PEMBlog

OCTOBER 16, 2023

This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. During that initial visit, her physical exam was notable for generalized abdominal tenderness. This is the first of the four cases.

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PCP PCP Diagnose Diagnosis 69

Today's Hospitalist

MAY 9, 2025

By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction. Beyond time savings, ambient AI can enhance the quality of our patient interactions.

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Patient-Centered Telemedicine Clinic Electronics 52

Reflections of a Grady Doctor

JUNE 30, 2022

What if he was so present, so loving, so engaged, so proud, and so over-the-top supportive that you had nothing—I mean not one single thing—to wish he’d done for you? And especially thank you for the gift of showing up in every aspect of our lives—physically, emotionally, financially, collectively, and individually. Job well done, sir.

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IT Relationship Specialization Physicals 52

The Clinical Problem Solvers

AUGUST 25, 2020

Pearls Defining Structural Racism Structural racism is a term that acknowledges that racism is perpetuated beyond individual interactions and interpersonal racism, but is present in the systems and policies that govern our everyday lives. Links References discussed throughout episode Hardeman RR, Karbeah J, Kozhimannil KB. 2020;47(1):3-7.

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Community Patient-Centered Relationship Education 52

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. Is there any relationship between frailty and urinary incontinence?

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IT Patient-Centered Patients Clinic 121

FDA Law Blog

JULY 5, 2023

While section 503B expressly does not require a patient-specific prescription, FDA clarifies that Congress evidently did contemplate a “connection” (our words…) between an outsourcing facility and the prescriber; the more attenuated that relationship, the more an outsourcing facility starts to resemble a conventional drug manufacturer.

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Supply Chain Manufacturing Physicals Healthcare 52

PEMBlog

OCTOBER 2, 2024

Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. Adolescents with GERD often present similarly to adults with heartburn and regurgitation as the primary complaints. And the presentation for GERD varies by age. Now there are some risk factors for GERD.

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Diagnosis Management IT Patient-Centered 52

GeriPal

DECEMBER 2, 2022

In fact, for some individuals the dementia is a gift, with the loss of memory for what might have upset you 20 minutes ago, and so we see people who come in and they are presented with TimeSlips’ engagement activity, or some other kind of arts activity, or a conversation with Ab, and somehow what had been distressing them has faded away.

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Community IT Individual Patient-Centered 102

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical.

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Family Physician Preventive Care Preventative Care Family 100

The Clinical Problem Solvers

DECEMBER 20, 2021

Appreciate how intergenerational trauma may surface amongst Asian-Americans, and how these intergenerational relationships may also offer fertile ground for generating understanding. Within Asian-American communities, intergenerational relationships can be a critical strength. Another more insidious form of racism is erasure.

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Community Patient-Centered Relationship Healthcare 52

The Clinical Problem Solvers

FEBRUARY 14, 2022

Hosted by team members Naomi Fields and LaShyra Nolen,our guests present their community-based work in Pennsylvania and lay bare the connections between race, place, and health. Our ancestors considered our present to be impossible, so how can we use our ideas and experiences to effect positive change in our communities?

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Community Individual Mental Health IT 52

Adventures of a Sick Doctor

JUNE 5, 2021

The CEO, Susan Clyne, began to present the findings from a recent survey about doctor’s wellbeing. In fact I was scared, and worried and uncertain, and it manifested in physical symptoms of dyspnoea, tachycardia and headrush. My wonderful GP has died, but I am building a relationship with my new one.

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GP Screening Mental Health IT 100

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

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Telehealth Patient-Centered IT Patients 106

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations. Eric 24:51 Yeah.

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Illness IT Diagnosis Patient-Centered 130

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

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IT Families Family Physicals 137

GeriPal

JULY 21, 2022

Or somebody who has other physical cognitive problems at any age. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Because how that is approached can have lasting effects on relationships, unfortunately. Absolutely.

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Families IT Family Diagnosis 102

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. Jenny 04:15 Good question.

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IT Patient-Centered Patients Board-Certified 98

GeriPal

MAY 8, 2025

Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression. Ali John, welcome to the GeriPal Podcast. I love that.

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Illness IT Patient-Centered Patients 109

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So I allow family members to be present if they want them to. Wonderful work.

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Patient-Centered Illness Healthcare IT 116

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. You present your. Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships.

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Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. If you’re low energy, well, is that the illness or depression? Eric: I love this.

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Mental Health Patient-Centered Illness Screening 123

GeriPal

MARCH 6, 2025

He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. Alex 11:17 Thank you.

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Healthcare IT Community Illness 102

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. You had no relationship. Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So I allow family members to be present if they want them to. Another, students presenting says the patient has had below the knee amputation times two. That’s fine.

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IT Patient-Centered Healthcare Illness 106

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. And because trust is such an important element of this relationship with the hepatologist, the whole transplant team, it’s important to be on that same page.

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Patient-Centered IT Patients Clinic 110

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. I loved the relationship that we developed and the fun we had. Is that how we presented ourselves? And love that Jim Croce choice. Whats in a name? Ive got a name.

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IT Patient-Centered Families Family 105

GeriPal

OCTOBER 17, 2024

Because sometimes they have much more longstanding relationships with these patients than me meeting them for a slice in time and trying to shuffle the deck, so to speak. They may have a long relationship with that cardiologist, so it requires some collaboration. But another layer I would add to it is also maybe more patient centric.

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Primary Care Patient-Centered IT Patients 114

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. And is so part of this intervention, so there was a proactive component of getting chaplaincy involved.

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IT Patient-Centered Families Family 99

GeriPal

SEPTEMBER 7, 2023

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. So they are an important part of developing a relationship where one of the manifestations clearly is, “Well, yeah, I felt good about that. William: Not the future, but the present.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. I think I’m preventing some potential extra non synthesis that is not happening because you are lacking that bottleneck little hydrosoluble vitamin that might be present. And so is there just a placebo effect?

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Physical symptoms like pain, dyspnea, fatigue, psychological symptoms, depression, loneliness, and then some of the social experiences as well, like social isolation.

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Patient-Centered IT Individual Screening 67

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. You just knew it? Thomas: Yeah, yeah.

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IT Community Patient-Centered Medical 100

GeriPal

SEPTEMBER 12, 2024

And so in that way, it’s not the letterhead or the four walls and the roof that are perpetuating the present, it’s the people. But there physically wasn’t the time, and there wasn’t that energy to be able to do everything for. Widera and Smith have no relationships to disclose. It’s just not.

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IT Healthcare Healthcare Professional Patient-Centered 112

Tiny Physician

MARCH 30, 2022

The bystanders of the patient who were present at that time understood the efforts taken by the doctors and told the treating team that the doctors did their best and it was the patient’s fate. A doctor-patient relationship is mandatory in the case and this can be proven by cross-checking the duty list or from the patient’s case sheet.

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Hospital Government Patient-Centered Medical 52

GeriPal

APRIL 24, 2025

But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion. So I’m going to present a case. It’s like a third of people need chemical or physical restraints to keep that in. Eric 14:29 Yeah, yeah.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Eric: Bill. Bill: Yeah.

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Illness IT Medical Provider 144

GeriPal

OCTOBER 5, 2023

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. It’s such a physical act, showing just how strong doctor’s moral resolve is to save a life.

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Illness IT Patient-Centered Families 136