GeriPal

JUNE 27, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. Alex Gamble, do you have a song? I forgot my guitar.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. ABIM MOC credit will be offered to subscribers in November, 2024. Jessie: Thank you.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JULY 11, 2024

ABIM MOC credit will be offered to subscribers in November, 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?) Renal P al?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 15, 2024

ABIM MOC credit will be offered to subscribers in November, 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. This is a first for our GeriPal podcast, right, Alex?

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 16, 2025

He died in 2024. I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. Alex 02:21 For Eric 02:21 For unrepresented older adults. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 7, 2024

About half of patients who are over the age of 65 start dialysis with a GFR of over 9, which is sort of the level below which we have clinical trial evidence for suggesting that there may not be a benefit to starting at that level of GFR. Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!?

Management 116

Management Patient-Centered Patients IT 116

GeriPal

FEBRUARY 29, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Don’t take my word for it, listen for yourself! Or better yet, watch the video of this one on YouTube. Lynn: Okay. It’s called Hot Ones. Anne: GeriPal edition. Anne: Right.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 22, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Because we live in the world as it is, not as it should be, Des has helped develop an app ( link to pilot trial hot off the press !)

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

FEBRUARY 8, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

IT 137

IT Families Family Physicals 137

FDA Law Blog

MAY 5, 2024

Houck — The Associated Press reported on Tuesday following confirmation by five anonymous individuals with knowledge that the Drug Enforcement Administration (“DEA”) is moving to reschedule marijuana from schedule I to the less stringently controlled schedule III. 29, 2023). Letter to U.S. treaty obligations in rescheduling. 21 U.S.C. §

Medical 95

Medical Manufacturing Physicals Healthcare Professional 95

GeriPal

MAY 9, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. He was also the one who we have to thank for suggesting this podcast! Matt: Same.

Education 127

Education IT Illness Healthcare 127

GeriPal

NOVEMBER 21, 2024

Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a particular time or situation? Amanda, welcome to GeriPal.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

APRIL 4, 2024

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. Should we abandon the term, “comfort measures?”

Family 112

Family Families Patient-Centered IT 112

FDA Law Blog

JANUARY 18, 2024

Rescheduling Recommendation, 2024 FDA’s 2023 analysis and recommendation finally came to light when Texas attorney Matt Zorn posted it on his website a week ago. FDA conducted the eight-factor scheduling analysis required by the CSA in 2016 and found that marijuana continued to meet the scheduling criteria for remaining in schedule I.

Medical 69

Medical Physicals IT Healthcare Professional 69

GeriPal

JANUARY 11, 2024

A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Four percent.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 2, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come. I saw them only twice.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. 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. Eric 02:00 Okay, I got a question for you.

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Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

JUNE 13, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 03:38 A ll I can say is that the reason why I’m here is because I was a failed professional bass player. Summary Transcript Summary I always find cachexia in serious illness puzzling. Eduardo, welcome to the GeriPal podcast. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

APRIL 6, 2023

-Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. 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. The theme is death.

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IT Patient-Centered Families Family 99

GeriPal

MARCH 20, 2025

I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. Take it over.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 18, 2024

Skepticism on the ability of predictive models to transform healthcare Consolidation of EHR’s into the hands of a very few companies, and potential for the drug and device industry to influence care delivery by tweaking AI in ways that are not transparent and already a sort of magical black box. .” Bob: I’ll give it a try.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

FDA Law Blog

MAY 21, 2024

On Thursday, May 16, 2024 , the Attorney General issued a Notice of Proposed Rulemaking (“NPRM”) to initiate rulemaking proceedings to reschedule marijuana. The NPRM was signed by the Attorney General but published by DEA in the Federal Register on May 21, 2024. 44,597 (May 21, 2024). 21 U.S.C. § 21 U.S.C. § 812(b)(3).

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

AUGUST 1, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary What is a healthy diet and how much does it really matter that we try to eat one as we age? That’s the topic of this week’s podcast with three amazing guests: Anna Pleet, Elizabeth Eckstrom, and Emily Johnston. I think he died. In memoriam.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Alex: We are delighted to welcome Bryanna Moore, who is a philosopher and bioethicist, and she’s at the University of Texas Medical Branch where she also directs the clinical Ethics Fellowship. Welcome to the GeriPal podcast. Josh, welcome back to GeriPal.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. Outcomes are typically assessed from available records. Jasmine, is it you?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 25, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 You got it. Kara 04:09 Sure.

Families 106

Families Family Patient-Centered IT 106

GeriPal

DECEMBER 21, 2023

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. This is Eric Widera. Alex: This is Alex Smith. It requires a fight. Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

That’s focused on older adults who are too frail to get into clinic. In that clinical experience, we saw a lot of older adults who would develop acute illness, often exacerbations of their chronic conditions. We relied on our clinical experience as geriatricians, that home-based primary care experience. Thanks, Bruce.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms. Can we do better?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

FDA Law Blog

JUNE 1, 2025

Getting back to manufacturer-sponsored DTC promotion, this was clearly a focus of OPDP enforcement in 2024: four out of the five Untitled Letters issued dealt with DTC promotion and three of these letters specifically targeted advertising that utilized a celebrity.

Healthcare Professional 59

Healthcare Professional Manufacturing Healthcare Utilities 59