GeriPal

MARCH 14, 2024

Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Are medications part of that, too? So, a lot of medications, you can see the secondary effects of dysphagia causing those, as well. Eric: And swallowing is complicated, right? Nicole: Yes.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MAY 19, 2022

It depends on the clinical situation. I know this is like, we’re talking about math and so that makes it all a little complicated, but think about it this way. The chart that I have in my book and that I use in practice and so many healthcare systems have adopted already, is the very best, cutting edge data we have.

IT 139

IT Patients Individual Relationship 139

GeriPal

JANUARY 12, 2023

Alex: And we’re delighted to welcome back to the GeriPal Podcast, Stephanie Rogers, who’s a geriatrician and medical director of UCSF’s, age-friendly health systems. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? When I’m on nursing home call, the most common page I receive is for a blood sugar value. How high is too high?

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. They’re not a lot of randomized clinical trials. I presented this at the big clinical trials meeting in November in San Francisco.

Physicals 85

Physicals IT Hypertension Education 85

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. How do you choose the right clinic when every option seems equally promising?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. Eloise 00:59 Thank you so much. Eric 01:34 Yeah. David 04:31 Yes.

Medical 98

Medical IT Patient-Centered Healthcare 98

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. I was really fascinated not only with the medical side of things, but some of the. I knew I wanted to do palliative medicine pretty early Even in medical school. Eric 00:59 Why did you choose this song? Anish 04:13 Yeah.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Rao Doctor

APRIL 3, 2025

Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings. More severe symptoms, such as difficulty breathing, persistent vomiting, chest pain, or seizures, are red flags that necessitate immediate medical attention. F (38°C) is generally regarded as indicative of illness.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Vida Family Medicine

JUNE 29, 2022

When I was a medical student at Baylor College of Medicine, I participated in their Ethics track. This included additional classes in medical ethics as well as a scholarly project examining the medical ethics of a specific clinical situation. There is no easy or "correct" answer in these situations.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Brian: For the use of substances like psilocybin and LSD in medical care, or at least in investigational treatments, I like to call it psychedelic therapy. Alex: It’s complicated. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JUNE 27, 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.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

NOVEMBER 14, 2024

This is Sarah Berry, who is at the Hebrew Senior Life and Beth Israel Deaconess Medical center and Harvard Medical School. You know, if you want to think about the problem, think about clinical research. Sarah 05:53 Yeah, there are absolutely things we can do to prevent falls and prevent the complications. Alex 04:19 Wow.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

JANUARY 25, 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 11, 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. Susan 01:36 To reflect continuing medical management versus starting dialysis, which is what Maria’s wonderful paper goes through.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. And so really am fascinated by tough medical decisions. Scott: Sure. Thanks Eric.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Love to talk about also in the serious illness population. Emmy: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. And any examples from your own clinical experiences of miscommunication? Simple, right? Welcome back, Abby. Abby: Thank you. So glad to be here. Shunichi, welcome back to GeriPal.

Family 144

Family Families Patient-Centered IT 144

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” I do not want my family involved.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 26, 2023

Alex: And we are delighted to welcome Sharon Brangman, who is a geriatrician and chair of the Department of Geriatrics at Upstate Medical University. Then, of course, that falls into medical rules. We wrote a grant to try to look at a way of improving diversity in clinical trials, and the grant just ended. Eric: Yes.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? So when I was a resident at Cleveland Clinic, I got to see really cutting-edge technology, some of the best surgeons in the country, and perhaps in the world, operating on patients. Did I get that right?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

NOVEMBER 17, 2022

The songs about how saving lives is actually a pretty complicated business. You’re independent, drive in and out, and the more help you need, so for example, now you need somebody to help with medication administration. But why I decided to look at medical and mental health care and assisted living. Alex: Yeah. Eric: Nice.

Community 97

Community IT Mental Health Medical 97

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Ann Henshaw is an occupational therapist who works clinically at Georgetown and teaches at GW. Ann, welcome to the GeriPal podcast. Ann: Thank you. Very excited to be here.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 26, 2022

First we have Emily Largent who is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania Perelman School of Medicine, welcome to the GeriPal podcast, Emily. It wasn’t just to get healthcare workers to stay on the job, it was to thank them or recognize their service. Emily: I do.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Alex 01:24 And Elise Carey, who’s a palliative care doc and geriatrician and associate professor of medicine at the Mayo Clinic in Rochester, Minnesota.

IT 132

IT Illness Family Families 132

GeriPal

AUGUST 11, 2022

He’s assistant professor of medicine at UCSF, and he’s one of my former research mentees, and he’s very interested in medical ethics and decision making in the ICU. I was a medical and psychiatric resident between 1977 and 1982. He is a pulmonologist and critical care physician. Brian: Thanks so much.

Illness 109

Illness IT Family Families 109

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. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Alex: And we’re delighted to welcome Justin Clapp, who is assistant professor of anesthesia and critical care and medical ethics and health policy. Gretchen: Thank you.

IT 128

IT Family Families Patient-Centered 128

GeriPal

MARCH 24, 2022

And I don’t think necessarily, that appointment needs to be a medicalized process. Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. Rebecca: I think I’ll also add too. I need structure.”

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

MAY 25, 2023

Complicated grief? Van Scoy who is a pulmonary critical care advance care planning researcher at Penn State Hershey Medical Center in Pennsylvania. So am I measuring it for that specific clinic level quality metric or am I measuring it for my research study? I see us measuring choice of a medical durable power of attorney.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. Kate: Sure. So I’m in.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99