Doctor Rachel

MARCH 14, 2017

I am a family practice doc who sees teens and 20-somethings daily in my practice. The lack of religious and social community, the loss of family farms, and the increasing isolation of our nuclear families create environments which are less friendly to the happiness and relaxation of teens and adults alike. In the U.S.,

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Screening Community Families Family 130

Myriad Genetics

OCTOBER 8, 2024

For women with dense breasts, additional screening methods such as ultrasound or MRI may be recommended together with mammography to improve cancer detection rates. By understanding their breast density and cancer risk, women can make informed decisions about their screening options and take proactive steps to prioritize their well-being.” 

Screening 52

Screening Management Families Family 52

Myriad Genetics

APRIL 26, 2024

Healthcare providers recommend annual breast screening with mammography beginning at age 40 for average risk women. For women with dense breasts, additional screening methods such as ultrasound or MRI may be recommended together with mammography to improve cancer detection rates.

Screening 52

Screening Families Family Diagnose 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset Participants were employed in 5 urban Colorado hospital-owned family medicine clinics. Most MAs had experience with HE activities, most commonly attending presentations on health disparities and SDOH, and screening patients for social needs. Interviews were coded for relevant content to identify common themes.

Primary Care 130

Primary Care Medical Management Screening 130

Integrated Care News by CFHA

MAY 19, 2025

This position statement from the Collaborative Family Healthcare Association (CFHA) outlines our organizational commitment to Measurement-Based Care (MBC) as a foundational element of integrated healthcare. Families, Systems, & Health, 39(2), 259–268. 3, 4) Why is MBC important? 3, 5, 6) b. Lengerich, A. DeSantis, B., Comeau, C.

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Integrated Care Mental Health Healthcare Clinical Practice 100

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To explore and measure the outcomes of HTA organizations’ guidelines in family medicine. Population Studied: Family physicians, general practitioners, and patients. positive, neutral, and negative impact) are presented for 17 types of outcomes. Setting: Community-based primary health care.

General Practitioner 130

General Practitioner Lab Testing Relationship Family Physician 130

Common Sense Family Doctor

JANUARY 15, 2025

The topic: "The Great Debate of the 21st Century: To PSA screen or not to screen." By the time I was re-invited in 2021, my academic interests had drifted away from prostate cancer screening, so I declined. You can read my full editorial on PSA screening in the January issue of American Family Physician.

Screening 52

Screening Primary Care Physician Family Physician Primary Care 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Seven family medicine practices in one Colorado USA health system. Patients were seen by the BHPs for a wide variety of presenting concerns. Process maps revealed similar processes across BHPs/practices with some differences in completing screening and rooming and scheduling patients.

Primary Care 130

Primary Care Provider Illness Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

family medicine, general internal medicine, endocrinology) at an urban academic medical center in the Midwest. Population Studied: Adults (≥18 years) who receive care at an affiliated clinic, screen positive for food insecurity, have a T2D diagnosis, and an A1c level > 7.5%. Setting: Ambulatory clinics (e.g.,

Diabetes 130

Diabetes Clinic Transportation Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite recommendations for routine screening, this is rarely done. This is the first study elucidating clinician knowledge on the risk and symptomatic presentation of patient arsenic exposure from well water. Arsenic cannot be seen, tasted, or smelled. Dataset: Questionnaires for clinicians and patients via emailed surveys.

Patients 130

Patients Routine Screenings Provider Internal Medicine 130

33 Charts

AUGUST 16, 2021

But care through a screen presents challenges to eye contact. But it’s part of a friendly charade to make the whole thing look real to the family on the other side of the screen. I’ve heard there’s technology where a microcamera dangles down in the middle of the screen. This way I’m looking right at the patient.

Telemedicine 93

Telemedicine Screening IT Patients 93

CDOCS

JUNE 15, 2021

She presented with edentulous areas on the upper right and lower left, leaving her with little chewing surface in the posterior regions. Felicia presented with decay on every tooth, and on almost every surface of every tooth (Figure 9). Initial before smile photo with heavy decay and stain present on every tooth.&

Families 52

Families Family Patients Treatment Plan 52

Louisville Lectures

OCTOBER 30, 2020

If it’s possible (as in Zoom) to shrink/move the images of yourself/interviewer directly below your camera, your eyes will naturally be in line with the camera (rather than looking below the camera at the screen). Some people choose to have framed photos of family/pets; one interviewee even had soccer posters!

