GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MAY 25, 2023

And I’ll just say that I think what we know is there’s been so much greater advance care planning research and and at many levels, at a at an individual level, at a health system level, at a policy level. And then individuals will still have questions of really, how can I help my wishes to be known?

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. For individuals with a life expectancy less than the time to benefit, the up front harms outweigh the downstream benefits. .

Clinic 67

Clinic IT Patients Medical 67

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients. Alex, what other decisions?

IT 95

IT Clinic Screening Patients 95

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Treatment strategy for type 2 diabetes mellitus(T2DM) often involves stepwise medication intensification, including the consideration of insulin therapy. The decision to initiate insulin is a critical aspect of diabetes management and is influenced by various patient-specific factors. per 13 mmol/mol,95%CI:1.52-1.57)

Diabetes 130

Diabetes Primary Care Management Individual 130

GeriPal

AUGUST 1, 2024

So if you already have a condition, you might be able to prevent events. And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. And one of the really fantastic programs and studies that we have is the diabetes prevention program. So it’s never too late.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 1, 2023

But there’s some level of glycosylated hemoglobin which very neatly correlates with abnormal glucose tolerance, which is diabetes, or is amyloid like mitotic figures spreading beyond the basement membrane? I think that the actuarial data are compelling, that elevated amyloid alone in some individuals can lead to downstream dementia.

IT 115

IT Clinic Illness Hypertension 115

Medical Xpress

JUNE 23, 2025

He says emergency providers working marathons, athletic events and police and fire training sessions have used everything from kiddie pools to garbage bags filled with ice, as well as chilled IV fluids, to cool people down. However, we do not guarantee individual replies due to the high volume of messages.

Illness 59

Illness Engineering Medical Nurse Practitioner 59