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 119

Screening Primary Care Patient-Centered IT 119

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. Physical activity is a big one. There’s not that much information on smoking and cognition. One might argue they still are.

Physicals 85

Physicals IT Hypertension Education 85

Mesa Family Physician

MARCH 6, 2025

Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Your provider updates this information at each visit to maintain an accurate picture of your health journey.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

Mere Mortal MD

MAY 22, 2025

My role is to head the rehabilitation team, while treating any medical complications that may arise from their initial injury or diagnoses. Patients will participate in physical therapy (PT) for sure, which may or may not include some time on a treadmill, if they can walk. His medical diagnoses were stable. It is not a hotel.

Hospital 221

Hospital Patients Nurse Practitioner IT 221

Edge Family Medicine

APRIL 10, 2025

At Edge Family Medicine , we believe that one of the most powerful tools in healthcare isn’t technology — it’s trust. At Edge Family Medicine , we prioritize relationship-based care that supports your wellness every step of the way. This deeper understanding leads to more personalized care and better medical decisions.

Primary Care 130

Primary Care Relationship PCP PCP 130

Myriad Genetics

APRIL 23, 2024

Each year in the United States, about 240,000 cases of breast cancer are diagnosed in women and about 2,100 in men,” according to the Centers for Disease Control and Prevention (CDC) website. You can’t change some factors, such as getting older or your family history,” according to the CDC. Be physically active.

Family 52

Family Families Screening Diagnose 52

Noreta Family Medicine

APRIL 17, 2024

What is the meaning of Family Medicine? As the name suggests, a family physician can take care of your entire family – from the day of your birth (even before!) I love family medicine because as family physicians, we can be trained to provide care for patients in many different settings. What is primary care?

Primary Care 52

Primary Care Board-Certified GP DO 52

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.

Family 102

Family Families IT Diagnosis 102

Family Physicians of Greeley

OCTOBER 2, 2023

One of the scariest things to ever hear is that you or a loved one has been diagnosed with cancer. Would you be surprised to learn that 1 in 8 women are diagnosed with breast cancer in their lifetime? Breast cancer is the most commonly diagnosed cancer In the United States. What puts you at risk for breast cancer?

PCP 40

PCP PCP Diagnose Family Physician 40

GeriPal

JUNE 27, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. And this case has been worked out the best in terms of the artificial intelligence suggesting diagnoses the clinician may have missed. Alex: Mm-hmm. The patient is crying in front of you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 16, 2022

Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. 50 to 70% of people who are diagnosed with UTIs probably don’t have a UTI. I appreciate that information. Is that right?

Management 122

Management IT Medical Patient-Centered 122

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

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. I put a lot more information about Dr. Groopman and how to contact her in the show notes. So, importantly, you may not have a positive family history. References Jeanmonod R, Asuka E, Jeanmonod D.

Consulting 59

Consulting Individual Family Families 59

GeriPal

JUNE 9, 2022

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. Thank you, Eric.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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 113

Primary Care Patient-Centered IT Patients 113

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

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. Gender expression is your physical outward manifestation of how you express your gender identity.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

MAY 9, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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.

Education 127

Education Illness IT Healthcare 127

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.

Illness 101

Illness IT Patient-Centered Patients 101

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. The best way to diagnose this is through imaging like CT scans. The physical exam of a Child with possible laryngeal malaysia focuses on the airway and breathing naturally.

Diagnosis 52

Diagnosis Diagnose IT Patients 52

GeriPal

JUNE 13, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

FEBRUARY 22, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. ABIM MOC credit will be offered to subscribers in November, 2024.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 16, 2023

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. What feelings do we have toward the patient and toward their families? And countertransference is everywhere.

Patients 109

Patients IT Family Families 109

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Had multiple physical, psychological complications as a result of that.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 9, 2023

They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them. Try to really understand what’s happening.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

JANUARY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. We can talk about the informal and the formal differences in expansion later. As Leonie is saying, there are some who are advocating that everyone should be informed of this as an option.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 27, 2022

But we know from previous studies that a lot of older adults actually want this information, but might not feel comfortable bringing it up. 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.

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 119

Patient-Centered IT Patients Hospital 119

Vida Family Medicine

MARCH 1, 2023

If you or someone you love is suffering, I hope that this information will help you find the resources you need to find recovery. 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.

Mental Health 52

Mental Health Physicals Family Medicine DO 52

GeriPal

JULY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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. Eric 05:50 Yeah. Eric 13:29 I love that.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JUNE 26, 2025

Wait, so one key message is that social health is linked to physical and cognitive health?!? 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.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. 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.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

And so clearly it matters how you bring up the topic, who brings up the topic, and probably the timing when this comes up for patients and families, just like we think about conversations about illness and prognostic understanding, I wish there was a good prevalent state data on how big this is of a problem in serious illness at large.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

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 Diagnose IT Physicals 141