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. So in the odd, rare scenario where you have a family member being treated for H.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Dr. Michael Bazel

APRIL 29, 2025

Testing should begin around age 35, or earlier if there’s a family history of cardiovascular issues. Early detection helps prevent complications and protects your partners. While some screenings, like blood pressure checks, are recommended annually, others may vary based on age, family history, and lifestyle factors.

Screening 130

Screening Illness Checkup Primary Care Doctor 130

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. These are intellectually interesting but often personally devastating to the patient and family involved. Medicine involves many extremely ethically challenging situations.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Rather, most of us live and make decisions in relationship to one another. Nice to be here.

Family 98

Family Families Patient-Centered IT 98

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And you’re in the ICU family meeting, and it gets heated. So it’s a lot, but it’s good.

IT 132

IT Illness Family Families 132

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it.

IT 137

IT Family Families Physicals 137

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 Family Families Diagnosis 102

Vida Family Medicine

JANUARY 4, 2022

to take care of ourselves and prevent disease, or to treat disease when we catch it early than it is to treat a more complicated health problem. This visit will include a review of your personal health history and family history so that your doctor can advise you on any screening tests that might be helpful for you.

Preventative Care 52

Preventative Care Preventive Care Chronic Disease Insurance 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 109

Patient-Centered IT Patients Clinic 109

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 DO Family Medicine Patient-Centered 40

GeriPal

NOVEMBER 21, 2024

But if we’re going to have a family meeting, that’s a different circumstance. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is. So help serves and hinders in everybody.

Illness 125

Illness IT Patient-Centered Patients 125

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.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. 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.

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. Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion.

IT 83

IT Family Families Illness 83

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 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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. Welcome, Katie, to the GeriPal podcast. Katie: Thanks for the opportunity. Katie: Awesome.

Community 115

Community Transportation IT PCP 115

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

MAY 12, 2022

The book starts with the story of your grandfather with whom you lived, and there’s obviously a lot of family connection that you talk about in your patients, but also for yourself. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one.

Community 115

Community IT Relationship Healthcare 115

Edge Family Medicine

OCTOBER 23, 2024

Regular physical exams at Edge Family Medicine are essential for maintaining your health and well-being. At Edge Family Medicine , we prioritize early detection to provide timely care and prevent complications. The post The Importance of Regular Physical Exams appeared first on Edge Family Medicine.

Physicals 130

Physicals Family Medicine DO Chronic Condition 130

GeriPal

AUGUST 11, 2022

There was no conversation with the patient or the family about this. And the medical approach to these patients was very limited, but people were treated in their homes, with their families, with enormous compassion and care, which is what was really the antithesis. And that did not seem right to me. And the focus was on their comfort.

Illness 109

Illness IT Family Families 109

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

DECEMBER 14, 2023

It’s the clinicians on the rounding team, yes, but also the multidisciplinary team is really important, how they support the patient, the family, the doctors, the nurses, but also how the broader institutional structures such as ethics committees, et cetera, how they support. ” Whereas in the UK, you ask the same question.

Hospital 125

Hospital IT Patient-Centered Patients 125

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. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 15, 2023

Matt: I was going to say that you said something very clearly that we’ve heard in our NIH funded study around AI based prognostication talking to patients and family members and so on, that there’s a comfort level when it’s being used to identify people who might benefit from palliative care or benefit sooner.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 13, 2025

And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. And my community and about my family and those kinds of things. And they had to have a family caregiver. Their family members could not come in. Our consultation. Marie 11:03 Yes.

Consulting 63

Consulting Community Patient-Centered Family 63

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 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. 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. There’s something.

Illness 133

Illness Patient-Centered Patients IT 133

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? We just haven’t looked at it. Eric: I’ve got a question for you, Ramona.

IT 92

IT Patient-Centered Healthcare Patients 92

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. Naheed, welcome to the GeriPal Podcast. Naheed 36:55 Yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 30, 2023

Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood. ” I think that’s what I’m talking about with action, or it might be family leave policies.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. Yeah, that’s a more complicated story. But yeah, it’s complicated. This is what gets to be complicated for standardization. Widera and Smith have no relationships to disclose. And it was like 29eds. Yeah, yeah.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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? They don’t want to interact with their family. So one of the criticisms is that it’s an insult to the dignity of a loving relationship.

IT 100

IT Complication Relationship Specialization 100

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? As the caregiver or as a family member of the patient? Widera and Smith have no relationships to disclose. Guests Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath have no relationships to disclose.

Management 116

Management Patient-Centered Patients IT 116

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. But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. She entertained her family. Thanksgiving’s coming up, you’re having your family, Christmas coming up. You’re going to go traveling to Hawaii with your family, and, you know, you want to die in January. Widera and Smith have no relationships to disclose.

Patients 98

Patients IT Patient-Centered Hospital 98

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. And just like cultural background, there are some individuals and families that would really never have their loved one enter a nursing home, choosing instead to take care of them.

Family 106

Family Families Patient-Centered Patients 106