AMMD

MARCH 13, 2025

These include our physical environment, jobs, relationships, traffic, and unexpected events. Hypothyroidism (an under-active thyroid) is the most common form of thyroid dysfunction, and 90% of hypothyroidism patients have Hashimoto’s. 5) Here are six common causes of brain fog: Stress We all experience some stress in our lives.

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IT Medical Patient-Centered Relationship 130

Permanente Medicine

MAY 20, 2025

Khang Nguyen, MD, chief transformation officer of the Southern California Permanente Medical Group, discusses how AI can increase clinicians’ joy in medicine and improve patient outcomes with Chris Grant, chief operating offer and executive vice president of Kaiser Permanente, The Permanente Federation, and host of the Permanente Medicine Podcast.

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Patient-Centered Patients Medical IT 52

Priority Physicians

JANUARY 27, 2025

It may affect your performance and relationships. In fact, for people who’ve experienced terrifying or anxiety-inducing events, therapists apply eye movement desensitization and reprocessing, or EMDR, a technique that mimics the patient’s REM-sleep eye movements, allowing them to “relive” and discuss the incident with decreased anxiety.)

Primary Care Doctor 52

Primary Care Doctor Primary Care Board-Certified Physicals 52

GeriPal

JANUARY 23, 2025

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ). in the usual care group.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Step four is adjusting it for your patient. How do you do that?

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IT Patients Individual Relationship 139

Physician's Practice

JUNE 9, 2025

68: Hidden risks of prescribing GLP-1 drugs with Ericka L. 68: Hidden risks of prescribing GLP-1 drugs with Ericka L. 68: Hidden risks of prescribing GLP-1 drugs with Ericka L. 68: Hidden risks of prescribing GLP-1 drugs with Ericka L. 68: Hidden risks of prescribing GLP-1 drugs with Ericka L. Adler, J.D.,

Management 52

Management Telemedicine Insurance Patients 52

FDA Law

JANUARY 12, 2025

Whether a surrogate or intermediate clinical endpoint (ICE), the endpoint to support accelerated approval is one that can be assessed more rapidly than the ultimate clinical benefit; this is what enables earlier patient access than would be possible while generating the evidence to support a traditional approval, which is typically infeasible.

Clinic 64

Clinic Relationship Provider IT 64

FDA Law

MAY 8, 2023

The discussion paper described a PCCP as including (1) the types of anticipated modifications (SaMD Pre-Specifications or SPS) based on the retraining and model update strategy and (2) the associated methodology (Algorithm Change Protocol or ACP) being used to implement those changes in a controlled manner to manage patient risks.

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Manufacturing Provider Medical IT 98

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. How do we move on?

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Community IT Individual Patient-Centered 101

FDA Law

JULY 5, 2023

Outsourcing facilities are not exempt from FDA’s cGMP for drug manufacturers (as lightly tweaked via cGMP Guidance for outsourcing facilities ) or adverse event reporting requirements , and are subject to regular inspection by FDA. The contemplated activities here would not in any event affect the “quality” of the compounded formulation.

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Supply Chain Manufacturing Physicals Healthcare 52

GeriPal

JULY 27, 2023

Alex: Here, I thought it was just like a relationship tension and breakup song. Cathy: Actually, basically, anytime I have a patient or their caregiver talk about a nighttime problem or problem with their sleep, I’m thinking about primary sleep disorders, insomnia, sleep apnea, et cetera. But okay, that’s better.

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Illness IT Clinic Medical 85

GeriPal

MAY 5, 2022

And there’s multiple survival analyses looking at incident dementia, and hearing loss is strong, independently associated with the time to event dementia. And so often we get consulted by teams that say, “I have this older patient and they’re pretty isolated and I think they have dementia. So they’re left out.

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IT Screening Hospital Clinic 102

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. Gastroesophageal reflux disease is when the patients have severe symptoms that persist and cause long term issues.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. Dr. Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.)

