PEMBlog

SEPTEMBER 24, 2024

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. He initially presented to his pediatrician two months prior with 10 days of cough and unexplained fevers. This is the second of the four cases.

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Diagnosis Diagnose Patients Asthma 52

PEMBlog

OCTOBER 2, 2024

Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. Adolescents with GERD often present similarly to adults with heartburn and regurgitation as the primary complaints. And the presentation for GERD varies by age. Now there are some risk factors for GERD.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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 Families 100

Rao Doctor

APRIL 3, 2025

Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. 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.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. Results: We found high acceptability on the CSQ-8 with a mean of 30.5 (SD

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Diabetes Medical Complication Physicals 130

GeriPal

FEBRUARY 8, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: Yeah.

IT 137

IT Families Family Physicals 137

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ?

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

IT 102

IT Families Family Diagnosis 102

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.

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Patient-Centered Hospital Patients IT 132

PEMBlog

JUNE 2, 2025

In the case presented, the patients blood pressure was significantly elevated, and she exhibited symptoms indicative of end-organ involvement, including altered mental status, headache, and nausea. Nicardipine dosing: bolus at 30 mcg/kg/bolus (maximum 2 mg/dose), then a continuous drip at 0.5-4

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). The songs about how saving lives is actually a pretty complicated business. We additionally firmly establish that the song How to Save a Life by the Fray was a product of the aughts (2005, to be exact), not the 90’s ): Enjoy! Transcript. Eric: Welcome to the GeriPal podcast. JAMA Network Open.

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Community IT Mental Health Medical 97

PEMBlog

JANUARY 16, 2025

Well dive into the clinical presentations, including acute and chronic symptoms, the dangers of sudden sniffing death, and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. Interestingly, when these are sold, either online or in physical stores, theyre marketed As additives to make your own whipped cream at home.

Complication 52

Complication Patient-Centered Management Patients 52

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? Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. Justin, welcome to GeriPal. Justin: Hello. Eric: Okay.

IT 128

IT Families Family Patient-Centered 128

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. I’m just stunned even writing that! We’ve come so far as a field. This is Eric Widera. Alex: This is Alex Smith. Kate: Thank you.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? As Keri put it in the podcast, we must go beyond “a hammer and a nail” philosophy to approaching anger by developing a toolkit for anger that is vast and varied. Is that you Dani? Dani: It is me. Dani: It’s true.

Patients 109

Patients IT Families Family 109

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 6, 2025

He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes palliative care for people experiencing homelessness challenging? What makes it rewarding? And I gonna choose Bryan Adams, summer of 69.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 11, 2024

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. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. It was amazing.

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Illness IT Medical Provider 144

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients.

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Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 19, 2024

It’s one of the core things that we think about palliative care is you got the physical, psychological, social and spiritual symptoms. We discuss the following: What is Palliative Psychiatry (and how is it different from Palliative Care Psychiatry)? What does it look like to take a palliative approach to severe mental illness?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MARCH 3, 2022

Alex: And we’re delighted to welcome you to the GeriPal Podcast, Julien Cobert, who is an intensivist and aging researcher GeriPal Podcast, Julien. Julien: Thanks Alex, thanks Eric. It’s great to be here. Eric: So we’re going to be talking about aging in the ICU. Chris Cornell is one of my favorite musicians. Alex: (Singing).

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

Tiny Physician

MARCH 30, 2022

The bystanders of the patient who were present at that time understood the efforts taken by the doctors and told the treating team that the doctors did their best and it was the patient’s fate. Postpartum hemorrhage is an unfortunate and well-known complication of delivery. She was admitted and Dr.Archana conducted the delivery.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

SEPTEMBER 5, 2024

But before we go into all of that, I think, Bill, you have a song request for Alex. Bill 01:52 I do. Bill 01:53 Alex asked me for a song that was resonating in my head at the time, and it would be Guy Clark’s song, T he Cape. Eric 02:01 Why guy Clark’s the Cape? Bill 02:03 Oh, it’s a long story. I’ll make sure. Here we go.

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Patients IT Patient-Centered Hospital 98

FDA Law Blog

MAY 21, 2024

and its abuse may lead to only moderate or low physical dependence or high psychological dependence. The Attorney General, after considering HHS’ recommendations, “concludes that there is, at present, substantial evidence that marijuana does not warrant control under schedule I.” . § 812(b)(1). 21 U.S.C. § NPRM at 44,619.

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Physicals Medical Clinic Emergency Room 69

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. Is that an issue for you? I’m happy to talk about it at any time.” Here’s a little bit.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 25, 2024

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. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 You got it. Kara 04:09 Sure. Eric 05:50 Yeah.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

NOVEMBER 3, 2022

Eric: And why’d you pick that song? Vickie: It just reminds me of how important collegial support and being with each other is. Alex: Great choice. Eric: Thank you, Alex.All right, let’s jump into the topic at hand, loss and grief. I want to start off by turning to Matt. Matt, tell me about the book that you just published.

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Healthcare Professional Healthcare IT Relationship 102

GeriPal

MARCH 27, 2025

We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here. But before we dive into the study and the implications it has for the practice that we do, I believe someone has a song request.

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Primary Care IT Clinic Patient-Centered 79

GeriPal

FEBRUARY 24, 2022

Since then there has been a lot of back and forth, with even a couple of podcasts from us, several JAMA viewpoints, and most recently a series of published replies from leaders in the field on why ACP is still valuable (see below for references). . Despite all of these publications, I’m still left at a loss of what to think about it all.

Illness 98

Illness Patient-Centered IT Patients 98

Tiny Physician

OCTOBER 17, 2021

Even a basic understanding of chemistry, biology, and physics is enough to debunk the concepts in this pseudoscience. However, there is no clinical trial on its effect on COVID 19 infection or its complications. Contrary to our beliefs, the second wave came and exposed all the weaknesses of our health system. Dipankar et.

Vaccination 52

Vaccination Government IT Physicals 52

Mesa Family Physician

MARCH 6, 2025

These measures are taken before any evidence of disease or injury is present and are designed to prevent health problems from occurring in the first place. Annual Physical Examinations The comprehensive annual physical remains one of the cornerstone examples of preventive care services.

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Preventative Care Preventive Care Family Physician Screening 100

GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. In addition to discussing these outcomes, we also discuss: The history of the hospital-at-home movement. How is it financed and what comes next? Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

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. Ken 02:33 Bravo.

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Diagnosis Diagnose IT Physicals 141