GeriPal

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

IT 124

IT Hospital Patient-Centered Individual 124

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).

Patients 52

Patients Illness Hospital Management 52

The Clinical Problem Solvers

DECEMBER 3, 2019

She has been evaluated three times over this period, and each time she was diagnosed with cellulitis. Let’s split this category initially into two subgroups: non-infectious and “wrong bug.” Non-infectious: The signs and symptoms that lead us towards diagnosing an infection are often non-specific, so it’s important that we consider mimics.

Diagnosis 52

Diagnosis Diabetes Diagnose Clinic 52

GeriPal

OCTOBER 13, 2022

Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 24, 2024

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. Bronchopulmonary sequestration C. Lymphoma D. of all CLMs.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. In those without psychosis, those with likely psychosocial issues, especially those with a prior history of psychiatric diagnoses, and with reassuring history and exam, lab tests are not necessary to exclude a medical condition. J Emerg Med.

Lab Testing 52

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. All types of dementia. I think Ab sees that a lot.

Community 101

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. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization. Beth, welcome to GeriPal. Beth: Thank you.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. and consulting for Papa Health. This is 24,000 encounters, over 15,000 patients, 11 hospitals, eight states.

Consulting 121

Consulting Hospital Patient-Centered IT 121

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.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. 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. What does “early” really mean?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 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

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

Hypertension 75

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?

Families 98

Families Family Patient-Centered IT 98

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.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 20, 2022

Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control.

Complication 52

Complication Patient-Centered IT Patients 52

PEMBlog

MARCH 27, 2024

Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. You won’t be able to diagnose them on history and physical alone. And biochemical testing is really needed in most cases to independently diagnose a specific IEM. Now you also want to get some urine samples.

Consulting 59

Consulting Individual Families Family 59

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Laurie: Yeah, she was an On Lok patient, and I went in to see her in the hospital.

Families 112

Families Family Patient-Centered IT 112

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?

Illness 136

Illness Patient-Centered Screening Clinic 136

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

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.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

MARCH 24, 2023

And the hard part is, as a provider in palliative care, I actually have very little say of which hospice the individuals we consult to go to. What happened, and I was directly a part of, not in an ownership or employed way, but in a consultant and supporter way of a number of the early for-profits. Most of the time it works out.

IT 114

IT Provider Patients Families 114

GeriPal

SEPTEMBER 22, 2022

Stop thinking the physical exam or the differential diagnose, whatever, and just be there. I like to tell my trainees… Often with the earliest stage trainees, they’ll go in the room and they’ll ask the patient what brought them to the hospital. Josh: Mm-hmm. Yeah, totally. Stop being the expert.

Illness 101

Illness IT Patient-Centered Patients 101

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

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery. In some cases, you may be referred to a hospital or specialty service. Book your consultation today.","robots":"index","keywords":"biorepeel,

DO 40

DO Family Medicine Families Family 40

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. Because in medicine as somebody who works in the hospital, there’s always other treatment options.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. And so I was really thinking about why are some of my people that are hospitalized doing better than others? In fact from the time he was diagnosed, he passed away within two and a half weeks.

IT 99

IT Community Patient-Centered Medical 99

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. It has nothing to do with you.

Patients 109

Patients IT Families Family 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

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Individuals living in the community aged 65 and older, diagnosed with SMI, who received a first dementia diagnosis between January 2013 and December 2015. Group 1 consisted of older individuals, mainly diagnosed in the hospital and with poorer COC. Yet, late diagnoses and faster decline cannot be ruled out.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

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. And then, this little mini consultant.

Electronics 139

Electronics IT 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.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

AUGUST 22, 2024

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. We do have, like, a relatively operable consensus around this where, you know, it’s working in the hospitals.

IT 113

IT Families Family Patient-Centered 113

PEMBlog

JANUARY 17, 2024

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. Well, you definitely shouldn’t be sending a blood culture because if you’re worried about bacteremia and sepsis, that kid needs to stay in the hospital.

IT 59

IT Patients Diagnosis Clinic 59

Physician's Weekly

JUNE 17, 2025

By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. Ekirch, who was diagnosed with small fiber neuropathy in 2023, was recommended by her doctor to try an expensive blood plasma treatment called intravenous immunoglobulin to ease her near-constant pain.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

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.

Patient-Centered 52

Patient-Centered Hospital Diagnose Medical 52