Imperial Center Family Medicine

MAY 12, 2025

Check with your doctor about safe alcohol consumption given your individual health profile. You Don’t Need Blood Pressure Medication If You Exercise And Eat Healthy Making heart-healthy lifestyle changes involving nutrition and physical activity should be the foundation for controlling blood pressure.

Management 52

Management Family Medicine DO Hypertension 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. The bills totaled more than $100,000. The post Have Job-Based Health Coverage at 65?

Insurance 52

Insurance Patient-Centered Government Provider 52

33 Charts

OCTOBER 2, 2021

It’s the physics of physician bandwidth: You can’t add something without taking something away. And individual practice styles are fine. The local family doctor wants to use antibiotics and we need to know whether we should fly to Dubai. The visual value for a frightened family in a foreign land is hard to quantify.

Patients 75

Patients IT Provider Family Doctor 75

GeriPal

JUNE 8, 2023

-@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. What is the role of the family caregiver system, how they play a role?

Diabetes 73

Diabetes Management Patient-Centered Families 73

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

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. Physical activity is a big one. One might argue they still are. So, that’s how I ended up there. That’s really falling apart.

Physicals 85

Physicals IT Hypertension Education 85

PEMBlog

OCTOBER 2, 2024

You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent. Again, otherwise the diagnosis is based on history and physical examination. You want to take a good history on feeding or dietary habits.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

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.

Families 102

Families Family IT Diagnosis 102

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. 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.

Community 114

Community Transportation IT PCP 114

GeriPal

FEBRUARY 8, 2024

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”? I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Families Family Physicals 137

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. Alex 19:04 Yep.

IT 132

IT Illness Families Family 132

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 Patients IT Clinic 109

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.

Families 83

Families Family IT Illness 83

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. Eric: Yeah. David: Right.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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. Tamra: I wrote this… Eric: Thinking that the perceived role for inpatient physical therapist is a discharge consultant.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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?

Vaccination 87

Vaccination Individual IT Healthcare 87

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

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. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 16, 2022

Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. Eric: So this is a complicated pathway, right? The redness and on their physical exam they’ve got new redness on their leg.

Management 122

Management IT Medical Patient-Centered 122

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

MAY 12, 2022

What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. We know that this is necessary in theory, we know that health is not only absence of disease, but physical, social, and mental wellbeing. But remember that here we were focused on needs. Somehow we were not very limited by definitions.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 3, 2022

When patients leave the hospital, the infection may be cured, but the patient and family will need to contend with a host of major new functional and cognitive deficits. You can use that when you’re talking to families about prognostication. Alex: What happens when people survive? It’s not just about the ICU.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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. I’m going to go to stem cell transplants.

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. That gets really complicated as well. Alex: It gets very local and individualizes as you were saying.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

SEPTEMBER 8, 2022

It’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Eric: Is that the same as complicated grief? And what we mean is like they’re physical numbness or they trip over that particular symptom, but it’s that sense of detachment from living people.

IT 100

IT Complication Relationship Specialization 100

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. So it started off for individuals with a terminal illness. And making most I can do, I can use my mouth even though I only have six fingers here.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 19, 2024

So we’re going to be talking about palliative care for individuals with mental illness. It’s one of the core things that we think about palliative care is you got the physical, psychological, social and spiritual symptoms. Eric 05:46 So I got a question. It’s interesting to talk about for a variety of reasons.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JULY 25, 2024

So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. Eric 05:50 Yeah. What’s in it again?

Families 106

Families Family Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

Mesa Family Physician

MARCH 6, 2025

At Mesa Family Physicians, we firmly believe that preventing health problems before they arise is always preferable to treating them after they’ve developed. In this comprehensive guide, we’ll explore the best examples of preventive care that can help you and your family maintain optimal health throughout all stages of life.

Preventive Care 100

Preventive Care Preventative Care Family Physician Screening 100

GeriPal

SEPTEMBER 14, 2023

The pneumonia could get treated, but I think geriatricians, actually, were well aware of iatrogenic complications of care and quality gaps, even well before the IOM reports of the late 1990s and the like. In our larger studies, before the study that Tacara helped lead, we never required family members to be present, or do work.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable. Monica: Yes.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues. There is a tension.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141