GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. This is about cancer screening in older adults. Summary Transcript Summary. Mara: Thank you so much.

Screening 100

Screening PCP PCP IT 100

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. 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. So, one out of 10?

Illness 137

Illness Patient-Centered Screening Clinic 137

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? How should we screen for cognitive impairment? Who should we be screening as far as.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

JULY 21, 2022

Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Certainly my bias is that healthcare professionals really do have a role in this discussion. And what should we be doing as far as assessment?

IT 102

IT Families Family Diagnosis 102

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. 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 how do you think about it as a psychiatrist?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 65

IT Hospital Screening Patients 65

GeriPal

JUNE 16, 2022

So I actually got started in cancer screening also, thanks to some mutual colleagues. Like for me, my NF1, is it a good idea to get screened for cancer or not? 50 to 70% of people who are diagnosed with UTIs probably don’t have a UTI. How good are clinicians and nurses in following these guidelines or diagnosing a UTI?

Management 123

Management IT Medical Patient-Centered 123

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. Thomas: But the person did screen and used a little bit of the and Social Network Scale and the UCLA Loneliness Scale. Like I said, the patient screened positive for it. Ashwin Kotwal: Oh, wow.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

JULY 28, 2022

I had it on my screen. 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.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 2, 2024

Did they screen charts? ” So there is a tension there and I totally agree with you that whether it’s triage, a better trigger, a different threshold, better identification of palliative care needs rather than diagnoses or prognosis and how we get at that I think we have a lot of work to do, and I’m excited about that work.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

AUGUST 24, 2023

Our early studies were looking at things like, desire for death, and syndromal depression, and screening for depression and anxiety, and will to live. We examine, we diagnose, we fix. To diagnose, to come up with a formulation, to be able to really get hold of the cause of this individual suffering.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. You and I would listen to a suggested list of diagnoses and say, “That’s a reasonable idea. They had no idea. That’s a reasonable idea.

IT 140

IT Electronics Patients Healthcare 140

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 96

Primary Care IT Clinic Provider 96

GeriPal

APRIL 21, 2022

Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. We call it a poem, no matter what it is, because it expresses something important that came to them and that this other circle of community on a screen understand who this person is by what they’ve just expressed.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Lon: No, that’s a straight out screen. We do understand how to diagnose it microscopically, essentially by pathology.

IT 117

IT Clinic Illness Hypertension 117

GeriPal

DECEMBER 21, 2023

Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. So that’s I think diagnoses. And we find out, oh, there is no demand.

Patient-Centered 126

Patient-Centered IT Families Family 126

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