GeriPal

JANUARY 23, 2025

Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. And there’s so much work on, you know, you’ve got to take these medicines, you got to prevent this treat, that there isn’t that same sort of clinical momentum towards deprescribing. Ethical and practical.

Specialization 119

Specialization IT Patient-Centered Medical 119

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. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious.

Screening 119

Screening Primary Care Patient-Centered IT 119

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

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. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex Smith: This is Alex Smith. Tamryn: Yes, 100%.

Diabetes 73

Diabetes Management Patient-Centered Families 73

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.)

Diagnosis 130

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.

Mental Health 52

Mental Health IT Medical Specialization 52

Medical Xpress

JUNE 16, 2025

But what we observed was much more complicated." The content is provided for information purposes only. The traditional model is simple: SCN neurons were believed to act like runners in a relay race, passing the light signal along in a linear chain. Some SCN neurons were activated by light, while others were inhibited.

Provider 109

Provider Complication Medical Diabetes 109

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. With their regular providers? David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

The Clinical Problem Solvers

FEBRUARY 8, 2023

A more Western perspective on health care emphasizes the role of physicians and health care providers and marginalizes the role and contributions of doulas and midwives. One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. Providers may feel a sense of nihilism, that there just isn’t anything they can do to decrease the risk of falling. You know, if you want to think about the problem, think about clinical research.

IT 124

IT Patient-Centered Screening Community 124

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Alex: It’s complicated. Eric: Yeah. So, creating a- Alex: Control condition.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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. I’d been a nurse at the time, and I went back to do my clinicals in an oncology clinic locally. They just kept at it.

Medical 98

Medical IT Patient-Centered Healthcare 98

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. And I think the question for our field is, is that because the estimates that we have of GFR based on creatinine provide misrepresentation or an inaccurate representation of someone’s kidney function.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

SEPTEMBER 28, 2023

Before we talk about miscommunication, would love to hear briefly from each of you, how or why did you get interested in this topic at all just around patient communication, patient-doctor communication, patient-provider communication. And any examples from your own clinical experiences of miscommunication? Eric: Yeah.

Families 144

Families Family Patient-Centered IT 144

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. William: Sure.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

Edge Family Medicine

OCTOBER 8, 2024

Continuous Health Monitoring : Regular screenings help track your health status and detect changes that may indicate the onset of a disease, enabling your healthcare provider to take preventive measures. Lung Cancer : For high-risk patients, low-dose CT scans are available to identify lung cancer before symptoms develop.

Family Medicine 130

Family Medicine DO Screening Families 130

PEMBlog

JUNE 2, 2025

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. Clinical Case You are a senior resident working in the busy emergency department on an overnight shift. Lower blood pressure slowly no more than 25% in the first 8 hours to avoid ischemic injury.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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.

IT 128

IT Families Family Patient-Centered 128

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.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 16, 2022

For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. So older adults between a third and a half have some clinically significant degree of lower urinary tract symptoms, depending on how you define it. Scott: Yeah.

Management 122

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. Their view was there can be priority for clinical trial participants, but what you would do is you would put them at the front of the line within their tier.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. She died at the age of 55, and was born with cerebral palsy.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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 the caregiver feel heard and understood? Did they have PTSD? Depression? Your thoughts?

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? So when I was a resident at Cleveland Clinic, I got to see really cutting-edge technology, some of the best surgeons in the country, and perhaps in the world, operating on patients. Eric: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. Eric 11:13 And, Tyler, that’s why I loved your article at J Gym on bringing music and benefits to patients at the bedside. Relationships are usually more complicated.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. BJ: Mm-hmm.

IT 137

IT Families Family Physicals 137

GeriPal

DECEMBER 14, 2023

Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Liz: I do, indeed. Proud Mary.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. Alex 00:31 And we’re delighted to welcome Fernanda Bellolio, who is an emergency medicine physician and professor of emergency medicine at the Mayo Clinic. Corita 00:30 Thank you.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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 think the AI can allow for that complexity but still provide some guidance.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. Would you also just mind mentioning kind of the JPSM article too? What drove you to write that article on this important trip to Seattle? And my article is about when I was a mid to junior faculty member trying to build this career.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. Eric: Yes.

IT 91

IT Patient-Centered Healthcare Patients 91

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.” And so the family is there in much more of an advisory role rather than providing say, cognitive scaffolding that they might provide in supported decision making. This is a clinical intervention.

Families 97

Families Family Patient-Centered IT 97

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). Providers are not providers that people want answers and determinations and decisions.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MAY 4, 2023

We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical social worker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). I wonder from a provider perspective, if you’re open to talking about your team. Abby: Thank you. Welcome, Nick.

IT 83

IT Families Family Illness 83