GeriPal

JANUARY 16, 2025

And so there’s complexity in Understanding how each state manages this. Eric 13:00 I also love that too, because even on our inpatient ballot of care consult service, whenever somebody says that they’re unrepresented or they don’t have a surrogate, we never believe that until we usually look up.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. Maybe we’ll get to talking about that today. Jessie, welcome back to GeriPal. Should they?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? They’re often angry.

Patients 72

Patients Clinic Patient-Centered Illness 72

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. We should build models to identify symptoms, to do proactive symptom management, and AI can totally do that. Like who is at high risk or low risk? Eric: Really?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? Naheed 24:31 So especially with the referrals that we get and the calls that we get from our non healthcare colleagues, they tend to be folks who are case managing people on the streets and supporting them. Naheed 15:56 2014.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 12, 2023

I’m just wondering, how do we get surgeons, and maybe, how do we teach surgical trainees to move away from this fix-it mentality into the space of deliberation where deliberation is actually invited and prioritized in the surgical consultation? People think of the phases of a typical clinical consultation. ” Eric: Yeah.

IT 128

IT Families Family Patient-Centered 128

GeriPal

NOVEMBER 21, 2024

Like, how do we help ourselves maintain psychological integrity in the face of the stressors that we have to manage? Somebody shouts at my front Desk staff because they’re pissed off about their appointment time. I said, you know, I don’t usually start my appointments in laughter. Everything.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

OCTOBER 20, 2022

On today today’s podcast, we are joined by guest host and UCSF geriatrician Ashwin Kotwal as we welcome Dr. Tisamarie Sherry (Deputy Assistant Secretary for the Office of Behavioral Health, Disability, and Aging Policy (BHDAP) , appointed by the Biden administration). Devika: Thank You. Eric: Thank you. Let’s move over to nephrology.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

FEBRUARY 16, 2023

Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. And I was aware in the room that at the appointment when he was mad at the system, I could have sat with that forever. And we received this consult to assist with goals of care. Dani: Yeah, good question. Eric: Zero.

Patients 109

Patients IT Families Family 109

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 not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73