Today's Hospitalist

MAY 9, 2025

By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction. Documentation guidelines for evaluation and management (E/M) services. And ambient dictation can lead to more comprehensive, accurate documentation.

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

Doctor On Demand

APRIL 16, 2025

Virtual visits can diagnose colds, flu , or allergies and help you manage symptoms at home. Determine the likely cause : The doctor will diagnose whether it’s likely a viral infection, bacterial illness, allergies, or another condition.

Medical 52

Medical Board-Certified Asthma Telehealth 52

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result. Is there any relationship between frailty and urinary incontinence?

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IT Patient-Centered Patients Clinic 121

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. The role of lifestyle and dietary modifications in management. Gastroesophageal Reflux: Management Guidance for the Pediatrician.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Edge Family Medicine

APRIL 10, 2025

Establishing a long-term relationship with a primary care provider can make a profound difference in how effectively your health is managed over time. Why Primary Care Relationships Matter A trusted PCP gets to know you — not just your chart. Over time, they become familiar with your health history, lifestyle, and concerns.

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Primary Care Relationship PCP PCP 130

Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Regular check-ups ensure early detection of health issues.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Brianna 00:41 Thanks. Great to be here. Alex Gamble, do you have a song?

Illness 130

Illness IT Diagnosis Patient-Centered 130

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. And I would say we weren’t doing training on symptom management, for example.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

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Illness Patient-Centered Screening Clinic 137

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? Was it sodium hf?

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Because often what we hear from patients, “I do a lot of pain management research,” but mood comes up in that a lot, is that, “Oh, I don’t want to talk to my doctor about this.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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. Eric: Yeah. Emmy: Yeah. Eric: Yeah. Emmy: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness.

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Illness IT Diagnose Medical 129

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.

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Individual Community IT Chronic Condition 82

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine.

Illness 134

Illness Patient-Centered Patients IT 134

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 100

IT Patient-Centered Patients Healthcare 100

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 102

Illness IT Patient-Centered Patients 102

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). And we’ve been diagnosing it at Penn. Jason: Yeah.

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Patient-Centered IT Clinic Patients 98

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 100

IT Community Patient-Centered Medical 100

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.

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Provider Illness IT Healthcare 119

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. Talked about things like pragmatic ways to manage volume, anticipated volume, gave them projections of volume based on enrollment that was going on in usual care, and just really did a lot of palliative care. and consulting for Papa Health.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose.

Illness 144

Illness IT Medical Provider 144

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

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

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Community Nurse Practitioner Provider IT 89

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

Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). 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? Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. . And the VA has become really the center of excellence for interdisciplinary pain management. Haider: Yeah.

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.

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. I don’t know how our patients manage that. What are the prognoses associated with various PPS scores? Eric 07:31 Yeah, and I can imagine, I.

Families 108

Families Family Patient-Centered Patients 108

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. Areej 34:19 Yeah, sure.

Illness 131

Illness IT Physicals Patients 131

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. I’ve got the Alzheimer’s that has me needing someone to manage my checkbook. I’m not saying they’re stigma free.

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IT Clinic Illness Hypertension 117

GeriPal

AUGUST 22, 2024

And then another, which was released under the Bush administration by a council with a different sort of philosophical Benton worldview which still managed to come to the same conclusion in support of a brain based definition, death. Widera and Smith have no relationships to disclose. And definitely insensitivity.

IT 115

IT Families Family Patient-Centered 115

Mesa Family Physician

MARCH 6, 2025

Tertiary Prevention: Managing Existing Conditions Tertiary preventive care focuses on managing existing chronic diseases to prevent complications, improve quality of life, and reduce the negative impact of disease. These measures are taken after a disease has been diagnosed.

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Preventative Care Preventive Care Family Physician Screening 100