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Medical Student Diagnosis Physicals Medical 246

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. The truth is that stress and hormone imbalances often work together, and resolving your symptoms requires understanding the relationship between them.

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IT Physicals Management Diagnosis 130

StorytellERdoc

FEBRUARY 8, 2019

Recently, due to the stress that several of my dearest friends have been experiencing in caring for their elderly parents, I am even more appreciative and respectful of my privilege in caring for elderly patients who have attentive and loving adult children who accompany them to our ER. We sat the back up for her to be more comfortable.

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ER Families Family Transportation 100

Today's Hospitalist

JUNE 7, 2025

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. These medications are truly life-changing for many patients.”

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Hospital Management Diabetes Patients 66

The Clinical Problem Solvers

DECEMBER 20, 2021

Appreciate how intergenerational trauma may surface amongst Asian-Americans, and how these intergenerational relationships may also offer fertile ground for generating understanding. Create spaces to have conversations about the broader contexts affecting patients. Insufficient language services (i.e.,

Community 52

Community Patient-Centered Relationship Healthcare 52

Physician's Weekly

JUNE 13, 2025

Yet, moderate-volume exercise lowers plaque volumes in both sexes compared with nonathletes, indicating sex-specific relationships between exercise dose and subclinical atherosclerosis. PW: What inspired this research? Our point is that people who exercise like this may have more plaque.

Individual 72

Individual Relationship Patient-Centered IT 72

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. Going into patient’s homes was eye opening. Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. So that was great.

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Community Transportation IT PCP 115

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.

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IT Patient-Centered Patients Board-Certified 97

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 109

Patient-Centered IT Patients Clinic 109

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Providers at New South Family Medicine and MedSpa can address the patient's deeper needs, rather than trying to rush through a hectic day full of too-brief appointments.

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DO Family Medicine Families Family 40

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 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. So there’s an event or a series of events. Eric 04:19 Yeah.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. Are we seeing people like more older adults, more nursing home patients starting dialysis, and even at a higher gfr? So I wonder if I could turn to either of our nephrologists.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? What do we mean by health?

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IT Families Family Physicals 137

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. The patient case. So in some ways, it was an iatrogenic event. Alex 03:33 Yeah.

Patients 98

Patients IT Patient-Centered Hospital 98

Maine Academy of Family Physicians

OCTOBER 22, 2023

I observed multiple fascinating procedures and patient interactions throughout the externship, and I am grateful to have had the opportunity to glimpse the day-to-day of this field. At the Family Medicine office, I observed the close relationships fostered between Dr. Der Simonian and her patients.

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40

GeriPal

MAY 29, 2025

Particularly patients, families. I think we have ideas about are these paradoxical events, are they expected? And I think Andrew’s going to have good ideas about, like, why the term paradoxical and are these events paradoxical, truly? People are patients, families are wondering if their loved one is still in there.

Families 93

Families Family IT Patient-Centered 93

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 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. But the patient would say, well, but it still hurts, though. And basically I saw that we had nothing to assess how the patients were feeling. And we said, what are our patients suffering from as persons?

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

DECEMBER 5, 2024

We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. It was like kind of a co op with this common space that different groups could rent for events and meetings and things like that. Eric 04:44 Yeah.

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IT Community Patients Families 107

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. I loved the relationship that we developed and the fun we had.

IT 104

IT Patient-Centered Families Family 104

GeriPal

JANUARY 26, 2023

Ramona: Well, I’ve always been interested in health equity, always been interested in looking at disparities, and the disparities that I have looked at most often have been for patients at the end of their lives. The trainee said to me something like, “But I haven’t seen any geriatric patients yet.” Eric: Yes.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

FEBRUARY 2, 2024

First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. Panelists Kate Courtright and Scott Halpern have no relationships to disclose. And, of course, this is what families of patients undergoing palliative care go through.

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Consulting Hospital Patient-Centered IT 121

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.

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IT Clinic Screening Patients 95