Plum Health

OCTOBER 11, 2024

Regular visits to a primary care clinic can make a world of difference in your overall health. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Building a relationship with your primary care doctor should be a priority.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 27, 2024

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? If they’ve said they had a traumatic experience receiving a diagnosis. I think when we start to think about where are we encountering pathology, right?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. Eric 12:05 Any pearls on the diagnosis of HFpEF. Is your impression that HFpEFde is under diagnosed in older adults? Eric 12:21 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 3, 2025

And I was curious to learn about how people were talking about what to expect after a diagnosis of advanced cancer, how clinicians were counseling patients, how patients were understanding their prognosis and making decisions. Alex 10:22 So just to say that again, from the time of diagnosis. Like at the time of diagnosis.

Patient-Centered 68

Patient-Centered Illness Clinic IT 68

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 Family Families Diagnosis 102

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? By diagnosis? When should people get palliative care? Should we have like a list of diagnoses or prognosis.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JANUARY 18, 2024

If somebody has cancer and they’re recently diagnosed, somebody has cancer and they’re undergoing active treatment, somebody has cancer and they’re in early remission, now they’re a year or two years, three years, four years out and they still have pain. Jessie: Yes. And then, looking at- Eric: Wow. So, one out of 10?

Illness 136

Illness Patient-Centered Screening IT 136

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.). Is that right? Chrissy: Right.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 19, 2025

And so there’s one study that used Medicare beneficiary data, and when they look at diagnoses for transgender men and women compared to cisgender men and women, we see around one in five have a diagnosis of dementia in the medical record for the transgender community compared to around, like, 1 in 7, 1 in 8 versus gender people.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you. Eric: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

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

AUGUST 31, 2023

What happened is we’re in the serious illness care business and so we were busy rolling out our serious illness conversations at Mass General and we were getting resistance, which we expected from oncology and primary care, but then we started getting resistance from the geriatricians. Brad: Yeah. It was a complete shock.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. Slightly a shift in more patients diagnosed with kidney disease or now their GFR looks lower so now there’s different concerns regarding prescribing medications.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 7, 2024

Whenever I take care of a patient, I see myself as a family practice doctor, but I’ve been a hospitalist, I’ve been a primary care doctor, and I’ve done palliative. Our folks all die of congestive heart failure and dementia, even oncology diagnoses with new immunotherapies like the old days. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 18, 2024

And the actors were blinded to whether this was a primary care doctor or a chat bot answering them. 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. They had no idea. I’m connecting.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. Our second guest, Meredith Greene, is a geriatrician and researcher who focuses on care of older adults living with HIV, in the US and Africa. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults. Is a new diagnosis of HIV.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 7, 2022

So Eric Cassell, for folks who don’t know, was a primary care physician. But really was a seminal pioneering figure in the field of bioethics, palliative care, et cetera. Haider: Well, first he would never die without a diagnosis. One of the definitions I liked a lot was the late Eric Cassell’s definition-.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And the point of that is that so many people, in my experience, and I’m sure it’s the same initial diagnosis of cancer, that’s the last thing that I want to talk about. So most of us in primary care, it’s probably even worse.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

We had, since the late seventies, a home-based primary care program. And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. We relied on our clinical experience as geriatricians, that home-based primary care experience.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115