PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

FDA Law Blog

FEBRUARY 27, 2023

The Ryan Haight Act did not limit the ability to prescribe controlled substance medications by telemedicine so long as the patient and prescriber had a least one in-person visit. a prescriber that engages in telemedicine with the patient), including a review of PDMP data for the past year.

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. There, we may do very poorly, where we can describe our beautiful models of all the kind of risk factors and contributors, ranging from organ level, patient level, behavioral, contextual, environmental.

IT 121

IT Patient-Centered Patients Clinic 121

Pamela Wible MD

JUNE 20, 2025

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork?

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice?

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

DECEMBER 2, 2022

She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. You wrote about how when it comes to talking about patients with dementia, they’re rarely portrayed as resilient. And the person with dementia, the patient, said yes. I want to hug you.

Community 102

Community IT Individual Patient-Centered 102

Dr. Michael Bazel

JUNE 16, 2025

With additional offices in Panorama City and Bell, his practice offers comprehensive hormone testing and treatment in Valley Village and beyond to help patients regain balance and well-being. Getting a Clear Diagnosis Because symptoms of hormone imbalance and stress are so similar, a proper diagnosis is essential.

IT 130

IT Physicals Management Diagnosis 130

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. I’m having a bodily reaction.

Illness 130

Illness IT Diagnosis Patient-Centered 130

Plum Health

OCTOBER 11, 2024

Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Building a relationship with your primary care doctor should be a priority. They also provide immunizations and lifestyle advice tailored to your specific needs.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

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. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

JULY 21, 2022

Initially, it was just because there weren’t really answers for my patients. 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.” “When can I get back to driving?”

IT 102

IT Families Family Diagnosis 102

GeriPal

AUGUST 29, 2024

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.” Why did you all decide to write an updated book on navigating communication with serious ill patients? Gordon 02:02 I do.

IT 133

IT Illness Families Family 133

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 100

IT Patient-Centered Patients Healthcare 100

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient? Matthew, I get the lyrics.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. What’s the connection and why? Eric 04:50 Okay.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

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. Then, “Keep your hand up if you frequently refer patients with cancer pain to a psychologist?” Widera and Smith have no relationships to disclose. That rings true to me.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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. Eric: And what a research agenda that you’ve done, including one of the most seminal papers that we have in palliative care in lung cancer patients.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. So, what are your tips to help non-palliative care docs understand what Palliative care is and how it impacts patient care? Alex: And, I like Diane Meyer’s “Matching treatment to patient goals.”

IT 127

IT Patient-Centered Illness Education 127

GeriPal

MAY 4, 2023

But when I have, I find that they’re often some of the hardest patients to care for. I just had this experience where in the space I was in, very few people believed that this was even a legit thing to study and certainly that it would make a difference for the patients we cared for. What are the patients that we remember?

IT 83

IT Families Family Illness 83

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And then there are a number of groups that go out in vans and cars and go out into the surrounding community of Kerala to provide care for patients who are in their homes.

Community 116

Community IT Relationship Healthcare 116

GeriPal

MAY 9, 2024

Matt Tyler (aka Pallidad for those on Twitter ): Matt is the Hospice and Palliative care doctor who created How To Train Your Doctor , which helps patients living with serious illness find tips on “owning” their healthcare plan on his Instagram and YouTube pages. Widera and Smith have no relationships to disclose. Matt: Yeah.

Education 128

Education IT Illness Healthcare 128

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. So being well and also potentially periods of dying. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain.

IT 95

IT Clinic Screening Patients 95

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. And what we mean is like they’re physical numbness or they trip over that particular symptom, but it’s that sense of detachment from living people.

IT 100

IT Complication Relationship Specialization 100

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

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 it is as much an emotion that one feels as it is a physical sensation. Haider: That was a great story.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

JUNE 26, 2025

Wait, so one key message is that social health is linked to physical and cognitive health?!? And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia. And there is this bidirectional relationship between wealth and health shocks.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

JUNE 6, 2024

Summary Transcript Summary As Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. But one issue we’re not as good at discussing with our patients is sexual health. Clearly this issue is important to patients. You know, I address all the supportive care needs of my patients.

Illness 131

Illness IT Physicals Patients 131

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. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

Only 5% of intervention patients received the facilitator-led component of the intervention (there were other components, facilitator-led was the most engaged component). I’m hearing dementia patients or patients with dementia. Eric 09:15 And then who were the patients just with dementia or were they. Is that right?

Primary Care 80

Primary Care IT Clinic Illness 80