Physician's Weekly

JUNE 11, 2025

In an article for Obesity , researchers investigated how to better design lifestyle-based weight loss programs for older adults in order to address muscle and bone health concerns. Structured exercise programs can help in both regards. For older adults, the YMCA’s Silver Sneakers Program is a fantastic community resource.

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PEMBlog

OCTOBER 26, 2023

Other complications include obstruction due to intussusception or volvulus, leading to bowel ischemia and shock. Background Meckel diverticulum is a congenital abnormality of the small intestine and is the most common cause of significant lower gastrointestinal bleeding in children. The bleeding is usually painless.

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Diagnosis Complication Consulting Management 64

GeriPal

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby.

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IT Hospital Patient-Centered Individual 124

GeriPal

JANUARY 23, 2025

Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. 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. Alex 01:23 Yeah. Here we go.

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Specialization IT Patient-Centered Medical 119

Physician's Weekly

JUNE 11, 2025

Experts shared updated guidance for treating chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) in a recent viewpoint article published in Blood Advances. CT Imagin g: CT is recommended at diagnosis if lymphadenopathy or splenomegaly is present, or if clinically indicated.

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Management Diagnosis Complication Screening 52

The Motivated MD

SEPTEMBER 12, 2024

When determining if real estate should earn a place in your personal portfolio, consider a few statistics from Investopedia in an article titled Has Real Estate or the Stock Market Performed Better Historically? This article highlights some important concepts regarding the risks and benefits of real estate as an investment.

Management 52

Management Finance Individual Education 52

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. Should it? If so, how do we screen and who do we screen? Who should get it if anyone?

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Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 12, 2023

If you want to do a deeper dive in ACE units, check out some of the following articles: The original NEJM paper on ACE units from 1996. After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. I think Kellie, do you have it?

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Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

MAY 11, 2023

And because we can’t resist, we dip into aducanumab and lecanemab at the end. AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song?

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Physicals IT Hypertension Education 86

GeriPal

JUNE 8, 2023

If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? Listen in to learn more! This is Eric Widera. Nadine: I do. Good choice.

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Diabetes Management Patient-Centered Families 74

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings. Using these methods can reduce temperature discomfort and minimize complications. FEVER FAQs (contd.) And I do this regularly.

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Diagnosis Management Illness Diagnose 130

Medical Xpress

JUNE 16, 2025

Edwards edited by Gaby Clark , reviewed by Andrew Zinin Gaby Clark scientific editor Meet our editorial team Behind our editorial process Andrew Zinin lead editor Meet our editorial team Behind our editorial process Editors notes This article has been reviewed according to Science Xs editorial process and policies.

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Mental Health IT Medical Specialization 52

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. Welcome to GeriPal, Lyndsay. Lyndsay: Thank you so much.

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Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. Mody for the mentorship and for the opportunity to bring together these articles.

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Complication Patient-Centered IT Patients 52

GeriPal

NOVEMBER 14, 2024

If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. You know, if you want to think about the problem, think about clinical research. How does life expectancy fit in with all of this?

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IT Screening Patient-Centered Community 124

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components.

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Medical IT Patient-Centered Healthcare 99

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. Alex: Thank you.

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GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Legalization is moving forward in several states , following the lead of Oregon and Colorado. Potential use in palliative care , chronic pain , and for mood disorders is tantalizing. Eric: No, I did a little psilocybin.

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Patient-Centered Community IT Medical 91

Medical Xpress

JUNE 16, 2025

But what we observed was much more complicated." This cluster of about 20,000 to 40,000 neurons functions like a central watch, coordinating the timing of body functions to follow the 24-hour day. When we cross time zones and experience jet lag, it happens because our internal clock remains set to the old time zone.

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Provider Complication Medical Diabetes 109

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple, right? Alex: (Singing).

Families 144

Families Family Patient-Centered IT 144

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Eric: We’re going to be talking about surgical communications, really based off a series of four wonderful articles in JAMA Surgery, titled Innovations In Surgical Communication.

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IT Families Family Patient-Centered 128

GeriPal

MAY 22, 2025

And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Remember me?

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IT Patient-Centered Patients Board-Certified 97

GeriPal

NOVEMBER 7, 2024

Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis. Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Let it be (hint hint). This is Eric Widera. Alex 00:12 This is Alex Smith.

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Management Patient-Centered Patients IT 116

Aspiring Minority Doctor

DECEMBER 31, 2024

December 17 th marked 11 years since this blog has been in existence, but for the first time ever since its creation, I managed to go the entire year without a single post! I originally started writing this post on the day of my actual blogiversary, but as you can see, life has been super busy and I never got around to finishing it.

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Medical Student IT Patient-Centered Medical 52

GeriPal

FEBRUARY 8, 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. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: Yeah.

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IT Families Family Physicals 137

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. I’m sure this is a subject we will return to, given the rapid progress on AI.

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IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. But before we get into this topic, does someone have a song request? Chrissy: I do.

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Management IT Medical Patient-Centered 122

GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. It’s been a while since we’ve done a Covid/bioethics podcast (see prior ethics podcasts here , here , here , and here ). Evusheld is the latest case in point. . Emily: It is.

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Vaccination Individual IT Healthcare 88

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Ann Henshaw is an occupational therapist who works clinically at Georgetown and teaches at GW. Alex: Today we are delighted to welcome Ann Henshaw who brought this podcast idea to us.

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Patient-Centered Hospital Patients IT 132

GeriPal

MAY 25, 2023

Complicated grief? I’m not sure if you read that article and whether or not it’s changed your mind or whether or not you want to do any more research in advance care planning. And as you know, it’s a great article. Did they have PTSD? Depression? Sarah: It is. Eric: Why are you picking this song?

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Community IT Patient-Centered Primary Care 96

The Clinical Problem Solvers

FEBRUARY 8, 2023

One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California. Dr. Jordan then questions the utility and continued operation of methadone clinics, especially as the United States largely moves on from the COVID-19 pandemic.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

JANUARY 26, 2023

Our guests Tim Farrell, Ramona Rhodes, and Nancy Lunderbjerg wrote an article in JAGS on this issue, and Sharon Brangman wrote a separate JAGS article on the need to achieve diversity in study populations. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request. Ramona: I do.

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IT Patient-Centered Healthcare Patients 92

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. That’s a huge amount of news all at once. This is Eric Widera. Alex: This is Alex Smith.

Families 98

Families Family Patient-Centered IT 98

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? You have a patient with dementia severe enough that she cannot recognize relatives. She falls and breaks her hip. Should she be treated non-operatively, with aggressive symptom management? It was Remember Me.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

NOVEMBER 21, 2024

Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That? 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? Amanda, welcome to GeriPal. Should I laugh at that?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

NOVEMBER 17, 2022

We’ve got a, Sheryl published a great article, and Kenny and Ken published an editorial for that article. The songs about how saving lives is actually a pretty complicated business. We’ve almost had 250 podcasts, and we have not directly talked about assisted living facilities, so I’m kind of excited.

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Community IT Mental Health Medical 97

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. They got training in Vital Talk and ELNEC.

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Patient-Centered IT Hospital Patients 77