GeriPal

DECEMBER 2, 2022

Ab: I learn from them, and I tell sometimes the family members that the person with dementia, your loved one, is fine and you are replaying the event that happened a week ago and you’ve replayed that event 100 times and that’s causing a distress. How do we move on? Sometimes actually memory causing more harm than good.

Community 102

Community IT Individual Patient-Centered 102

Vascular Physician

FEBRUARY 13, 2022

Many events can cause the blockage of an artery, with the most common causes discussed here: Arterial thrombosis: the formation of a clot within the arterial system itself. Causes Overwhelmingly, the most common causes of acute limb ischemia involve blockages of arteries that deliver blood to the limbs.

Diagnosis 40

Diagnosis Individual Medical Patients 40

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. Is your impression that HFpEFde is under diagnosed in older adults? Alex 45:43 Okay.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

OCTOBER 20, 2022

I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. difficile infections. Devika: That’s right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 13, 2024

We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it. Eduardo 25:39 I think that’s wonderful, Alex, because all our social and even religious events have metaphors of food.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. I loved Areej’s article.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. Alex, you’ve probably penned about 50 songs, which is also amazing.

IT 65

IT Hospital Screening Patients 65

GeriPal

JUNE 26, 2025

Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover. Today we talk about disruptive events, or health and wealth shocks. Wait, so one key message is that social health is linked to physical and cognitive health?!? What’s a disruptive event?

Illness 63

Illness Hospital IT Patient-Centered 63

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. If that means that they’re more likely to die sooner, does that mean that they should not get screening?

IT 95

IT Clinic Screening Patients 95

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. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. It’s not just about physical symptom management.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 25, 2024

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. Someone’s function in the future can depend on, like, a crisis event, like a fall and a hip fracture. Alex 05:48 I guess we didn’t do hospice specifically. Eric 05:50 Yeah.

Family 108

Family Families Patient-Centered Patients 108

Pamela Wible MD

JUNE 19, 2025

A physician actually ended up in status epilepticus, like in the ICU with event like almost dead from seizures as a result of sleep deprivation and overwork. It’s dangerous and unsustainable; emotionally, physically, spiritually, financially for the patients—and for us. you’re probably sleep deprived. They gave me $26.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

JULY 16, 2024

Eric Widera reminds us of the history of the Goldwater Act created by the American Psychological Association in the 1960s which states that psychiatrists should refrain from diagnosing public figures, and the American Medical Association code of ethics which likewise discourages armchair diagnosis (rule established in 2017).

Diagnosis 141

Diagnosis IT Diagnose Physicals 141