Vida Family Medicine

JUNE 28, 2024

Ask questions: Ask what the doctor thinks are potential causes of your symptoms (this is called the differential diagnosis) and what they think is most likely. In the worst cases, the patient is dismissed as a malingerer or the symptoms are labeled as psychiatric when no one can find an answer through testing.

Patients 52

Patients Primary Care Appointment Diagnose 52

The Clinical Problem Solvers

DECEMBER 3, 2019

Why isn’t she getting better? Dx Issues: The first step in investigating potential “antibiotic failure” is to reevaluate our working diagnosis. The most common alternative diagnosis in this study was venous stasis dermatitis followed by DVT and contact dermatitis. This didn’t improve despite two 7-day courses of oral antibiotics.

Diagnosis 52

Diagnosis Diabetes Diagnose Clinic 52

Tiny Physician

FEBRUARY 15, 2022

Without even forming an enquiry committee, he was suspended for a few days by the hospital administration in order to satisfy the public. This may result in errors in the diagnosis of the patient whom the doctor was examining initially. patients show their frustration at doctors. What can we do to solve this problem?

Patient-Centered 52

Patient-Centered Government Referral Hospital 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? Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. Aspirated foreign body B.

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.

Complication 97

Complication Patient-Centered IT Patients 97

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.

Community 101

Community IT Individual Patient-Centered 101

PEMBlog

SEPTEMBER 6, 2023

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. Children requiring psychiatric consultation in the pediatric emergency Berg JS, Payne AS, Wayra T, Morrison S, Patel SJ. J Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers.

Diabetes 73

Diabetes Management Patient-Centered Families 73

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.

Board-Certified 110

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.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. By diagnosis? 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. I have never myself called a palliative care consult as a trainee because we didn’t have one.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

Plum Health

OCTOBER 11, 2024

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. Patients can receive consultations, diagnosis, and treatment without needing an overnight stay.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

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.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

Doctor On Demand

APRIL 28, 2025

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. A short-term sore throat may resolve on its own — monitor symptoms or consult a primary care doctor.

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.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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.

Consulting 59

Consulting Individual Families Family 59

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. 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. What should I say? So chat GPT, excellent.

IT 132

IT Illness Families Family 132

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 Families Family Patient-Centered 128

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

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. They stayed in the hospital for longer. Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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 72

Patients Clinic Patient-Centered Illness 72

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

DECEMBER 19, 2024

* This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. Eric 12:11 And we consult psychiatry.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable. Eric: Yeah.

Families 83

Families Family IT Illness 83

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.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 12, 2022

I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission. It’s easier to concentrate on cure, diagnosis, cure. People who are suffering are not very visible. They shared their experiences.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JANUARY 18, 2024

Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. Should they?

Illness 136

Illness Patient-Centered Screening Clinic 136

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. When they built a new prison hospital in Stockton, the dialysis went there. Michele: Thank you for having me. Michele: Yep.

Families 132

Families Family IT Community 132

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.

Diagnosis 130

Diagnosis Healthcare Illness Diagnose 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. I wish they were just a diagnosis. Eric: Yeah, or just not even anything by 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. 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.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

For the foreseeable future, it’s going to be right 90%, 95%, 85%, so the safety system, of course, will be, the AI says something, makes a recommendation or gives you a draft diagnosis or drafts your note, and then, the failsafe is, the doctor reads it over. I’m connecting. This is GPT-4. “Hi, GPT-4.

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

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness 98

Illness Patient-Centered IT Patients 98

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.

IT 113

IT Families Family Patient-Centered 113