GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Eric: And you can probably tell already, the topic at hand is diabetes management in late life. Happy to be here.

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. This is Eric Widera. Alex: This is Alex Smith. It’s really important. Alex: Yeah.

IT 125

IT Hospital Patient-Centered Individual 125

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 97

Complication Patient-Centered IT Patients 97

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Tiny Physician

FEBRUARY 15, 2022

Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health. This may result in errors in the diagnosis of the patient whom the doctor was examining initially. Jishnu Janardhanan (Resident Doctor) In a study done by Patricia et al. [3],

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

Mesa Family Physician

MAY 8, 2025

Whether you’re scheduling your annual physical , exploring the differences between a wellness visit vs physical , or simply wondering what’s covered under your insurance, understanding preventive care can empower you to take charge of your health. Annual Physicals: Covered or Not? How long is a physical good for?

Preventive Care 100

Preventive Care Preventative Care Wellness Visit Physicals 100

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations. Great to be here.

Illness 130

Illness IT Diagnosis Patient-Centered 130

Edge Family Medicine

FEBRUARY 10, 2025

Safety – Reduces exposure to contagious illnesses. Effective Follow-Ups – Great for medication adjustments, test results, and chronic disease management. Mild illnesses such as colds, rashes, or minor infections. When to Visit in Person Annual physical exams & vaccinations. Medication refills or adjustments.

Telemedicine 130

Telemedicine DO Family Medicine Chronic Disease Management 130

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Nate, welcome back to the GeriPal Podcast. Absolutely.

Primary Care 97

Primary Care Diagnosis Screening IT 97

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. These services go beyond treating illnesses; they aim to keep you healthy in the first place. Non-life-threatening illnesses often demand quick relief options. It's not quite an emergency, but you need relief fast.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Dr. Michael Bazel

MAY 26, 2025

The good news is that with the right diagnosis and treatment, you can take back control of how you feel, look, and live. Also Read: Men’s Health Checklist: Essential Screenings to Prevent Serious Illness What Causes Low Testosterone? Hormones are powerful, and managing them correctly requires medical expertise.

Treatment Plan 130

Treatment Plan Diagnosis Management IT 130

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Yeah.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. 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. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Eric 01:42 So we’ ve got an exciting topic today.

IT 133

IT Illness Family Families 133

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. 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.” Or somebody who has other physical cognitive problems at any age.

Family 102

Family IT Families Diagnosis 102

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

FEBRUARY 29, 2024

Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. Alex: And, it means pain management. ” And, that we should find innovative ways of outreach and meeting the needs of people with serious illness in rural areas. Alex: Okay.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

PEMBlog

MARCH 27, 2024

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Inborn errors of metabolism in infancy: a guide to diagnosis. You won’t be able to diagnose them on history and physical alone. Pediatrics. 1998 Dec;102(6):E69. doi: 10.1542/peds.102.6.e69.

Consulting 59

Consulting Individual Family Families 59

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. And this has been really interesting because people are like, they just got their diagnosis.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? I actually like reading books and the physical,” and what the internet 2.0 Because the in serious illness care and care for older adults, their care is often very complex. Eric: Yeah. And people were like, “You know what?

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. If there’s a serious illness, all of a sudden, you’re in this place where now you’re struggling between this growing independence and also then this dependence that you may have.

IT 83

IT Family Families Illness 83

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. We know what’s going to happen. Kirsten 14:33 That’s one of the things that draws you to it, right?

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Gender expression is your physical outward manifestation of how you express your gender identity. We did do another LGBT Care for Older Adults in Serious Illness Population with Carrie Kendrian and Angela Primbos.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. It’s easier to concentrate on cure, diagnosis, cure. People who are suffering are not very visible.

Community 116

Community IT Relationship Healthcare 116

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

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 make sure that we talk about illness understanding and prognosis.

IT 129

IT Family Families Patient-Centered 129

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. We really like the community doctors to know, so those of you listening, that our patients, they’ve lost their physical freedom, but they have autonomy in terms of their medical decision-making just like anybody else. The person didn’t believe in the medications.

Family 133

Family Families IT Community 133

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. Summary Transcript Summary Think about the last time a patient yelled at you in anger.

Patients 110

Patients IT Family Families 110

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Within eight weeks of diagnosis of advanced disease. So in chronically critically ill patients, the idea that one visit is going to do anything is just. Is this superior to that? Palliative care.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. So this is about two and a half, three years out from leukemia diagnosis. Don, welcome to GeriPal. Don 01:11 Thank you so much. Arish, I missed your talk.

Illness 131

Illness IT Physicals Patients 131

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. Haider: That was a great story.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. So it’s looking at things that you would expect that someone who, again, ideally trying to define the population with serious illness who might not possibly want these interventions. Like if somebody just drops.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Family 108

Family Families Patient-Centered Patients 108

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115