Dr. Zaar

JUNE 1, 2025

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. Firsthand referrals often lead to trusted and patient-focused providers. But how do you find the right diabetes specialist in a crowded healthcare landscape?

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Common Sense Family Doctor

MARCH 15, 2025

A 2022 article in the Harvard Business Review introduced the term sludge to describe “these types of situations in which the design of a specific process consistently impedes individuals from completing their intended action.”

Screening 52

Screening Insurance Primary Care Referral 52

Vida Family Medicine

OCTOBER 19, 2021

Any person who wishes to breastfeed can benefit from seeing a lactation consultant, but it is especially recommended for individuals who are experiencing pain, concerns about low supply, or other difficulties with breastfeeding. Breastfeeding is HARD! It is a new skill for both you and your baby, and it takes time to learn.

Consulting 52

Consulting Board-Certified Family Physician Referral 52

Physicians Alliance of Connecticut

MARCH 22, 2025

When you see a Connecticut diabetes specialist, you can expect a personalized treatment plan and individualized support. Get Your Personalized Diabetes Treatment Plan Your diabetes specialist will work with you to create a personalized treatment plan that fits your individual health needs and lifestyle.

Treatment Plan 52

Treatment Plan Diabetes Consulting Management 52

Blood, Sweat, and Tears

APRIL 6, 2023

I listened to the casualty doctors referral and expected to hear some gruesome boring story I had probably heard before. Doctors are often in the hot seat when addressing patients. It’s never good enough. Surgeons in particular are notorious for their… abrupt bedside manner. The Don was different. It was a month end Friday night.

Complication 52

Complication Patients IT ER 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

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby.

IT 124

IT Patient-Centered Hospital Individual 124

Vascular Physician

JULY 11, 2021

Normally, when a healthy individual is exposed to cold temperatures the blood vessels in the fingers and toes vasoconstrict or narrow. Raynaud's phenomenon, also known as Raynaud Syndrome, is an exaggerated response to a normal physiologic process. This means that the body reacts as it is supposed to, but in an exaggerated way.

Referral 52

Referral Mental Health Patients Diagnose 52

Physicians Alliance of Connecticut

MARCH 5, 2025

At PACT Endocrinology, a referral isn’t required. Our experienced endocrinologist, Dr. James Case, is dedicated to providing individualized care to patients living with a wide range of endocrine conditions, including diabetes, osteoporosis, and thyroid disease.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 U.S.C. § 18 U.S.C. §

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law

MAY 7, 2025

The Court explained that the unsigned prescriptions sent to physicians are best understood as proposals for care, not as referrals. On April 14, 2025, the Seventh Circuit overturned the criminal conviction of Mark Sorensen, the owner of a durable medical equipment (DME) distributor, who had been found guilty of violating the AKS.

Referral 59

Referral Relationship Government Healthcare 59

FDA Law

NOVEMBER 6, 2022

Federal courts, too, have broadly interpreted the AKS to cover any arrangement where “one purpose” of the remuneration is to induce referrals, purchases, or orders of federally reimbursable items or services, even if the arrangement has other, legitimate purposes (see, e.g., United States v. Background. Borrasi, 639 F.3d 3d 774 (7th Cir.

Manufacturing 83

Manufacturing Patient-Centered Healthcare Utilities 83

GeriPal

NOVEMBER 9, 2023

Summary Transcript Summary Coaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others. When I was a junior faculty, coaching wasn’t a thing. We address: What is coaching? This is Eric Widera.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 U.S.C. § 18 U.S.C. §

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

GeriPal

OCTOBER 13, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. 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.

Complication 97

Complication Patient-Centered IT Patients 97

Permanente Medicine

JUNE 3, 2025

I think sometimes we don’t necessarily realize the importance in the role that each of us individually as physicians can have with patients both within the exam room but also globally. Don’t miss out on this compelling conversation — watch the chat on YouTube or listen to it on your podcast platform of choice. Guest Wadie L.

IT 52

IT Patient-Centered Patients Medical 52

GeriPal

JUNE 12, 2025

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

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 IT Patient-Centered 52

GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. 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. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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

Common Sense Family Doctor

MAY 11, 2025

Effective treatments include referral to self-help groups such as Gamblers Anonymous , group or individual cognitive behavioral therapy , motivational interviewing, and naltrexone. People with gambling disorder are at increased risk for self-harm and suicide attempts.

Management 52

Management Referral Mental Health Community 52

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. He’s in Boston. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening Clinic 136

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? I like that song.

IT 102

IT Family Families Diagnosis 102

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? By diagnosis? By prognosis? Can nudges help? (see see our prior podcast on Nudges with Jenny Blumenthal-Barby and Scott Halpern).

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? 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.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

ABIM

JUNE 24, 2025

Gertz, MD, MACP, Chair, ABIM Hematology Board The Hematology Board , which meets twice a year and is responsible for oversight of ABIM policy and assessment in the specialty, held its spring meeting on May 2, 2025. A representative from the American Society of Hematology (ASH) joined for a portion of the meeting*.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

FEBRUARY 6, 2025

And my wife went to over, I want to say, 20 concerts. Eric 00:58 Have you been to a concert? Nate 00:59 I went one in Milwaukee, Wisconsin, and I’m so glad I did. I loved it and this was his favorite song and so I wanted to do it. Alex 01:07 And Bruce Springsteen did a stage dive. We were talking about this before. Nate 01:11 Very healthy man.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes palliative care for people experiencing homelessness challenging? What makes it rewarding? those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

JUNE 22, 2023

Today’s podcast is part one of a two-part podcast where we spend a day at CMF, a medium security prison located about halfway between San Francisco and Sacramento, and the hospice unit housed inside its walls. Afterwards, we chat with the prison’s chaplain, Keith Knauf. And it’s an incredibly compelling place to work. Eric: Yeah. Alex: Yeah.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. It meets in-person, once a month, over nine sessions. First, the lyrics, that’s the main reason why I chose it. The theme is death. LaVera: Yeah.

IT 99

IT Patient-Centered Families Family 99

PEMBlog

JANUARY 16, 2025

You can either get one little individual canister of nitrous, or a big canister which costs about 120 to 120. Welcome Recently, theres been a concerning rise in recreational use of nitrous oxide, often referred to as Galaxy Gas, which is actually a brand name, which has become synonymous with flavored nitrous oxide products. English elite.

Complication 52

Complication Patient-Centered Management Patients 52

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

However, people need to understand what works best for them individually. Food has the power to regenerate the new you! 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.

Referral 40

Referral DO Family Medicine Primary Care 40

GeriPal

OCTOBER 27, 2022

Eric: 1982. James: … alive in the 1980s, but yes, you sang Forever Young by Bob Dylan around three years ago, and then Eric jokingly started singing this song, and so now it’s about time to fulfill Eric’s request. Alex Smith: Sei, do you have any comment? It was kind of the junior high party. Alex Smith: (Singing). Eric: Yeah.

IT 95

IT Clinic Screening Patients 95