GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). But wait, before you throw out that equianalgesic table, we also invited Dr. Mary Lynn McPherson, PharmD extraordinaire who published this amazing book, Demystifying Opioid Conversions , 2nd Ed., Summary Transcript Summary.

IT 139

IT Patients Individual Relationship 139

StorytellERdoc

APRIL 11, 2014

At one point in this book, a main character was sitting on her lawn, staring at her aging swing set, wistfully remembering the innocent beautiful moments of her childhood. Appreciation from patients and co-workers. This post festered in my mind for quite a while and I felt the need to purge before moving on to more patient stories.

Specialization 100

Specialization Family Families Transportation 100

GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . Her most recent book is Creative Care: a revolutionary approach to dementia and elder care . She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief.

Community 102

Community IT Individual Patient-Centered 102

Pamela Wible MD

JUNE 20, 2025

He then authored a book on burnout in overachievers and another on burnout in women further popularizing the slang word which seeped into common lexicon. Meanwhile physician burnout books and breathing exercises are offered by burnout coaches on every corner. Secondary prevention reduces impact of established illness (antidepressants).

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

Tiny Physician

FEBRUARY 15, 2022

A few days back, a video went viral on social media in which a resident doctor (a doctor who is undergoing post-graduation / PG doctor) was shouting at the bystander of a patient. For example, a PG doctor, while examining a case, will be asked to collect blood test results from the lab and to accompany a patient for a CT scan after that.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Or, do we know anything even how common it is, serious illness, palliative care populations? How to screen for hearing loss. Eric: And how do we screen for it? It’s amazing.

IT 102

IT Screening Hospital Clinic 102

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Widera and Smith have no relationships to disclose. Alex Gamble, do you have a song?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. 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.” I’m figuring things out still.

IT 133

IT Illness Family Families 133

StorytellERdoc

MARCH 18, 2020

Being an ER physician facing this dilemma on the front lines of a large emergency and trauma center, I am also bearing witness to the more daunting picture of this dilemma--the mental and physical effects Covid-19 is having on our patients as well as on all of us. Be patient when you are frustrated. Wear your smile often. Don't travel.

ER 100

ER Illness Physicals Provider 100

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. Accessibility – Ideal for patients in rural areas or with mobility challenges. Safety – Reduces exposure to contagious illnesses. Mild illnesses such as colds, rashes, or minor infections. Let’s break it down.

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Telemedicine DO Family Medicine Chronic Disease Management 130

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 129

Illness IT Diagnose Medical 129

GeriPal

SEPTEMBER 22, 2022

Have you ever had that moment when talking to a patient, when you realized that the phrase you just uttered, which you’ve uttered a hundred times before, came out rote and scripted? And in response, the family or patient looked at you like you were from another planet? Summary Transcript Summary. Yeah, I’ve been there too.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. You’ve written in a lot of places, including your own books. This is Eric Widera. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today?

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? And, David, I’m going to start off with you because you wrote an entire book about this. Eric 06:53 I loved your book. Eloise, welcome to the GeriPal podcast.

Medical 100

Medical IT Patient-Centered Healthcare 100

Mere Mortal MD

FEBRUARY 24, 2025

I have been learning about Buddhism in the last several years, meditating daily and reading books about it, trying to incorporate the practices into my daily life. This book was written in the 1970s by a pastor Richard Bolles who wanted to help his friends find meaningful work.

Family 130

Family Families Diagnose Illness 130

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. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. She covers topics on death, dying, and hospice from a hospice nurse perspective, and she also has a book coming out called “ Nothing to Fear: Demystifying Death to Live More Fully ,” which is now available for pre-order.

Education 128

Education IT Illness Healthcare 128

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. Storytelling Helps Hospital Staff Discover The Person Within The Patient. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. What’s in a story?

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

IT 98

IT Patient-Centered Patients Board-Certified 98

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 100

IT Patient-Centered Patients Healthcare 100

GeriPal

SEPTEMBER 28, 2023

First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Patient Values: Three Important Questions-Tell me more? Simple, right? Not so much, as each one of these steps is fraught with miscommunication. What else?

Family 144

Family Families Patient-Centered IT 144

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. . She was a heart failure patient. Tell me about your illness. But yeah, great choice.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. The patient’s capacity to make decisions was marginal, and his sons were shouldering much of the responsibility.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And I was asking this patient about if he had filled out an advanced directive. Is the patient in your descriptor? Alex 10:41 No, they don’t.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. by Kearney. I promise its short. Michael, welcome to the GeriPal Podcast.

IT 105

IT Patient-Centered Family Families 105

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Alex: Okay.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

OCTOBER 3, 2024

Our focus today, however, was on her most recently published book titled How to Say Goodby e. This beautiful book began as a very personal project for Wendy while she was the artist-in-residence at Zen Hospice. You may know Wendy as the talented artist behind Meanwhile in San Francisco or Salt Fat Acid Heat. She has a TED talk.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

MAY 4, 2023

But when I have, I find that they’re often some of the hardest patients to care for. I just had this experience where in the space I was in, very few people believed that this was even a legit thing to study and certainly that it would make a difference for the patients we cared for. Young adulthood is super hard.

IT 83

IT Family Families Illness 83

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 have written about it in the book. Alex: I love the story of this book, how it starts so locally and then moves on to the Kerala region and then moves to India. Tom: Okay, great.

Community 116

Community IT Relationship Healthcare 116

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Where does POLST fit in with this debate? This is Eric Widera. Alex: This is Alex Smith.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. Are we seeing people like more older adults, more nursing home patients starting dialysis, and even at a higher gfr? So I wonder if I could turn to either of our nephrologists.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

APRIL 28, 2022

Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. If you look back to some of my cartoons from late in residency, they showed just how dehumanized I felt and definitely give windows into how dehumanized I imagined my patients to be. Nathan: I do.

IT 145

IT Hospital Patients Illness 145

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. I’ve had a patient in one room, they have stage four breast cancer. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study.

IT 137

IT Family Families Physicals 137

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. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. Where was it?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Think chemotherapy to imminently dying patients, or CPR.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. Her most recent book is Elderhood. The patient case. Louise, welcome back to GeriPal.

Patients 98

Patients IT Patient-Centered Hospital 98

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 126

Hospital IT Patient-Centered Patients 126