The Medical Futurist

JUNE 21, 2025

8) VisualDx Thousands of hospitals, clinics, and medical schools use VisualDx to aid diagnostic accuracy, enhance medical education, and improve patient outcomes. Searchable by symptoms, signs, and patient factors, it represents the fastest path to a customised differential diagnosis. If there were ever a time to join us, it is now.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

Plum Health

OCTOBER 11, 2024

Your insights could help someone else in their healthcare journey! A clinic is a medical facility where healthcare professionals provide specialized medical care to patients. They also have a team of healthcare professionals such as doctors, nurses, medical assistants, and administrative staff.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Is this our role?

IT 102

IT Family Families Diagnosis 102

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. So our inpatient hospitals are kind of under resourced for music therapy. That’s.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. By diagnosis? They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works. By prognosis? Can nudges help? It’s where I practice.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” So what’s amazing about these guidelines, so if you go to 12 different hospitals and ask them, “How are you managing psychiatric conditions and mental health concerns in the context of palliative care?”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Families 97

Families Family Patient-Centered IT 97

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Paramedics can provide life-saving treatment on the way to the hospital.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Eric 12:05 Any pearls on the diagnosis of HFpEF. And I know one of the topics I did was polypharmacy then.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

BMJ

MAY 10, 2022

Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%). COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4) COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4) 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

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. I think some of that depends on the kind of health system or hospital that you are involved with.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

FDA Law

JANUARY 18, 2024

Comparators drugs heroin (schedule I), oxycodone and cocaine (schedule II) were in the highest rankings. HHS conducted a two-part test to determine whether marijuana has a currently accepted medical use in the U.S.

Medical 69

Medical Physicals IT Healthcare Professional 69

GeriPal

APRIL 14, 2022

Zachary: So seeing a non-onc population at the VA and out-patient at Dana-Farber, and that when someone comes to me with a diagnosis of opioid use disorder, it is much easier you kind of have an idea of where you’re going to start. They have poor pain, they have poor function, but you also can’t clearly make a diagnosis.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. They stayed in the hospital for longer. Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. Gordon 41:13 The hospital is also on fire. I want you to be able to be in the hospital and be with your loved one. Eric 10:36 But I asked Chachi Bt, I said to Chatty BT, I need to tell my patient they have cancer. What should I say? So what you have to be is what Chat GPT responded.

IT 132

IT Illness Family Families 132

GeriPal

JULY 11, 2024

So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. Is that, and we try to use, often use the term prognostic humility, that unlike more than any other diagnosis, really, we truly need to be humble, right.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. He’s now hospitalized to break up that methadone into three times a day dosing.

Patients 72

Patients Clinic Patient-Centered Illness 72

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? It can help prevent disability, or it can make a diagnosis and that’s it. We know hospital culture influences how we care for our patients.

IT 128

IT Family Families Patient-Centered 128

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? It also feels like, I also grew up in med school in a three hospital system. There’s that recognition piece. Eric: Yeah.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MAY 12, 2022

I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission. It’s easier to concentrate on cure, diagnosis, cure. People who are suffering are not very visible. They shared their experiences.

Community 115

Community IT Relationship Healthcare 115

GeriPal

SEPTEMBER 28, 2023

Don: Thanks for having me, Alex: And we’re delighted to welcome back Abby Rosenberg, who’s Chief of Pediatric Palliative Care at Dana-Farber Cancer Institute and Director of Palliative Care at Boston Children’s Hospital and Associate Professor of Pediatrics at Harvard Medical School in Boston. Welcome back, Abby.

Family 144

Family Families Patient-Centered IT 144

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. So she had them early in diagnosis and then a little bit later. Alex: She is working in Sweden and researching in Sweden, in Lund. Did I say it right, Lund? Juliet: Lund, yeah. Alex: Lund. Juliet: You got it right. Brad: Yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MAY 9, 2024

And then for Hsien and for Sammy, this is a real social movement that you’re trying to… The movement upstream, getting people to consider what are the serious issues at the time of diagnosis with serious illness. Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. Sammy: Oh, okay.

Education 127

Education IT Illness Healthcare 127

GeriPal

DECEMBER 19, 2024

* This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. For more details, please click here. (AP

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. For-profit hospices having much higher rates of their patients visiting the emergency department and being hospitalized, in addition to disenrollment. There’s a cost avoidance aspect to it, too.

Family 106

Family Families IT Patients 106

GeriPal

SEPTEMBER 1, 2022

And sometimes that means contributing to the scholarship or teaching, even if it’s teaching the residents that come through the hospital or guest lecturing in the class, these things are sustaining to us as professionals. What does this diagnosis mean to you? You begin with psychosocial assessment and care.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 18, 2024

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

FEBRUARY 17, 2022

And so many older adults with diagnosis of osteoporosis have never received any therapy for it. These were clinical trials involving postmenopausal women with a diagnosis of osteoporosis, based on either an existing vertebral fracture or a bone mineral at the density T-score of less than negative 2.5, Alex: Thanks.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Family Families Illness 83

GeriPal

JUNE 22, 2023

When they built a new prison hospital in Stockton, the dialysis went there. If they need an acute hospitalization, they would be hospitalized in a hospital that we contract with. These older patients are costing a ton in healthcare costs. Michele: So historically we did do dialysis here.

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 16, 2023

And while I was in the hospital, I never actually got over, like you were talking about, Eric, my defensiveness, the sting to my ego and my character and my worth, enough to get to the place of thinking about how I could be a good doctor for him. I wish they were just a diagnosis. Eric: Yeah, or just not even anything by you.

Patients 109

Patients IT Family Families 109

GeriPal

OCTOBER 27, 2022

ePrognosis started out as just a list of different prognostic indices, so things to predict mortality in hospitalized adults, things to predict mortality in community dwelling adults, things to predict mortality in nursing home residents. And we’ve been slowly building that out. That’s been reported previously.

IT 95

IT Clinic Screening Patients 95