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

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. And here, just to clarify, we’re using that term to mean, people diagnosed with cancer, not necessarily people who were treated with curative intent. Jessie: Yes. And then, looking at- Eric: Wow. So, one out of 10? Devon: Yes.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. Relational autonomy was was first introduced to bioethics by feminist scholars, who observed that most people do not make decisions as isolated islands.

Families 98

Families Family Patient-Centered IT 98

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 82

Individual Community IT Chronic Condition 82

GeriPal

JUNE 15, 2023

And this case has been worked out the best in terms of the artificial intelligence suggesting diagnoses the clinician may have missed. Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. Alex: Mm-hmm. Charlotta: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. But it’s the people in the relationships that you meet. And it has been incredible. Eric: Great.

Education 127

Education IT Illness Healthcare 127

GeriPal

AUGUST 31, 2023

I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness. He really helped me a lot through the shock and awe of being diagnosed with cancer. Brad: Yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

SEPTEMBER 22, 2022

Stop thinking the physical exam or the differential diagnose, whatever, and just be there. And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. You had no relationship. It was surprising how much of a blow that carried to the relationship.

Illness 101

Illness IT Patient-Centered Patients 101

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. So we’re in the same cancer group.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 17, 2023

And we’ve been diagnosing it at Penn. What does geriatrics have to do to be ready to be an integral part of this process of diagnosing, prescribing, and monitoring for side effects from these drugs? I haven’t seen this clear direct relationship that all abnormally high levels of amyloid lead to tau. Jason: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. In many, many, many of these studies, they excluded people with severe mental health distress, so certain mental health diagnoses were exclusion criteria from a palliative care study.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. They were seriously ill and had a chance to get to know.

Family 112

Family Families Patient-Centered IT 112

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 23, 2022

If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. So I’m actually interested in also trying to help women who’ve been diagnosed figure out what to do too. Meanwhile, there is risk to the procedure.

Screening 99

Screening PCP PCP IT 99

GeriPal

FEBRUARY 27, 2025

Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships. Widera and Smith have no relationships to disclose. Guests Janet Ho, Sach Kale, Julie Childers have no relationships to disclose.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. 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. Is it just loss of.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 3, 2024

They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. Much more about relationships has been my experience. And so we have to teach clinicians the art of relationship. We didn’t honestly have much more of a plan than that. Lingsheng 21:45 Now. Wendy, I have.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. The post RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Ashwin Kotwal reports receiving a research grant from Humana Inc.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

JANUARY 26, 2023

So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others. I probably should have said GFR. Eric: Yes. I just choose GFR. Ramona: Is a perfect example of that.

IT 92

IT Patient-Centered Healthcare Patients 92

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. So just using in that context of a trusted kind of clinician-patient relationship and seeing how we can better improve shared decision-making.

IT 95

IT Clinic Screening Patients 95

GeriPal

AUGUST 8, 2024

Now, you can’t fix a broken relationship by putting it in this box or that box. All of those things, in my own experience, were so incredibly helpful because while I didn’t want to confront things, it made me confront the nature of life and death and what it all means and my relationship to my mom. They’re just boxes.

IT 124

IT Family Families Relationship 124

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 about establishing a relationship and rapport.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

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. It was specific to the relationship with the patient, the patient’s social context in which they might take this information. They had no idea.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

APRIL 21, 2022

This is a poem that gets into this issue of, what is the clinician relationship to all that stuff that’s going on around us? Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. So my only question is what my relationship will be to suffering. Mike: Yeah.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. I knew them, I developed a relationship with them. It’s somebody different every month, and you never develop that relationship. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . We’ve seen the stigma associated with mental health. That’s getting better now, but it is still there.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

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. Widera and Smith have no relationships to disclose. Before the primary care visit.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. What are the prognoses associated with various PPS scores? Eric 07:31 Yeah, and I can imagine, I.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 1, 2023

I guess I’m just sticking to the position that I would like someday to be able to diagnose Alzheimer’s as well as Lewy body disease, et cetera before someone has disabling impairments. That kind of puts disease or symptomatology in one relationship to just having a positive amyloid PET scan. I’m not.

IT 116

IT Clinic Illness Hypertension 116

GeriPal

AUGUST 22, 2024

That also speaks to a lot of the particular family relationships and, of course, in that case, allegations of mistreatment along racial lines and so forth. Widera and Smith have no relationships to disclose. Guests Winston Chiong and Sean Aas have no relationships to disclose. And definitely insensitivity.

IT 113

IT Family Families Patient-Centered 113