The Medical Futurist

JUNE 21, 2025

Their success is understandable : they offer a fast and easy method to check any skin conditions, typically for a fraction of the cost of a traditional healthcare appointment. Self-surveillance solutions, disease guides, educational apps as well as telehealth platforms appeared naturally in dermatology in the past decade.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Well, I think it was from a place of serious frustration that Hsien and I both felt in our careers that we had spent decades between us trying to change the healthcare system. AMA PRA Category 1 credit(s) ™.

Education 127

Education IT Illness Healthcare 127

GeriPal

JUNE 27, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Certainly my bias is that healthcare professionals really do have a role in this discussion. Is this our role?

IT 102

IT Families Family Diagnosis 102

GeriPal

JANUARY 18, 2024

Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. AMA PRA Category 1 credit(s) ™. Who do we have with us today? Jessie: Yes.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Noelle Marie, welcome to the GeriPal Podcast. Noelle Marie 00:57 Hi, everyone.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

OCTOBER 17, 2024

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Eric 12:05 Any pearls on the diagnosis of HFpEF. Eric 13:28 Thank you. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

SEPTEMBER 1, 2022

Again, it happened because the dean of the medical school at that time said, “We were teaching interprofessional education and we were quite successful with it and we’ve been doing it for years.” It’s used a lot in the education world. What does this diagnosis mean to you? That, to me, is the goal.

IT 102

IT Families Family Clinic 102

GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. And we’ve been diagnosing it at Penn. Jason: So this drug upfront is a bit of work.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

APRIL 14, 2022

And I remember being there and there was a patient who had seen inpatient and then subsequently outpatient who was so thankful in the weirdest in just this irrational way for having been diagnosed with liver cancer. They have poor pain, they have poor function, but you also can’t clearly make a diagnosis.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

FEBRUARY 22, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 23, 2023

In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. Eric: Lynn or Anne? But there was an impact on us as a team too. Eric: And just for our listeners, can you briefly describe the case?

Families 98

Families Family Patient-Centered IT 98

GeriPal

OCTOBER 20, 2022

And they should be forced by doing research, followed by translating research into practice and continued education of a wide variety of individuals to then care for our aging population. So people at kind of those extremes where I would potentially be really changing their diagnoses. Devika: That’s right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. I have oncology on the brain. And most people just haven’t dealt with that before. Alex: Okay.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JANUARY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 7, 2024

I can name probably 10 organizations across the United States where you can get education on being an end-of-life doula and they’re all slightly different. Our folks all die of congestive heart failure and dementia, even oncology diagnoses with new immunotherapies like the old days. Alex: That is not around the time of diagnosis.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 27, 2025

So let’s say a patient who has lung cancer, relatively newly diagnosed, has a long history of substance use disorder, had been taking methadone as an outpatient, and now has this pain. You know the case. Eric 31:10 Okay, do the case. Alex 31:10 Do the case. Because we just talked about methadone. AMA PRA Category 1 credit(s) .

Patients 73

Patients Clinic Patient-Centered Illness 73

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. They had no idea. I’m connecting.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Within eight weeks of diagnosis of advanced disease. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

May not even know that the patient has dementia, or they might think that, but it’s not been diagnosed. And it was her conceptual, like incorporation of functional decline, some measure of functional decline along with a serious illness diagnosis that you’re utilizing here. Alex 24:38 That’s terrific.

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 6, 2023

It could be in housing, it could be a standalone senior center, home delivered meals, nutrition counseling and nutrition education done by registered dieticians. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. There’s also education that goes with it, educating, like, what does that mean?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Redwing, who is a cancer survivor, shares poems about her experiences with cancer.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And that really is what prompted me to get certified as a sexual education provider. A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? Like, if we think about the fact that hospitals around the country, around the world, you know, people are, you know, coming in, they’re being diagnosed as dead on the basis of neurologic criteria, and that we. It’s coming up very much right now.

IT 113

IT Families Family Patient-Centered 113

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I had the tenacity and education to try to figure this out. They could have diagnosed him earlier. I had a supportive spouse.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. You can broaden the scope of diagnoses. We’re not paid, as part of a DRG, for any particular diagnosis. There are some subtleties there.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Cecilia Poon says, what are some best practices to highlight professional ethics?

Diagnosis 141

Diagnosis Diagnose IT Physicals 141