PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Again, otherwise the diagnosis is based on history and physical examination.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

DECEMBER 2, 2022

Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy, welcome to the GeriPal podcast. Judy: Thank you. It’s great to be here. Alex: Great. So take it away. When was that, 2010?

Community 101

Community IT Individual Patient-Centered 101

GeriPal

OCTOBER 13, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. Welcome back Lona.

Complication 97

Complication Patient-Centered IT Patients 97

Pamela Wible MD

JUNE 20, 2025

Moral injury is a normal human response to an abnormal traumatic event—a deep soul wound shattering one’s identity and morality. It’s a growing crisis affecting over half of all doctors in the U.S., and it has been linked to rising rates of physician depression , doctor suicide , and medical errors. They’re suffering from moral injury.

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

Dr. Michael Bazel

JUNE 16, 2025

Also Read: The Most Common Respiratory Diseases Affecting Men’s Health When Stress Is the Likely Culprit Sometimes, symptoms are directly tied to life events or mental strain. Getting a Clear Diagnosis Because symptoms of hormone imbalance and stress are so similar, a proper diagnosis is essential. you’re not alone.

IT 130

IT Physicals Management Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Methods: In-depth semi-structured interviews using the Database of Individual Patient Experiences (DIPEx) methodology. Verbatim transcripts in English and Spanish were analyzed in NVivo 14.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

CDOCS

MAY 4, 2021

We need to recognize how clinical dentistry has become intertwined with digital technologies to synergistically assist us in providing enhanced diagnosis with safe and predictable treatment outcomes. & The Atlantis lab always includes an insertion jig with these kinds of abutments to make the insertion visit a non-event.

Patient-Centered 52

Patient-Centered Patients Manufacturing Provider 52

The Clinical Problem Solvers

MAY 13, 2020

Ambulatory cardiac event monitoring demonstrated an episode of complete heart block, and myocardial perfusion imaging showed a focal perfusion defect in the left ventricle (thought to represent a prior myocardial infarction versus sarcoidosis). Diagnosis can be made by endomyocardial biopsy or with compatible imaging findings (e.g.,

Diagnosis 52

Diagnosis Patients Clinic IT 52

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. This is not highly scripted orchestral music, people, its Jazz. -S Tyler 01:12 AHPM.

IT 96

IT Patient-Centered Patients Board-Certified 96

Vascular Physician

FEBRUARY 13, 2022

Many events can cause the blockage of an artery, with the most common causes discussed here: Arterial thrombosis: the formation of a clot within the arterial system itself. This results in decreased oxygen delivery to the tissue, leading to damage and even tissue death. Clots can form at cholesterol plaques in two different ways.

Diagnosis 40

Diagnosis Individual Medical Patients 40

GeriPal

OCTOBER 17, 2024

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

Myriad Genetics

FEBRUARY 8, 2024

My parents weren’t there to go to sporting events or birthday parties,” said Lisa. The way Lisa handled this breast cancer diagnosis, and this treatment is unbelievable,” said Terry. Lisa’s mom died from breast cancer when their son was four years old, and their daughter was two years old. My kids grew up without their grandparents.

Family 52

Family Families Screening Diagnosis 52

GeriPal

FEBRUARY 17, 2022

And so many older adults with diagnosis of osteoporosis have never received any therapy for it. When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. See screenshot below. James: I do.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. Eric: Yeah, he is the host of my favorite dementia podcast. Dementia Matters. Dementia Matters.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

IT 128

IT Families Family Patient-Centered 128

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. But before we do, I think somebody has a song request for Alex. Alex: (singing). Areej: Wow. Jennifer: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Before we go into this topic, who has a song request for Alex? It was Remember Me. Was that the title? Alex: I think it’s I Will Remember You. Joel: Yeah, right, I Will Remember You, right. Alex: … Sarah McLachlan.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. We also talk about the eligibility for the unit, what makes it run including the interdisciplinary team and the inmate peer workers, and the topic of compassionate release.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 27, 2022

Eric: 1982. James: … alive in the 1980s, but yes, you sang Forever Young by Bob Dylan around three years ago, and then Eric jokingly started singing this song, and so now it’s about time to fulfill Eric’s request. Alex Smith: Sei, do you have any comment? It was kind of the junior high party. Alex Smith: (Singing). Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 26, 2025

Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover. Today we talk about disruptive events, or health and wealth shocks. So thought it related to our theme of disruptive events about different ways in which you may experience an early demise.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? Alex: Love it.

Mental Health 123

Mental Health IT Community Individual 123

Physician's Weekly

JUNE 12, 2025

Scientists say the rise may owe to several factors, including better diagnosis, older parents and genetics, The Wall Street Journal said. Children’s Health Defense, an anti-vaccine nonprofit Kennedy once led, is holding an online event this week to mark what it calls the “autism cover-up.” It’s unclear if he has regained access.

Vaccination 52

Vaccination Patient-Centered Government Diagnosis 52

GeriPal

JULY 25, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024. You got it.

Families 106

Families Family Patient-Centered IT 106

Physician's Weekly

JUNE 24, 2025

Filling an Information Gap IMIDs such as rheumatoid arthritis, systemic lupus erythematosus, and systemic sclerosis involve chronic inflammation that increases the risk for cardiovascular events, including myocardial infarction and stroke. However, population-level data on CVD in IMIDs—especially regarding sex disparities—remains limited.

Patient-Centered 52

Patient-Centered Hypertension Management Diagnosis 52

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . The impossiblity which is life, which is everything, and death, which is the end of life. To let it go. . Or as in Mark Nepo’s poem Adrift, I am so sad and everything is beautiful. Eric: What song is it? Eric: Yeah?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 115

IT Clinic Illness Hypertension 115

Pamela Wible MD

JUNE 19, 2025

Physician burnout describes a dangerous mix of emotional exhaustion, depersonalization, and a loss of meaning in work. It’s now so common that more than half of all doctors report symptoms, with medical students , residents , and even senior clinicians feeling pushed to the brink. But is it really burnout—or something more serious? To be real.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

Physician's Weekly

JUNE 25, 2025

He kept his diagnosis hidden from friends and family because he knew how people talked about HIV. — Cedric Sturdevant woke up with “a bit of depression” but made it to church, as he does every Sunday. In a few days, he would drive from Mississippi to Washington, D.C., And policymakers ensured that almost everyone in the U.S.

Government 52

Government Community Families Family 52

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. On the one hand, they have concerns about cognitive fitness of candidates for office.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141