Today's Hospitalist

MAY 9, 2025

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction.

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Patient-Centered Telemedicine Clinic Electronics 52

Reflections of a Grady Doctor

JULY 30, 2019

My intern was presenting this patient to me at this exact time. A man in a hospital gown shuffled past us, IV tubes dangling from his wrist and forearms. And we consulted the heart failure team. 12: 01 P.M. My tumbly was feeling pretty damn rumbly and lunch couldn't come soon enough. But we were almost there. Chest pain?"

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Screening Patients IT Appointment 52

PEMBlog

MAY 20, 2025

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin ( jennifer.marin@chp.edu ) from UPMC Childrens Hospital of Pittsburgh. We know that nine out of ten children that go to the ER do not go to children’s hospital ERs.

Family 101

Family Families Hospital Patient-Centered 101

Aspiring Minority Doctor

AUGUST 15, 2021

I was on the General Surgery service at my main hospital, and our patient census was manageable to the point where we had all the notes, rounds, and floorwork done before the first case of the day. On call days, we were provided an Iphone which was used to receive consults and text back and forth to other services.

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Hospital Management IT Consulting 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. Even though doctors are in no way responsible for the lack of facilities in hospitals like lack of beds, delay in getting blood test results, delay in getting a slot for scanning, etc.

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Patient-Centered Government Referral Hospital 52

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

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

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others. Ann Emerg Med. 2014;63(6):666-675.e663.

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Lab Testing Medical Patients Mental Health 52

The Clinical Problem Solvers

DECEMBER 3, 2019

Of course, when inflammation is present, autoimmune diseases and cancer must be considered. In Episode 9 , when considering lower extremity cellulitis, Dr. Dhaliwal reminded us that nearly 30% of patients hospitalized for “cellulitis” were later found to have a different diagnosis. Pseudomonas , MRSA, ESBL).

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Diagnosis Diabetes Diagnose Clinic 52

GeriPal

OCTOBER 13, 2022

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

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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. Ab: As Judy said, how much time do you have? But we have to.

Community 101

Community IT Individual Patient-Centered 101

Today's Hospitalist

JUNE 7, 2025

Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. That’s according to two internists who work closely with hospitalized patients who take GLP-1s. “I would not recommend starting a GLP-1 in the hospital.” Nor should they be.

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Hospital Management Diabetes Patients 66

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.

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Healthcare Patients Board-Certified Telemedicine 111

StorytellERdoc

FEBRUARY 8, 2019

Although this may seem like it should be the standard, you would be surprised at just how many elderly patients present to our emergency department alone. So when an adult child is present, I make it a point to not only introduce myself to them, but also to thank them for being available for their parent. Mine included. We admitted Ms.

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ER Family Families Transportation 100

Blood, Sweat, and Tears

NOVEMBER 24, 2024

The problem is people know ‘of you’ like so and so is a doctor and worked at so and so hospital etc. The patients primary pathology belonged to the second doctors specialization and the first doctor was consulted for an incidental finding of a pathology that also needed intervention. The first person was obviously right.

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Consulting Specialization Patients IT 52

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. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system?

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Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

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Hospital Patient-Centered Patients IT 132

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

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

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Patient-Centered Illness Healthcare IT 115

PEMBlog

MARCH 27, 2024

As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. But now I’m going to pass the mic. Take it away, Emily.

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Consulting Individual Family Families 59

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?

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Family Families Patient-Centered IT 97

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.

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Hypertension Management Physicals Lab Testing 75

ABIM

JUNE 4, 2025

Dr. McDonald spoke about ABIM’s work engaging early career physicians (those who earned initial certification within the last 10 years), including presentations and listening sessions at recent national meetings. Indicates that society representatives and guests were present for discussion of this agenda topic.

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Diabetes Board-Certified Telehealth Government 52

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. So those questions we ask when we’re doing a palliative care consult. Within the VA it’s now at 70 VA hospitals. So I allow family members to be present if they want them to. She was a heart failure patient.

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IT Patient-Centered Healthcare Illness 105

Tiny Physician

DECEMBER 11, 2021

At any given point in time, three batches of junior residents (PG doctors) will be present in the medical colleges. The lag for surgeries will decrease, the waiting period for consultations will improve, more doctors will be available for intensive care, and that list of benefits goes on.

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Patients Government Appointment Finance 52

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). And so the video consult was what became the mode.

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Consulting Community Patient-Centered Family 63

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. So that’s great.

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Patient-Centered Hospital IT Patients 77

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. People think of the phases of a typical clinical consultation. ” Eric: Yeah.

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IT Family Families Patient-Centered 128

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

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Family Families Patient-Centered IT 112

GeriPal

OCTOBER 20, 2022

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

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression.

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Illness IT Patient-Centered Patients 107

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

Tiny Physician

MARCH 30, 2022

Archana Sharma committed suicide because of the harassment by the bystanders of the patient who died at her hospital. She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days.

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Hospital Government Patient-Centered Medical 52

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

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. And love that Jim Croce choice.

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IT Patient-Centered Family Families 104

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. 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. Oftentimes, it’s human presence that does the most healing. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JANUARY 16, 2025

Eric 13:00 I also love that too, because even on our inpatient ballot of care consult service, whenever somebody says that they’re unrepresented or they don’t have a surrogate, we never believe that until we usually look up. Patient just got discharged from the hospital, just coming back from the skilled nursing facility.

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