Sound Physicians

NOVEMBER 19, 2024

The expertise and thoughtfulness that our leaders bring to our patients, teams, and, most importantly, our hospital partners is not something that just happens. They ’ re expected to integrate themselves into the hospital through patient experience committees, partner group meetings, and strategic planning.

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Hospital Telemedicine Management Clinic 52

Physician's Weekly

JUNE 16, 2025

from MedStar Union Memorial Hospital in Baltimore, and colleagues retrospectively identified and evaluated 130 ankles from 122 patients with a mean follow-up of 5.9 percent) had adverse events, with medial gutter debridement (22 ankles; 16.9 Jonathan Day, M.D., Three cases of cysts occurred (2.3 At a mean of 26.7 months, 47 ankles (36.2

Patient-Centered 52

Patient-Centered Physicals Hospital Clinic 52

Barton Associates

JUNE 19, 2025

There’s a lot that goes into running a healthcare facility , from managing patient care to ensuring adequate coverage around the clock. This means if you’re a rural hospital or clinic struggling to retain permanent staff, locum tenens providers are a critical resource to maintaining the quality of patient care.

Healthcare 52

Healthcare Healthcare Professional Provider Community 52

Physician's Practice

JUNE 9, 2025

Physicians, whether in small practices or employed by hospitals, face a daunting challenge when trying to get a payer to approve a medication, procedure or imaging study. The standard of care was hospital admission and surgical ablation of the obstruction to urine flow. The cost of the hospital procedure was $25,000 to $35,000.

Management 52

Management Healthcare Experience Patients Hospital 52

Aspiring Minority Doctor

APRIL 18, 2021

In the event you are unsuccessful at extending your graduation date or securing an internship position, options for practicing medicine tend to become severely limited. You have to be comfortable managing everything from lacerations, fractures, genital issues, etc in all age ranges and completely on your own.

GP 52

GP Medical Student Insurance General Practitioner 52

Physician's Practice

JUNE 20, 2025

This can also happen in a reverse scenario where the practice must turn to outsourcing as their backup plan because their staff is unqualified to manage an in-house billing program.) In these unfortunate cases, their next plan is to bring billing back in-house and cancel the billing service.

Management 52

Management Patient-Centered Appointment Patients 52

Today's Hospitalist

JUNE 7, 2025

Key takeaways: Hospitalists will increasingly have to manage inpatients taking GLP-1s. Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. That’s according to two internists who work closely with hospitalized patients who take GLP-1s.

Hospital 63

Hospital Management Diabetes Patients 63

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. And then, so from that point on, I began to look at technology systems, processes for all settings, inpatient, outpatient care at home, a hospital at home.

Patient-Centered 52

Patient-Centered Patients Medical IT 52

GeriPal

JANUARY 23, 2025

I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. You’re in the hospital right now, we can write you a taper, just mention to your doctor, mention to the team that you got this brochure and here’s even a suggestion for how to do it. 1 in 8 in the U.S.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

OCTOBER 13, 2022

I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. So it’s not that great when someone’s acutely hospitalized.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. But I think people would have an embolic event if you gave them a flipping range. Pallimed post on “ Simplifying Opioid Conversions ”. I see you inhaling, let me finish.

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IT Patients Individual Relationship 139

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. We also discuss (without trying to get too wonky!) Let it be (hint hint).

Management 116

Management Patient-Centered Patients IT 116

StorytellERdoc

JULY 17, 2020

His transport from his house to our department had been less than ten minutes and the pre-hospital team had done an excellent job of intubating this patient and establishing an IV to begin resuscitation efforts. The case manager. Lying on the hospital cot. His wife was with him. My resident physician. My resident physician.

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ER Family Families Patients 100

My Green Doctor

JULY 2, 2025

Here we suggest steps that healthcare managers and clinicians can take to protect their patents. in the need for healthcare—translating into over 500 million extra days of inpatient hospital care and more than 100 million emergency department visits across Europe by 2050. Their projections show a conservative average increase of 0.5%

Healthcare 52

Healthcare Healthcare Professional Management Community 52

GeriPal

FEBRUARY 15, 2024

So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.”

Community 114

Community Transportation IT PCP 114

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. So there’s an event or a series of events.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. 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.

Illness 110

Illness Hospital Patient-Centered Patients 110

FDA Law

MARCH 17, 2022

As explained more fully below, CDC concedes that states, insurers, pharmacies and pharmacy benefit managers have implemented laws, regulations and policies that have misapplied the 2016 guideline. Clinicians should use noninvasive, nonpharmacologic approaches to help manage chronic pain. (b) 7,838 (Feb. Methodology.

Patient-Centered 75

Patient-Centered Clinical Practice Patients Management 75

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you. Eric: Either.

Consulting 120

Consulting Hospital Patient-Centered IT 120

Louisville Lectures

APRIL 9, 2021

He then describes the lifecycle of Sars-CoV-2 and the events surrounding the Cytokine Storm. After, he explains the clinical presentation and current commendations for pharmacologic management and finally, the vaccines in phase 3 trials. Mark Burns gives an update on COVID-19 by first discussing its history and epidemiology.

Board-Certified 52

Board-Certified Internal Medicine Vaccination Management 52

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Because I also feel like we target people’s low sodium diets in the hospital. Alex 04:47 Probably was, yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. Ken 12:14 I’ll remind you, Nancy, that this is an honor for companies that manage to make lots of money despite having a product that’s worthless or doesn’t. Alex, you’ve probably penned about 50 songs, which is also amazing.

IT 64

IT Hospital Screening Patients 64

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’m embedded in the ICU in one of our smaller hospitals. I see them both inpatient and outpatient.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. GeriPal podcast with Tom Gill on the Precipitating Events Study, distressing symptoms, disability, and hospice.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? So our inpatient hospitals are kind of under resourced for music therapy. It’s something that has no place in a hospital in most people’s thinking. Tyler 01:43 Okay.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 20, 2022

I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. So it’s not that great when someone’s acutely hospitalized.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. You know, we found that 64% of the people we cared for never went to the hospital or ER.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Who do we have with us today?

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. Ive got a name.

IT 104

IT Patient-Centered Family Families 104

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. They stayed in the hospital for longer. Did I get that right? Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

FEBRUARY 17, 2022

And I was really excited just to learn how to manage these patients, because in the patients in geriatrics clinic that we see, fractures just can be so devastating and result in loss of independence. So these are really relevant outcome events. But how long does it take until you see those events? James: Yeah. Eric: All right.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

OCTOBER 12, 2023

You may not see the big picture, like treating somebody with advanced dementia by hospitalizing them and starting antibiotics for aspiration pneumonia and potentially a peg tube. You’re going to be in the hospital for a week, you’re going to feel like crap for, probably, the next two months. Problem, fix for the problem.

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IT Family Families Patient-Centered 128

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Usually events open up some insight into the person themselves as they’re describing the suffering. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210.

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IT Family Families Physicals 137

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. When they built a new prison hospital in Stockton, the dialysis went there. And the dad just totally lost control, major anger management issues. Michele: Yep.

Family 132

Family Families IT Community 132

Mere Mortal MD

MARCH 22, 2025

You’re not going to work in a hospital.” There is a hospital there, though one of my patients who lives in Valdez told me yesterday that the care at the hospital is not really top of the line, which is what finally convinced him to move to Anchorage where he and his frail wife could get better medical care.

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Hospital Patients Utilities Physicals 130