GeriPal

JUNE 8, 2023

-@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. This is Eric Widera. Alex Smith: This is Alex Smith. Is that your experience?

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

JULY 19, 2024

What should we use to screen individuals? And either of those could be given to the patient or an informant. Anna 43:15 I mean, yeah, as I’ve had, I think in general, primary care doesn’t have a lot of information about how to use these things. Who should get it if anyone? What happens after they test positive?

Screening 120

Screening Primary Care Patient-Centered IT 120

Rao Doctor

APRIL 3, 2025

This information can help pinpoint possible causes of illness and guide further investigations. Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. Using these methods can reduce temperature discomfort and minimize complications. And I do this regularly.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Medical Xpress

JUNE 16, 2025

In a study published in Nature Communications , led by researchers at National Taiwan University (NTU) and National Tsing Hua University (NTHU), scientists used the deepest-ever two-photon calcium imaging in awake mice to directly observe how individual SCN neurons respond to light. But what we observed was much more complicated."

Provider 109

Provider Medical Complication Diabetes 109

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. Sometimes individuals have lung tumors that make it difficult for them to breathe. Anish, can I ask you why you went into radiation oncology? Anish 04:13 Yeah. So it’s a good question. Thank you.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

Medical Xpress

JUNE 16, 2025

A 2024 study published in the journal Nature Medicine found that military veterans with brain injuries saw major mental and physical improvements after just one ibogaine session. More information: ScienceDirect has more on ibogaine. Journal information: Nature Medicine © 2025 HealthDay. All rights reserved.

Mental Health 52

Mental Health IT Medical Specialization 52

Doctor On Demand

APRIL 28, 2025

Unlike urgent care, which is suited for non-life-threatening conditions, the ER is designed to provide immediate, high-level care for severe complications from a sore throat, such as difficulty breathing, inability to swallow, or signs of a serious infection. Weakened immune systems increase the risk of complications — seek care sooner.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Community 116

Community Transportation IT PCP 116

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. That’s where it really gets to this individual risks and balances, individual situation. ” Alex: Interesting.

Families 102

Families IT Family Diagnosis 102

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 88

Vaccination Individual IT Healthcare 88

GeriPal

FEBRUARY 8, 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, 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. We have to be honest.

IT 137

IT Families Family 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 133

Patient-Centered Hospital Patients IT 133

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? This is a complicated case.

IT 133

IT Illness Families Family 133

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. 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.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research. They are complicated.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

PEMBlog

JANUARY 16, 2025

Interestingly, when these are sold, either online or in physical stores, theyre marketed As additives to make your own whipped cream at home. You can either get one little individual canister of nitrous, or a big canister which costs about 120 to 120. Further complicating matters is that each inhalant has its own special risks.

Complication 52

Complication Patient-Centered Management Patients 52

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?

IT 83

IT Families Family Illness 83

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 102

Healthcare IT Community Illness 102

GeriPal

JUNE 16, 2022

Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out. I appreciate that information. Eric: So this is a complicated pathway, right? Lots of information in there. Chrissy: That’s fascinating. Chrissy: Right.

Management 123

Management IT Medical Patient-Centered 123

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. So it can create a generativity or legacy document, that will be given to that individual so they can bequeath it to loved ones. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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 116

Consulting Patient-Centered Patients IT 116

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. And those two are closely aligned.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JUNE 9, 2022

They need, they need some, a little bit of information and probably a little more than that, what we like to call an edge. Because we know information provision, I think it was the support trial, even giving them information about poor prognoses didn’t change their practice. That gets really complicated as well.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

JANUARY 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 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.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 3, 2022

So it’s a five component scale and it includes slow gate speed, weak and grip strength, exhaustion, unintentional weight loss, and low physical activity, which I really like thinking about those components. Lauren: Although again, still thinking about what that means for an individual older adult is really important. Absolutely.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

JULY 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. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 05:50 Yeah. Eric 13:29 I love that.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. It was information about our ACP facilitator. And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. Yeah, yeah.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. But we have very little information, almost no information.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues. There is a tension.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141