Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. Patients who have a trusted primary care doctor are more likely to follow medical advice, manage their chronic conditions effectively, and ultimately enjoy better health outcomes. Why is it called a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. However, there are “Red Flag” symptoms that require urgent evaluation and management.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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. But watch out! That’s what I’m waiting for, Alex.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Two great videos on buprenorphine initiation. Transcript.

Illness 102

Illness Patient-Centered IT Nurse Practitioner 102

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Maybe we’ll get to talking about that today. Jessie, welcome back to GeriPal. Should they?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Matt: We have seen pilot level studies, interventions like that one to do clinical ethics consultation.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. Is the sort of task to manage. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? They’re asking you for a consultation. After a very long 1 hour consult, you’re exhausted.

IT 132

IT Illness Family Families 132

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? They’re often angry.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? It can help prevent disability, or it can make a diagnosis and that’s it. People think of the phases of a typical clinical consultation.

IT 128

IT Family Families Patient-Centered 128

GeriPal

JUNE 19, 2025

And so there’s one study that used Medicare beneficiary data, and when they look at diagnoses for transgender men and women compared to cisgender men and women, we see around one in five have a diagnosis of dementia in the medical record for the transgender community compared to around, like, 1 in 7, 1 in 8 versus gender people.

Individual 85

Individual Community IT Chronic Condition 85

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 4, 2023

” I revisit the question, Eric, more than once, to try to help them engage with it, but I think at the beginning, I’ll just say, wow, this is… If it’s for somebody with a new diagnosis, let’s say, of something like cancer, “This is a big deal. Eric: Yeah. It was incredible. This is a life changer.

IT 83

IT Family Families Illness 83

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? But we know that 30% of all decedents who are Medicare beneficiaries either die from dementia or have an existing diagnosis of dementia, which is something we talk about quite often, Joel and I. Joel: Yeah. We put a lot on the surgeon here. Yep, for geriatrics?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 12:11 And we consult psychiatry. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). 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. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. It’s easier to concentrate on cure, diagnosis, cure. People who are suffering are not very visible.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 7, 2024

Healthcare, just the way healthcare is structured, that’s not something that’s feasible unless there’s a specific symptom management need that allows for more care, but just to provide simple care doesn’t exist. Eric: When I try to think about what a doula does, should I call it a consult?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. I wish they were just a diagnosis. And we received this consult to assist with goals of care. And I’m wondering, why did this bubble to the top of topics to discuss today? Dani: Yeah, good question. Eric: Zero.

Patients 109

Patients IT Family Families 109

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And the dad just totally lost control, major anger management issues. Michele: Thank you for having me. Michele: Yep. And in that one fell swoop, they lost their mom.

Family 132

Family Families IT Community 132

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. Within eight weeks of diagnosis of advanced disease.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. We started a clinic here in 2008 at the VA, and what we found was that, you know, our median time from consult to death before we started clinic was like 18 days, somewhere around there, like somewhere around two weeks. Eric 10:44 No, all consults.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? And I think a lot of times when we get consulted, we’re asked for the outcome, right? Juliet: And so the question is like, how do we… There are these massive shifts because that’s not just about symptom management. Juliet: Sure.

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? And then another, which was released under the Bush administration by a council with a different sort of philosophical Benton worldview which still managed to come to the same conclusion in support of a brain based definition, death. Alex 04:49 Amyloid.

IT 113

IT Family Families Patient-Centered 113