GeriPal

JULY 27, 2023

For those with serious illness, sleep problems and insomnia are all too common. I think the classic example is somebody who just came out of the hospital, they’re put on these new medications because they were having problems in the hospital and now they’re home and they don’t need those anymore. Eric: Yeah.

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Illness IT Medical Clinic 85

Today's Hospitalist

MAY 9, 2025

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction. References: 1.

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Patient-Centered Telemedicine Clinic Electronics 52

PEMBlog

MAY 1, 2025

Recognize key diagnostic features that help differentiate Parvovirus B19 from other viral exanthems and systemic illnesses. It was discovered by accident back in 1975, so a little bit before I was born, and it was labeled B19 because of the sample number in a Hepatitis B screening panel. I’ll go over those as we move along here.

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Complication Patient-Centered Patients Clinic 83

GeriPal

MAY 5, 2022

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Is that right?

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IT Screening Hospital Clinic 102

PEMBlog

SEPTEMBER 6, 2023

Patients with psychosis caused by medical illness usually have abnormal vital signs, altered mental status, and impaired orientation with compromised intellectual function. And we do this even when we know from years of growing evidence that the yield of these routinely ordered screening tests is very poor? Health Aff (Millwood).

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Lab Testing Medical Patients Mental Health 52

PEMBlog

SEPTEMBER 13, 2023

Urine drug screens do not test for all ingested substances, and the results of screens, though timely do not identify the toxindrome (sympathomimetic etc.) Unless the history suggests the likelihood of aberrant values you can omit labs. that you need to be addressing early in the patient’s course. Glucose We all need it.

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Patients Screening Illness Physicals 52

GeriPal

JANUARY 23, 2025

And I think of the analogy of, like, cancer screening. The stopping the cancer screening doesn’t have that same sort of momentum. Emily 06:11 Yeah, we definitely have a pill for every ill. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. in the U.S.

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Specialization IT Patient-Centered Medical 119

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. Vincent’s Hospital in Melbourne, Australia. This is Eric Widera.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Transcript Eric: Welcome to the GeriPal podcast.

Illness 136

Illness Patient-Centered Screening Clinic 136

Adventures of a Sick Doctor

JUNE 5, 2021

I glanced at the screen occasionally to watch the wonderful new President Dr Ina Kelly and her colleagues deliver their speeches. I abandoned the Weetabix-encrusted bowls and sat in front of the screen, head in hands. There was a Milligan-esque relief in these counselling sessions – “I told you I was ill”. What the actual fork.

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GP Screening Mental Health IT 100

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. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. That’s a lot.

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Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

Physician's Weekly

JUNE 26, 2025

The person, who lives in southern Illinois, was hospitalized with complications from the mosquito-borne virus, according to the U.S. The first batch of virus-positive mosquitoes this year was discovered in Rockford, Ill., Fix torn screens and keep doors and windows closed if possible.

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Illness Complication Screening Hospital 52

Plum Health

OCTOBER 11, 2024

During these regular appointments, doctors conduct various tests and screenings to catch issues early. These services go beyond treating illnesses; they aim to keep you healthy in the first place. Non-life-threatening illnesses often demand quick relief options. It's not quite an emergency, but you need relief fast.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. 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. I had it on my screen. Additional links: Editorial on Areej’s study. Transcript.

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Illness Hospital Patient-Centered Patients 110

Noreta Family Medicine

APRIL 17, 2024

Some family doctors work in a residency training program where they may see patients in the hospital, out of the hospital, and deliver babies. A primary care doctor knows your entire health history, so we may see your illness/problem in a different light. Other family doctors only see patients in their clinics.

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Primary Care Board-Certified GP Family Medicine 52

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Eric: Well, Terri and Emmy, thank you for joining on this podcast.

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Families Family IT Diagnosis 102

GeriPal

APRIL 28, 2022

Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Welcome to the GeriPal podcast, Nathan.

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IT Hospital Patients Illness 145

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. And PAIR stands for the Palliative and Advanced Illness Research Center. Scott, welcome back to GeriPal. I just go for the gusto.

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Consulting Hospital Patient-Centered IT 120

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. 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. That’s.

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Patient-Centered IT Patients Board-Certified 96

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 then the process of having a guardian and then trying to have that guardian ultimately removed is a difficult one for a patient who’s seriously ill.

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Patient-Centered IT Patients Healthcare 109

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. Like, does that indirect? Is that also a trauma? Mariah 23:02 Right.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. The illness narratives suffering, healing, and the human condition. .” ” That’s not a spiritual screen. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. Kleinman, A.

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IT Families Family Physicals 137

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. We can’t possibly provide enough care to all people with serious illness.

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Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below.

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Clinic IT Patients Medical 67

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. It is a screening? They followed them during the course of their hospital stay. And the screening questions would just allow you to know that. These studies are important.

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IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. By then they usually were out of the hospital actually. Eric 10:25 And who was included?

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Consulting Community Patient-Centered Families 63

PEMBlog

MARCH 27, 2024

Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. Now, newborn screening, or NBS, includes testing newly born infants for certain IEMs. But again, metabolic GI illness, interrupt other interruptions in feeding schedule, intense exercise. will result in symptoms.

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Consulting Individual Families Family 59

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

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IT Clinic Screening Patients 95

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

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Patient-Centered Patients IT Illness 98

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. Like I said, the patient screened positive for it. Ashwin Kotwal: Oh, wow.

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IT Community Patient-Centered Medical 99

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. Sam, my fellow, and I took the elevator upstairs to the hospital’s top floor.

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IT Community Patients Families 107

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

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Illness Patient-Centered IT Patients 98

Alabama Academy of Family Physicians

FEBRUARY 20, 2025

In 1996, a variant of H5N1 was documented overseas that resulted in a severe illness in birds and was designated as highly pathogenic avian influenza (HPAI). Since 2016, HPAI H5N1 has been detected in wild birds in the United States during screening efforts by wildlife authorities.

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Patient-Centered Provider Manufacturing Screening 130

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Mike Rebos, may be the first randomized trial of outpatient and palliative and included this thing called “art experientials,” where patients with serious illness came in, engaged in art with this incredible art therapist; I mean, incredible. To let it go. .

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Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Meredith, welcome to the GeriPal Podcast. Meredith 00:48 Thank you, Alex and Eric.

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Primary Care IT Provider Clinic 94