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Prevention of Dementia: Kristine Yaffe

GeriPal

Should do medicine?” ” Because I loved internal medicine. 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. And because we can’t resist, we dip into aducanumab and lecanemab at the end.

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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis.

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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

Had multiple physical, psychological complications as a result of that. And although it wasn’t a conscious decision, or connection, in my mind between entering medicine and the experience of having grown up in a family with Ellen. Just an extraordinary cast of individuals who were really so incredibly inspiring.

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Influence of Hospital Culture on Intensity of Care: Liz Dzeng

GeriPal

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. So before we talk about the results, can you give us a very brief overview of what you did in this article? So Liz, let’s jump into the topic.

Hospital 125
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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. 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. Prior-auth forms?

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

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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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. I think it’s really, really complicated. So, that part was not surprising.