GeriPal

DECEMBER 2, 2022

We discuss the importance of viewing individuals with dementia from a lens of resilience, the importance of creative engagement ( as noted in Anne and Susan’s wonderful article on this subject) , the role of collaborative care, and what we can do to improve inclusivity for individuals with dementia in our community and health care systems.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? When I’m on nursing home call, the most common page I receive is for a blood sugar value. How high is too high?

Diabetes 73

Diabetes Management Patient-Centered Family 73

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? 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?

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. Eric 01:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. Nate, welcome back to the GeriPal Podcast. Nate 00:25 Thanks for having me.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MAY 22, 2025

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? And so this is a shout out to our inpatient palliative team at Dell Medical School.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. 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. Simple, right?

Family 144

Family Families Patient-Centered IT 144

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. And so really am fascinated by tough medical decisions. Scott: Sure. Thanks Eric.

Management 122

Management IT Medical Patient-Centered 122

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 Nurse Practitioner 102

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. Alex, who is gonna be answering that question? Vicki 02:10 Thank you.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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? Alex: And we’re delighted to welcome Justin Clapp, who is assistant professor of anesthesia and critical care and medical ethics and health policy.

IT 128

IT Family Families Patient-Centered 128

GeriPal

SEPTEMBER 1, 2022

Alex: We are honored to be joined by Barbara Jones, who is professor and associate dean for Health Affairs at the School of Social Work at UT Austin and chair of the Department of Health Social Work at Dell Medical School. So in preparation for this, I read a couple articles about social work leadership in palliative care.

IT 102

IT Family Families Clinic 102

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. He will post like articles that he’s read highlighted with key points noted, absolute treasure. See screenshot below.

Clinic 67

Clinic IT Patients Medical 67

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

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.” Emily is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania. And I know we’re talking a lot about medical decision making. Lynn: Sure.

Family 97

Family Families Patient-Centered IT 97

GeriPal

FEBRUARY 22, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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 ). That’s probably too medical. I’m using my medical brain. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

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

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Eric: So again, the topic is going to be medical aid in dying in Canada. Four percent. Transcript Eric: Welcome to the GeriPal Podcast. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

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. So she had them early in diagnosis and then a little bit later.

Illness 128

Illness IT Diagnose Medical 128

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: Exactly.

Illness 136

Illness Patient-Centered Screening Clinic 136

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. We’re pretty familiar with that in palliative care.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 126

IT Patient-Centered Illness Education 126

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. Welcome back to GeriPal podcast, Sharon. Sharon: Thank you for having me again. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

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! And he’s a professional Uber driver for his daughter’s softball games. Respectful disagreement is in short supply these days.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

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. Or they might, you know, they might sell their medication, which this population is also prone to.

Patients 72

Patients Clinic Patient-Centered Illness 72

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. Raj: It was indeed very, very gradual, and the seeds were sown when I was a medical student. It’s easier to concentrate on cure, diagnosis, cure. Was it that thunderclap moment?

Community 115

Community IT Relationship Healthcare 115

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. Did I get that right?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. It’s something we need to pay attention to, which is what we were talking about in the article. People with dementia make up about half of hospice admissions. Melissa: Sure.

Family 106

Family Families IT Patients 106

GeriPal

MARCH 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Family Families Illness 83

GeriPal

OCTOBER 27, 2022

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. Alex Smith: Before Eric gets to the articles, tremendous title from The Onion from ’97, “World Death Rate Holding Steady at a Hundred Percent. ” 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 Specialization Complication Relationship 100