PEMBlog

OCTOBER 16, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The family declined an enema in the ED, and she was discharged home on a miralax cleanout to follow up with her PCP. This is the first of the four cases. She had a normal urinalysis and the abdominal x-rays seen here.

PCP 69

PCP PCP Diagnosis Diagnose 69

Vida Family Medicine

JUNE 28, 2024

If there are specific conditions you are worried about based on your family history or Googling or social media, write these down too. Ask questions: Ask what the doctor thinks are potential causes of your symptoms (this is called the differential diagnosis) and what they think is most likely.

Patients 52

Patients Primary Care Appointment Diagnose 52

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

Permanente Medicine

MAY 20, 2025

In addition, Dr. Nguyen co-chairs the SCPMG Virtual Medical Center and brings extensive expertise as a practicing family medicine physician at Kaiser Permanente. I’m a family physician by training. And I would remiss not to mention my wife and my family who might love and enjoy time with to travel. Fascinating background.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

GeriPal

DECEMBER 2, 2022

She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Alex: First three words would be, family and history and diversity. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Anne: Is there a movement? I love them.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

JUNE 8, 2023

So my background clinically is working with cancer patients and families and those who underwent bone marrow transplant, and a lot of times for their treatment regimen, it includes steroids. What is the role of the family caregiver system, how they play a role? Tamryn: Yes, 100%. And I don’t know where if we’re there yet.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Rather, most of us live and make decisions in relationship to one another. Nice to be here.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

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.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. If they’ve said they had a traumatic experience receiving a diagnosis. And so in terms of, am I looking to put a DSM diagnosis to someone? I wonder why? Alex Smith 22:01 Right.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. So the first thing, explain the diagnosis. And you’re in the ICU family meeting, and it gets heated.

IT 132

IT Illness Family Families 132

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. And we got all into his family stuff and how he’d been suffering with cancer and his goal.

IT 96

IT Patient-Centered Patients Board-Certified 96

Georgetown Pediatrics & Family Medicine

MARCH 16, 2022

She was raised in a forward-thinking, socially active family. This important work observed that there was a relationship between radioactivity and the heavy elements of the periodic table, and led to much advancement in medicine.

Medical 40

Medical Education Family Medicine DO 40

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. If we think of discrimination, how people are treated by their biological family. Caregivers too.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. We know what’s going to happen.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. You’re recognizing that, wow, this could happen to me, and I wonder sometimes about the challenges. It’s very fraught.

IT 83

IT Family Families Illness 83

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? 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. Eric: Yeah. Dr. Smith, I believe you missed an emotional cue.

IT 99

IT Patient-Centered Patients Healthcare 99

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. Hsien: Hey, great to be here. Sammy, welcome to the GeriPal podcast. Sammy: Thank you so much.

Education 127

Education IT Illness Healthcare 127

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. The book starts with the story of your grandfather with whom you lived, and there’s obviously a lot of family connection that you talk about in your patients, but also for yourself. And then maybe like all low and middle income countries, the resources are limited.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. 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. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain.

Illness 136

Illness Patient-Centered Screening IT 136

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. Remember, family member. And that could extend beyond 18 months. We just don’t know that.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. We might say, “Of course you’re sad, you just got a very serious diagnosis.” And having a cancer diagnosis and treatment is freaking stressful.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

OCTOBER 17, 2024

Eric 12:05 Any pearls on the diagnosis of HFpEF. So I would agree, just in terms of not trying to dismiss a lot of these patients in terms of deconditioning and really trying to sometimes hone in on the diagnosis despite a Bnp level that is not necessarily very high. A pill organizer, having family. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Alex: We are only on the fourth of 10.

IT 126

IT Patient-Centered Illness Education 126

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. But that was separate from MAID. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 31, 2023

I was asking about what was going to be special about the trip or if they were going to do things with their family. So she had them early in diagnosis and then a little bit later. I was taking care of this young guy, cancer, and he was planning a trip to California. ” I was like, “Yeah, you’re right about that.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. They don’t want to interact with their family. So one of the criticisms is that it’s an insult to the dignity of a loving relationship.

IT 100

IT Relationship Complication Specialization 100

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. And it was very clear, and she could now no longer recognize her family members. And the family says, dad would never want to live like this.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

OCTOBER 27, 2022

And if you look at previous kind of population-based studies, the median survival time after diagnosis is really broad and can range based on the study from 3 to 12 years. So we wanted to create a model that’s going to reflect that sort of risk and what it also means for their families and financial decisions. Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 18, 2024

For the foreseeable future, it’s going to be right 90%, 95%, 85%, so the safety system, of course, will be, the AI says something, makes a recommendation or gives you a draft diagnosis or drafts your note, and then, the failsafe is, the doctor reads it over. I’m connecting. This is GPT-4. “Hi, GPT-4. ” Alex: Wow.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. It’s about establishing a relationship and rapport. So I don’t know how clinically meaningful that week difference was to families. Widera and Smith have no relationships to disclose. So I think that was one of the key eligibility criteria.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. We focus on function and mortality because these are outcomes that really are important to patients and families.

Illness 93

Illness Hospital IT Patient-Centered 93

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. And just like cultural background, there are some individuals and families that would really never have their loved one enter a nursing home, choosing instead to take care of them.

Family 106

Family Families Patient-Centered IT 106

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. I knew them, I developed a relationship with them. This is Eric Widera. Alex: This is Alex Smith. Eric: Great, thank you both.

Community 89

Community Nurse Practitioner Provider IT 89