Vascular Physician

APRIL 22, 2024

Whether you are showing signs of a vascular concern, have been diagnosed with a disease, or are striving to prevent a vascular illness from occurring in the future, a vascular ultrasound can give your healthcare provider a clear image of how well blood is flowing to the organs and tissues throughout your body.

IT 52

IT Diagnose Specialization Healthcare 52

Plum Health

MAY 22, 2023

Employers are increasingly finding that DPC offers a personalized doctor-patient relationship, comprehensive preventive care, and overall cost savings. Thus, DPC forms a better long-term investment focused on preventive care, as opposed to only treating patients post-diagnosis. If you have a great relationship with your PCP, keep it!

Primary Care 52

Primary Care PCP PCP Insurance 52

PEMBlog

MAY 28, 2025

In pediatric patients, complications can evolve rapidly and carry significant morbidity and mortality. ED referrals are often prompted by incidental findings of proteinuria or hematuria, or clinical concerns for hypertensive encephalopathy or PRES. Differential includes infection, medication toxicity, and primary psychiatric illness.

Diagnosis 94

Diagnosis Hypertension Complication Referral 94

Tiny Physician

FEBRUARY 15, 2022

A few days back, a video went viral on social media in which a resident doctor (a doctor who is undergoing post-graduation / PG doctor) was shouting at the bystander of a patient. For example, a PG doctor, while examining a case, will be asked to collect blood test results from the lab and to accompany a patient for a CT scan after that.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People with serious mental illness (SMI) are at increased risk of complications and earlier death from comorbid chronic diseases, compared with patients without mental illness. Referral to and/or visit with an ophthalmologist was most common in metropolitan settings, with similarly lower values in small urban and rural.

Chronic Disease Management 130

Chronic Disease Management Chronic Disease Illness Management 130

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MARCH 14, 2024

This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. And I think that we’re at this kind of crossroads right now in dysphagia, and dysphagia management where our patients are suffering. We revisit it, and make things better for our patients.

IT 125

IT Patient-Centered Hospital Individual 125

Annals of Family Medicine

NOVEMBER 20, 2024

Context Palliative medicine focuses on quality of life for patients with serious illnesses. Historically, palliative care has been predominantly provided in the inpatient setting, but there is a growing awareness that patients may also benefit from outpatient care. Results The patients in the SMC had a mean age of 71.

Patients 130

Patients Diagnosis Patient-Centered Utilities 130

GeriPal

JUNE 12, 2025

Summary Transcript CME Summary If you’re anything like me, you might find the process of what happens to patients when they visit a radiation oncologist somewhat mysterious. Anish 01:02 Well, I speak, you know, from a physician lens of some of the patients that I get referred, and by the time there’s. This is not a good option.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

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

Family Medicine Initiative

APRIL 28, 2025

The question “Would I be surprised if this patient died in the next 12 months?” ” aims to identify patients at high risk of death who could benefit from palliative care. The actual average survival time of these patients was 24 days. But how reliable is this subjective assessment?

Referral 130

Referral Family Medicine DO Illness 130

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. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 137

Illness Patient-Centered Screening Clinic 137

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. What do different patient populations need? But watch out! Alex 01:06 Yeah, go in person.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. We had tried to actually select people who didn’t have a serious illness. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? We can’t possibly meet the needs of all people with newly diagnosed serious illness. Patients have all sorts of problems.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

Hitchcock Family Medicine

AUGUST 11, 2023

If possible, the same applies to helping prevent conditions like cancer and other illnesses. Your doctor will monitor every condition, whether you have weight loss goals or a mental illness. This doctor can see patients for common ailments, vaccines, or medical conditions. When you receive quality care, it's life-saving.

Family Care Physician 52

Family Care Physician Family Families General Practitioner 52

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. Kirsten 04:16 So, in emergency medicine, obviously, we are interacting and caring for these both exciting and interesting, but also very complex and humbling patients to care for in the ED setting. What’s the connection and why?

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Initially, it was just because there weren’t really answers for my patients. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement.

Families 102

Families IT Family Diagnosis 102

GeriPal

OCTOBER 20, 2022

And, who within ASPE guides aging policy and connects policy to every day health challenges experienced by patients and clinicians? Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Scientific American Letter to the Editor: Response to Downar et al.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. I’ll just throw out there people with serious illness experiencing homelessness.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JUNE 22, 2023

Healthcare staff were afraid of patients with HIV because there wasn’t clarity on how it was transmitted. But now we have older people dying of older people illnesses. So now it actually is a little bit more challenging, because if patient wanted to come to hospice, they would theoretically give up their dialysis.

Families 133

Families Family IT Community 133

GeriPal

FEBRUARY 6, 2025

That screening influences kind of further treatment, actually, probably more importantly, patient outcomes. So I get all the referrals from my great colleagues in primary care. And when I asked the patient, well, what happened, the test was sprung on them. And then how are you going to explain this to the patient that, well.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MARCH 20, 2025

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 89

IT Patient-Centered Patients Medical 89

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. These studies are important. So, learn as many as you can and what they’re all about.

IT 99

IT Patient-Centered Families Family 99

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.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

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?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

Summary Transcript Summary As Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. But one issue we’re not as good at discussing with our patients is sexual health. Clearly this issue is important to patients. So we got a lot to cover on sexuality, sexual health, and serious illness.

Illness 131

Illness IT Physicals Patients 131

GeriPal

MARCH 27, 2025

Only 5% of intervention patients received the facilitator-led component of the intervention (there were other components, facilitator-led was the most engaged component). Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Get to learn some Spanish for this one.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

PEMBlog

MAY 9, 2024

Febrile seizures are due to the degree of fever, not the rate of temperature rise, even though we see them as the temperature is increasing rapidly in the early parts of the illness. The majority of children have febrile seizures on the first day of illness. In some cases, it’s actually their first manifestation of illness.

Illness 59

Illness Vaccination Families Family 59

Physician's Weekly

JUNE 13, 2025

In our city of Victoria, for instance, many people do not have a family doctor because so many doctors have retired; those who are left are unable to take new patients because their lists are full. They gave me another referral and reported the practice to Medicare. I went home and wrote a complaint letter to my health plan.

Vaccination 52

Vaccination Families Family IT 52