GeriPal

JULY 19, 2024

There’s an article about her in New York Times. We didn’t have medications that were effective with a few side effects. I heard this beautiful thing the other day, which was to an electronic medical record, I am not a whole person. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Are medications part of that, too? So, a lot of medications, you can see the secondary effects of dysphagia causing those, as well.

IT 125

IT Hospital Patient-Centered Individual 125

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. Alex: And we’re delighted to welcome back to the GeriPal Podcast, Stephanie Rogers, who’s a geriatrician and medical director of UCSF’s, age-friendly health systems. Great to be here.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? When I’m on nursing home call, the most common page I receive is for a blood sugar value. How high is too high?

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. This is Eric Widera.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. Eloise 00:59 Thank you so much. Eric 01:34 Yeah. David 04:31 Yes.

Medical 100

Medical IT Patient-Centered Healthcare 100

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. This is Sarah Berry, who is at the Hebrew Senior Life and Beth Israel Deaconess Medical center and Harvard Medical School.

IT 125

IT Patient-Centered Screening Community 125

The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

MARCH 9, 2023

Today we largely focus on reasons for caution, including: We know almost nothing about psychedelics in older adults – only about 1% of patients in published trials were older adults, much less older adults with multiple chronic conditions, multiple medications, and frailty. There is a marked lack of diversity in published trials.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. Complicated grief? Did the caregiver feel heard and understood?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. Alex: We are delighted to welcome David Bekelman who’s a palliative care physician and researcher at the University of Colorado School of Medicine Anschutz Medical Campus. In their communities? It used to be a much more complicated model.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. Labetalol dosing: 0.2-1

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

MAY 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . Raj is an anesthesiologist turned palliative care doctor.

Community 116

Community IT Relationship Healthcare 116

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

MAY 22, 2025

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? And so this is a shout out to our inpatient palliative team at Dell Medical School.

IT 98

IT Patient-Centered Patients Board-Certified 98

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

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.

IT 92

IT Patient-Centered Healthcare Patients 92

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 ). Emily: Great to be here. Emily: I do.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Very excited to be here.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

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 111

Illness Hospital Patient-Centered Patients 111

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 ). That was really the theme song of how the community came together. How do you see the light?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. You have a patient with dementia severe enough that she cannot recognize relatives. Did I get that right?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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.” Emily is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania. And I know we’re talking a lot about medical decision making.

Families 98

Families Family Patient-Centered IT 98

GeriPal

DECEMBER 14, 2023

So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-Life Care at Three Academic Hospitals. And so for me, I started off at one particular institution for medical school and went to another and noticed quite a few differences. ” So we kept going.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Three different articles. Eric 04:27 Yeah, I gotta ask about the community advisor. Have to see.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

MARCH 24, 2022

Start by reading this article by Sean Morrison, Diane Meier, and Bob Arnold in JAMA , and this response from Rebecca Sudore, Susan Hickman, and Anne Walling. And I don’t think necessarily, that appointment needs to be a medicalized process. If you’re new to this discussion, don’t start with this podcast! Who are they?

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

OCTOBER 19, 2023

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! So now it’s just POLST, the word POLST, Portable Medical Orders. Respectful disagreement is in short supply these days. Good to know.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

MARCH 30, 2023

We’ve also love to hear from you on twitter and facebook your own experiences writing for the medical world (and please include links!) And so, it’s about going live on stage in the medical audience, and everything from the whiteboard in the surgery room saying, “Here’s the lineup. This is Eric Widera.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Families Family Illness 83

GeriPal

APRIL 10, 2025

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. But yeah, it’s complicated.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Eric: So again, the topic is going to be medical aid in dying in Canada. Four percent. Transcript Eric: Welcome to the GeriPal Podcast. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 25, 2022

I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. Melissa, do you want to describe that paper? Melissa: Sure. It waxes and it wanes.

Families 107

Families Family IT Patients 107

GeriPal

SEPTEMBER 8, 2022

Alex: We are so fortunate to be joined by one of my former mentors who I’ve known for 20 years, Holly Prigerson, who is now Irving Sherwood Wright Professor of Geriatrics at Weill Cornell Medical School and Professor of Sociology and Medicine and Director of the Center for Research on End Of Life Care. They’re the same symptoms.

IT 100

IT Complication Relationship Specialization 100

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. You no longer need to review all medical records or repeat the whole medical and personal history. You know your patients’ evolving story as well as their family, friends, coworkers, and the peculiarities of their local community.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

MARCH 3, 2022

Eric: I got a question because it was a ways back, but we did a podcast on keep your hands to yourself from a JAMA IMR article that showed that use of mechanical ventilation for nursing home residents with advanced dementia doubled between 2000 and 2013, that was a John Tino study. I think it’s really, really complicated.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96