GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Who do we have with us today? Devon, welcome to GeriPal.

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Illness Patient-Centered Screening IT 136

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

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson).

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? So let’s just say you have a healthy 55 year old or 65 year old in your clinic. Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. Nate 05:29 Ooh.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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. Is this our role?

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IT Family Families Diagnosis 102

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below. James: Yeah.

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Clinic IT Patients Medical 67

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. I had it on my screen. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. Alex 16:45 That really rings true with my clinical experience. And I was asking this patient about if he had filled out an advanced directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Welcome to the GeriPal podcast, Nathan.

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IT Hospital Patients Illness 145

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics.

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IT Community Patient-Centered Medical 99

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. Alex 19:12 And what’s the clinical takeaway from that?

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. .” She softened to her suffering, and she trusted me enough to have a moment, that she could look into that and see that, yes, she had her clinical judgment, which was fine, but also that there was another processes going on, which was her own suffering.

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

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IT Clinic Screening Patients 95

GeriPal

JUNE 5, 2025

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. We can’t possibly provide enough care to all people with serious illness. right there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 6, 2023

It is a screening? Okay, I don’t necessarily want to stay clinical, but I really love that spiritual work and what’s the closest profession. We compared the raw scores on those measures, but we also were interested in making sure that the differences were clinically meaningful. I guess FICA is not as cool as SKY.

IT 99

IT Patient-Centered Family Families 99

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? You might see me on the TV screens next year. Tyler 34:44 Jenny, you’re giving me chills over here.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. They wanted you to be respectful of their cultural beliefs and their, you know, faith beliefs that were driving their health and illness. Marie 11:03 Yes.

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Consulting Community Patient-Centered Family 63

GeriPal

FEBRUARY 2, 2024

And PAIR stands for the Palliative and Advanced Illness Research Center. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you. But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. Did they screen charts?

Consulting 120

Consulting Hospital Patient-Centered IT 120

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. There’s something magical that happens in small group storytelling.

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IT Community Patients Family 107

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

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. The HIV clinics also served as primary care. Millions of lives are at stake.

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Primary Care IT Provider Clinic 94

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. I think that in almost every clinical encounter, we struggle with what’s ours and what’s someone else’s? To let it go. . Or as in Mark Nepo’s poem Adrift, I am so sad and everything is beautiful. How much are we there as people? How much does it matter?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. That’s in my view as analogous as to any other illness. Alex: That’s right.

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IT Clinic Illness Hypertension 115

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues. Louise 32:50 Right.

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Diagnosis Diagnose IT Physicals 141