Physicians Alliance of Connecticut

MARCH 5, 2025

People often see an endocrinologist after being referred by their primary care provider. While primary care providers are trained to manage conditions like diabetes, they rely on endocrinologists to provide more specialized care. At PACT Endocrinology, a referral isn’t required.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

Vascular Physician

FEBRUARY 23, 2020

1, 3) Primary care providers should consider referral to a vascular specialist when the severity of symptoms become lifestyle debilitat-ing or progress to critical limb ischemia (CLI), which is defined as the presentation of rest pain, non-healing wounds, or gangrene. (1, There are three types of gangrene: dry, wet, and gaseous.

Referral 40

Referral Hypertension Primary Care Utilities 40

GeriPal

NOVEMBER 9, 2023

Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. Summary Transcript Summary Coaching is in. We address: What is coaching? Indeed, matey.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

OCTOBER 13, 2022

In this context, we’re excited to hear from infectious disease experts and nephrologists about updates in the care of older adults. As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. This is Eric Widera.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JUNE 12, 2025

Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Thank you, Alex.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Topics covered include: The pathophysiology of GER and GERD in the pediatric population. Understanding dyspepsia and its clinical presentation. Diagnostic strategies and when to consider further evaluation.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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. And also I was in the HVMA primary care program.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

Community 114

Community Transportation IT PCP 114

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen?

Families 102

Families Family IT Diagnosis 102

GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Furthermore, only about half of nursing home residents nearing the end of life receive hospice care. So, how can we improve palliative care for individuals in nursing homes? And it’s, I think, a very uplifting song.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? Should eligibility and access be determined by clinician referral? Also the daughter of Tim Quill, well known in palliative care.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

MARCH 6, 2025

What makes palliative care for people experiencing homelessness challenging? What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care. As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. Afterwards, we chat with the prison’s chaplain, Keith Knauf. Eric: Yeah.

Families 132

Families Family IT Community 132

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

However, people need to understand what works best for them individually. The world of diets and dietary theories is complicated and can be overwhelming. Eating a diet made of whole foods, and no, not just anything you purchase from the Whole Foods grocery store. Protein has many functions in the body, aside from just giving us energy.

Referral 40

Referral DO Family Medicine Primary Care 40

Family Medicine Initiative

APRIL 10, 2024

As a general practitioner and primary care researcher, it was always fascinating for me to delve into the scientific literature to investigate this issue. The following graph shows the striking difference in premature mortality between countries with weak or strong primary care: 2. Here are the key results.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

MARCH 10, 2022

This came from a JAMA IM study that Ruth just published, the Advanced Study of Association of Nursing Home Organizational Culture and Staff Perspectives with Variability in Advanced Dementia Care. Welcome to the GeriPal Podcast, Caroline. Caroline: Thanks, Alex. I know it’s a mouthful. It’s exciting to be here. Thanks, Alex.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 20, 2023

Before we do, I think, Joe, you have a song request for Alex. Joe: I do. I would like to hear Space Oddity and it’s because I can’t imagine being more lonely and isolated than being in a tin can orbiting around the earth by myself and just how comforting it is even to hear that scratchy little voice from ground control. Joe: Right.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73