Screening 52

Screening IT Internal Medicine Medical 52

PEMBlog

MAY 1, 2025

Well break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. Counsel families and caregiversincluding pregnant household contactson the risks, exposures, and infection control considerations related to Parvovirus B19. It is a non-enveloped, single-stranded DNA virus in the Parvoviridae family.

Complication 83

Complication Patient-Centered Patients Clinic 83

Family Physicians of Greeley

MAY 17, 2023

Practice Mindfulness: Mindfulness is the art of being present in the moment and fully aware of your thoughts, emotions, and sensations without judgment. Create a relaxing bedtime routine, avoid screens before bed, and ensure your sleeping environment is comfortable and conducive to restful sleep.

Mental Health 40

Mental Health Physicals Healthcare Professional Relationship 40

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

The Health Policy Exchange

MARCH 14, 2013

From 2010 AHRQ Annual Conference presentation by Dr. Francis Chesley, Jr. It's understandable that this episode made future AHRQ leaders reluctant to wade into explosive scientific controversies, especially regarding sacred cows of medicine such as mammography and prostate cancer screening. When the AHRQ-supported U.S. Phillips, Jr.

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Family Medicine DO Screening Medical 130

StorytellERdoc

JULY 17, 2020

As the cardiologist and our ER team continued with resuscitation efforts, I went to the family room to speak to this patient's wife. His wife saw the stillness of his heart on our black-and-white screen. The family doctor was called. Now, though, I try to offer this option to a family member if the situation allows.

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ER Families Family Patients 100

Pamela Wible MD

MAY 22, 2025

Our written chat is shared only with members present during the session. Dr. Wible personally screens each participant to ensure they’re in the best group for their unique needs. Physician Peer Support FAQ – Common Questions Answered Are groups truly confidential? Nothing you say is ever recorded. Can I be anonymous?

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Consulting Medical Community Mental Health 174

PEMBlog

MAY 15, 2023

The majority of these are cardiac and so today we will review what to look for in your screening ECG. Type 1 ECG changes of V1, V2 ST segment elevation with associated T wave inversion is diagnostic but not always present. Other structural disorders who may present similarly are aortic valve stenosis and coronary abnormalities.

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Utilities Screening Physicals Medical 97

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.

Families 102

Families IT Family Diagnosis 102

GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? People don’t ask about it, they don’t screen about it. Okay, so if I were to believe you that we’re going to get to like, what interventions we can do to decreased risk for falls, how does Sarah screen? How do you screen or assess for risk for falls?

IT 124

IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

FEBRUARY 8, 2024

They’re starting to decompose even in the toes and fingers, and we’ll sit there and tell their family, we think they’re suffering, because we are suffering watching them, and we want them to make a decision that’ll make us feel better and take the suffering away as quickly as possible. Pain Manag Nurs. 2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

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Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

The Clinical Problem Solvers

DECEMBER 20, 2021

Multiple members of this episode describe challenging experiences with bridging understanding of their elder family members that may mirror dynamics within Asian-American communities more broadly. Effect of a media intervention on hepatitis B screening among Vietnamese Americans. link] Asian American Voices. “My Ethn Health.

Community 52

Community Patient-Centered Relationship Healthcare 52

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. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

PEMBlog

MARCH 27, 2024

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Inborn Errors of Metabolism.

Consulting 59

Consulting Individual Families Family 59

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. It is a screening? LaVera: I trained at UCSF in family medicine. What’s involved in this?

IT 99

IT Patient-Centered Families Family 99

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience.

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IT Patient-Centered Patients Board-Certified 97

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

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Families Family IT Patient-Centered 93

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. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. As I cycle through these things, what I find is I’m suddenly extremely present. Lastly, we talk about both non-pharmacologic and pharmacologic treatments. She said much the same thing. I’m back in my physical body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). And they had to have a family caregiver.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. How should we just universally just treat everybody? Mariah 23:02 Right.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

DECEMBER 5, 2024

And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. Maybe the alternative of the patient whose family hopes for a miracle in the face of certain death, for only that death to occur as anticipated by all. Ricky 11:23 Yeah.

IT 107

IT Community Patients Families 107