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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

Kemi Doll , a physician-researcher and coach, has a terrific podcast I highly recommend everyone listen to, though it is targeted at women of color in academic medicine. On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry.

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Prevention of Dementia: Kristine Yaffe

GeriPal

Should do medicine?” ” Because I loved internal medicine. Issues with sleep, like insomnia, does it lead towards a diagnosis of dementia, increase your risk, or is it that people with cognitive impairment, an early-on symptom is sleep disturbances and it’s more of a sign or symptom of early cognitive issues?

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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

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 96
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

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. Nicole 12:14 No, HFpEF is cool, and it’s fine.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? But that was my take home from Danny’s article. Janet, how are you integrating addiction medicine and palliative care? We have this.

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Hastening Death by Stopping Eating and Drinking: Hope Wechkin, Thaddeus Pope, & Josh Briscoe

GeriPal

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. Just got the diagnosis based on blood tests of amyloid.

IT 87
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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

60% of all medical costs have nothing to do with your health diagnosis. It has to do with genetics, 30%, 10% your diagnosis, the other 60% is your built-in environment, educational status, income and your personal choices. There have been some fabulous national articles. They’re afraid of losing their independence.