Dr. Zaar

JUNE 1, 2025

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. Choosing the right diabetes doctor can make a major difference in how effectively your condition is managed, your quality of life, and your long-term health outcomes.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Center for Family Medicine

APRIL 28, 2025

Obese individuals are also more likely to struggle with a range of chronic diseases or health challenges, which impact the quality of life and even shorten lifespan. Reducing the risk of type 2 diabetes Type 2 diabetes is a chronic disease that impacts the inability to manage insulin. An airway blockage is a common form of sleep apnea.

Diabetes 52

Diabetes Chronic Disease Complication Management 52

Family Physicians of Greeley

FEBRUARY 23, 2024

The eyes are particularly vulnerable to the effects of diabetes, and routine exams play a pivotal role in preventing and managing diabetic retinopathy, a serious eye condition that can lead to vision impairment or even blindness. These changes can result in vision loss if not detected and managed promptly.

Diabetes 40

Diabetes Treatment Plan Healthcare Professional Management 40

Center for Family Medicine

MAY 7, 2025

Early detection of diabetes can help prevent complications like heart disease, kidney damage, and nerve problems. As the body loses more fluids through increased urination, it triggers a dehydration response, making individuals affected feel constantly thirsty. However, knowing when to get blood sugar levels checked can be confusing.

Diabetes 52

Diabetes Healthcare Professional Chronic Condition Family Medicine 52

Vascular Physician

NOVEMBER 28, 2023

This is because both diabetes and PAD have many of the same risk factors and complications. If you have been diagnosed with diabetes or PAD, managing your condition is the best way to prevent it from worsening and contributing to other health issues. It is estimated that between 20-30% of people with diabetes also have PAD.

Diabetes 40

Diabetes Diagnose Treatment Plan Complication 40

Center for Family Medicine

MAY 14, 2025

Effective arthritis relief includes lifestyle changes such as regular low-impact exercise, weight management, and a diet rich in antioxidants. With appropriate treatment and proactive measures, individuals with arthritis can improve daily life while minimizing discomfort and adding years of relief.

Healthcare Professional 52

Healthcare Professional Patient-Centered Management Family Medicine 52

Imperial Center Family Medicine

MAY 12, 2025

Getting the facts straight on some common blood pressure management myths can help you take control of your heart health. Following your physician’s treatment regimen, which may include medication and lifestyle adjustments, can help you regain control of your blood pressure management, regardless of your age.

Management 52

Management Family Medicine DO Hypertension 52

Vascular Physician

NOVEMBER 5, 2023

Here is what you should know about CVI in order to manage your symptoms and improve your quality of life. While some individuals' symptoms may be mild, others can be severe and even disabling. CVI can lead to complications that can make performing normal daily activities difficult.

Complication 52

Complication Appointment Management Healthcare 52

Myriad Genetics

APRIL 26, 2024

Dense breast tissue complicates this as it makes cancers more difficult to detect. Dense breasts present unique challenges in breast cancer screening, but awareness and proactive management can help mitigate these challenges. Yet women with dense breast tissue are at a slightly elevated risk for developing breast cancer.

Screening 52

Screening Families Family Diagnose 52

Vascular Physician

DECEMBER 21, 2022

As a result, your kidneys may not be able to properly function, which can lead to other serious health complications. The majority of individuals who develop RAS also have atherosclerosis, a condition that causes sticky plaque to build up on the inside of your artery walls. How Common is RAS?

IT 52

IT Complication Appointment Diagnose 52

Physician's Weekly

JUNE 19, 2025

It also covered related pain management and physical therapy after she returned home to New York City. In those instances, Medicare pays first if they or their family member works at a company with fewer than 100 employees. Diamond plans to sue the broker who manages her company’s health plan and other benefits for negligence.

Insurance 52

Insurance Patient-Centered Government Provider 52

PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Youll also learn how to manage exposures in the emergency department, especially when the child has a pregnant caregiver, and why isolation isnt always necessary once the rash shows up. But what is it? Well, let’s get nerdy.

Complication 83

Complication Patient-Centered Patients Clinic 83

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. 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.

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Diabetes Management Patient-Centered Families 73

33 Charts

OCTOBER 2, 2021

And individual practice styles are fine. This thread from a 2015 post illustrates how varying needs of a child with ulcerative colitis call for different ways to connect: Take Luke, a school-aged child with moderate ulcerative colitis complicated by sclerosing cholangitis. The problem comes with call and cross-coverage. Pretty simple.

Patients 75

Patients IT Provider Family Doctor 75

GeriPal

JULY 19, 2024

What should we use to screen individuals? Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. Well, because they’re hard on people with dementia and they can be very hard on families, and they’re a form of crisis.

Screening 119

Screening Primary Care Patient-Centered IT 119

PEMBlog

OCTOBER 2, 2024

The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Gastroesophageal Reflux: Management Guidance for the Pediatrician. They do, though, have distinct pathophysiologies and management strategies. J Pediatr Gastroenterol Nutr.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. Eric: So this is a complicated pathway, right? Summary Transcript Summary.

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Management IT Medical Patient-Centered 122

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. This is Eric Widera. Alex 00:12 This is Alex Smith. So we got a lot to cover.

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Management Patient-Centered Patients IT 116

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. I’ve seen patients post transplant when they start having complications. They are complicated. They’re complicated from a symptom standpoint. Amy 12:23 I find this one.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. So I think it’s a bit of both acknowledging it and the emotion that may be in the room, but also just seeing the family. Is the sort of task to manage.

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IT Illness Families Family 132

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Should she be treated non-operatively, with aggressive symptom management? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. David: Right. Eric: Okay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous.

IT 83

IT Families Family Illness 83

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”?

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IT Families Family Physicals 137

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

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Vaccination IT Individual Healthcare 87

GeriPal

DECEMBER 14, 2023

And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other. It’s not explainable that each individual physician has independently arrived at this very aggressive practice pattern. I guess the VA is federal though. Liz: Right.

Hospital 125

Hospital IT Patient-Centered Patients 125

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. Same thing with kind of medication management. All of these are factors that are on the individual level. Welcome, Katie, to the GeriPal podcast. Alex: I think this is a first.

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Community Transportation IT PCP 114

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. As a nurse case manager in hospice, half of my patients had dementia. And I had a blast playing Take the Money and Run! AlexSmithMD.

Families 106

Families Family IT Patients 106

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.”

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 15, 2025

We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. We tested two different nudges individually and then we combined them. Their family members want them to get out of the hospital sooner.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. 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. those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. Eric: I think about it as the first one to address individuals’ curative therapy. Tom: That’s probably true.

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Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. It sets space between us and the individuals we’re trying to take care of.

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Provider Illness IT Healthcare 117

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. Alex: What happens when people survive?

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Patient-Centered Patients IT Hospital 96

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Had multiple physical, psychological complications as a result of that.

Patient-Centered 98

Patient-Centered Patients IT Illness 98