GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Here we go.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

JUNE 20, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Someone else suggested, “Under Pressure,” but we’ve done it already. I suggested even flow.

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IT Patient-Centered Patients Clinic 120

FDA Law

APRIL 13, 2025

By Sarah Wicks & Dara Katcher Levy FDAs Office of Prescription Drug Promotion (OPDP) issued its second Untitled Letter of 2025 to Taiho Oncology (Taiho) for a healthcare provider branded website for its drug LYTGOBI (futibatinib). Mirati) about a healthcare professional branded website for KRAZATI (adagrasib).

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Provider Healthcare Professional Patient-Centered Clinic 52

The Motivated MD

SEPTEMBER 19, 2024

For the better half of 2024, I have been periodically writing posts that are individual articles that double as potential chapters to a future book. In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. So yes, humans make mistakes.

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Finance Individual Education Healthcare Professional 52

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.

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Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 25, 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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?

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Community Transportation IT PCP 115

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.

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IT Patient-Centered Illness Education 126

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.

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IT Families Family Physicals 137

GeriPal

JANUARY 16, 2025

He died in 2024. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Tim 02:29 Yeah, it’s such an honor to make a song request.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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.

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IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

JANUARY 18, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions. I got this.

Illness 136

Illness Patient-Centered Screening Clinic 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?

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Patient-Centered IT Patients Clinic 109

The Medical Futurist

JUNE 17, 2025

The audience doesn’t know what happens next, and whether he can survive the procedure, not to speak about living in a society where every one of his friends and relatives is dead, and people live a completely different way of life than he was used to. The brief history of cryonics That’s precisely the basic idea of cryonics.

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Community Medical IT Healthcare Professional 111

GeriPal

NOVEMBER 7, 2024

Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better. Let it be (hint hint). Again, we’re going to be talking about conservative management versus dialysis in older adults.

Management 116

Management Patient-Centered Patients IT 116

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

MAY 9, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. He was also the one who we have to thank for suggesting this podcast! Hsien Seow & Samantha (“Sammy”) Winemaker : Hsein and Sammy’s goal was to start a revolution with their podcast “ The Waiting Room Revolution ,” which is now in its 7th season! Great title.

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Education IT Illness Healthcare 127

FDA Law

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. §

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Medical Manufacturing Physicals Healthcare Professional 95

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

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. ABIM MOC credit will be offered to subscribers in November, 2024. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. In 1990 the Supreme Court ruled…for the state of Missouri.

Families 112

Families Family Patient-Centered IT 112

FDA Law

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. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. Oh my gosh.

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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.

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Consulting Hospital Patient-Centered IT 121

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.

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Illness Patient-Centered Patients IT 133

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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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

SEPTEMBER 5, 2024

Louise 05:02 Yes, well, I don’t know about 2024, but in 2023, yes, it could happen. But before we go into all of that, I think, Bill, you have a song request for Alex. Bill 01:52 I do. Bill 01:53 Alex asked me for a song that was resonating in my head at the time, and it would be Guy Clark’s song, T he Cape. I’ll make sure.

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Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 20, 2025

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. Eric 00:13 And Alex, who do you have with us today? Alex 00:14 We have a very full house today. Hope Wechkin brought this topic to us.

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IT Patient-Centered Patients Medical 88

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.

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Electronics IT 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

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).

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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.

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IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 11, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary Ambivalence is a tough concept when it comes to decision-making. On the one hand, when people have ambivalence but haven’t explored why they are ambivalent, they are prone to bad, value-incongruent decisions. How should we think about that?

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Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. We talk today with Betty Ferrell, who has been a nurse for 47 years, and is the founder and PI of ELNEC. As I argue on the podcast, ELNEC has likely done more to lift the primary palliative care skills of clinicians than any other initiative. Josh, welcome back to GeriPal.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

FDA Law

FEBRUARY 11, 2024

Letter 3: Top Ten Reasons for Descheduling Cannabis Altogether From: Democratic Senators Date: January 29, 2024 Twelve Democratic senators signed Letter 3. Not surprisingly, then-presidential candidate Asa Hutchinson, DEA Administrator from 2001 to 2003, did not sign the letter. In other words, no rescheduling. July 6, 2022).

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Medical Healthcare Professional Community IT 59

GeriPal

JULY 25, 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.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

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Primary Care IT Clinic Illness 79