Physician's Weekly

JUNE 19, 2025

It also covered related pain management and physical therapy after she returned home to New York City. Diamond plans to sue the broker who manages her company’s health plan and other benefits for negligence. The bills totaled more than $100,000. ” The Department of Labor didn’t respond to a request for comment.

Insurance 52

Insurance Patient-Centered Government Provider 52

The Motivated MD

SEPTEMBER 12, 2024

We are a collective profession of high-earning and driven individuals. Individuals still pursue real estate over stocks, or in parallel, because the stock market is historically more volatile than real estate, making real estate a safer investment during economically uncertain times. I understand the incentive, sure. Remember that.

Management 52

Management Finance Individual Education 52

PEMBlog

OCTOBER 18, 2024

The condition affects multiple organ systems—muscular, cardiac, and respiratory—leading to a myriad of clinical complications. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management.

Patients 52

Patients Complication Management Consulting 52

33 Charts

OCTOBER 2, 2021

Medicine is facing a crisis of information. Beyond the increase of biomedical information are rising demands for physician response to portal messaging (MyChart messages) and review of wearable generated data. And in my experience the exchange of information from the Cures Act Final Rule has added new dialog around test results.

Patients 75

Patients IT Provider Family Doctor 75

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 for those individuals, do we know anything? This is Eric Widera.

Hospital 124

Hospital IT Patient-Centered Individual 124

GeriPal

MAY 19, 2022

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. I really am not buying that it’s too complicated to do A over B, equal C over D, if you know three of the four variables. Part of my proposal is, again, that we can actually use very similar information.

IT 139

IT Patients Individual Relationship 139

GeriPal

JUNE 20, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. ABIM MOC credit will be offered to subscribers in November, 2024.

IT 120

IT Patient-Centered Patients Clinic 120

PEMBlog

APRIL 20, 2023

A special thanks to Dr. Cristina Tarango, director of the Hemophilia Treatment Center at Cincinnati Children’s and Lisa Littner, Project Manager at Cincinnati Children’s who helped me research and write this post. Individuals on emicizumab can be dosed once a week, every 2 weeks or every 4 weeks. Factor first!

Individual 52

Individual Patient-Centered Patients IT 52

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 73

Diabetes Management Patient-Centered Families 73

GeriPal

JULY 19, 2024

What should we use to screen individuals? So I think we’re poised now with the guide model and with the evidence we have about healthcare utilization, impact on caregivers, course of dementia, comorbidity management and all of that. And either of those could be given to the patient or an informant.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 12, 2025

But two, a very close relationship with potentially the palliative care physician or the individual who’s Sort of managing their pain, because the simulation itself can be 20 to 30 minutes of lying in that specific treatment position. So we need to have a discussion upfront about how we’re managing the patient’s pain.

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. This information can help pinpoint possible causes of illness and guide further investigations. What are the Management and Treatment Options in a case of fever? Consulting your doctor ensures proper treatment.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

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. This is Eric Widera. Alex 00:12 This is Alex Smith. So we got a lot to cover.

Management 116

Management Patient-Centered Patients IT 116

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. I appreciate that information. Eric: So this is a complicated pathway, right?

Management 122

Management IT Medical Patient-Centered 122

Medical Xpress

JUNE 16, 2025

More information: ScienceDirect has more on ibogaine. Journal information: Nature Medicine © 2025 HealthDay. The content is provided for information purposes only. Ibogaine shows potential for promoting neuroplasticity and aiding recovery, though it carries cardiac risks that require careful management.

Mental Health 52

Mental Health IT Medical Specialization 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

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. We have both inpatient and outpatient at IU.

Patient-Centered 109

Patient-Centered Patients IT Clinic 109

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I mean, we work at a different part of the health system a lot of times, although we have acute care therapists who do the same thing, but the gap in information flow is similar.

Community 114

Community Transportation IT PCP 114

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? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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

PEMBlog

JANUARY 16, 2025

Learn how to recognize and manage cases in the emergency department, ask the right questions to uncover inhalant use, and provide critical resources for prevention and support. Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. References Perry H, Burns MM.

Complication 52

Complication Patient-Centered Management Patients 52

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. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? Is the sort of task to manage.

IT 132

IT Illness Families Family 132

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It used to be a much more complicated model. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world? Eric: How about you, David?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Alex: Yeah.

Families 102

Families Family IT Diagnosis 102

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. What we hear is that it is more trauma informed in many contexts to have people first language.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Eric: I think about it as the first one to address individuals’ curative therapy. I don’t want to misspeak because now I forget.

Consulting 115

Consulting Patient-Centered Patients IT 115

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.

Families 83

Families Family IT Illness 83

GeriPal

OCTOBER 26, 2023

And so for pt, we’re generally focused on assistance with transfers, providing assistive devices to help people maintain independence with ambulation, doing stairs, leaving their homes, getting into the community, but really focusing on symptom management. We need that information. This information is so vital.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

APRIL 10, 2025

But we felt like we want to give like the primary thing about clinical decision support is to give the provider information they don’t already have. It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. The emergency physician knows it’s not new information.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Between those two things, usually you get all the information you need.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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

DECEMBER 14, 2023

And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other. It’s not explainable that each individual physician has independently arrived at this very aggressive practice pattern. I guess the VA is federal though. Liz: Right.

Hospital 125

Hospital IT Patient-Centered Patients 125

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

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Just an extraordinary cast of individuals who were really so incredibly inspiring. I guess one question for providers is, as we dive into individual sense of dignity, and I guess threats to that dignity, is potentially feeling like we’re opening this box.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

AUGUST 25, 2022

As a nurse case manager in hospice, half of my patients had dementia. Nurse case management, social worker case management, medications, medical equipment, a home health aid, all that stuff goes away. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized.

Families 106

Families Family IT Patients 106

GeriPal

MARCH 7, 2024

It sets space between us and the individuals we’re trying to take care of. And then, I did a lot of introspection and realized that I’ve actually been doing this for folks in an informal way, family church members and friends, but I didn’t do it so well with my own mother. I often say that doulas are mirrors.

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Provider Illness IT Healthcare 117