GeriPal

JANUARY 23, 2025

Eric 16:36 Okay, Connie, I got one last question about your article. Maybe even had come in with a complication. Emily 19:52 You know, some complication that might have even like, you know, kind of triggered that thought process about maybe it’s time for me to come off of the medication and just. Why is that?

Specialization 119

Specialization IT Patient-Centered Medical 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. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. What are the Management and Treatment Options in a case of fever? Managing and treating an illness involves several steps.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. This is Eric Widera. Alex 00:12 This is Alex Smith. So we got a lot to cover.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. So my algorithm in that article is really based off the work Van Bo et all have done.

Management 122

Management IT Medical Patient-Centered 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.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? They want to be able to manage their own symptoms. Is that your feeling, too? Does that have face validity?

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. It used to be a much more complicated model. However, its main predictors are age, comorbidity, and healthcare utilization. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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

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

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Would you also just mind mentioning kind of the JPSM article too? Eric: 2010.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Should she be treated non-operatively, with aggressive symptom management? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. Eric: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 26, 2023

Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Ann: Likely.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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. And then being on a scarce resource committee during March, April 2020, man, it got really complicated and we spent hours and days trying to figure things out.

Vaccination 87

Vaccination Individual IT Healthcare 87

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 it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . There was a Stanford article talking about you as a pioneer in this field.

Illness 109

Illness IT Families Family 109

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. ” There’s a great article, I have to say, it’s one of my favorites in JCO.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. And that’s why I think your article is so important is that we need standards. And which journal again? Eric: JAMA Network Open.

Community 97

Community IT Mental Health Medical 97

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? Like, how do we help ourselves maintain psychological integrity in the face of the stressors that we have to manage? That’s how I managed without screaming at my 4 year old who was coping. You had me.

Illness 125

Illness IT Patient-Centered Patients 125

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

JUNE 15, 2023

For example, there was one article that we reviewed for Jags where it asked great questions, they gave great prompts, and ChatGPT answered great questions about antipsychotics and gave a list of references to back up ChatGPT’s assertions. Our names were slightly off. And they were complete hallucinations. I still worry about that.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. So it’s a lot of palliation. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

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. As a nurse case manager in hospice, half of my patients had dementia.

Families 106

Families Family IT Patients 106

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. Yeah, that’s a more complicated story. But yeah, it’s complicated. I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. No, no, no. It was very simple.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. What are the patients that we remember? Abby: Yeah.

IT 83

IT Families Family Illness 83

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 ). I’m unsure what they do, how often they’re used, and who pays for their work.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood.

IT 95

IT Patient-Centered Patients Healthcare 95

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. In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MAY 15, 2025

But you know, we managed to work it through and people got used to it and throughout the duration of the trial. Because it’s complicated and we don’t want to over complicate prayer listeners. Eric 23:03 If you want. You should have nudged me before we started not to talk about this. You want to get the results.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work. Turns out, it’s maybe not.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. A review article, which I still like to go to. Eric 11:14 Yeah, we go way back.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 25, 2024

Summary Transcript Summary We are dusting off our crystal balls today with three amazing guests who have all recently published an article on prognosis over the last couple months: Kara Bischoff, James Deardorff, and Elizabeth Lilley. Eric 00:13 And Alex, we have a super special today, three different articles. This is Eric W id era.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Eric 01:07 So we have an amazing lineup of guests and we’re going to be talking about a pragmatic study on advanced care planning, which we’ll have links to in our show, notes for the actual article. But before we dive into the study and the implications it has for the practice that we do, I believe someone has a song request.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” And I think the advanced planning debate is really a question of, how do we help this very complicated situation? We see how hard it is.

Illness 98

Illness Patient-Centered IT Patients 98