Center for Family Medicine

APRIL 21, 2025

These changes can also help with weight management and cognitive function, potentially improving sleep disorders. Consult a doctor, sleep specialist, or therapist for the right diagnosis and treatment. Consider a healthier, balanced diet for better sleep quality. Medication like sedatives and antidepressants can treat sleep disorders.

Consulting 52

Consulting Individual Physicals Chronic Disease 52

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Understanding dyspepsia and its clinical presentation.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. Is there any relationship between frailty and urinary incontinence? We think of it really as a kind of a management tool as well. I don’t see those perspectives as incompatible.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Permanente Medicine

MAY 20, 2025

And I quickly found myself in a role of access lead for Orange County and where I managed over 300 doctors. This actually frees up physicians to lean in and really understand their patient, to have the time and the capacity to do the appropriate diagnosis, but also to listen to them and to motivate them in their own care and wellness.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

FDA Law Blog

JANUARY 6, 2022

S&G Labs has no contractual relationships with the entities that referred clients to S&G Labs. Note that while EKRA was passed as part of a bill to combat the opioid crisis, its definition of “laboratory” applies to lab activities far beyond those involving opioid or other drug testing.

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law Blog

JANUARY 6, 2022

S&G Labs has no contractual relationships with the entities that referred clients to S&G Labs. Note that while EKRA was passed as part of a bill to combat the opioid crisis, its definition of “laboratory” applies to lab activities far beyond those involving opioid or other drug testing.

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

Dr. Michael Bazel

JUNE 16, 2025

Getting a Clear Diagnosis Because symptoms of hormone imbalance and stress are so similar, a proper diagnosis is essential. The truth is that stress and hormone imbalances often work together, and resolving your symptoms requires understanding the relationship between them.

IT 130

IT Physicals Management Diagnosis 130

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. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Regular check-ups ensure early detection of health issues.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. If they’ve said they had a traumatic experience receiving a diagnosis.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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. And I would say we weren’t doing training on symptom management, for example.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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. And we’re. We’re sort of.

IT 98

IT Patient-Centered Patients Board-Certified 98

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. I think I get why.

IT 102

IT Families Family Diagnosis 102

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 137

Illness Patient-Centered Screening Clinic 137

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.” Is this a new onset depression? Is this an adjustment disorder? I’m dying.”

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

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 114

Primary Care Patient-Centered IT Patients 114

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

JULY 28, 2022

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. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

Patients 74

Patients Clinic Patient-Centered Illness 74

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

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 100

IT Patient-Centered Patients Healthcare 100

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. Is the sort of task to manage. 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. What should I say?

IT 133

IT Illness Families Family 133

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Alex: And, it means pain management. ” And, then we asked Ren and he said, “Oh, it’s an SAT word” and it is in our house, he’s studying for the SAT.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). I would look at their functional ability. Eric: PET scans. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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 119

Provider Illness IT Healthcare 119

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. So she had them early in diagnosis and then a little bit later. Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

BMJ

MAY 10, 2022

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) 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

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. As fellows, we’d rotate who took care of them rather than this is the same fellow the whole time, because it was so hard for any one fellow to manage. It’s very fraught.

IT 83

IT Families Family Illness 83

GeriPal

MARCH 20, 2025

And we’ll say that we will link to an article that Hope and Thaddeus and others, I think Tim Quill was on there, wrote in journal, Pain and symptom Management, I think it was. Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. Thaddeus 39:58 That’s how she decided to manage it.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing? It’s about establishing a relationship and rapport. It’s not just about physical symptom management.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I knew them, I developed a relationship with them. As a managed care state also, our care managers in managed care for Medicaid could be 300 miles away.

Community 89

Community Nurse Practitioner Provider IT 89

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. Meredith 17:07 Yes. And I think patients too, don’t always people.

Primary Care 96

Primary Care IT Clinic Provider 96

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. . And the VA has become really the center of excellence for interdisciplinary pain management. Haider: Yeah.

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. . Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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 131

Illness IT Physicals Patients 131