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 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Because how that is approached can have lasting effects on relationships, unfortunately. Eric: Yeah.

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. Relationships are usually more complicated. There are lots of people involved.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. Lynn: Sure. Anne Rohlfing: Yeah.

Family 98

Family Families Patient-Centered IT 98

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

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

BMJ

MAY 10, 2022

Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%). Univariate relationships between COVID-19 vaccination intention and sociodemographic variables are shown in Table 1. COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4) 150 (54.3)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. And just sort of acknowledge that because this person’s probably had a longer relationship, this patient, than I have. There’s this therapeutic relationship. All right, Anne.

IT 132

IT Illness Family Families 132

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one. Can you say more about how you think your father shows up in you and what that relationship meant in terms of the work that you do now?

Community 115

Community IT Relationship Healthcare 115

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. Nicole 12:14 No, HFpEF is cool, and it’s fine. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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 Clinic 136

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 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. Eric: Great.

Education 127

Education IT Illness Healthcare 127

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

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. The post GeriPal 300th Episode: Ask Me Anything Hot Ones Style appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric: I’ve heard that before.

IT 126

IT Patient-Centered Illness Education 126

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. I have oncology on the brain. So their practices were really collaborative and informed.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis.

Provider 117

Provider Illness IT Healthcare 117

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. That’s going to whole groups of people excluded from formal diagnosis. Eric: PET scans.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. So they have to self-administer. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. Abby Rosenberg, Nick Purol, Daniel Eison, & Andrea Thach appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. It’s very fraught.

IT 83

IT Family Families Illness 83

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 73

Patients Clinic Patient-Centered Illness 73

GeriPal

AUGUST 31, 2023

So she had them early in diagnosis and then a little bit later. Eric: Well, I’m going to jump around a little bit because I’m going to go, Brad, I had a chance to read some of your book and one of the chapters was on your own prostate cancer diagnosis. Brad: Yeah. God, that was almost 20 years ago now, Eric.

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. So one of the criticisms is that it’s an insult to the dignity of a loving relationship. This led her on a remarkable journey. What does that even mean?

IT 100

IT Complication Relationship Specialization 100

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 just using in that context of a trusted kind of clinician-patient relationship and seeing how we can better improve shared decision-making. Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 20, 2025

Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. Widera and Smith have no relationships to disclose. Guests Hope Wechkin, Thaddeus Pope, & Josh Briscoe have no relationships to disclose. So I think that you can start going back further and further. You know, what about stage five?

IT 88

IT Patient-Centered Patients Medical 88

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. AI has a long and not storied history in healthcare. This is GPT-4.

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. Widera and Smith have no relationships to disclose. Guests Jennifer Temel, Chris Jones, and Pallavi Kumar 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

JULY 6, 2023

I knew them, I developed a relationship with them. It’s somebody different every month, and you never develop that relationship. 60% of all medical costs have nothing to do with your health diagnosis. I would go into somebody’s home where I could do a visual check. Are there fall and injury risk?

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. . Haider: Well, first he would never die without a diagnosis. This is a tough situation. It puts patients at risk.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . 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? So my only question is what my relationship will be to suffering. Mike: Yeah.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

Alex 16:55 My guess is probably not something that most geriatricians or internists or family medicine docs caring for older people have on their differential diagnosis. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis. Taking HIV back to a life threatening diagnosis instead of the chronic condition.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. We have a lot of loss of libido, loss of physical intimacy as a result of the changing dynamic in the relationship.

Illness 130

Illness IT Physicals Patients 130

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.

Family 106

Family Families Patient-Centered Patients 106

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 116

IT Clinic Illness Hypertension 116

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? 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. Widera and Smith have no relationships to disclose. Eric 04:38 And can I ask you, when did you.

IT 113

IT Family Families Patient-Centered 113

GeriPal

MARCH 27, 2025

You didn’t ask about it, but for us, it was very important to examine differences for older adults with a diagnosis of dementia. Widera and Smith have no relationships to disclose. Guests Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson have no relationships to disclose.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JANUARY 5, 2023

Robert: Professional relationship. Alex: … professional relationship to the patient? For example, one physician that I interviewed with medical aid in dying, in the US everywhere except Montana, you need to have the diagnosis and prognosis confirmed by a second physician. Robert: Yes, I do. Robert: Not true?

Provider 19

Provider Medical Hospital Patient-Centered 19