Common Sense Family Doctor

MARCH 18, 2025

Smith, a general internist and professor of medicine and psychiatry at Michigan State University, explains why our medical system consistently prioritizes physical over emotional health and presents some ambitious proposals for how to rectify this harmful disparity. This relatively slim volume is divided into three parts.

Mental Health 52

Mental Health IT Primary Care Primary Care Physician 52

Vida Family Medicine

JUNE 26, 2025

At Vida Family Medicine, I’ve helped hundreds of patients improve their blood sugar without extreme dieting or cutting out the foods they love. Pre-diabetes is a condition where your blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes. What is Pre-Diabetes? The main culprit?

52

52

ABIM

MAY 18, 2025

IBD is also increasingly being diagnosed in racial and ethnic minorities, children, and older adults. With no family history and little cultural awareness of the disease, I was left wondering why or how this had happened to me. Now, in 2025, it’s both validating and heartbreaking to see the rise in IBD diagnoses in Peru.

Diagnose 40

Diagnose Healthcare Diagnosis Physicals 40

Myriad Genetics

APRIL 15, 2024

Typically, the way to diagnose 22q prenatally is through chorionic villus sampling or an amniocentesis. 4 In a recent presentation, Dale Muzzey, PhD, Chief Scientific Officer at Myriad, summarized the findings this way: “We followed up with providers regarding their patients who screened positive for 22q.

Screening 52

Screening Patient-Centered Diagnosis Healthcare 52

Vascular Physician

FEBRUARY 13, 2022

Symptoms usually present in the evenings when the patient is lying down to sleep or during other periods of rest. Transient symptomatic improvement can be achieved by walking, stretching, massage, or by applying heat or cold presses. An urge to move the legs, often accompanied or caused by uncomfortable sensations in the legs.

Clinic 52

Clinic Medical Diagnosis Diagnose 52

Vascular Physician

JUNE 12, 2022

These include: • Family history of PAD and claudication • Being over the age of 50 and smoking or having diabetes • Chronic kidney disease • High cholesterol • High blood pressure • Diabetes • Obesity • Smoking What Are the Treatment Options?

Treatment Plan 52

Treatment Plan Consulting Diabetes Individual 52

PEMBlog

OCTOBER 17, 2023

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone.

Diagnosis 69

Diagnosis Diagnose Clinic Patients 69

PEMBlog

OCTOBER 16, 2023

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. She was diagnosed with constipation. This is the first of the four cases. She had a normal urinalysis and the abdominal x-rays seen here.

PCP 69

PCP PCP Diagnosis Diagnose 69

PEMBlog

MAY 20, 2025

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. Focusing a lot on when to image, when not to image, and how to communicate imaging decisions effectively with families.

Families 101

Families Family Hospital Patient-Centered 101

PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Counsel families and caregiversincluding pregnant household contactson the risks, exposures, and infection control considerations related to Parvovirus B19. It is a non-enveloped, single-stranded DNA virus in the Parvoviridae family.

Complication 83

Complication Patient-Centered Patients Clinic 83

CDOCS

JUNE 3, 2021

<p><span style="font-size:14px;">The Spear Facially Generated Treatment Planning workshop I took early in my career had a massive impact on the amount of comprehensive dentistry I can now see and diagnose and present to my patients. I present to you Greg.</span></p>

Patients 52

Patients Treatment Plan IT Diagnose 52

GeriPal

JULY 19, 2024

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. Well, because they’re hard on people with dementia and they can be very hard on families, and they’re a form of crisis.

Screening 120

Screening Primary Care Patient-Centered IT 120

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. Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

PEMBlog

SEPTEMBER 27, 2023

Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion. Remember most healthy children don’t have any indication for testing and a positive test does not necessarily mean that the virus is causing the present symptoms.

Patients 52

Patients Illness Hospital Management 52

GeriPal

DECEMBER 2, 2022

She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Alex: First three words would be, family and history and diversity. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Anne: Is there a movement? I love them.

Community 102

Community IT Individual Patient-Centered 102

CDOCS

MAY 4, 2021

He presented with a high smile line and desired fixed natural appearing teeth. I diagnosed this case to be complex, requiring extensive bone regeneration, possibly with multiple grafts and informed this patient of the risks, timeline and complexity of his case. .</span><br

Patient-Centered 52

Patient-Centered Patients Manufacturing Clinic 52

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 presented this at the big clinical trials meeting in November in San Francisco. One might argue they still are.

Physicals 86

Physicals IT Hypertension Education 86

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Providers at New South Family Medicine and MedSpa can address the patient's deeper needs, rather than trying to rush through a hectic day full of too-brief appointments.

Family Medicine 40

Family Medicine DO Families Family 40

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. This may present as having trouble in school, frequent absences, or falling asleep during class. 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

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 98

Families Family Patient-Centered IT 98

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? Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

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

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. As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Inborn Errors of Metabolism.

Consulting 59

Consulting Individual Families Family 59

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 106

Telehealth Patient-Centered IT Patients 106

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. If they didn’t do it all by themselves, they talked to the family and it was a conversation, but also there wasn’t a whole lot that doctors can do then.

Families 113

Families Family Patient-Centered IT 113

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? And I wonder, like, how, when you think about these different buckets of diagnoses, especially for somebody like me who does not do psychiatry.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

SEPTEMBER 21, 2023

Fayron: I think I was interested in family caregiving early on because I had it in my family, but it wasn’t until my postdoc days when I was writing my application that I needed to narrow it down. Those are the things that Black family caregivers that I’ve been working with go through. Fayron: Yeah.

Community 129

Community Families Family IT 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? But these tests were never designed to diagnose. Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

AUGUST 17, 2023

And I think that’s what’s important for families to know because everyone wants to stop this disease and roll back the clock to make their loved one better. But all of this has to be understood by the patient and the families and so that they’re comfortable of that. And we’ve been diagnosing it at Penn.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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?

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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. Alex: And we’re delighted to welcome John Loughnane who is a palliative care doctor and end-of-life doula and co-founder of Present for You. John: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond.

Patients 110

Patients IT Families Family 110

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. You present your. If we think of discrimination, how people are treated by their biological family.

Individual 82

Individual Community IT Chronic Condition 82

PEMBlog

DECEMBER 14, 2023

But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically. So stridor may be present in these infants, but it doesn’t typically change with position. The best way to diagnose this is through imaging like CT scans.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They may have few family members, live alone. You just knew it? Thomas: Yeah, yeah.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting. Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

JUNE 13, 2024

And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. Alex 24:58 I’m so glad you mentioned the family.

Illness 134

Illness Patient-Centered Patients IT 134