GeriPal

NOVEMBER 7, 2024

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.

Management 116

Management Patient-Centered Patients IT 116

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. He’s in Boston. And also I was in the HVMA primary care program. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . Brian: Thanks so much.

Illness 109

Illness IT Families Family 109

GeriPal

JANUARY 16, 2025

I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. Alex 02:21 For Eric 02:21 For unrepresented older adults. Tim 02:29 Yeah, it’s such an honor to make a song request.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

DECEMBER 8, 2022

Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? VA “gets” the importance of storytelling in medicine, without the need for reams of research to back it up. My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

APRIL 28, 2022

Graphic Medicine. Nathan is a Palliative Care doctor and an assistant professor of Medicine at Johns Hopkins. Times , The BMJ , and Annals of Internal Medicine. . Graphic Novels. I’m not sure what to title this podcast but I’ve been looking forward to it for some time. Why, because today we have Nathan Gray joining us.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 14, 2023

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. This field is not new. In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

FEBRUARY 27, 2025

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? Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). What is making this hard for me?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

APRIL 24, 2025

We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET? And I get to sing Bon Jovis Bad Medicine, which is such a fun song! Adam 01:12 American Journal of Palliative Medicine. Think vitamins. How ought clinicians respond? I can tell.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. All right, I’m going to start us off with one of my few questions on here because we’re going to get to exchanging stories too, is medicine is an evidence based discipline. That’s medicine.

IT 107

IT Community Patients Families 107

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office – weeding out those less fit – is also sludge.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

AUGUST 24, 2023

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. But once I got into medicine, I found myself attracted to the field of psychiatry. And decided, interesting article, but it raised as many questions as it answered.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 10, 2025

Tammie 04:51 Yeah, so I would say that 30 years we’ve been in the palliative care space, not in emergency medicine, but we’ve been advancing the science in general palliative care for over 30 years and just plugging away with it, study after study after study to build the field. They got training in Vital Talk and ELNEC.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 20, 2025

A great Curbsiders podcast episode on Trauma-informed care with Megan Gerber CAPCs Trauma-informed care toolkit Mariahs article on Home-Based Care for LGBTQ or another diverse gender identity Older Adults ** This podcast is not CME eligible. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Here we go.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

MARCH 3, 2022

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. Julien: Thanks Alex, thanks Eric. It’s great to be here. Alex: (Singing).

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MAY 29, 2025

Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no! This will give people false hope! That their loved one is in there. Andrew 00:42 Hey, everyone.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? We’ll see.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. For a deeper dive, check out some of these other studies and resources we talked about in the podcast: The Influence of Nursing Home Culture on the Use of Feeding Tubes.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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. Alex 00:14 We have a very full house today. Take it over.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” What about ambivalence on the part of the provider?

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

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. Eric 00:13 And Alex, we have a super special today, three different articles. This is Eric W id era.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 26, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. From you reading the 2022 article that was authored? We talk today with Betty Ferrell, who has been a nurse for 47 years, and is the founder and PI of ELNEC. Josh, welcome back to GeriPal. Jenny: I do.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

FEBRUARY 2, 2023

I had heard of course heard of imposter syndrome in the past but I didn’t make the connection to myself until I read this article and saw my thoughts printed on the page. It is not surprising we would internalize these norms. Summary Transcript Summary Sometimes you read a book and get a flash of insight – that “ah ha!”

IT 104

IT Medical Student Medical Families 104

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Jasmine, is it you?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? So here is a little bit.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

APRIL 21, 2022

Institute for Poetic Medicine. 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). It’s really, for me, poetry has really been entirely connected to my work in medicine. To let it go. .

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. We’ll cover why the GUIDE model is important (hint – it all comes down to funding), how it was developed, what components will it include, and how it will be evaluated. It requires a fight.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 2, 2022

Monica Gandhi is a professor of medicine and associate division chief of HIV, Infectious Diseases, and Global Medicine at UCSF & San Francisco General Hospital. Stat news article about variants/COVID becoming more predictable. NIH study about long COVID published the day before in Annals of Internal Medicine.

Vaccination 100

Vaccination IT Hospital Management 100