Today's Hospitalist

MAY 9, 2025

Since the mid-1990s, our capacity for innovation has never stopped as hospitalists navigate a complex landscape of acute illnesses, interprofessional collaborations and the imperative to provide efficient, high-quality care. We have seen explosive growth and become a cornerstone of modern health care systems.

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Recognize key diagnostic features that help differentiate Parvovirus B19 from other viral exanthems and systemic illnesses. So the classic presentation thats on every board exam ever is called erythema infectiosum, or fifth disease.

Complication 83

Complication Patient-Centered Patients Clinic 83

PEMBlog

OCTOBER 18, 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. The night prior to presentation, mom noticed he was not feeding as well and seemed fussy. This is the first of the four cases.

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Diagnose Diagnosis Illness Patients 59

PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

PEMBlog

SEPTEMBER 27, 2023

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. 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. Pediatrics.

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Patients Illness Hospital Management 52

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

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. Eric: That’s pretty impressive. You don’t want to mess around with that situation.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. How do you maintain successful aging, which is often free of disease or illness or disability? And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time. There is no cure.

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Community IT Individual Patient-Centered 102

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. 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? Alex Gamble, do you have a song?

Illness 130

Illness IT Diagnosis Patient-Centered 130

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. F (38°C) is generally regarded as indicative of illness. Managing and treating an illness involves several steps. FEVER FAQs (contd.)

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Diagnosis Management Illness Diagnose 130

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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Illness IT Diagnose Medical 129

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. It flows very well. Eric: Yeah.

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Illness IT Patient-Centered Patients 102

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it.

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Illness Patient-Centered Patients IT 134

Adventures of a Sick Doctor

JUNE 5, 2021

The CEO, Susan Clyne, began to present the findings from a recent survey about doctor’s wellbeing. When I was diagnosed with advanced cancer it was easier. There was a Milligan-esque relief in these counselling sessions – “I told you I was ill”. 66% of GPs had been unable to take time off due to difficulty finding locums.

GP 100

GP Screening Mental Health IT 100

Adventures of a Sick Doctor

DECEMBER 20, 2020

But I watched it on my 44th birthday, six years and a couple of weeks after I was diagnosed with stage 4 bowel cancer. He was diagnosed after me (as far as I know), and made Black Panther while undergoing treatment. Chadwick Boseman would have turned 44 two weeks before me, if he hadn't died earlier this year from the same cancer.

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Diagnose Illness IT Patients 100

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Yeah.

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Mental Health Patient-Centered Illness Screening 123

PEMBlog

MARCH 27, 2024

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. Therefore understanding these diseases, their presentations and their evaluation is critical for emergency medicine providers. On clinical presentation.

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Consulting Individual Families Family 59

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. The patient refuses to ever talk about the fact that this illness could take their life.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. He looked very ill. Jane, welcome to the GeriPal podcast. John: Yeah.

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Provider Illness IT Healthcare 119

GeriPal

FEBRUARY 23, 2023

Anne Kelly: And I might add to what Anne just described in saying, I think part of the way we got to talking, getting to be able to engage the family is because we took some time to really improve our patient’s illness understanding. Eric: Lynn or Anne? But there was an impact on us as a team too. Eric: All right, Anne Rohlfing.

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Families Family Patient-Centered IT 98

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. Somebody who’s older, maybe just diagnosed them with very mild dementia.

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Families IT Family Diagnosis 102

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?

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Primary Care Diagnosis Screening IT 97

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. Eric: That’s pretty impressive. You don’t want to mess around with that situation.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. You present your. We did do another LGBT Care for Older Adults in Serious Illness Population with Carrie Kendrian and Angela Primbos. Happy pride and thanks for the invitation, Alex and E. So that’s how.

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Individual Community IT Chronic Condition 82

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 then my mom was diagnosed with lung cancer and she was treated there. It’s good. So proud of myself.

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IT Families Family Clinic 102

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. People would present with horrible opportunistic infections, not just pneumocystis pneumonia, but CNS infections with toxoplasmosis and wasting syndrome, of course. What words to use?

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Families Family Patient-Centered IT 113

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

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Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside. The rules are really quite simple: Find another person. Frank 08:43 Well, briefly.

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IT Patient-Centered Patients Relationship 123

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Dani: Yeah, so the way you presented was triggering to them.

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Patients IT Families Family 110

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. In fact from the time he was diagnosed, he passed away within two and a half weeks.

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IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. 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.

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Patient-Centered Patients IT Healthcare 112

GeriPal

SEPTEMBER 21, 2023

I’m concerned about how can I get my dad diagnosed or get this proper care.” Alex: So potentially really splitting out the before death and the after death components when we’re talking about what’s important to people who are facing serious illness. Alex: Yeah. Karen: Yeah. It was great.

Community 129

Community Families Family IT 129

GeriPal

AUGUST 8, 2024

And I think, oh, there was something she did besides getting cancer and dying, which requires such a focus, you know, cancer and terminal illness of any kind. And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old.

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IT Families Family Relationship 125

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. I think this is a topic we don’t talk about as much in the context of serious illness. Don, welcome to GeriPal. Don 01:11 Thank you so much.

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Illness IT Physicals Patients 131

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. So we sent that to everyone 65 and older with upcoming visits, though we were tracking on our side the people who had diagnoses and things. Alex (singing) Alex 02:34 All right, this was a fun one.

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Primary Care IT Clinic Illness 80

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. That’s in my view as analogous as to any other illness. You need the plaques to have that illness.

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IT Clinic Illness Hypertension 117