GeriPal

JULY 19, 2024

And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months. It can’t be diagnosed and adios.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

OCTOBER 13, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. I think some of that depends on the kind of health system or hospital that you are involved with.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Acute onset psychosis is relatively rare.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

DECEMBER 2, 2022

I think … There’s so few, seriously, from the hospital system and the pathologizing systems to the more social care intervention work that Susan and I really do. And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time. She had been included.

Community 101

Community IT Individual Patient-Centered 101

Plum Health

OCTOBER 11, 2024

Whether it's a urinary tract infection or a severe ear infection, urgent care clinics can quickly diagnose and treat infections. Clinics are often smaller than hospitals and may focus on a specific type of care, such as general health check-ups, urgent care, vaccinations, or specialty services like physical therapy.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this?

Families 102

Families Family IT Diagnosis 102

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. Paramedics can provide life-saving treatment on the way to the hospital. Paramedics can provide immediate emergency interventions on the way to the hospital, including oxygen support and life-saving medications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. By diagnosis? We can’t possibly meet the needs of all people with newly diagnosed serious illness. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. By prognosis?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. We might say, “Of course you’re sad, you just got a very serious diagnosis.” While everyone says we should be doing this to the best science available, every hospital has a different interpretation of that.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Eric 12:05 Any pearls on the diagnosis of HFpEF. Is your impression that HFpEFde is under diagnosed in older adults?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. I think some of that depends on the kind of health system or hospital that you are involved with.

Complication 52

Complication Patient-Centered IT Patients 52

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatr Rev.

Consulting 59

Consulting Individual Families Family 59

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

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? It also feels like, I also grew up in med school in a three hospital system. There’s that recognition piece. Eric: Yeah.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 9, 2024

How you actually physically started doing this and built up so many followers over time and why are you doing it? And then for Hsien and for Sammy, this is a real social movement that you’re trying to… The movement upstream, getting people to consider what are the serious issues at the time of diagnosis with serious illness.

Education 127

Education IT Illness Healthcare 127

GeriPal

FEBRUARY 16, 2023

And while I was in the hospital, I never actually got over, like you were talking about, Eric, my defensiveness, the sting to my ego and my character and my worth, enough to get to the place of thinking about how I could be a good doctor for him. And also the whole potential psychiatric diagnoses. I wish they were just a diagnosis.

Patients 109

Patients IT Families Family 109

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. Those have a very, very long time horizon. And we’ve been slowly building that out. That’s been reported previously.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. 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.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Wait, so one key message is that social health is linked to physical and cognitive health?!? And hospitalization for pneumonia is like a medical event.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

JULY 7, 2022

Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. We are really trained to treat it as a purely physical sensation that you can rate on a scale of zero to 10 with specific tools. And it is as much an emotion that one feels as it is a physical sensation. Despite your background, Alex.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. So this is about two and a half, three years out from leukemia diagnosis. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal.

Illness 130

Illness IT Physicals Patients 130

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. Before the primary care visit. Danny 10:07 Yep, that was the goal.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. And we have some great guests.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. They could have diagnosed him earlier.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Pamela Wible MD

JUNE 19, 2025

Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. It’s just a trash can label—not really even a diagnosis, a made-up term that is used as psychological warfare on physicians to control us. These human rights violations are perpetuated in first-world brand-name hospitals.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

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. Of note, we talk about candidates from all parties today.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141