GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

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Complication Patient-Centered IT Patients 97

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. Others may require comprehensive multidisciplinary care to address physical function impairment, psychosocial barriers, and medical complexity.

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Management Primary Care Physicals Telehealth 52

The Motivated MD

SEPTEMBER 12, 2024

We are a collective profession of high-earning and driven individuals. 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? I understand the incentive, sure. Remember that.

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Management Finance Individual Education 52

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. So as you mentioned, dementia, there’s some research that show about 86% or 93% of those individuals will get that. This is Eric Widera.

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IT Hospital Patient-Centered Individual 125

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. Is that your experience?

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Diabetes Management Patient-Centered Families 74

GeriPal

JULY 19, 2024

What should we use to screen individuals? There’s an article about her in New York Times. In addition to the questions asked above, we also cover the following topics with our guests: What is dementia screening? Who should get it if anyone? What happens after they test positive? But it seems very apropos to the topic. Here we go.

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Screening Primary Care Patient-Centered IT 120

GeriPal

MAY 11, 2023

But I would say that in terms of education, it’s really complicated because it’s so confounded by socioeconomic status and so many social determinants of health. I’m thinking of chronic pain, for example, and individuals with chronic pain often have disturbed sleep or other conditions. This is Eric Widera.

Physicals 86

Physicals IT Hypertension Education 86

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Fever in infants under three months, a fever lasting more than three days, or a fever in individuals with weakened immune systems should be promptly addressed by a doctor for appropriate management and treatment. FEVER FAQs (contd.)

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Diagnosis Management Illness Diagnose 130

Medical Xpress

JUNE 16, 2025

In a study published in Nature Communications , led by researchers at National Taiwan University (NTU) and National Tsing Hua University (NTHU), scientists used the deepest-ever two-photon calcium imaging in awake mice to directly observe how individual SCN neurons respond to light. But what we observed was much more complicated."

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Provider Medical Complication Diabetes 109

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

Physician's Weekly

JUNE 21, 2025

Preventive measures such as timely vaccination against hepatitis viruses also remain crucial in reducing the burden and complications of liver disease. Variceal glue therapy with non-selective β blockers (NSBB) is a standard approach for managing acute fundal variceal bleeding and reducing rebleeding risk in individuals with cirrhosis.

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Individual Management Complication Screening 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

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Community Patient-Centered Mental Health Board-Certified 52

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

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. Sarah 05:53 Yeah, there are absolutely things we can do to prevent falls and prevent the complications. A fall related injury.

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IT Patient-Centered Screening Community 125

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 tier two is unvaccinated individuals not included in tier one who are at risk for severe disease. What’s wrong with that? Why not prioritize them?

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Vaccination Individual IT Healthcare 88

Edge Family Medicine

OCTOBER 8, 2024

Better Health Decisions : Knowing about a health issue early empowers individuals to make informed choices about their lifestyle, treatment options, and overall healthcare. Colorectal Cancer : Regular screenings like colonoscopies help detect colorectal cancer early, especially for individuals at higher risk.

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Family Medicine DO Screening Family 130

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. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world? David: We used the VA specific care assessment needs score, which- Eric: Oh, the CAN score.

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Patient-Centered IT Illness Patients 123

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. You have a patient with dementia severe enough that she cannot recognize relatives.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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.

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Hypertension Management Physicals Lab Testing 75

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?

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Community IT Patient-Centered Primary Care 96

GeriPal

FEBRUARY 8, 2024

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. Eric Cassell’s article, The Nature of Suffering, that you might think suffering would appear in the definition of palliative care. Alex: That’s a big spectrum right there.

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IT Families Family Physicals 137

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Just an extraordinary cast of individuals who were really so incredibly inspiring. And he had published an article in 1986, in fact, in the American Journal of Psychiatry called Is It Ever Normal for Dying Patients to Desire an Early Death?

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Patient-Centered Patients IT Illness 98

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request. Eric: And it’s even more complicated, right?

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IT Patient-Centered Healthcare Patients 92

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. Or is it just this lingering practice of starting dialysis early before really severe complications develop? Eric 11:50 I also have to ask, because we will have a link to this article.

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Management Patient-Centered Patients IT 117

GeriPal

MARCH 9, 2023

Stacy: I honestly read Michael Pollan’s New Yorker article and was really inspired, and cold emailed the group at NYU, and they responded. Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. There was an article in New York Times last week about rampant prescribing of psychedelics.

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Patient-Centered Community IT Medical 91

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. So before we talk about the results, can you give us a very brief overview of what you did in this article? Eric: Yeah, and for our listeners, excellent job, Kai.

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Hospital IT Patient-Centered Patients 126

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.

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Illness Hospital Patient-Centered Patients 111

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.

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Patient-Centered Hospital Patients IT 133

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. So my algorithm in that article is really based off the work Van Bo et all have done.

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Management IT Medical Patient-Centered 123

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.” This is not a process where they can see into the future around what complications or challenges may arise, but this is the world that we live in and we can anticipate that. Should you stop at “no?”

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Families Family Patient-Centered IT 98

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 ). It sets space between us and the individuals we’re trying to take care of.

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Provider Illness IT Healthcare 119

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.

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IT Families Family Illness 83

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. Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences.

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Illness IT Healthcare Patient-Centered 73

GeriPal

MAY 15, 2025

We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. We tested two different nudges individually and then we combined them. I highly encourage you. Kate 13:59 What did we do?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

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. Dani and colleagues article on Palliative Care Psychiatry: Building Synergy Across the Spectrum. Eric 33:23 Article on Thaddeus Pope. Oh, yeah, yeah.

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Illness Mental Health IT Patient-Centered 102

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

APRIL 10, 2025

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. Eric 26:01 Curtis’s, he had a 2014 JAMA article on simulation. This is what gets to be complicated for standardization. Yeah, yeah.

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