BMJ

FEBRUARY 18, 2022

Some will be at the forefront, others will be doing telehealth, or may find themselves back in a hospital situation rather than in the community. Hopefully, on the other side we will be more aware of the importance of our relationships and our small objects of gratitude.

DO 40

DO Family Medicine Mental Health Family Doctor 40

GeriPal

MAY 5, 2022

If you want to take a deeper dive into this subject and read some of the articles we discussed in the podcast, check out the following: Hearing Loss: Effect on Hospice and Palliative Care Through the Eyes of Practitioners. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. Transcript.

IT 102

IT Screening Hospital Clinic 102

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 102

Community IT Individual Patient-Centered 102

GeriPal

JANUARY 23, 2025

Eric 16:36 Okay, Connie, I got one last question about your article. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. Eric 20:51 And your deprescribing was on hospital discharge. You don’t know if you’re getting placebo or your allergen. Why is that?

Specialization 120

Specialization IT Patient-Centered Medical 120

GeriPal

NOVEMBER 9, 2023

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. We’re doing a lot of interactive relationship building. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. Wendy Dean and Simon Talbot with their landmark 2018 article, Physicians aren’t ‘burning out.’

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

JUNE 8, 2023

This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers. And I think because these patients are unique in that aspect, they’re not always necessarily in the hospital like say cancer patients are.

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. So Liz, let’s jump into the topic.

Hospital 126

Hospital IT Patient-Centered Patients 126

Physician's Weekly

JUNE 14, 2025

They assessed 19,108 patients with coronary artery disease from 7 hospitals in Massachusetts between January 2019 and March 2024. Source: ajconline.org/article/S0002-9149(25)00341-8/abstract The post Gender Disparities and Treatment Gaps in LDL-C first appeared on Physician's Weekly.

Consulting 52

Consulting Utilities Relationship Management 52

GeriPal

NOVEMBER 2, 2023

First, we’ve invited Jerry Gurwitz to talk about his recently published article in JAMA titled The Paradoxical Decline of Geriatric Medicine as a Profession (while it’s not the most upbeat title for the future of geriatrics, Jerry sees it as a call to action). I was going to start off by asking Jerry about why he wrote the JAMA article.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. David: Right.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. Tyler 01:43 Okay. That’s how you do it.

IT 98

IT Patient-Centered Patients Board-Certified 98

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 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. 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? Jennifer: Thanks.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. Pain Manag Nurs. 2023.11.004.

IT 137

IT Family Families Physicals 137

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.” Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? Should you stop at “no?” Eric: Lynn or Anne?

Family 98

Family Families Patient-Centered IT 98

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. Panelists Kate Courtright and Scott Halpern have no relationships to disclose. and consulting for Papa Health.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. While everyone says we should be doing this to the best science available, every hospital has a different interpretation of that. ” Some say, “Everyone gets a PHQ-9.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

NOVEMBER 7, 2024

-Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 Welcome to the GeriPal podcast. Eric 11:50 I also have to ask, because we will have a link to this article.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 113

Family Families Patient-Centered IT 113

GeriPal

MAY 18, 2023

Eric: And in the article that’s being published in JAGS, you have multiple tables. I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on.

Medical 97

Medical IT Patients Clinic 97

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 116

Patient-Centered Illness Healthcare 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. Because I also feel like we target people’s low sodium diets in the hospital.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. Was the clinician working frontline in those community hospitals? hospice use).

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

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. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) Been in the hospital four times, vented, been told the story to her family, she won’t live. Within the VA it’s now at 70 VA hospitals. But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No She was a heart failure patient.

IT 106

IT Patient-Centered Healthcare Illness 106

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. I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission.

Community 116

Community IT Relationship Healthcare 116

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. . Susan: Thank you. Eric: Yeah.

Illness 110

Illness IT Family Families 110

GeriPal

SEPTEMBER 7, 2023

We brought up your JAGS article, which we’ll link to our show notes about some of the geriatric needs, falls. I think geriatrics and palliative care, Alex had this really nice Venn diagram that he had created for an article he wrote, where it’s overlapping. And for some of them, the stays in hospitals are a month long.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. by Kearney. Lovely to be here.

IT 105

IT Patient-Centered Family Families 105

GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Eric: Speaking of a niche humor, I love this one. But they were still valuable.

IT 145

IT Hospital Patients Illness 145

GeriPal

NOVEMBER 21, 2024

Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That? Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. Dani, welcome back to GeriPal. Dani 00:25 Excited to be back.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. laughter] Eric: Okay, Katie, we’ve got a lot to cover with substance use disorder. Jessie: Exactly. Eric: Yeah.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. But that was my take home from Danny’s article. Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships.

Patients 74

Patients Clinic Patient-Centered Illness 74

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. Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals.

Consulting 64

Consulting Community Patient-Centered Family 64

GeriPal

OCTOBER 5, 2023

We’ve invited Jacqueline Kruser and Bob Arnold on this week’s podcast to talk about their recently published JAMA Viewpoint article titled “ Reconsidering the Language of Serious Illness. ” You recently published an article in the New Yorker titled, I can’t even read my own, what was the title again? Of course not.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

JANUARY 20, 2023

But if you want to learn more, check out these links: The report by NASEM titled “ The National Imperative to Improve Nursing Home Quality ” The website for the Moving Forward We will also link to the JAGS articles co-authored by seven committee members that focus on specific recommendations of the NASEM report when they get published (stay tuned).

Finance 95

Finance Board-Certified IT Provider 95