Tiny Physician

FEBRUARY 15, 2022

Without even forming an enquiry committee, he was suspended for a few days by the hospital administration in order to satisfy the public. Even though doctors are in no way responsible for the lack of facilities in hospitals like lack of beds, delay in getting blood test results, delay in getting a slot for scanning, etc.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

The Health Policy Exchange

JANUARY 3, 2013

Remarkably, Medicare was fully implemented only 11 months after the bill's signing, overcoming obstacles such as hospital segregation in the South, resistance from physician organizations such as the American Medical Association, and the logistical issues involved in issuing insurance cards to 18 million eligible seniors. Speed is essential.

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Insurance Family Medicine DO Finance 130

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. We also discuss (without trying to get too wonky!) Let it be (hint hint).

Management 116

Management Patient-Centered Patients IT 116

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.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Family Families 119

GeriPal

AUGUST 29, 2024

During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Why did you all decide to write an updated book on navigating communication with serious ill patients? Anne, welcome back.

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IT Illness Family Families 132

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School.

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Illness IT Diagnose Medical 128

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? What’s your favorite book? So our inpatient hospitals are kind of under resourced for music therapy. Like, it’s like a hospital. Tyler 01:43 Okay. That’s.

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IT Patient-Centered Patients Board-Certified 96

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. In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority.

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Community IT Relationship Healthcare 115

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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? His latest book is called Becoming Forest A Story of Deep Belonging, and he’s the founder of the Becoming Forest Project.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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 115

Patient-Centered Illness Healthcare IT 115

GeriPal

SEPTEMBER 22, 2022

– Anticipatory corpse book mentioned several times on the podcast. And again, to step back and look at the bigger picture, there’s a book that I wrote, or I didn’t write it, goodness, I read it in my intern year, by Jeff Bishop. And when I read that book my intern year, it possessed me. All the time. ;).

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JANUARY 30, 2025

Additionally, here are some of the resources we talked about during the podcast: Eduardo Brueras editorial that accompanies the JAMA paper titled Improving Palliative Care Access for Patients With Cancer Our podcast on Stepped Palliative Care with Jennifer Temel, Chris Jones, and Pallavi Kumar The book What’s in the Syringe?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

DECEMBER 15, 2022

On today’s podcast we talk with Jason Karlawish, who we’ve had on previously talking about his book The Problem of Alzheimer’s and with Aaron Kesselhim, to discuss FDA approval of Aducanumab , as well as frequent guest and host Ken Covinsky. . Been in the hospital four times, vented, been told the story to her family, she won’t live.

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IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. You didn’t have to walk many blocks down the street to a hospital or another facility where people were getting world class care. Naheed, welcome to the GeriPal Podcast. Naheed 15:56 2014.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 16, 2025

And so there’s complexity in Understanding how each state manages this. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. They have an advance directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. You think about the Book of Job, you think of Buddhism, and it’s so foundational to the field of palliative care. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print.

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IT Family Families Physicals 137

Tiny Physician

MARCH 30, 2022

Archana Sharma committed suicide because of the harassment by the bystanders of the patient who died at her hospital. However, she found herself in trouble when one of her patients, whom she treated at her hospital, died due to postpartum hemorrhage (bleeding from the birth canal after delivery).

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

NOVEMBER 17, 2022

I mean, people who used to be in hospitals are now with quicker DRGs. ” And the requests from management were to ask her to prescribe antipsychotics to try and sedate some of these behaviors away. Others take care of people less so, a more hospitality model, if you will. The acuity level has gone up, right?

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Community IT Mental Health Medical 97

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. Overtreatment leads to hospitalizations, undertreatment leads to disease progression.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MARCH 24, 2023

And welcome back to the GeriPal podcast, Ira Byock, who is a author and well-known, has written several books about hospice, inspired many to go into the field, and is the founder of- Ira: The Institute for Human- Alex: The Institute for Human Caring. How many patients is my hospice nurse case manager responsible for on any given day?

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IT Provider Patients Family 113

GeriPal

FEBRUARY 20, 2025

And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach.

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IT Patient-Centered Screening Patients 66

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.

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IT Family Families Illness 83

GeriPal

AUGUST 24, 2023

So take a listen and if you are interested in learning more, check out these wonderful links: Harvey’s latest book is called, Dignity in Care: The Human Side of Medicine Intensive Caring: Reminding Patients They Matter Michael J. And who’s a latest book is Dignity and Care: The Human Side of Medicine. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 13, 2023

Because our division of geriatrics has such expertise in secondary data analysis and how their retirement studies, can set me off on this task to go read the code books in HRS. And so I was really thinking about why are some of my people that are hospitalized doing better than others?

IT 99

IT Community Patient-Centered Medical 99

GeriPal

SEPTEMBER 12, 2024

I don’t manage anybody, but I get to sit in on some leadership meetings and make my voice heard. We were often the only ones left in the hospital. So when we were working on this book, intentionally interprofessional, we found such strong evidence that the team itself, simply being in a team, is protective.

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IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JUNE 29, 2023

And I actually shared that story with Bonnie’s manager and she just thought it was pretty cool that the whole thing had come full circle, the song that she was inspired by them and then they were so moved by the song that she wrote. But I was sitting vigil with him and just sitting there, just reading a book, just there.

IT 97

IT Family Families Board-Certified 97

GeriPal

APRIL 24, 2025

For more, Laura suggests a book titled, How to Talk to a Science Denier. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. That could include a robust home care plan to manage his symptoms. How about parents advocating for a child? I knew two things. The first bat.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. Despite your background, Alex.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. Matt, and others, including Craig, just not too long ago, wrote a book called Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

DECEMBER 29, 2022

Negotiation Training for Case Managers to Improve Older Adult Acceptance of Services. Prof Case Manag. I chose, not healthcare management, which a lot of my colleagues have done, but I actually chose negotiation and dispute resolution, which I thought was fun, as well as marketing. Awesome book. Geriatrics. Eric: Yeah.

Family 96

Family Families IT Patient-Centered 96

GeriPal

APRIL 21, 2022

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). 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.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. Meredith, welcome to the GeriPal Podcast. Meredith 00:48 Thank you, Alex and Eric.

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Primary Care IT Provider Clinic 94