PEMBlog

MAY 28, 2025

ED referrals are often prompted by incidental findings of proteinuria or hematuria, or clinical concerns for hypertensive encephalopathy or PRES. DVT symptoms or syncope may precede PE diagnosis. Differential includes infection, medication toxicity, and primary psychiatric illness. Symptoms may precede formal SLE diagnosis.

Diagnosis 94

Diagnosis Hypertension Complication Referral 94

Physicians Alliance of Connecticut

MARCH 5, 2025

After completing medical school, they must complete a three-year residency in internal medicine. At PACT Endocrinology, a referral isn’t required. Like many other medical specialties, the field of endocrinology is facing a shortage of physicians. Too much or too little of a hormone can cause these functions to not work properly.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

Plum Health

MAY 22, 2023

Thus, DPC forms a better long-term investment focused on preventive care, as opposed to only treating patients post-diagnosis. Access to high-quality medical care is critical for your employees and your organization's health. If you have a great relationship with your PCP, keep it! Sadly, up to 80% do not.

Primary Care 52

Primary Care PCP PCP Insurance 52

Tiny Physician

FEBRUARY 15, 2022

However, the core problem in our medical system is yet to be addressed which actually results in these unfortunate incidents. This may result in errors in the diagnosis of the patient whom the doctor was examining initially. Here I will be discussing a few reasons for the frustration among PG doctors.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 18 US.C. §

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 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 Patient-Centered IT 52

FDA Law

FEBRUARY 27, 2023

The Ryan Haight Act was enacted to address the legal “grey area” in which prescribers and pharmacies operated via the creation of two new statutory requirements: 1) the at least one “in-person” medical evaluation requirement for prescribing practitioners, 21 U.S.C. § 829(e); and 2) the modified registration requirement for online pharmacies.

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 18 US.C. §

Lab Testing 40

Lab Testing Referral Individual Patient-Centered 40

PEMBlog

MAY 20, 2025

Do you think that medical-legal concerns also play a role? I think medical-legal implications do play a role, and there’s been studies on that, but it’s mostly in the general EM literature, not as much in pediatrics. They’re not just the test referral center. And that’s really not the case at all.

Family 101

Family Families Hospital Patient-Centered 101

Annals of Family Medicine

NOVEMBER 20, 2024

Setting The study was conducted at UC Davis Medical Center, a tertiary academic medical center in Sacramento, CA, serving a diverse, multicultural population. Referrals were predominantly from Pulmonology (60%). Results The patients in the SMC had a mean age of 71. Among these patients, 53% identified as male.

Patients 130

Patients Diagnosis Patient-Centered Utilities 130

GeriPal

MARCH 14, 2024

Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Are medications part of that, too? So, a lot of medications, you can see the secondary effects of dysphagia causing those, as well. We’ll also look at cognitive status, medications.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

OCTOBER 13, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

NOVEMBER 9, 2023

We make a diagnosis. If they’re a beginning fellow, that’s a very different coaching situation than coaching the chief medical officer or the president of a medical center. Second thing to say is that I think referrals are really important. I have hired coaches based on referrals. Beth: Yeah.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. Nate, welcome back to the GeriPal Podcast. Nate 00:25 Thanks for having me.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? By diagnosis? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? I was always critical care bound since medical school. By prognosis? Can nudges help? (see

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JANUARY 30, 2025

Alex 01:32 For us, answering that question today, we have Joe Greer, who’s a psychologist and associate professor of psychology at MGH and Harvard Medical School. 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.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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.” Emmy: I would say one big thing, though, is I try to not just make any decision based on a diagnosis, perhaps obviously.

Family 102

Family Families IT Diagnosis 102

GeriPal

FEBRUARY 22, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. ” Thoughts on that?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

OCTOBER 27, 2022

But if they’re not going to live another 20 years, then there’s no point in giving them the extra medication for lowering their A1C. 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.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Within eight weeks of diagnosis of advanced disease. I don’t know if we captured where the hospice referral came from. Stupid theory.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. And that referral can be done in real time, a soft handoff. I think most states have them.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And the point of that is that so many people, in my experience, and I’m sure it’s the same initial diagnosis of cancer, that’s the last thing that I want to talk about. And I said, sure. And I had that mortified look on my face of God.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? And then you can make a medical recommendation that matches with what they’ve told you. Get the hospice referral. Tell me what would you… Juliet: Fully Integrated electronic medical records system that made this very easy for clinicians to do.

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Illness 79

Physician's Weekly

JUNE 13, 2025

An added plus, besides learning the German language, is that the medical schools and universities, once they accept students, including foreigners, do not charge tuition. Philip Maxwell, Victoria, British Columbia A Seattle reader delivered a diagnosis on X: So I guess this article and the Dr. Interviewed are far left progressive.

Vaccination 52

Vaccination Family Families Appointment 52