GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Step four is adjusting it for your patient. How do you do that?

IT 139

IT Patients Individual Relationship 139

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Persons with disabilities were more likely to experience serious illness, death, and adverse consequences by the COVID-19 pandemic. Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states. 95% CI 0.51, 0.7) 95% CI 0.51, 0.7)

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

The Clinical Problem Solvers

AUGUST 25, 2020

Policing in Schools and Hospitals Health care systems must actively advocate and protect their patients and that means we have to also reevaluate the presence of police in our spaces. Jefferson & Hedwig Lee (2020) Illness spillovers of lethal police violence: the significance of gendered marginalization. N Engl J Med.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Our last podcast was with Laura Petrillo in 2018 – 5 years ago seems ancient history – though many of the points still apply today (e.g. Goldilocks zone).

Diabetes 74

Diabetes Management Patient-Centered Families 74

Pamela Wible MD

JUNE 20, 2025

Wendy Dean and Simon Talbot with their landmark 2018 article, Physicians aren’t ‘burning out.’ Dr. Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.) Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.) So what’s the real issue?

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . 2018 Systematic Review of Systematic Reviews on ACP. Where does POLST fit in with this debate?

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. Eloise, welcome to the GeriPal podcast.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Think chemotherapy to imminently dying patients, or CPR.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Eric: For those of you don’t know, Emmy was on our podcast back in 2018 … man, pre-COVID times. Initially, it was just because there weren’t really answers for my patients. Eric: Well, Terri and Emmy, thank you for joining on this podcast. Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I want to say like 2017, 2018, something like that.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. Michele: The article was 2018, but I think Bonnie read the article more recently. Eric: How long ago was this? Alex: A few years back.

Families 132

Families Family IT Community 132

GeriPal

FEBRUARY 6, 2025

That screening influences kind of further treatment, actually, probably more importantly, patient outcomes. And when I asked the patient, well, what happened, the test was sprung on them. Well, even for somebody like you, who’s pretty familiar with the instruments, it might cause distress for the patient, maybe their family.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MAY 12, 2022

When we think about palliative care delivered here, like individuals with chronic pain, non-serious illness chronic pain, non-life threatening illness, oftentimes if we get consulted on them, we don’t even see them, may just be discontinued in most palliative care places. What do you think about that?

Community 115

Community IT Relationship Healthcare 115

GeriPal

OCTOBER 3, 2024

Alex 00:08 UCSF’s Division of Palliative Medicine are looking to build on their research and clinical programs and are interviewing candidates for the associate chief of research position and for full time physician faculty to join them in the in-patient and out-patient settings. Frank, welcome to the GeriPal podcast.

IT 122

IT Patient-Centered Patients Relationship 122

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 Families 98

GeriPal

JULY 13, 2023

Summary Transcript Summary Today’s podcast is a follow up to our 2018 podcast with Randy Curtis about the Jumpstart intervention. On that podcast he and collaborators tested a combined patient and clinician facing communication priming intervention to promote goals of care conversations. Is 4% meaningful? We have lost a giant.

Patient-Centered 84

Patient-Centered IT Hospital Patients 84

GeriPal

MARCH 27, 2025

Only 5% of intervention patients received the facilitator-led component of the intervention (there were other components, facilitator-led was the most engaged component). Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Get to learn some Spanish for this one.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

APRIL 21, 2022

Poetry puts us in our patient’s shoes. Poetry holds us in that liminal space so many of our patients are in. Poetry helps us grapple with our own experiences of illness. Isn’t that what we always work with, with patients, with our colleagues, with ourselves? To let it go. . Alex: Mm-hmm (affirmative).

Patient-Centered 93

Patient-Centered IT Community Illness 93

Common Sense Family Doctor

FEBRUARY 21, 2025

In two decades of practicing family medicine, I've never seen a patient with measles. But if there was ever a more fertile environment for this age-old contagion to come roaring back in the U.S., this is it. over the past 30 years.

Vaccination 52

Vaccination Family Medicine DO Hospital 52

Common Sense Family Doctor

MARCH 23, 2025

This post first appeared on March 6, 2018, during the first Trump administration's failed attempt to eliminate the Agency for Healthcare Research and Quality (AHRQ). Nonetheless, its work has often been politically unpopular and unheralded outside of a small community of health services researchers and patient advocates. Why do I care?

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52

PEMBlog

DECEMBER 4, 2024

Pediatr Rev May 2018; 39 (5): 247–257. So again, you are treating with antibiotics to prevent more people from getting sick, more so than shortening the duration of illness. An alternative treatment, you would be trimethoprim sulfamethoxazole for patients who are allergic to macrolides. link] UpToDate Yeh S et al.

IT 52

IT Vaccination Diagnosis Complication 52

Physician's Weekly

JUNE 17, 2025

And like the Tennants, many patients find themselves stuck in a convoluted appeals process marked by long wait times, frustrating customer service encounters, and decisions by medical professionals they’ve never met who may lack relevant training. For most patients, though, the process works seamlessly.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

PEMBlog

MAY 9, 2024

2018 Nov;142(5):e20181009. Epub 2018 Oct 8. 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. Pediatrics.

Illness 59

Illness Vaccination Families Family 59