The Clinical Problem Solvers

MAY 14, 2020

Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? An essential part of the diagnostic process involves creating a problem representation (PR) and then trying to match that PR to a specific illness script. Part of the problem is that we are still figuring out this illness.

Illness 52

Illness Diagnosis Emergency Room Diagnose 52

Vida Family Medicine

JUNE 29, 2023

Most patients who go to see a primary care doctor are concerned about improving their physical health. 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. Mental health and physical health are completely intertwined.

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. Recognize key diagnostic features that help differentiate Parvovirus B19 from other viral exanthems and systemic illnesses. Viremia peaks at days five through ten after exposure, and that’s when the patient is most contagious.

Complication 83

Complication Patient-Centered Patients Clinic 83

Doctor On Demand

APRIL 16, 2025

This may mean you’re not getting enough oxygen, which can cause serious complications. Am I at risk for complications due to my medical history? Difficulty breathing that worsens rapidly or doesn’t go away with rest is another warning sign. Receiving treatment quickly can make a life-saving difference.

Medical 52

Medical Board-Certified Asthma Telehealth 52

PEMBlog

MARCH 4, 2025

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

Patient-Centered 91

Patient-Centered Diagnosis Complication Community 91

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Summary Transcript Summary. How do you do that? Mary Lynn: Thank you.

IT 139

IT Patients Individual Relationship 139

GeriPal

JANUARY 23, 2025

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ). in the usual care group.

Specialization 120

Specialization IT Patient-Centered Medical 120

GeriPal

MARCH 14, 2024

This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. And I think that we’re at this kind of crossroads right now in dysphagia, and dysphagia management where our patients are suffering. We revisit it, and make things better for our patients.

IT 125

IT Patient-Centered Hospital Individual 125

PEMBlog

SEPTEMBER 26, 2024

The mother describes the upper leg as feeling swollen and tense, and the patient cries when the area is touched. No recent illnesses or any other symptoms. Orthopedics has continued to follow patient who has done well, including normal growth and no further episodes of pain. It most often affects the mandible and long bones.

Patient-Centered 59

Patient-Centered Routine Screenings Diagnosis Clinic 59

Reflections of a Grady Doctor

FEBRUARY 28, 2019

I implore you to do whatever it takes to get on the other side of that complicated. If you fall ill and can't speak for yourself? Because if illness falls, it WILL call for y'all to interact. The good news is that I see lots of long term partners who navigate life-threatening illnesses well with families. Are they rude?

Illness 52

Illness Relationship IT Insurance 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice?

Diabetes 74

Diabetes Management Patient-Centered Families 74

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Gastroesophageal reflux disease is when the patients have severe symptoms that persist and cause long term issues.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Dr. Michael Bazel

APRIL 29, 2025

Why Preventive Care for Men Matters Preventive care isn’t just about treating illness when it arises; it’s about staying one step ahead of it. He helps patients in Valley Village, Panorama City , and Bell, CA, stay on top of their health year after year. Early detection helps prevent complications and protects your partners.

Screening 130

Screening Illness Checkup Primary Care Doctor 130

Mere Mortal MD

MAY 22, 2025

People are not usually fond of hospitals, especially if they happen to be the patient. So, the hospital is really not a place anyone wants to hang out for very long, and very rarely are patients hesitant to leave. These patients may end up under my care at the rehabilitation hospital. Thanks for reading Mere Mortal MD!

Hospital 221

Hospital Patients Nurse Practitioner IT 221

GeriPal

JUNE 12, 2025

Summary Transcript CME Summary If you’re anything like me, you might find the process of what happens to patients when they visit a radiation oncologist somewhat mysterious. Anish 01:02 Well, I speak, you know, from a physician lens of some of the patients that I get referred, and by the time there’s. Emily, welcome to GeriPal.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” Widera and Smith have no relationships to disclose.

