GeriPal

MAY 11, 2023

There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. One might argue they still are.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

The Medical Futurist

JUNE 21, 2025

2) iDoc24 The award-winning dermatology service is present in more than 160 countries and is available in 7 languages. Usually, patients go to their primary care physician for advice or try to ask in the pharmacy on the corner what the smiling pharmacists recommend. It’s a jackpot software for eczema troubles.

Healthcare 111

Healthcare Patients Board-Certified Telemedicine 111

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

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. And also I was in the HVMA primary care program. He’s in Boston. Alex 04:47 Probably was, yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 27, 2024

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? So if we look at the strict diagnostic criteria, yes, there are kind of time based components to that. And so bathe is an acronym. That often.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. It’s like breaking bad news in palliative care. Eric: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic. Absolutely.

Family 102

Family Families IT Diagnosis 102

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.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). LJ: I think that, you know, for advance care planning, it’s a more about process than an action or behavior. Hillary: I certainly agree lots to think about.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

NOVEMBER 14, 2024

You know, if you want to think about the problem, think about clinical research. You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. They took primary care practice and they randomize them to get their prevention. Eric 03:49 Great. Eric 04:51 Yeah.

IT 124

IT Screening Patient-Centered Community 124

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. We’re going to be covering what you’re going to be presenting at the state of the science tomorrow, so this is pre-recorded. I’m just stunned even writing that! We’ve come so far as a field.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

AUGUST 17, 2023

Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA approval process that was in the kindest words “rife with irregularities”. That was an FDA decision.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

NOVEMBER 2, 2023

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. And I met with the clinical pharmacist who worked in that clinic and she told me, “You know what? How do we train primary care doctors to do geriatrics?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JUNE 19, 2025

You present your. But you know, the clinical piece, I think it starts out with collecting sexual orientation, gender identity in your databases. And then if, let’s say they plan to switch to you as their primary care provider, then there are a few steps that you can take. So that’s how. Just how you.

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

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.

Hospital 132

Hospital Patient-Centered Patients IT 132

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. Essentially a primary palliative care intervention of sorts. What is a clinical decision support?

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. And so you could say that’s sort of starting the normalizing that process of advance care planning. And I would say too, as a primary care provider, it really doesn’t take that long to ask people about a surrogate decision maker.

Illness 72

Illness IT Healthcare Patient-Centered 72

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. We use Bernie’s NEJM Perspective as a springboard for discussion. Should we abandon the term, “comfort measures?” Bernie: And so Alex, it was horrible.

Family 112

Family Families Patient-Centered IT 112

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

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.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

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

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. Alex: Bye everybody.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

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. But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion. Chelation therapy.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 10, 2022

This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Now when I say variation, I’m not talking about small little clinically questionable variations. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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

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

GeriPal

SEPTEMBER 14, 2023

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. We had, since the late seventies, a home-based primary care program. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115