GeriPal

JANUARY 12, 2023

But if ACE units are so great, why do so few hospitals have them? Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line. Eric: And we’re going to be talking about improving hospital care for older adults via ACE units, or acute care for elders.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

Vascular Physician

FEBRUARY 14, 2024

Undergoing carotid endarterectomy can help reduce your risk of experiencing serious complications from carotid artery disease, including a stroke. Your healthcare team will also care for your wounds, change dressings, and ensure that your pain is managed appropriately.

Complication 52

Complication Appointment Diagnose Healthcare 52

Vida Family Medicine

JUNE 29, 2023

They want to live a long life free of chronic health problems that may cause pain, limit their activities, or cause complications that could land them in the hospital. It is much easier to cope with and manage the physical symptoms of a chronic health condition when mental health is well-cared for.

Mental Health 52

Mental Health Physicals Primary Care Doctor Primary Care 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 86

Complication Patient-Centered Patients Clinic 86

PEMBlog

MARCH 4, 2025

Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.

Patient-Centered 93

Patient-Centered Diagnosis Complication Community 93

PEMBlog

JANUARY 21, 2025

Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

The Clinical Problem Solvers

MAY 14, 2020

The second major factor complicating our diagnostic reasoning during this time is the dramatic shift in prevalence of the disease in the community. Many parts of the country are currently experiencing dramatic surges in cases, with entire hospitals in New York being dedicated to the care of COVID-19 patients.

Illness 52

Illness Diagnosis Emergency Room Diagnose 52

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 why is it more common in hospitalized adults? This is Eric Widera.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

OCTOBER 13, 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 97

Complication Patient-Centered IT Patients 97

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 Families 74

33 Charts

OCTOBER 2, 2021

Why MyChart messages create a challenge for hospital systems So more contact and connection between doctors and patients seems like a good thing, right? Some of these Epic features can create the expectation of concierge-level service — a challenge at a time when hospitals are facing a global pandemic with crisis-level staffing.

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Patients IT Provider Family Doctor 75

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

PEMBlog

SEPTEMBER 24, 2024

It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. Pediatr Ann.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. I know this is like, we’re talking about math and so that makes it all a little complicated, but think about it this way. The old table, 1.5 Drew: Not boxed.

IT 139

IT Patients Individual Relationship 139

GeriPal

JANUARY 23, 2025

I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. You’re in the hospital right now, we can write you a taper, just mention to your doctor, mention to the team that you got this brochure and here’s even a suggestion for how to do it. 1 in 8 in the U.S.

Specialization 119

Specialization IT Patient-Centered Medical 119

Mere Mortal MD

MAY 22, 2025

People are not usually fond of hospitals, especially if they happen to be the patient. A hospital is a place for sick people, a place where death lurks around the corner, where a blood sucking phlebotomist pokes around your veins after strapping a blue rubber band tightly around your upper arm. Thanks for reading Mere Mortal MD!

Hospital 221

Hospital Patients Nurse Practitioner IT 221

GeriPal

JUNE 12, 2025

I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. 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?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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. We also discuss (without trying to get too wonky!) Let it be (hint hint).

Management 116

Management Patient-Centered Patients IT 116

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though. Liz: Right.

Hospital 125

Hospital IT Patient-Centered Patients 125

Physician's Weekly

JUNE 19, 2025

In addition, frailty was significantly associated with severe RSV outcomes , including more extended hospital stays and higher rates of ICU admission. Frail patients with RSV required significantly longer hospitalizations than their nonfrail counterparts,” the researchers noted.

Illness 52

Illness Hospital Patients Management 52

Doctor On Demand

APRIL 28, 2025

However, there are “Red Flag” symptoms that require urgent evaluation and management. A doctor can help identify triggers, suggest lifestyle changes, and recommend medications to manage symptoms. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People experiencing homelessness (PEH) and type 2 diabetes are hospitalized more often, develop diabetes complications, and die on average 10 years earlier than their housed peers due to poorly controlled chronic physical and behavioral health conditions.

Diabetes 130

Diabetes Medical Complication Physicals 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. What does it mean to go to clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Medical Xpress

JUNE 16, 2025

The law directs Texas universities and hospitals to lead the research. Ibogaine shows potential for promoting neuroplasticity and aiding recovery, though it carries cardiac risks that require careful management. It also makes sure the state keeps a share in future profits if the drug is approved.

Mental Health 52

Mental Health IT Medical Specialization 52

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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

FEBRUARY 15, 2024

So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.”

Community 115

Community Transportation IT PCP 115

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’ve seen patients post transplant when they start having complications. They are complicated.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

PEMBlog

JUNE 2, 2025

Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. Management of Hypertensive Crises in Children: A Review of the Recent Literature. References: Bertazza Partigiani N, Spagnol R, Di Michele L, et al. doi:10.3389/fped.2022.880678.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. 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.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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? Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? That’s when they got enrolled.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? So our inpatient hospitals are kind of under resourced for music therapy. It’s something that has no place in a hospital in most people’s thinking. Tyler 01:43 Okay.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

NOVEMBER 21, 2024

Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. Like, how do we help ourselves maintain psychological integrity in the face of the stressors that we have to manage? Dani, welcome back to GeriPal. Dani 00:25 Excited to be back.

Illness 125

Illness IT Patient-Centered Patients 125