Physician's Weekly

JUNE 26, 2025

The emergency room has become a pressure cooker, and healthcare professionals are paying the price. series The Pitt has drawn praise for its unflinching portrayal of the ED, including a widely discussed episode in which a patient’s family member violently assaults a nurse. The Warner Bros.

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Emergency Room Healthcare Physicals Healthcare Professional 59

Family Physicians of Greeley

FEBRUARY 23, 2024

The eyes are particularly vulnerable to the effects of diabetes, and routine exams play a pivotal role in preventing and managing diabetic retinopathy, a serious eye condition that can lead to vision impairment or even blindness. These changes can result in vision loss if not detected and managed promptly.

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Diabetes Treatment Plan Healthcare Professional Management 40

Dr. Michael Bazel

FEBRUARY 15, 2025

It’s also not ideal for pregnant or breastfeeding individuals who have increased nutritional needs. Dinner with friends, work lunches, and family gatherings don’t always align with your eating schedule, which can lead to feelings of isolation or guilt. Even for healthy individuals, starting with a gradual approach (e.g.,

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Center for Family Medicine

MAY 14, 2025

Effective arthritis relief includes lifestyle changes such as regular low-impact exercise, weight management, and a diet rich in antioxidants. With appropriate treatment and proactive measures, individuals with arthritis can improve daily life while minimizing discomfort and adding years of relief.

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Healthcare Professional Patient-Centered Management Family Medicine 52

The Motivated MD

NOVEMBER 19, 2024

Because of this, carving out the time for family remains a top priority, and as our family grows, more and more time is needed to make that goal a reality. Publishing post after post, week after week, while juggling my clinical burdens, family life, personal goals, my health… it just became too much.

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Finance Education Family Families 52

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.

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Diabetes Management Patient-Centered Family 73

GeriPal

JULY 19, 2024

What should we use to screen individuals? Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. Well, because they’re hard on people with dementia and they can be very hard on families, and they’re a form of crisis.

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Screening Primary Care Patient-Centered IT 119

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Maybe that’s where the individualizing it, the person that’s front of me.

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GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. The family asks you for an antibiotic and their goals are limited additional interventions.

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Management IT Medical Patient-Centered 122

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. For example, with peritoneal dialysis and conservative management.

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Management Patient-Centered Patients IT 116

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

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GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

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GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. So I think it’s a bit of both acknowledging it and the emotion that may be in the room, but also just seeing the family. Is the sort of task to manage.

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IT Illness Family Families 132

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended? Is that fair?

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Patient-Centered IT Patients Healthcare 109

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Maybe we’ll get to talking about that today. Jessie: Thank you.

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Illness Patient-Centered Screening IT 136

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. I think for families and for other providers who are not trained in that, it’s very hard to predict. Sarah 07:12 It’s mostly our decompensated cirrhosis patients.

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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.

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GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

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GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”?

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IT Family Families Physicals 137

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. Eric: Oh, wow.

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Patient-Centered IT Illness Patients 122

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. But we’re not perfect individuals.

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Primary Care Patient-Centered IT Patients 113

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous. The family dynamics are different though. Abby: Yeah. Andrea: I agree entirely, Eric.

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IT Family Families Illness 83

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

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GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. Same thing with kind of medication management. All of these are factors that are on the individual level. Welcome, Katie, to the GeriPal podcast. Alex: I think this is a first.

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GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live.

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GeriPal

JUNE 22, 2023

Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals. In many cases, the families were the victims of the crime. They can stroll out into… We have a beautiful garden space for family.

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Family Families IT Community 132

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

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Vaccination IT Individual Healthcare 87

GeriPal

DECEMBER 14, 2023

And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other. For example, here’s a quote from somebody at a high intensity hospital, “There’s a culture from the top of the healthcare system down. Liz: Right.

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Hospital IT Patient-Centered Patients 125

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Eric: And what do we know about the outcomes of individuals getting these procedures, especially those with cognitive issues and dementia.

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Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. As a nurse case manager in hospice, half of my patients had dementia. And I had a blast playing Take the Money and Run! AlexSmithMD.

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Family Families IT Patients 106

GeriPal

MARCH 2, 2023

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. I also heard that if you look at all individuals in the US, about 4% of individuals are taking one of the gabapentinoids, 10% over 65. These are families who are in distress. J Am Geriatr Soc.

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Patient-Centered IT Healthcare Medical 96

GeriPal

FEBRUARY 29, 2024

Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Alex: And, it means pain management. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication. Alex: We are only on the fourth of 10.

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IT Patient-Centered Illness Education 126

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. A good prescriber, a good symptom control manager. Balfour amount.

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IT Patient-Centered Family Families 104

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They may have few family members, live alone. I would say that.

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IT Community Patient-Centered Medical 99

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. And so I really gain that and I love the chorus words that she uses in this song.

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IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 24, 2023

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. I think some individuals thought there was cherry-picking of stories that made it seem like hospice is this bad thing, that it’s taking advantage of vulnerable individuals and it didn’t talk enough about the good things that hospice does.

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GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.”

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