GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Rather, most of us live and make decisions in relationship to one another. Nice to be here.

Family 97

Family Families Patient-Centered IT 97

Vida Family Medicine

JANUARY 4, 2022

to take care of ourselves and prevent disease, or to treat disease when we catch it early than it is to treat a more complicated health problem. This visit will include a review of your personal health history and family history so that your doctor can advise you on any screening tests that might be helpful for you.

Preventative Care 52

Preventative Care Preventive Care Chronic Disease Insurance 52

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And you’re in the ICU family meeting, and it gets heated. Holly 01:23 Thank you. El i se, welcome to GeriPal.

IT 132

IT Illness Families Family 132

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it.

IT 137

IT Families Family Physicals 137

Maine Academy of Family Physicians

OCTOBER 22, 2023

6-week Medical Student Externship - Medical Student Externship Report – Molly Mann, MS2 2023 July – August "My externship experience consisted of shadowing Dr. Der Simonian at the Falmouth Family Medicine office and at the Maine Medical Center Mother Baby Unit.

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. The question I would ask is, how helpful is that in our clinical practice? So we put those cutoffs, and I asked the question earlier, how helpful are those cutoffs in clinical practice?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Alex: How is your family doing?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

NOVEMBER 21, 2024

The clinical trials and the this and that. But if we’re going to have a family meeting, that’s a different circumstance. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. Relationships are usually more complicated.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

MAY 4, 2023

We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical social worker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). It is really difficult for the patients and the families. Welcome to the GeriPal podcast, Abby. Abby: Thank you.

IT 83

IT Family Families Illness 83

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Is there a true relationship with that? Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. Welcome, Katie, to the GeriPal podcast. Katie: Thanks for the opportunity. Katie: Awesome.

Community 114

Community Transportation IT PCP 114

GeriPal

NOVEMBER 7, 2024

About half of patients who are over the age of 65 start dialysis with a GFR of over 9, which is sort of the level below which we have clinical trial evidence for suggesting that there may not be a benefit to starting at that level of GFR. Clinical experience. Maria 29:14 We’ll be more statistical than clinical, I think.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

AUGUST 11, 2022

There was no conversation with the patient or the family about this. And the medical approach to these patients was very limited, but people were treated in their homes, with their families, with enormous compassion and care, which is what was really the antithesis. And that did not seem right to me. And the focus was on their comfort.

Illness 109

Illness IT Family Families 109

GeriPal

DECEMBER 14, 2023

Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Liz: I do, indeed. Proud Mary.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Andrew complicates this definition , stating it raises more questions than answers. Particularly patients, families. That their loved one is in there.

Families 93

Families Family IT Patient-Centered 93

GeriPal

JANUARY 26, 2023

And again, that can create a food desert, which can create health issues for patients and their families, so that’s an example of structural racism, but again, it’s baked into laws. We wrote a grant to try to look at a way of improving diversity in clinical trials, and the grant just ended. I probably should have said GFR.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 13, 2025

And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. And my community and about my family and those kinds of things. And they had to have a family caregiver. Their family members could not come in. Our consultation. Marie 11:03 Yes.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. There’s something. Eduardo 10:42 Sure, Eric.

Illness 133

Illness Patient-Centered IT Patients 133

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

MARCH 30, 2023

Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood. ” I think that’s what I’m talking about with action, or it might be family leave policies.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Bill, welcome back to GeriPal.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic?

Family 106

Family Families Patient-Centered IT 106

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Millions of lives are at stake. Meredith wore a shirt that said Silence=death.

Primary Care 94

Primary Care IT Provider Clinic 94

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. Health care professionals are human, and as humans we experience loss both in and out of work. Turns out, it’s maybe not. Eric: Yeah. It just absolutely has to.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JUNE 6, 2024

Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don’t ask, then have increased anxiety about not asking. And it actually came up during a clinical encounter that I had. Clearly this issue is important to patients. Sharon, welcome to Jerry Powell.

Illness 130

Illness IT Physicals Patients 130