GeriPal

JULY 19, 2024

What should we use to screen individuals? Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. It can’t be diagnosed and adios. Who should get it if anyone? What happens after they test positive? Is that right, Soo?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

DECEMBER 2, 2022

So on today’s podcast we invite four brilliant individuals to talk about their perspective on how to change how we as a society and health care system partner with individuals with dementia. She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief.

Community 101

Community IT Individual Patient-Centered 101

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Methods: In-depth semi-structured interviews using the Database of Individual Patient Experiences (DIPEx) methodology. Only a few received stage 1 diagnoses. Objective(s): Understand the unique lived experiences of Latinas with cervical cancer over 45 years old across the cancer care continuum.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

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. What Is Internal Medicine?

Internal Medicine 130

Internal Medicine GP Family Doctor Primary Care 130

Myriad Genetics

MARCH 19, 2024

Colorectal cancer, once considered a disease of the elderly, is now increasingly affecting younger individuals. A study by the American Cancer Society and published in CA: A Cancer Journal for Clinicians found that half of all new colorectal cancer diagnoses are in people 66 and younger. Another key issue is family history.

Individual 52

Individual Screening Diagnose Families 52

Myriad Genetics

NOVEMBER 25, 2024

November is Family Health History Month, an observance dedicated to sharing crucial health information within families and encouraging individuals to take proactive steps in their healthcare. Understanding your family’s health history, particularly with hereditary conditions like cancer, can be lifesaving.

Families 52

Families Family Screening Individual 52

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

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. I’m thinking of chronic pain, for example, and individuals with chronic pain often have disturbed sleep or other conditions.

Physicals 85

Physicals IT Hypertension Education 85

Center for Family Medicine

APRIL 7, 2025

Short-term depression following a sad event, such as a death in the family or getting fired from a job, is expected. Some individuals may have angry outbursts or irritability. Teenagers with depression may also withdraw from friends and family, spending more time alone.

Mental Health 52

Mental Health Individual Diagnosis Family Medicine 52

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 85

Individual Community IT Chronic Condition 85

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). Were those people self referring, or family members calling you asking? Alex: Yeah.

IT 102

IT Families Family Diagnosis 102

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?” AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

Families 97

Families Family Patient-Centered IT 97

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. Eric 12:05 Any pearls on the diagnosis of HFpEF.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 9, 2022

By diagnosis? We can’t possibly meet the needs of all people with newly diagnosed serious illness. But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Jessie: Yes. Jessie: Exactly. Eric: Which brings us to an article.

Illness 136

Illness Patient-Centered Screening IT 136

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. Meaning that an individual must inherit two copies of the mutation, so one from each of his or her parents, to be affected.

Consulting 59

Consulting Individual Families Family 59

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

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

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

PEMBlog

DECEMBER 14, 2023

Early diagnosis is crucial as it can impact a child’s growth and development. Learn all about diagnosis and management of this common problem in this brief podcast episode. But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

JUNE 16, 2022

We discuss with her how we should work-up and manage “urinary tract infections” (I’ve added air quotes to “UTI” in honor of Tom Finucane’s JAGS article titled “Urinary Tract Infection”—Requiem for a Heavyweight in which he advocated to put air quotes around the term UTI due to the ambiguity of the diagnosis.). Alex: This is Alex Smith.

Management 122

Management IT Medical Patient-Centered 122

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

AUGUST 31, 2023

I was asking about what was going to be special about the trip or if they were going to do things with their family. So she had them early in diagnosis and then a little bit later. I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. Brad: Yeah. ” Brad: Yeah.

Illness 128

Illness IT Diagnose Medical 128

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. John: I am what I am, which is a family practice doctor. It sets space between us and the individuals we’re trying to take care of.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JULY 28, 2022

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. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 14, 2022

But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MAY 9, 2024

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. It’s just normal kind of talking to people because you are scuppered if you can’t connect with the patients and families in their home.

Education 127

Education IT Illness Healthcare 127

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? So we did a perfect cross so that the race and actual primary diagnosis was perfectly matched across groups.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

JANUARY 11, 2024

What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Eric: Yeah. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

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.

IT 95

IT Clinic Screening Patients 95

Vida Family Medicine

MARCH 1, 2023

Less than 6% of people who have an eating disorder are considered "underweight," and those who live in larger bodies are significantly less likely to be diagnosed and access proper treatment. At Vida Family Medicine we offer primary care services to individuals in recovery from eating disorders.

Mental Health 52

Mental Health Physicals Family Medicine DO 52

GeriPal

JULY 25, 2024

So we really wondered, you know, in modern palliative care practice, where we’re seeing patients a lot farther upstream than we used to, and we’re seeing patients with a wider range of diagnoses, we wanted to update, sort of. That just leads to issues that can make home care very difficult for these individuals.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

Those are all things that could dramatically be a major health shock for an individual. We focus on function and mortality because these are outcomes that really are important to patients and families. May not even know that the patient has dementia, or they might think that, but it’s not been diagnosed. And do you die?

Illness 93

Illness Hospital IT Patient-Centered 93

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

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