Mesa Family Physician

JUNE 24, 2025

The Role of Internal Medicine in Preventive Health Care Internal medicine plays a central role in adult health, especially when it comes to prevention, diagnosis, and long-term care. Internal medicine is a medical specialty focused on the prevention, diagnosis, and treatment of diseases in adults.

Internal Medicine 130

Internal Medicine GP Family Doctor Primary Care 130

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right? Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

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 95

Primary Care Diagnosis Screening IT 95

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Katie, before we jump into the topic of buprenorphine in serious illness, what’s the song request?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 18, 2024

Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Eric: So, before we jump into the topic of substance use disorder in aging and serious illness, I think someone has a song request. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Should you stop at “no?” Anne Kelly: Hi there. Nice to be here. Eric: Lynn or Anne?

Families 97

Families Family Patient-Centered IT 97

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Love to talk about also in the serious illness population. Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

JUNE 9, 2022

By diagnosis? We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Transcript. Eric: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. And so when you have that, that’s so good for the family. That’s so good for us.

IT 102

IT Families Family Clinic 102

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? And this case has been worked out the best in terms of the artificial intelligence suggesting diagnoses the clinician may have missed. Because the in serious illness care and care for older adults, their care is often very complex.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. Sammy: Thank you so much.

Education 127

Education IT Illness Healthcare 127

PEMBlog

MARCH 27, 2024

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. Inborn errors of metabolism in infancy: a guide to diagnosis. So, importantly, you may not have a positive family history. You won’t be able to diagnose them on history and physical alone.

Consulting 59

Consulting Individual Families Family 59

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. And this really allowed, I think, other people to celebrate themselves and the families, family members who are going through the same type of journey. Happy pride and thanks for the invitation, Alex and E.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

Families 106

Families Family IT Patients 106

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. He looked very ill. John: I am what I am, which is a family practice doctor. I’m unsure what they do, how often they’re used, and who pays for their work.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. What feelings do we have toward the patient and toward their families? And also the whole potential psychiatric diagnoses. How did you react? Afterwards, I thought there must be a better way.

Patients 109

Patients IT Families Family 109

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

OCTOBER 27, 2022

Someone who’s healthy in their 60s and just got diagnosed with diabetes, yeah, they might benefit, if they have a very long life expectancy, to prevent that decline in kidney function. So we wanted to create a model that’s going to reflect that sort of risk and what it also means for their families and financial decisions.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 26, 2025

I think part of this does stem from a clinical experience and also some of the theoretical models that have evolved around serious illness, you know, to think specifically about dementia. And so trying to think a little bit more about what could be driving some of those alterations in the trajectory for all kinds of serious illness.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. So this is about two and a half, three years out from leukemia diagnosis. Don, welcome to GeriPal. Don 01:11 Thank you so much. Arish, I missed your talk.

Illness 130

Illness IT Physicals Patients 130

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. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Within eight weeks of diagnosis of advanced disease. Palliative care.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

Vida Family Medicine

MARCH 1, 2023

Factors such as a history of trauma (abuse, neglect, sexual assault, attachment trauma, etc), life stressors including serious physical or mental illness, and social influences that portray thinness as an ideal and promote dieting combine with an underlying genetic predisposition to contribute to development of an eating disorder.

Mental Health 52

Mental Health Physicals Family Medicine DO 52

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. And I have a long interest in identifying family caregivers and supporting them in care delivery. Eric 06:26 Great.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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 Provider Clinic 94

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. Eric: Like since a little kid?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? Patients families want to know whether their loved one has died. And one would be when care is continuing a case where people believe that the patients died, or oftentimes, this is also a source of controversy between families and clinicians.

IT 113

IT Families Family Patient-Centered 113

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

DECEMBER 4, 2024

Pertussis infection in infants and children: Clinical features and diagnosis. In this episode, we’ll go over clinical presentation, diagnosis management, infection control, and post exposure protocols. So, making the diagnosis of pertussis starts with high index of clinical suspicion. link] UpToDate Yeh S et al.

IT 52

IT Vaccination Diagnosis Complication 52

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. Other people say, oh, no, this is just normal cognitive aging.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141