GeriPal

FEBRUARY 8, 2024

Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. What do we mean by health? I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. Panelists BJ Miller and Naomi Saks have no relationships to disclose.

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IT Family Families Physicals 137

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Eric: Which brings us to an article. Jessie: Exactly.

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Illness Patient-Centered Screening Clinic 136

GeriPal

AUGUST 11, 2022

We talk with Susan about how far the field has come, from early days when the attending physician would decide which patients were DNR and place a black “no code” dot in the chart. There was a Stanford article talking about you as a pioneer in this field. There was no conversation with the patient or the family about this.

Illness 109

Illness IT Family Families 109

GeriPal

NOVEMBER 17, 2022

We’ve got a, Sheryl published a great article, and Kenny and Ken published an editorial for that article. And that’s why I think your article is so important is that we need standards. But why I decided to look at medical and mental health care and assisted living. And which journal again?

Community 97

Community IT Mental Health Medical 97

BMJ

FEBRUARY 8, 2021

1 The purpose of this article is not to denigrate youth (or their parents) for whom these medications are truly needed for medical reasons. We also need to expand barrier-free access to mental health services, including behavioral interventions. tobacco, alcohol) was associated with misuse of prescription substances.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

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.

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Family Families IT Community 132

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. And importantly the patient has to have capacity and they have to be able to take the drug themselves. So being well and also potentially periods of dying. Alex: Oh.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. Ashwin 00:49 Excited to be back. Kate, do you have the song request?

Patient-Centered 66

Patient-Centered IT Screening Individual 66

GeriPal

AUGUST 31, 2023

He studies the mental health system in the ways in which it has failed children and adolescents, and he writes about his experience with cancer in a blog, the Billgardner.substack.com, Billgardner, one word. One colleagues of mine in the Netherlands did just interviews with 30 cancer patients and this theme kept coming out.

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Illness IT Diagnose Medical 128

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? And so I began to think about the training that I had and that there was no mental health condition that was diagnosed.

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IT Community Patient-Centered Medical 99

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. Today we’re going to be talking about narrative writing specifically for healthcare professionals.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. These studies are important. So, learn as many as you can and what they’re all about.

Patient-Centered 99

Patient-Centered IT Family Families 99

GeriPal

FEBRUARY 13, 2025

How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. I’m Na Ouyang.

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Consulting Community Patient-Centered Family 63

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

And on that, I found a link to this article by Rick Moody called Elders in Climate Change, No Excuses, in which he argues that elders are the group that benefited most from the massive consumption of fossil fuels in the post World War II eras. So it’s just every single part of our life is affected and mental health issues.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless.

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Mental Health Community IT Individual 123

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. And just going back to that patient, I’ll tell you, before I started this role, I would have probably looked at the handout box in our clinic and been like, oh, okay. Is it the patient?

Community 89

Community Nurse Practitioner Provider IT 89

BMJ

AUGUST 20, 2021

doi: 10.1136/fmch-2021-001143 The COVID-19 pandemic has resulted in profound changes in patient and prescriber behaviour. Increased health anxiety has been a feature of the pandemic, with fears around leaving the home, social distancing, hand hygiene, and shortages of goods and medications due to panic buying commonplace.

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Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” And it was really good for my mental and physical… Physical health, obviously, but mental health really.

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Illness Patient-Centered IT Family 98

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Care Ecosystem.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable.

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Vaccination IT Hospital Management 100