Illness 130

Illness IT Diagnosis Patient-Centered 130

StorytellERdoc

MARCH 18, 2020

Being an ER physician facing this dilemma on the front lines of a large emergency and trauma center, I am also bearing witness to the more daunting picture of this dilemma--the mental and physical effects Covid-19 is having on our patients as well as on all of us. Be patient when you are frustrated. We feel helpless. Use it wisely.

ER 100

ER Illness Physicals Provider 100

GeriPal

NOVEMBER 21, 2024

Coping in the setting of serious illness. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? This is Eric Widera. Alex 00:12 This is Alex Smith. Eric 00:14 And Alex, who do we have with us today? Should I laugh at that?

Illness 126

Illness IT Patient-Centered Patients 126

Physician's Weekly

JUNE 19, 2025

Frail patients often have compromised immune responses, which increases their vulnerability to infections and reduces their ability to recover from acute respiratory illnesses (ARIs), including influenza and respiratory syncytial virus (RSV), the researchers continued. of the patients were women. Additionally, 63.8%

Illness 52

Illness Hospital Patients Management 52

Mesa Family Physician

MAY 8, 2025

These visits help catch illnesses before they become more serious, reduce healthcare costs in the long term, and improve overall quality of life. These visits help catch illnesses before they become more serious, reduce healthcare costs in the long term, and improve overall quality of life. The answer is nuanced.

Preventive Care 100

Preventive Care Preventative Care Wellness Visit Physicals 100

Physician's Weekly

JUNE 23, 2025

I witness firsthand the joy of well-child visits, the challenges and resilience of patients struggling to control their diabetes, and the Medicare annual wellness visit, all of which represent the collective effort to safeguard individual and community well-being. That is not how science works, and it is not ethical.

Vaccination 80

Vaccination Community Individual Illness 80

Doctors for America

MAY 30, 2025

As physicians, we know that access to these evidence-based tools to prevent severe illness, disability, and death, are essential to the care of our patients and our shared goal to improve the health of all Americans. Millions of Americans continue to live with complications of this disease and long COVID.

Vaccination 72

Vaccination Medical Student Patient-Centered Community 72

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Rectal method is more appropriate for infants, children and unconscious or comatose patients who are not able to hold the thermometer in their mouth. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

Mesa Family Physician

MARCH 13, 2025

For Mesa residents dealing with these ongoing health challenges, regular visits to Mesa Family Physicians ensure that your condition remains well-controlled and complications are minimized. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

Mesa Family Physician

MARCH 6, 2025

Unlike appointments that address specific illnesses or injuries, preventive care visits focus on screening for potential health issues, assessing your overall wellness, and helping you establish healthy habits before problems develop. I encourage all my patients to prioritize these visits, even when feeling perfectly healthy.”

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. Any one of our podcasts with Bob Arnold, including this one on the language of serious illness or this one on books, to become a better mentor. That’s a hard enough task, given that most of us have never had any communication skills training. Gordon 02:02 I do.

IT 133

IT Illness Families Family 133

Plum Health

OCTOBER 11, 2024

These services go beyond treating illnesses; they aim to keep you healthy in the first place. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Widera and Smith have no relationships to disclose. Eduardo, welcome to the GeriPal podcast.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Dani, welcome back. Dani 01:17 Always a pleasure. Dani 01:30 The Pal.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

MARCH 9, 2023

Early data on efficacy in patients with anxiety and demoralization are promising. Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). Research is exploding. Alex: Yeah, yeah, it does.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 16, 2023

Summary Transcript Summary Think about the last time a patient yelled at you in anger. The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Ask why: What is underneath the anger for this particular patient? Taking care of the hateful patient.

Patients 110

Patients IT Families Family 110

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness.

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. Look for Jenny to potentially appear on the show Americas Got Talent (no lie). Theresa 00:32 Thank you.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. (or should we call it HepatoPal?) Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Excited to be here. K idney P al?

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

FEBRUARY 23, 2023

Summary Transcript Summary You know when you walk out of a patient’s room and have that sense, “This isn’t going to go well.” The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. Should you stop at “no?” That’s a huge amount of news all at once. This is Eric Widera.

Families 98

Families Family Patient-Centered IT 98