GeriPal

DECEMBER 2, 2022

She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Eric: In the article, you wrote about creative engagement. Alex: First three words would be, family and history and diversity. When was that, 2010? It’s a connection to that., I love them.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

JUNE 8, 2023

So my background clinically is working with cancer patients and families and those who underwent bone marrow transplant, and a lot of times for their treatment regimen, it includes steroids. What is the role of the family caregiver system, how they play a role? Tamryn: Yes, 100%. And I don’t know where if we’re there yet.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. And because we can’t resist, we dip into aducanumab and lecanemab at the end. AlexSmithMD Transcript Eric: Welcome to the GeriPal Podcast.

Physicals 86

Physicals IT Hypertension Education 86

Edge Family Medicine

FEBRUARY 10, 2025

Edge Family Medicine , serving Upland, Montclair, and Rancho Cucamonga , offers both telemedicine and in-person visits , ensuring you get the right care when you need it. At Edge Family Medicine , we provide comprehensive in-person care , ensuring accurate diagnosis and effective treatment for conditions requiring a physical assessment.

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

Myriad Genetics

MARCH 19, 2024

Though scientists haven’t determined the specific reasons, an article on the Keck Medicine of USC website indicates poor diet and sedentary behavior could play a role. Another key issue is family history. The cancer had come back and was not responding to the same treatment as his initial diagnosis. Today, J.J.

Individual 52

Individual Screening Diagnose Families 52

GeriPal

SEPTEMBER 28, 2023

First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens.

Families 144

Families Family Patient-Centered IT 144

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. 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.” Should you stop at “no?” Anne Kelly: Hi there. Nice to be here. Lynn: Sure.

Families 98

Families Family Patient-Centered IT 98

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. And I was looking for articles, and I wasn’t seeing as many as I expected.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

IT 128

IT Families Family Patient-Centered 128

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. So in preparation for this, I read a couple articles about social work leadership in palliative care.

IT 102

IT Families Family Clinic 102

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

JULY 28, 2022

This is my early father’s day gift from the family. 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. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. But really those urinary tract signs and symptoms should be driving your diagnosis.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young.

Families 132

Families Family IT Community 132

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous. You’re recognizing that, wow, this could happen to me, and I wonder sometimes about the challenges.

IT 83

IT Families Family Illness 83

GeriPal

APRIL 14, 2022

And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . Article on buprenorphine in the elderly. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

Families 106

Families Family IT Patients 106

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. Now actually suggesting perhaps that you missed a diagnosis that you should have considered?

IT 99

IT Patient-Centered Patients Healthcare 99

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 ). John: I am what I am, which is a family practice doctor. That dawned on me.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 30, 2022

In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. Fifty percent have a diagnosis in their record of decedents have dementia. She has advance dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 18, 2024

We got a couple of articles to discuss and a lot of different components of this. Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

OCTOBER 24, 2024

I mean, I think, you know, people talk about withdrawal syndrome and it is an official DSM for diagnosis, but I’m not sure it’s. Eric 39:13 No, there was actually in Colorado, I think there was that Atlantic article or New Yorker. Eric 39:20 Yeah, that was a great article. David 20:00 Yeah, I think so.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. Remember, family member. And that could extend beyond 18 months. We just don’t know that.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” They’re still engaging fully with their family and with the activities and the hobbies that they’re still able to do. And having a cancer diagnosis and treatment is freaking stressful. Is this a new onset depression?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. Statistical significance level was accepted as p<0.05.

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

OCTOBER 17, 2024

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. Eric 12:05 Any pearls on the diagnosis of HFpEF. A pill organizer, having family.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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! Gretchen Schwarze like surgery, four things, live longer, feel better, be more functional, make a diagnosis. OK, I’ll step off my soap box.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. I was asking about what was going to be special about the trip or if they were going to do things with their family. We could have talked for hours!

Illness 128

Illness IT Diagnose Medical 128

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. And you can talk.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

FEBRUARY 29, 2024

The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. So, we did try to get some breadth of guests on our show.

IT 126

IT Patient-Centered Illness Education 126

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. It’s easier to concentrate on cure, diagnosis, cure. I’ve heard talk about in the family circles that I was an inconvenient child born as a third son, when my dad desperately wanted a girl.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JANUARY 11, 2024

What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Eric: Yeah. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 20, 2025

To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Joe, Josh, welcome back to Jerry Pal. Is that right, Hope?

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

OCTOBER 27, 2022

Alex Smith: Before Eric gets to the articles, tremendous title from The Onion from ’97, “World Death Rate Holding Steady at a Hundred Percent. Eric: Okay, I’m going to jump to the articles. Let’s start off with your article, James. I think mortality is the final end path. ” I love The Onion.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. And I got from your article, while the peaks follow this pattern, people feel a lot of different things where it just reminds me of the times I’ve grieved.

IT 100

IT Complication Relationship Specialization 100

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, And our point, in this article, is that it’s an inherently unsafe system because humans suck at that. Let me ask you a question. And they suck at it for a lot of reasons. This is GPT-4.

Electronics 139

Electronics IT Patients Healthcare 139