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

Louisville Lectures

MAY 5, 2023

Boot Camp: PHASE TWO Or, Emergencies and Assessing Them This week, we will look at two highly anticipated videos, Electrolyte Emergencies by Dr. Eleanor Lederer and Assessing the Seriously Ill Patient by Dr. David Nunley. Boot Camp: PHASE ONE Or, A Matter of the Heart We are starting with some basic EKG concepts and arrhythmia emergencies.

Internal Medicine 52

Internal Medicine Patient-Centered Education Hospital 52

Plum Health

MAY 22, 2023

DPC clinics provide members with: Personalized, preventive care Management of chronic conditions No co-pays or insurance billing Treatment of ailments and illnesses Same-day appointments and no wait times Unlimited appointment lengths 24/7 access to care Exams, labs, and testing Specialist referrals, as necessary And much more.

Primary Care 52

Primary Care PCP PCP Insurance 52

PEMBlog

MAY 28, 2025

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

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

Tiny Physician

FEBRUARY 15, 2022

There is an increasing trend in the number of medico-legal cases filed against doctors and doctors have started practicing defensive medicine (the ordering of tests, procedures, referrals, or avoidance of high-risk patients or procedures, to reduce medico-legal cases) for the sake of their safety. patients show their frustration at doctors.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Palliative medicine focuses on quality of life for patients with serious illnesses. These patients all have advanced heart or lung illness and are referred from pulmonology and cardiology providers. Referrals were predominantly from Pulmonology (60%). Results The patients in the SMC had a mean age of 71.

Patients 130

Patients Diagnosis Patient-Centered Utilities 130

GeriPal

OCTOBER 13, 2022

And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. So I think there are caveats and if you have a non immunocompromised, not severely ill patient that has again defervesced, then there is room for reducing the duration to three days for community acquired pneumonia.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JUNE 12, 2025

And sort of a few years ago, we would sometimes see referrals a bit later than we would have liked. We are Seeing referrals at an earlier time point, especially at a point that I feel that I can really help a patient. Is it normally the oncologist who’s making the referrals to you or do they come from people outside of oncology?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Family Medicine Initiative

APRIL 28, 2025

An older BMJ Studie (2000) surveyed 343 doctors on how long 468 terminally ill patients (at the time of their hospice referral; average age 69) were likely to live. The actual average survival time of these patients was 24 days.

Referral 130

Referral Family Medicine DO Illness 130

GeriPal

MARCH 14, 2024

So, if it’s a hospitalized patient, usually the referral will come through to the SLP service. We have patients who are acutely ill, pulmonary consequences can be really, really serious for a lot of our hospitalized patients. Eric: So, given that, what does the assessment for dysphagia look like?

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JANUARY 18, 2024

Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Eric: So, before we jump into the topic of substance use disorder in aging and serious illness, I think someone has a song request. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 136

Illness Patient-Centered Screening Clinic 136

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. But if they’re not improving, And that could be a cause for referral to gastroenterology. It’s a burning sensation in the chest or epigastrium, and that is the classic symptom in this age group.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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

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. Eric: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. You may see your general practitioner for a referral to someone else, such as a psychologist, for a mental illness.

Family Care Physician 52

Family Care Physician Families Family General Practitioner 52

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. By diagnosis? By prognosis?

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

JANUARY 30, 2025

We really spent a lot of time helping the clinicians see that a patient’s illness, understanding and prognostic awareness was just as important as their pain scale, their pain score. The patient refuses to ever talk about the fact that this illness could take their life. We would make referrals to psycho oncology.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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

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 100

Healthcare IT Community Illness 100

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. 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. Eric: Well, Terri and Emmy, thank you for joining on this podcast. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic? Sarah 07:12 It’s mostly our decompensated cirrhosis patients. So I was initially getting a lot of post transplant symptom stuff.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 20, 2022

And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. So I think there are caveats and if you have a non immunocompromised, not severely ill patient that has again defervesced, then there is room for reducing the duration to three days for community acquired pneumonia.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. Alex: And are the regulations similar or different in terms of six month required prognosis or less, should the disease take its usual course, or illnesses leading to a short prognosis? He struggled with mental illness, substance use disorder. Eric: Mm-hmm.

Family 132

Family Families IT Community 132

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. Most of the public wants to have access to treatments and interventions that might help them forestall a devastating illness. So we’re talking about primary care and so I’m a little bit biased here. It’s. Nate 29:18 Well, we’re waiting.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

APRIL 6, 2023

And so following that stream, sort of some of the most recent work was funded by the VA, first of all to develop a measure of spirituality for those in serious illness. And sadly, that’s often if they have a seriously ill or dying family member is that they have their stories. Eric: I want to be mindful of the time.

IT 99

IT Patient-Centered Family Families 99

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

OCTOBER 27, 2022

So we have a list of various interventions like hospice referral, like more intensive treatment for blood pressure, more intensive treatment for diabetes, for dysglycemia, hyperglycemia, statins, bisphosphonates. So the time to benefit page is trying to make the mortality indexes link more closely to the time to benefit.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. I think this is a topic we don’t talk about as much in the context of serious illness. Don, welcome to GeriPal. Don 01:11 Thank you so much.

Illness 130

Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. Like, how close to the end of life is it all just in seriously ill patients, I guess.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

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 Family Families 59

Physician's Weekly

JUNE 13, 2025

They gave me another referral and reported the practice to Medicare. My most distinct memory of our visit was a conversation with a volunteer who said he had just come from bathing and feeding a terminally ill inmate who said, “I love you.” I went home and wrote a complaint letter to my health plan.

Vaccination 52

Vaccination Family Families IT 52