GeriPal

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

IT 124

IT Patient-Centered Hospital Individual 124

The Clinical Problem Solvers

FEBRUARY 9, 2020

Image From: Evidence Based Physical Diagnosis by Dr. Steven McGee An easy way to remember LR’s is to remember the numbers 2/5/10 , and 15/30/45 An LR of 2 increases the probability by 15% An LR of 5 increases the probability by 30% An LR of 10 increases the probability by 45%. Initial labs show a WBC count of 8.3 x 10 9 cells/L, Hgb 9.7

Clinic 52

Clinic Diagnosis Hypertension Patients 52

The Clinical Problem Solvers

DECEMBER 16, 2020

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. education, income, number of previous hospitalizations) that also lead to clinical outcomes, not only race-based stratification. Published online July 29, 2020. doi:10.1001/jama.2020.13378

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

GeriPal

OCTOBER 13, 2022

Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

SEPTEMBER 24, 2024

He had easy work of breathing, and physical exam was only notable for decreased breath sounds over the left lower lobe. Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). However, he developed the fatigue and cough prompting today’s presentation to the ED. mg/dL, normal <0.1

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. In those without psychosis, those with likely psychosocial issues, especially those with a prior history of psychiatric diagnoses, and with reassuring history and exam, lab tests are not necessary to exclude a medical condition.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

Mere Mortal MD

MAY 22, 2025

People are not usually fond of hospitals, especially if they happen to be the patient. A hospital is a place for sick people, a place where death lurks around the corner, where a blood sucking phlebotomist pokes around your veins after strapping a blue rubber band tightly around your upper arm. Thanks for reading Mere Mortal MD!

Hospital 221

Hospital Patients Nurse Practitioner IT 221

GeriPal

DECEMBER 2, 2022

I think … There’s so few, seriously, from the hospital system and the pathologizing systems to the more social care intervention work that Susan and I really do. And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time. All types of dementia. But we have to.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

JULY 19, 2024

And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months. It can’t be diagnosed and adios.

Screening 119

Screening Primary Care Patient-Centered IT 119

Adventures of a Sick Doctor

JUNE 5, 2021

But I thought about my friends and colleagues, my daily contacts and the faceless names on the hospital letters, and I thought about the pain and hurt in each of their hearts. In fact I was scared, and worried and uncertain, and it manifested in physical symptoms of dyspnoea, tachycardia and headrush. I went back to the Red Door.

GP 100

GP Screening Mental Health IT 100

Plum Health

OCTOBER 11, 2024

Whether it's a urinary tract infection or a severe ear infection, urgent care clinics can quickly diagnose and treat infections. Clinics are often smaller than hospitals and may focus on a specific type of care, such as general health check-ups, urgent care, vaccinations, or specialty services like physical therapy.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Noreta Family Medicine

APRIL 17, 2024

Some family doctors work in a residency training program where they may see patients in the hospital, out of the hospital, and deliver babies. I enjoy seeing patients for all kinds of visits as well – mental health, physicals, GYN concerns, coughs/colds, etc. Other family doctors only see patients in their clinics.

Primary Care 52

Primary Care Board-Certified GP Family Physician 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. Paramedics can provide life-saving treatment on the way to the hospital. Paramedics can provide immediate emergency interventions on the way to the hospital, including oxygen support and life-saving medications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

PEMBlog

JUNE 2, 2025

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. So what’s amazing about these guidelines, so if you go to 12 different hospitals and ask them, “How are you managing psychiatric conditions and mental health concerns in the context of palliative care?”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Are you driving?

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Is your impression that HFpEFde is under diagnosed in older adults? Parag 13:23 So I think I would say under diagnosed.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. We can’t possibly meet the needs of all people with newly diagnosed serious illness. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

OCTOBER 20, 2022

Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

APRIL 3, 2025

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. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes.

IT 64

IT Hospital Screening Patients 64

PEMBlog

MARCH 27, 2024

Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. You won’t be able to diagnose them on history and physical alone. And biochemical testing is really needed in most cases to independently diagnose a specific IEM.

Consulting 59

Consulting Individual Families Family 59

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. If they physically come here, it’s sort of just the natural course of things that they’ll walk into the room with the patient. Lynn 37:39 I was in the hospital.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. Eric: Yeah. Amber: Right, exactly.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

PEMBlog

JUNE 5, 2024

It’s particularly difficult to diagnose cervical spine injuries in kids under three because they can’t give you an accurate history and cooperate with the exam. Or patients with a substantial head or torso injury and substantial means that they’re going to require an intervention or observation in the hospital.

Patient-Centered 52

Patient-Centered Patients IT Hospital 52

GeriPal

JUNE 13, 2024

Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. 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. That patient past cache.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MAY 9, 2024

How you actually physically started doing this and built up so many followers over time and why are you doing it? Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. Eric: So we got a lot to talk about. So I don’t know, Alex and Eric, if you work in people’s homes, but do you?

Education 127

Education IT Illness Healthcare 127

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. And so I was really thinking about why are some of my people that are hospitalized doing better than others? In fact from the time he was diagnosed, he passed away within two and a half weeks.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JANUARY 11, 2024

So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. Because in medicine as somebody who works in the hospital, there’s always other treatment options.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 16, 2023

And while I was in the hospital, I never actually got over, like you were talking about, Eric, my defensiveness, the sting to my ego and my character and my worth, enough to get to the place of thinking about how I could be a good doctor for him. And also the whole potential psychiatric diagnoses. It has nothing to do with you.

Patients 109

Patients IT Families Family 109

GeriPal

SEPTEMBER 22, 2022

Stop thinking the physical exam or the differential diagnose, whatever, and just be there. I like to tell my trainees… Often with the earliest stage trainees, they’ll go in the room and they’ll ask the patient what brought them to the hospital. It’s going to feel like they’re in free fall.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. So tiny, tiny, in a hospital bed. I mean, the fact is that intensive care, as you said, Alex, I mean we invoke it as a way of trying to, in a very intensive focused way, attend to people who are in physical, biologically in dire straits.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. And we’ve been slowly building that out. So Ken Covinsky liked to explain it as, “Well, if 0.5

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Wait, so one key message is that social health is linked to physical and cognitive health?!? And hospitalization for pneumonia is like a medical event.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

JULY 7, 2022

Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. We are really trained to treat it as a purely physical sensation that you can rate on a scale of zero to 10 with specific tools. And it is as much an emotion that one feels as it is a physical sensation. Despite your background, Alex.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105