GeriPal

DECEMBER 14, 2023

In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying. 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.

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GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. That’s scare tactics. Eric: Yeah.

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GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. I think I certainly have had a lot of friends and colleagues in internal medicine who are so fearful that, oh, if I get this definition wrong, I’m going to cause some harm.

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GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. I mean, Cass Sunstein and Dick Thauer wrote a book entitled nudge. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Prior-auth forms?

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GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. How does integrative medicine fit in with this? Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this.

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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. It was this slow build, I would say. Alex: What happens when people survive?

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GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. And who’s a latest book is Dignity and Care: The Human Side of Medicine.

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GeriPal

MARCH 31, 2022

And maybe, just maybe, we convince that poetry skeptic Eric Widera that there is a place for poetry in medicine after all. Links to essays and books by Marilyn McEntyre. She is written a number of books, including one that’s probably most relevant to today. And so poetry was just part of the family discourse.

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IT Patients Medical Illness 70

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

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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. As the caregiver or as a family member of the patient? 77 days, but that’s not very long at all, you know, at least in my book.

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GeriPal

FEBRUARY 20, 2025

Mariah 15:00 In books and literature that’s out in public, like the body keeps the score is probably one that many people have heard of, but there are others that I think talk about it more now than has been in the past. Eric 30:52 And this also reminds me of Dani Chammas article she just published in Annals of Internal Medicine.

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GeriPal

FEBRUARY 2, 2023

Summary Transcript Summary Sometimes you read a book and get a flash of insight – that “ah ha!” Also hat tip to Matthew Growdon for recommending the book. Today we talk with Bob Arnold, who has a long list of recommendations for books that have the potential to generate an “ah ha!” Please shop locally. Please shop locally.

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GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Eric 08:13 And Elizabeth, you just read a book.

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GeriPal

APRIL 21, 2022

Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. When I was about nine-years-old, they gave me a book of poems of Edna St. Because I’ve read poems my whole life, I have lots of poetry books.

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Patient-Centered IT Community Illness 93

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.” Malaz: I love it.

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