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.

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

JUNE 20, 2024

And that’s what makes these issues so challenging, because at one level, we use the same term to refer to that incredibly multifactorial, complicated, complex condition as we do to stress incontinence, which is also complex in its own way. We think of it really as a kind of a management tool as well. George 23:31 Sure.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. Eric: And swallowing is complicated, right? This is Eric Widera. Alex: This is Alex Smith.

IT 124

IT Patient-Centered Hospital Individual 124

GeriPal

JULY 19, 2024

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 23, 2025

Maybe even had come in with a complication. Emily 19:52 You know, some complication that might have even like, you know, kind of triggered that thought process about maybe it’s time for me to come off of the medication and just. . So acupuncture, Tai Chi, Yoga, mindfulness and physical therapy, chiropractor.

Specialization 119

Specialization IT Patient-Centered Medical 119

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. Preventive care is most effective when it’s consistent and proactive.

Family Physician 100

Family Physician Preventative Care Preventive Care Family 100

GeriPal

JUNE 12, 2025

The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. So we need to have a discussion upfront about how we’re managing the patient’s pain. Did their pain management last throughout that entire session? Anish 04:13 Yeah. Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Rao Doctor

APRIL 3, 2025

When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. What are the Management and Treatment Options in a case of fever?

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. Patients who have a trusted primary care doctor are more likely to follow medical advice, manage their chronic conditions effectively, and ultimately enjoy better health outcomes. Why is it called a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 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. Chrissy: Yeah.

Management 122

Management IT Medical Patient-Centered 122

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. However, there are “Red Flag” symptoms that require urgent evaluation and management.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations. Brianna 00:41 Thanks. Great to be here.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. ” As a physical therapist, is this new news or- Alex: Are you like, “Duh”? laughter] Carmen, welcome to the GeriPal podcast!

Community 115

Community Transportation IT PCP 115

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. It’s another article, another major article that has triggered the complicated UTI circuit. But what I did want to highlight is how we got to thinking about men that have UTIs have complicated UTIs.

Complication 52

Complication Patient-Centered IT Patients 52

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

JULY 21, 2022

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Or somebody who has other physical cognitive problems at any age. Certainly my bias is that healthcare professionals really do have a role in this discussion. ” Alex: Interesting.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is definitely a place, especially physical.

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 25, 2024

And I love the podcast that we did because it really highlights… We pride ourselves in palliative care, and focusing on physical, psychological, social, and spiritual suffering. It used to be a much more complicated model. However, its main predictors are age, comorbidity, and healthcare utilization. Eric: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. If the patient has a spectacular response to HIV management or the cancer treatment, then the main factors are removed.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JULY 28, 2022

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. They supported patients, they gave them a holding environment, they did symptom management, yada, yada, yada, like all the things we know palliative care clinicians do.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 22, 2025

A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. He’s bringing in, like, a physical record player, but now also in hospice units as well, they’re bringing out music players with headphones. I am not a board certified.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 28, 2024

Tom: So we did this study because patients who go through the stem cell transplant process face a lot of misery in terms of physical symptoms, psychological distress, anxiety, depression, and even a risk of PTSD afterwards, sort of like a medical trauma, you might think of it. I’m going to go to stem cell transplants.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

SEPTEMBER 7, 2023

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. To take care of people who have a lot of complicated issues requires a team approach, and there’s a thing at our institution that no person is big enough to be independent of others.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 26, 2022

Eric: But if we’re using organ donation example, there are really no physical benefits for the organ donor. And then being on a scarce resource committee during March, April 2020, man, it got really complicated and we spent hours and days trying to figure things out. The post Should we prioritize the unvaccincated for treatment?

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

NOVEMBER 17, 2022

The songs about how saving lives is actually a pretty complicated business. ” And the requests from management were to ask her to prescribe antipsychotics to try and sedate some of these behaviors away. So, how do we establish standards so that you even get the basic care you need for your cognitive or physical functional issues?

Community 97

Community IT Mental Health Medical 97

GeriPal

AUGUST 29, 2024

Is the sort of task to manage. Your patients expect you to care for them, their mental well being, their physical well being. This is a complicated case. Who do you want to go to with this? Eric 19:21 First I’m going to press my randomizer, Gordon. Gordon 19:28 I mean, this sounds like conflict, right? Eric 40:08 Great.

IT 132

IT Illness Family Families 132

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. What are the patients that we remember? Abby: Yeah.

IT 83

IT Family Families Illness 83

GeriPal

JUNE 15, 2023

I actually like reading books and the physical,” and what the internet 2.0 And then when we started coming up with mortality models or other sorts of prediction models with five factors or seven factors, people were like, “That’s too complicated. Sei: I wonder if there’s a analogy between the internet 1.0

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? They want you to recognize their pain, not just their physical pain, but their trauma that they’ve experienced as a, as a, as a result of being on the streets. How do you actually physically find them if that’s the case?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

Tiny Physician

MARCH 30, 2022

Postpartum hemorrhage is an unfortunate and well-known complication of delivery. Damage The plaintiff must be able to prove that he/she suffered harm because of the treatment which can be physical, financial, or mental. These developments shattered the morale of Dr. Archana following which she committed suicide.

Hospital 52

Hospital Government Patient-Centered Medical 52

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. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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? Well, there’s this descriptive phase where there’s a verbal and physical examination and the conditions discussed, and then, procedures are discussed. Alexis: Yeah.

IT 128

IT Family Families Patient-Centered 128

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. So it’s a lot of palliation. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. We published a nice piece, I think it was in the Journal of Pain and Symptom Management. That the wish to… Eric: Complicated. Harvey: Complicated. My oldest sister who I’ve written a little bit about, her name was Ellen.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). 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. This physician had never discussed my suffering at all.

Illness 144

Illness IT Medical Provider 144