GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. Eric: Which brings us to an article. Jessie: Yes.

Illness 136

Illness Patient-Centered Screening Clinic 136

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.” Rather, most of us live and make decisions in relationship to one another. Emily is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania.

Families 98

Families Family Patient-Centered IT 98

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Alex: We are delighted, absolutely delighted to welcome a husband-wife team.

Families 112

Families Family Patient-Centered IT 112

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

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. We could have talked for hours! Bill: Thank you. Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

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. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. We’ll talk about is it in medical practice yet?

IT 99

IT Community Patient-Centered Medical 99

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. Is there a true relationship with that? Our names were slightly off. Alex: Mm-hmm.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. And then also this stoicism or fear of detracting the provider’s attention from their medical symptoms that they want their doctor to stay focused on too. Alex: This is fascinating.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

AUGUST 17, 2023

Alex: And we’re delighted to welcome Nate Chin, who is associate professor at the University of Wisconsin, where he is medical director of their Alzheimer’s Disease research center and runs a large study in Wisconsin called the RAP Study studying Alzheimer’s Disease. And we’ve been diagnosing it at Penn.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. But that was my take home from Danny’s article. Janet, welcome back to the GeriPal Podcast. Janet 00:26 Thank you so much. Oh, my goodness.

Patients 73

Patients Clinic Patient-Centered Illness 73

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 92

IT Patient-Centered Healthcare Patients 92

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. What’s up with Medical aid in dying in Canada? Four percent. Transcript Eric: Welcome to the GeriPal Podcast.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. We’re going to be talking about default palliative care, a new article that just came out in JAMA this week, co-paired with another article that was published that we did a podcast on last week. and consulting for Papa Health. Ashwin: Yeah.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

OCTOBER 27, 2022

Someone who’s healthy in their 60s and just got diagnosed with diabetes, yeah, they might benefit, if they have a very long life expectancy, to prevent that decline in kidney function. But if they’re not going to live another 20 years, then there’s no point in giving them the extra medication for lowering their A1C.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

So you, Jennifer, probably have, like, the most cited, probably should be the most cited randomized controlled trial of palliative care and lung cancer patients that everybody, every palliative care article I’ve seen, whether or not it works, always includes, it was outpatient palliative care in lung cancer patients. All of this is.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

Tsai-Chin’s article, published in Lancet Healthy Longevity, found a tantalizing hint that countries with stronger safety nets had lower incidence of wealth shocks, and less of a deleterious impact of the wealth shock on cognitive function. Disruptive events are medical, surgical. And a couple of classic articles in this area.

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

APRIL 18, 2024

Because I remember there was an article maybe six months ago in JAGS, maybe it was longer than that, everybody was talking about ChatGPT-3.5, Then, it was like, well, it does as well as, and now, better than humans passing the medical boards, passing the law boards, doing great on the SAT, all that stuff. Let me ask you a question.

Electronics 139

Electronics IT Patients Healthcare 139

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. I knew them, I developed a relationship with them. It’s somebody different every month, and you never develop that relationship. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And I graduated from medical school in the early 80s. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. Meredith 09:33 Yes.

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. Widera and Smith have no relationships to disclose. Alex 00:18 Prognosis, super special today.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). Institute for Poetic Medicine.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Yeah, we did not do that because dementia is so often under diagnosed and there’s a lack of awareness.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

Here are some articles that Kira and I have written about the topic, and that’s really how my interest in addressing sexual health concerns started. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. And I work right next to Don at the time.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

I think, Winston, in your article, you even said for probably brief periods of time, they’re still conscious. And just not to put too fine a point to it, articles in New England Journal this week about people in persistent vegetative state who were able to accomplish some sort of tasks. And definitely insensitivity.

IT 113

IT Families Family Patient-Centered 113

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. That kind of puts disease or symptomatology in one relationship to just having a positive amyloid PET scan. I’m not.

IT 116

IT Clinic Illness Hypertension 116