PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca for bronchiolitis and 1.5% antivirals for influenza) or public health recommendations (e.g., isolation for SARS-CoV-2).

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Patients Illness Hospital Management 52

PEMBlog

SEPTEMBER 24, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). This is the second of the four cases. Aspirated foreign body B. Lymphoma D.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

OCTOBER 13, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. I think some of that depends on the kind of health system or hospital that you are involved with.

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Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Acute onset psychosis is relatively rare. J Emerg Med.

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Lab Testing Medical Patients Mental Health 52

GeriPal

DECEMBER 2, 2022

He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. She had been included. It supported her resilience.

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Community IT Individual Patient-Centered 101

GeriPal

NOVEMBER 9, 2023

Alex: We’re delighted to also welcome Greg Pawlson, who’s Senior Faculty at Lodestar Consulting & Executive Coaching and former President of the American Geriatric Society. We make a diagnosis. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization. Beth: Thank you.

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Board-Certified IT Primary Care Referral 110

The Medical Futurist

JUNE 21, 2025

SkinIO , Scanoma , Miiskin , FirstDerm , Direct Derm , iDoc24 , and SkinVision all work based on the same principle: they promise patients the option to self-check their symptoms and then to connect to a dermatologist online for consultation within a very short period of time. Cureskin aims to help alleviate the situation.

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Patients Healthcare Board-Certified Telemedicine 111

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. By diagnosis? We can’t possibly meet the needs of all people with newly diagnosed serious illness. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training.

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Consulting Patient-Centered Diagnosis IT 99

Plum Health

OCTOBER 11, 2024

Whether it's a urinary tract infection or a severe ear infection, urgent care clinics can quickly diagnose and treat infections. Clinics are often smaller than hospitals and may focus on a specific type of care, such as general health check-ups, urgent care, vaccinations, or specialty services like physical therapy.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. Paramedics can provide life-saving treatment on the way to the hospital. Paramedics can provide immediate emergency interventions on the way to the hospital, including oxygen support and life-saving medications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

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Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. That’s a huge amount of news all at once. Eric: Lynn or Anne?

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

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Telehealth Patient-Centered IT Patients 105

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatr Rev.

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Consulting Individual Family Families 59

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. I think some of that depends on the kind of health system or hospital that you are involved with.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 18, 2024

If somebody has cancer and they’re recently diagnosed, somebody has cancer and they’re undergoing active treatment, somebody has cancer and they’re in early remission, now they’re a year or two years, three years, four years out and they still have pain. Jessie: Yes. And then, looking at- Eric: Wow. So, one out of 10?

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Illness Patient-Centered Screening IT 136

GeriPal

APRIL 14, 2022

So for those of you listening via YouTube, here’s the live version for those of you who are listening on the podcast, you’re going to get my prerecorded version with lots of loops and I’m doing consultation with my new music teacher who’s a music producer in LA. Alex: So we’ll see what these come out like.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. He’s now hospitalized to break up that methadone into three times a day dosing.

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Patients Clinic Patient-Centered Illness 72

GeriPal

JANUARY 11, 2024

And so in that context, knowing that there was going to be some evolution of policy in this area, that’s how I got involved consulting with members, trying to understand the situation better, that type of thing. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Eric: Yeah. Eric: Yeah.

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Illness IT Medical Provider 144

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To describe individual characteristics and healthcare use in older adults with SMI across home care services (HCS) profiles before and after the first dementia diagnosis. Group 1 consisted of older individuals, mainly diagnosed in the hospital and with poorer COC. Study Design and Analysis: Retrospective cohort study.

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Diagnosis Healthcare Illness Primary Care 130

GeriPal

FEBRUARY 16, 2023

And while I was in the hospital, I never actually got over, like you were talking about, Eric, my defensiveness, the sting to my ego and my character and my worth, enough to get to the place of thinking about how I could be a good doctor for him. And also the whole potential psychiatric diagnoses. I wish they were just a diagnosis.

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Patients IT Family Families 109

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. If they get palliative care consult, they get one.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

The results were that the chat bots got the diagnoses right and had an escalation strategy that was better than the doctors, as judged by blinded specialists reading the transcripts. You and I would listen to a suggested list of diagnoses and say, “That’s a reasonable idea. They had no idea. I’m connecting.

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IT Electronics Patients Healthcare 139

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. And since starting the clinic, median time for consult to death was. Liz 00:32 Thanks.

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Family Families Patient-Centered IT 106

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? Knowing I was interested in neurology and had opportunities to observe brain death determination in the hospital. So in the case of Jahi McMath, you were talking about, you know, her family was kicked out of the hospital. Alex 04:49 Amyloid.

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IT Family Families Patient-Centered 113

PEMBlog

JANUARY 17, 2024

Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. So how do you make the diagnosis? If you think that there’s an abscess, you can diagnose it clinically by a localized area of induration or fluctuance or use an ultrasound.

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IT Patients Diagnosis Clinic 59

Physicians News Digest

APRIL 3, 2025

Helen Haskell’s 15-year-old son, Lewis, died after surgery in 2000 because weekend hospital staffers didn’t realize he was in shock. Haskell, of Columbia, South Carolina, has done research and helped write AHRQ-published surveys and guidebooks on patient engagement for hospitals.

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Patient-Centered Hospital Diagnose Medical 52