Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Who do we have with us today? I look forward to your findings of your study. It’s me.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. But there are times that a primary care physician or an internal medicine physician may make the referral. Eric 00:59 Why did you choose this song? Eric 09:13 Do you ever get it from a hospice agency?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. Eric: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic. Emmy: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . Palliative care, in contrast, saw explosive growth in US hospitals. When should people get palliative care? We can’t possibly meet the needs of all people with newly diagnosed serious illness. Kate: Sure.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

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. . Completion of advance directives and billing codes for advance care planning as quality metrics.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But rarely does the podcast and clinical reality meet in the same day. Dear listeners, if you have a podcast idea, feel free to reach out to us.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. Hillary: I certainly agree lots to think about. Hillary: So those all differ.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

AUGUST 11, 2022

We delighted to be joined by Brian Block, pulmonary/critical care faculty at UCSF and frequent guest host on GeriPal…and also nephew to Susan. – Serious Illness Conversation Guide podcast. AlexSmithMD . Links: – PDIA Faculty Scholars Program. – Therapeutic presence in the time of covid podcast. Transcript.

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. Anything cool in the palliative care field with AI?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. But you know, the clinical piece, I think it starts out with collecting sexual orientation, gender identity in your databases. Happy pride and thanks for the invitation, Alex and E. And great to meet Jace on here.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. So you’re right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 28, 2024

Summary Transcript Summary One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. These were clinically significant and statistically significant improvements.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 30, 2022

Samir: For me, it really came out of an interest in improving the care of patients who undergo surgery. 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. Eric: Mm-hmm. Eric: How about you, Samir?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

APRIL 4, 2024

Today, we talk with Bernie Lo, prominent bioethicist and practicing primary care internist, and Laurie Dornbrand, geriatrician at the IOA On Lok PACE, about the legacy of Nancy Curzan. They were seriously ill and had a chance to get to know. We use Bernie’s NEJM Perspective as a springboard for discussion. What words to use?

Family 112

Family Families Patient-Centered IT 112

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Essentially a primary palliative care intervention of sorts. Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JUNE 5, 2025

Summary Transcript CME Summary The need for better palliative care in nursing homes is significant. nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. We do conversations on goals of care and advanced care planning as well. The last thing I’ll say is I actually saw his very last performance.

Provider 117

Provider Illness IT Healthcare 117

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! Ivermectin to treat cancer. Stem cell treatments. Chelation therapy.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Ashwin 18:08 These are things that we often see from a clinical standpoint.

IT 66

IT Patient-Centered Screening Patients 66

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. And certainly we can take care of patients at more advanced ages.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. There are clinics. Everybody has a primary care doctor, a primary care nurse, a team.

Family 132

Family Families IT Community 132

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. And I turned to my dad and I said, I think mom needs palliative care.

IT 107

IT Community Patients Family 107

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. Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. Clearly this issue is important to patients.

Illness 130

Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. In the primary care practices that received the advance care planning intervention, rates of advance care planning were higher (about double). Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

Our second guest, Meredith Greene, is a geriatrician and researcher who focuses on care of older adults living with HIV, in the US and Africa. Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. In San Francisco, HIV care was more specialized in that.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. Eric: And you actually interviewed Eric, right?

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. ” We put together a clinical pilot study.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

Happy to be here Alex: And we’re delighted to welcome Carly Zapata, who is a palliative care physician faculty at UCSF and directs the Palliative Care Fellowship at UCSF. So we’re going to be talking about telemedicine, telehealth for people with serious illness. Now is the time to act, dear listeners! Eric: Yeah.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73