-Centered Patients Manufacturing Clinic 52

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. This measures both acid and non acid reflux events. Alright, let’s scope things out.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

FDA Law

MAY 17, 2022

It’s the quinquennial event when many of the UFAs are up for reauthorization. Karst — We’re in the midst of UFA (User Fee Act) season! Usually FDA’s lobbying activities are done rather quietly. Every once in a while, however, FDA is a bit bolder in its actions. Becerra , Catalyst Pharmaceuticals, Inc.

IT 40

IT Patients Provider Individual 40

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

Community 114

Community Transportation IT PCP 114

Vascular Physician

OCTOBER 10, 2022

Any event or condition that causes a lack of blood flow to a particular area of your body can lead to gangrene. Gangrene: What You Should Know It is no secret that having good blood circulation is an important part of maintaining good overall health. But what happens when blood flow to a certain part of your body stops?

Medical 52

Medical Appointment IT Complication 52

GeriPal

MARCH 9, 2023

Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events. Most participants are White and well-resourced. The efficacy of psychedelics without therapy, and the impact of variations in therapy type, training, duration, is unknown. Alex: Yeah, yeah, it does.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

Aspiring Minority Doctor

DECEMBER 31, 2024

December 17 th marked 11 years since this blog has been in existence, but for the first time ever since its creation, I managed to go the entire year without a single post! I originally started writing this post on the day of my actual blogiversary, but as you can see, life has been super busy and I never got around to finishing it.

Medical Student 52

Medical Student IT Patient-Centered Medical 52

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

MAY 22, 2025

This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM. So check that episode out. Check all the episodes out. It’s a terrific podcast, Tyler. Welcome, Tyle r.

IT 96

IT Patient-Centered Patients Board-Certified 96

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

The world of diets and dietary theories is complicated and can be overwhelming. Let me explain why food enters the bloodstream, and blood is what creates your cells, tissues, and organs. Food has the power to regenerate the new you! However, people need to understand what works best for them individually.

Referral 40

Referral DO Family Medicine Primary Care 40

GeriPal

FEBRUARY 8, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: Yeah.

IT 137

IT Families Family Physicals 137

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? You have a patient with dementia severe enough that she cannot recognize relatives. She falls and breaks her hip. Should she be treated non-operatively, with aggressive symptom management? It was Remember Me.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 25, 2023

Complicated grief? Others cited the call from communities to meet them where they are – be they senior centers, Black-owned businesses, or churches (we have a podcast planned in the fall with Fayron Epps and Karen Moss on the church setting). Did they have PTSD? Depression? Sarah: It is. Eric: Why are you picking this song?

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better. Well, I got.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 91

IT Patient-Centered Healthcare Patients 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? Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. Justin, welcome to GeriPal. Justin: Hello. Eric: Okay.

IT 128

IT Families Family Patient-Centered 128

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no!

Family 93

Family Families IT Patient-Centered 93

GeriPal

MAY 15, 2025

The nudge toward offering comfort care led to more hospice and early comfort-care orders. Is this due to chance alone, given the multiplicity of secondary outcomes examined? We’ve done a podcast already on nudging. Where was it? Alex 01:13 The nudging podcast We’ve done a couple I think. We also had a podcast with. Eric 02:08 Great.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

FDA Law

JUNE 13, 2023

” (Sorry for the bowdlerization, but we’re trying to make it past everyone’s filter and HR warned us in any event.) Moreover, the presentation of risk information suggested that monitoring would be sufficient to help patients avoid these potentially fatal adverse events. Would that it were so! We will only ruin it.

Patients 40

Patients Complication IT Clinic 40

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

Maine Academy of Family Physicians

OCTOBER 22, 2023

During this day I observed one medication abortion administration and two aspiration abortion procedures, the second of which was complicated by hemorrhage (which was swiftly controlled). I admire Dr. Der Simonian not only for her bedside manner, but also for her extensive medical knowledge and critical thinking.

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40

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. It’s great to be here.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 6, 2025

And this is really traumatic event for his street family and the street community that he knew. Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes palliative care for people experiencing homelessness challenging? What makes it rewarding? And I gonna choose Bryan Adams, summer of 69. What are we doing?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JULY 28, 2022

Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . Alex: (singing). Areej: Wow.

Illness 110

Illness Hospital Patient-Centered Patients 110

Tiny Physician

JULY 14, 2021

In adults, vascular events like myocardial infarction and stroke, hypertensive emergencies, alcohol abuse and related complications, exacerbation of COPD and Asthma etc. An IM expert can’t deal with all the diseases of pediatric population as some diseases are only present in pediatric population and vice versa.

Internal Medicine 52

Internal Medicine Medical Medical Student Patients 52

GeriPal

SEPTEMBER 5, 2024

But before we go into all of that, I think, Bill, you have a song request for Alex. Bill 01:52 I do. Bill 01:53 Alex asked me for a song that was resonating in my head at the time, and it would be Guy Clark’s song, T he Cape. Eric 02:01 Why guy Clark’s the Cape? Bill 02:03 Oh, it’s a long story. I’ll make sure. Here we go.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

NOVEMBER 3, 2022

So people are less able to have the language when the loss event actually happens. Eric: And why’d you pick that song? Vickie: It just reminds me of how important collegial support and being with each other is. Alex: Great choice. Eric: Thank you, Alex.All right, let’s jump into the topic at hand, loss and grief.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 25, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024. You got it.

Family 106

Family Families Patient-Centered Patients 106

Pamela Wible MD

JUNE 19, 2025

Physician burnout describes a dangerous mix of emotional exhaustion, depersonalization, and a loss of meaning in work. It’s now so common that more than half of all doctors report symptoms, with medical students , residents , and even senior clinicians feeling pushed to the brink. But is it really burnout—or something more serious? To be real.

Clinic 246

Clinic Nurse Practitioner IT Medical 246