Medical Xpress

MAY 3, 2023

Genetic testing for hereditary cancers, such as breast, colon, pancreatic, and ovarian cancer, helps at-risk individuals understand their familial risk for these diseases and make informed decisions about next steps in care.

Referral 98

Referral Utilities Individual Family 98

Physicians Alliance of Connecticut

MARCH 22, 2025

When you see a Connecticut diabetes specialist, you can expect a personalized treatment plan and individualized support. Be ready to talk about your symptoms and the medications you’re currently taking, as well as your diet and exercise habits. PACT Endocrinology is currently welcoming new patients with diabetes.

Treatment Plan 52

Treatment Plan Diabetes Consulting Management 52

Vascular Physician

FEBRUARY 23, 2020

Vascular Institute of the Rockies 5-7 years of training after medical school specializing in learning about all aspects of peripheral vascular disease. Because vascular surgeons have the skills to provide every treatment of vascular disease, they can help individualize the treatment of each patient to what will work best for them.

Referral 40

Referral Management Complication Specialization 40

Blood, Sweat, and Tears

APRIL 6, 2023

Doctors are often in the hot seat when addressing patients. Too little said, too vaguely, too harshly, too impersonal, too quickly, too confusing, too much medical jargon, not enough medical detail… the list is endless. I learned alot about what actual communication of patients looked like. The Don was different.

Complication 52

Complication Patients IT ER 52

Physicians Alliance of Connecticut

MARCH 5, 2025

After completing medical school, they must complete a three-year residency in internal medicine. At PACT Endocrinology, a referral isn’t required. Like many other medical specialties, the field of endocrinology is facing a shortage of physicians. Too much or too little of a hormone can cause these functions to not work properly.

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,

Referral 40

Referral Hypertension Primary Care Utilities 40

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. What do patients with Raynaud's Phenomenon experience? Patients can experience numbness, aching, pain, clumsiness of motor skills of the hand, and sensations of "pins and needles".

Referral 52

Referral Mental Health Patients Screening 52

FDA Law

MAY 7, 2025

Gonzalez There has been increased enforcement against medical device companies that engage in the pervasive practice of paying third party sales agents based on their volume of sales. The Court explained that the unsigned prescriptions sent to physicians are best understood as proposals for care, not as referrals. Mallory , 988 F.3d

Referral 59

Referral Relationship Government Healthcare 59

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. 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.

IT 124

IT Hospital Patient-Centered Individual 124

FDA Law

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. §

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law

NOVEMBER 6, 2022

In its petition filed earlier this month, Pfizer challenges HHS’s interpretation of the AKS as “staggeringly overbroad,” contrary to the congressional intent behind the AKS, and a threat to “almost any activity that facilitates patient access to federally funded healthcare.” SCOTUS has until Dec.

Manufacturing 83

Manufacturing Patient-Centered Healthcare Utilities 83

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

FDA Law

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. §

Lab Testing 40

Lab Testing Referral Individual Patient-Centered 40

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 102

Patient-Centered Referral Patients IT 102

GeriPal

NOVEMBER 9, 2023

If they’re a beginning fellow, that’s a very different coaching situation than coaching the chief medical officer or the president of a medical center. Beth: Right now, I’m actually just doing individual coaching, but we are writing a grant to start group coaching next year. Beth: Yeah. Greg: Yeah, there is.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

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

Permanente Medicine

JUNE 3, 2025

They candidly discuss the unique challenges and opportunities health care organizations face in meeting patient expectations. Assistant Regional Medical Director, Care Experience Southern California Permanente Medical Group Podcast transcript Transcript is autogenerated. Guest Wadie L. Marcos, D.O. That’s one component.

IT 52

IT Patient-Centered Patients Medical 52

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. Going into patient’s homes was eye opening. They were stunned by the number of calls for lift assistance for older adults who had fallen. Carmen: Yeah.

Community 114

Community Transportation IT PCP 114

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 109

Patient-Centered IT Patients Clinic 109

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. And so, let’s help them.

Illness 136

Illness Patient-Centered Screening Clinic 136

ABIM

JUNE 24, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. The group discussed policy shifts and potential implications for graduate medical education and health equity. Above all, ABIM remains focused on its mission.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

JULY 21, 2022

Initially, it was just because there weren’t really answers for my patients. Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. “When can I get back to driving?”

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? I was always critical care bound since medical school. Patients have all sorts of problems. By diagnosis?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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

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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. So I get all the referrals from my great colleagues in primary care.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

AUGUST 24, 2023

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. Just an extraordinary cast of individuals who were really so incredibly inspiring.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

PEMBlog

JANUARY 16, 2025

Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Its evolved from its medical and industrial applications to a recreational substance with a significant cultural footprint. Patients that use these will repeatedly use it throughout the day. Ganetsky M (ed).

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

MARCH 6, 2025

link] Toronto Star Feature [link] CityNews Toronto Feature [link] Psychosocial Interventions at PEACH In addition to medical care, PEACH also runs two key psychosocial interventions for our clients: PEACH Grief Circles Structured spaces for workers in the homelessness sector to process grief. those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” These studies are important. Is that your grandchildren?

IT 99

IT Patient-Centered Family Families 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

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. Over time, more trust develops.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Ruth: Then we saw at the other extreme where people thought that feeding tubes prolonged life, improved quality of life, made it easier to give medications, which it does do, and that they should be used. That was the middle world.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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 119

Patient-Centered IT Patients Hospital 119