Permanente Medicine

JUNE 3, 2025

I practice family and sports medicine as part of the Southern California Permanente Medical Group here in Fontana, California. WM: Like you, I’m a family physician. So it’s not uncommon that many patients start to ask certain questions and I’m like, did you happen to consult with Dr. Google before coming to see me?

IT 52

IT Patient-Centered Patients Medical 52

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. Consultations versus telehealth. But watch out! Alex 01:06 Yeah, go in person.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 4, 2024

Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. And that changed in 1969 I think the first advanced directive was created by Luis Kutner.

Families 112

Families Family Patient-Centered IT 112

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

NOVEMBER 21, 2024

Somebody shouts at my front Desk staff because they’re pissed off about their appointment time. But if we’re going to have a family meeting, that’s a different circumstance. I said, you know, I don’t usually start my appointments in laughter. Because like Amanda said, everything we see is coping.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JUNE 15, 2023

Five minute appointments. So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. 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. Naheed, welcome to the GeriPal Podcast.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 28, 2022

Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing. Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” Eric: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Have you had a family history of substance use disorder? Even if the cancer gets cured, they’re not going to become their buprenorphine prescriber, the palliative care consultant. And they ask questions like, have you used substances?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. It’s about establishing a relationship and rapport.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

I wonder if you could suggest an empathetic conversation that I could have with her that would not sugarcoat the idea that she has cancer, but do it in the most supportive possible way, and taking into account that she’s got a family and she’s got young kids?” And then, this little mini consultant. ” Alex: Wow.

Electronics 139

Electronics IT Patients Healthcare 139

GeriPal

DECEMBER 12, 2024

You basically don’t even ask the family, you just stop the bleeding. Are you encountering family members who are just, like, at a loss for what to do and tortured it? Patients who are sort of estranged from family members who then have to make these decisions for somebody that they don’t really know.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108