Physician's Practice

JUNE 20, 2025

Reynolds Blog Article Innovative medical practices thrive by embracing change, prioritizing patient care and learning from setbacks to enhance success and satisfaction. Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas.

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Management Patient-Centered Appointment Patients 52

GeriPal

NOVEMBER 9, 2023

I was coaching someone this morning, who really wanted to know, what does your clinic template look like, and how do you respond to patient messages? I can either tell you, “Here’s what I want you to do and know,” or I can just give you a book and say, “Go read it.” I can’t make you learn something.

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Tiny Physician

JULY 14, 2021

By the end of my internship, I was quite interested in Internal Medicine (IM) and wanted to pursue the same for my residency. The patient population Image taken from [link] This is probably the most obvious difference between these two branches. There are standard prescribers available in book stores to help the residents.

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Internal Medicine Medical Student Medical Patients 52

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.

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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? Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. Widera and Smith have no relationships to disclose.

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GeriPal

JANUARY 16, 2025

So I think the first reason that we saw and felt the opportunity was ripe for updating was that some of us had come across some anecdotal examples of patients expressing some offense to that terminology. And I was asking this patient about if he had filled out an advanced directive. Is the patient in your descriptor?

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Patient-Centered IT Patients Healthcare 109

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.

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IT Patient-Centered Patients Relationship 122

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. 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.

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Management Patient-Centered Patients IT 116

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. VA “gets” the importance of storytelling in medicine, without the need for reams of research to back it up. She was a heart failure patient. What’s in a story?

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Patient-Centered Illness Healthcare IT 115

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. The times, they are a changin’ -@AlexSmithMD .

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IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. Patients will tell our team after we’ve been through, “Oh, I just love that I was able to laugh with you guys. Nathan: I do.

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IT Hospital Patients Illness 145

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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Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty.

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Patient-Centered Patients IT Hospital 96

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. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. What is sludge? Where was it?

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Patient-Centered Hospital IT Illness 116

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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Patient-Centered Patients IT Illness 98

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. Think chemo.

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Patient-Centered IT Patients Illness 77

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. Patient Poets: Illness from the Inside Out. She is written a number of books, including one that’s probably most relevant to today. AlexSmithMD.

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IT Patients Medical Illness 70

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. And also of course this, the psychosocial support we can, can give.

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Patient-Centered IT Screening Patients 66

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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IT Medical Student Medical Families 104

GeriPal

MARCH 6, 2025

But for me to really get comfortable in palliative practice, I had to go book like other rotations and spend some, some extra time with people who do addiction health, people who, you know, I spent time with the outreach nurses who are doing, you know, street outreach visits. Or as we said in the podcast, abandonment.

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Healthcare IT Community Illness 100

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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IT Diabetes Chronic Disease Patient-Centered 116

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. . We’re going to be talking about pain and your book. It was actually in the first draft of the book.

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Patient-Centered Physicals IT Patients 105

GeriPal

APRIL 21, 2022

Poetry puts us in our patient’s shoes. Poetry holds us in that liminal space so many of our patients are in. When I was about nine-years-old, they gave me a book of poems of Edna St. In school, I was asked to write a book report, and instead of writing a book report, I wrote a poem that went. Vincent Millay.

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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.” Care Ecosystem.

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