GeriPal

MAY 19, 2022

It depends on the clinical situation. Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . Oh boy, what should we do?

IT 139

IT Patients Individual Relationship 139

Doctor On Demand

APRIL 16, 2025

The American Thoracic Society’s 2015 study, “The Relationship of Mucus Concentration (Hydration) to Mucus Osmotic Pressure and Transport in Chronic Bronchitis,” found that clearing excess mucus is a significant factor in protecting the lungs from “inhaled infectious and noninfectious challenges.”

Medical 52

Medical Board-Certified Asthma Telehealth 52

GeriPal

MAY 5, 2022

Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. I’m guessing not. How to screen for hearing loss. Transcript.

IT 102

IT Screening Hospital Clinic 102

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy: Thank you. Alex: Great.

Community 102

Community IT Individual Patient-Centered 102

The Clinical Problem Solvers

AUGUST 25, 2020

It is important to understand that police brutality not only impacts individuals with direct relationships to those afflicted by this violence but also has widespread effects on the entire Black community. Applying a critical race lens to relationship-centered care in pregnancy and childbirth: An antidote to structural racism.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? Listen in to learn more! Nadine: I do. Eric: Nadine, what is it?

Diabetes 74

Diabetes Management Patient-Centered Families 74

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. Alright, let’s scope things out.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. It’s a growing crisis affecting over half of all doctors in the U.S., They’re suffering from moral injury.

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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? This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Mesa Family Physician

JUNE 11, 2025

Preventive Care: Your First Line of Defense Against Illness When it comes to your health, waiting until something goes wrong isn’t the best approach. Instead, adopting a preventive mindset can help reduce your risk of illness, improve long-term outcomes, and even limit the need for more serious interventions. Are they the same?

Illness 100

Illness Preventative Care Preventive Care Insurance 100

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. Anish 00:24 Thanks so much for having me. Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Evie, welcome to GeriPal.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

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 109

Illness IT Patient-Centered Patients 109

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. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

NOVEMBER 21, 2024

Coping in the setting of serious illness. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That?

Illness 126

Illness IT Patient-Centered Patients 126

Plum Health

OCTOBER 23, 2024

It’s where you turn for regular check-ups, advice on staying healthy, and help with managing any chronic illnesses like diabetes or hypertension. While urgent care clinics are great for immediate, non-life-threatening issues like a sprained ankle or flu symptoms, they don’t provide the long-term, personalized care that primary care does.

Primary Care 52

Primary Care Primary Care Doctor Mental Health IT 52

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. And I think also some of the stuff we’ll be talking about, when it comes to communication, I mean, a lot of the clinical encounter is listening to the music. Key message: Listen to the music.

Illness 102

Illness IT Patient-Centered Patients 102

Mesa Family Physician

MARCH 13, 2025

During your comprehensive check-up at our Mesa clinic, our board-certified physicians will not only assess your current health status but also help you understand your risk factors for various conditions based on your family history, lifestyle, and previous medical records.

Family Physician 100

Family Physician Preventative Care Preventive Care Family 100

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. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. Welcome to GeriPal, Lyndsay.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

DECEMBER 15, 2022

Summary Transcript Summary. We’ve talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA’s decision to approve it. . But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No No it’s not just the French version of Aducanumab). . In an article in the NEJM (a published article this time, wonder of wonders!)

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. Any one of our podcasts with Bob Arnold, including this one on the language of serious illness or this one on books, to become a better mentor. That’s a hard enough task, given that most of us have never had any communication skills training. Holly 01:23 Thank you.

IT 133

IT Illness Families Family 133

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. This week we dive into the challenges with communication when it comes to life sustaining treatments and CPR. Jacky: Thank you. It’s a pleasure. Bob: The fish.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Widera and Smith have no relationships to disclose. Eduardo 00:57 Thanks.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Sach Kale set up an outpatient clinic focused on substance use disorder for patients with cancer. What do they do?

Patients 74

Patients Clinic Patient-Centered Illness 74

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.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Summary Transcript Summary. Wonderful work.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Yeah, exactly.

Family 98

Family Families Patient-Centered IT 98

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. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Can you guys do that one?

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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. I’m sure this is a subject we will return to, given the rapid progress on AI.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Don’t take my word for it, listen for yourself! ABIM MOC credit will be offered to subscribers in November, 2024.

IT 127

IT Patient-Centered Illness Education 127

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. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

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. Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Panelists BJ Miller and Naomi Saks have no relationships to disclose. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. Look for Jenny to potentially appear on the show Americas Got Talent (no lie). Tyler 01:12 AHPM. We were in Denver.

IT 98

IT Patient-Centered Patients Board-Certified 98

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. Because I don’t think we think about that so much in palliative care, but we do in geriatrics. Is it you, Emmy? Emmy: It is.

IT 102

IT Families Family Diagnosis 102

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers.

Illness 111

Illness Hospital Patient-Centered Patients 111