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 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And how do you think about it as a psychiatrist?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. ABIM MOC credit will be offered to subscribers in November, 2024. Jessie: Yes. So, one out of 10?

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present. Eric: Lynn or Anne?

Families 98

Families Family Patient-Centered IT 98

GeriPal

JULY 21, 2022

Because how that is approached can have lasting effects on relationships, unfortunately. Then I would say any clear deficits in thinking, vision, physical mobility, big new diagnoses, those; certainly cognitive changes, because that’s a really big one in terms of risk. I can get you guys that information. Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

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. The information there and you limit it in that way.

IT 100

IT Patient-Centered Patients Healthcare 100

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 114

Primary Care Patient-Centered IT Patients 114

GeriPal

SEPTEMBER 22, 2022

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. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. It’s going to feel like they’re in free fall. Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

FDA Law Blog

JUNE 4, 2025

The Assessment highlights various trends related to chronic disease diagnoses (such as increasing rates of autism spectrum disorder and attention deficit hyperactivity disorder) with associated trends in prescribing practices. That leaves us to speculate what the implications of this Assessment will be.

Chronic Disease 59

Chronic Disease Government Chronic Condition Clinic 59

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

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. ABIM MOC credit will be offered to subscribers in November, 2024.

Families 113

Families Family Patient-Centered IT 113

GeriPal

JUNE 23, 2022

And that’s another huge source of data and that’s the data that generally informs the USPSTF and other guidelines. 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. What are your thoughts?

Screening 100

Screening PCP PCP IT 100

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.

Education 128

Education IT Illness Healthcare 128

GeriPal

AUGUST 17, 2023

So these folks who are taking it for the first time are going to be part of the new information that we have. And many people, many geriatricians and colleagues are going to be participating in databases where we collect information about people who are on these drugs. And we’ve been diagnosing it at Penn.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. And those two are closely aligned.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Do we have any information on that, do you know?

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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 119

Provider Illness IT Healthcare 119

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

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Because it suffers from an informative censoring problem. Did you have access to any information?

Consulting 122

Consulting Hospital Patient-Centered IT 122

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.

Illness 144

Illness IT Medical Provider 144

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 74

Patients Clinic Patient-Centered Illness 74

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

AUGUST 8, 2024

Now, you can’t fix a broken relationship by putting it in this box or that box. These kind of tropes inform the mindset that keeps people. You know, but I do go in my own thinking and my own narratives of life and my own relationships with my children. None of them will get you into heaven or keep you out.

IT 125

IT Families Family Relationship 125

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Instead, they establish a direct patient-provider relationship, for a flat fee. EKGs Discounted lab services Laceration repairs Small skin lesion removal Medication dispensing Seeking to provide primary care services that are intended to prevent and treat general issues and diagnose non-urgent conditions.

Family Medicine 40

Family Medicine DO Families Family 40

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 120

Patient-Centered IT Patients Hospital 120

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.

IT 140

IT Electronics Patients Healthcare 140

GeriPal

JUNE 26, 2025

And there is this bidirectional relationship between wealth and health shocks. And then I was inspired by this paper and then really interested in looking at the bidirectional relationship between the two of them. May not even know that the patient has dementia, or they might think that, but it’s not been diagnosed.

Illness 63

Illness Hospital IT Patient-Centered 63

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. It was information about our ACP facilitator. This is a pragmatic trial.

Primary Care 80

Primary Care IT Clinic Illness 80

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

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. 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.

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. . Every time you experience pain, it is informed by so many different things. Sometimes it is that simple.

Patient-Centered 106

Patient-Centered Physicals IT 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. I have as well.

Illness 131

Illness IT Physicals Patients 131

GeriPal

AUGUST 22, 2024

Something which draws on some idea of what a human being is, which many of our citizens will disagree with, holding a different philosophical or religiously informed review about that. 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.

IT 115

IT Families Family Patient-Centered 115