GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Which patients are eligible to go to an ACE unit? What are the benefits of an ACE unit? If ACE units are so great, why are they not so common? . I think Kellie, do you have it?

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. Alex: Recollection.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

JANUARY 23, 2025

Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. We’re still working on this issue. Alex 01:23 Yeah.

Specialization 120

Specialization IT Patient-Centered Medical 120

GeriPal

JUNE 20, 2024

On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Someone else suggested, “Under Pressure,” but we’ve done it already. We settled on, “Oops…I did it again,” by Britney Spears. I suggested even flow. That’s a good one.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

MARCH 14, 2024

Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby. Eric: Oh boy. That’s going to be one of our topics, huh? Alex: It’s back. It’s back. To talk about this. Nicole, welcome to GeriPal. Nicole: Thanks so much for having us. I have one.

IT 125

IT Patient-Centered Hospital Individual 125

PEMBlog

SEPTEMBER 24, 2024

He had easy work of breathing, and physical exam was only notable for decreased breath sounds over the left lower lobe. It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. On arrival, the patient was febrile to 38.3C.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

PEMBlog

OCTOBER 2, 2024

You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent. Again, otherwise the diagnosis is based on history and physical examination. Understanding dyspepsia and its clinical presentation.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! This is Eric Widera.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. For Mesa residents dealing with these ongoing health challenges, regular visits to Mesa Family Physicians ensure that your condition remains well-controlled and complications are minimized.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

Mesa Family Physician

MARCH 6, 2025

James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Identifying health concerns before symptoms appear gives us tremendous advantages in treatment success and minimizing long-term complications.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. So Carmen and Katie developed an EMS Community Partnership program. Going into patient’s homes was eye opening. Their job was done. Carmen: Thank you.

Community 116

Community Transportation IT PCP 116

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People experiencing homelessness (PEH) and type 2 diabetes are hospitalized more often, develop diabetes complications, and die on average 10 years earlier than their housed peers due to poorly controlled chronic physical and behavioral health conditions. Results: We found high acceptability on the CSQ-8 with a mean of 30.5 (SD

Diabetes 130

Diabetes Medical Complication Physicals 130

Physician's Weekly

JUNE 23, 2025

Residents of East Palestine, Ohio, where the derailment occurred, have pressed the government to do more to answer questions about the mental and physical health effects of the disaster — from post-traumatic stress to cancer. Allison also praised the decision to involve the community in shaping the research.

Community 52

Community Asthma Engineering Complication 52

GeriPal

JANUARY 25, 2024

In their communities? MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Welcome to GeriPal, Lyndsay. Is it you Lyndsay?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

FEBRUARY 8, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: Yeah.

IT 137

IT Families Family Physicals 137

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

Families 102

Families IT Family Diagnosis 102

GeriPal

MAY 22, 2025

This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM. So check that episode out. Check all the episodes out. It’s a terrific podcast, Tyler. Welcome, Tyle r.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Social pain and loneliness. The intro is the upbeat guitar driven version.

Community 116

Community IT Relationship Healthcare 116

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MAY 4, 2023

Eric: So we’re going to be talking about palliative care for adolescents, and young adults. Why does it feel different? Does it feel different? How should we think about the care? But before we do, Abby, I think you have a song request for Alex. Abby: I do. So I requested that Alex play for us, Let It Grow, which is from The Lorax soundtrack.

IT 83

IT Families Family Illness 83

PEMBlog

JUNE 2, 2025

Recognizing Hypertensive Emergencies The end-organ dysfunction component of this diagnosis presents as particular symptoms, physical exam findings, or laboratory and imaging results. Nicardipine dosing: bolus at 30 mcg/kg/bolus (maximum 2 mg/dose), then a continuous drip at 0.5-4 4 mcg/kg/min; onset of action is less than 5 minutes.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

MAY 26, 2022

The basis of their argument is the ethical notion of “reciprocity” – people who are vaccinated have done something to protect the public health, and we owe them something for taking that action. Eric and I attempt to poke holes in their arguments, resulting in a spirited discussion. Evusheld is the latest case in point. . Alex: Love this.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Homelessness? Marginally housed?

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. 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. . Alex: Can’t tell…maybe a little bit.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JUNE 13, 2024

We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Summary Transcript Summary I always find cachexia in serious illness puzzling. ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo, welcome to the GeriPal podcast.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

SEPTEMBER 8, 2022

Holly: Oh, thank you, Alex, my star mentee. And it’s a pleasure to be here and to finally meet Eric. Eric: Well, we got a lot to talk about. Before we jump in the topic, do you have a song request for Alex? Holly: Yes, I do. My song request is Come On Up To The House by Tom Waits. Alex: And why this song? That line just kind of tickled me, so.

IT 100

IT Complication Relationship Specialization 100

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. It was amazing.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 3, 2022

Alex: And we’re delighted to welcome you to the GeriPal Podcast, Julien Cobert, who is an intensivist and aging researcher GeriPal Podcast, Julien. Julien: Thanks Alex, thanks Eric. It’s great to be here. Eric: So we’re going to be talking about aging in the ICU. Chris Cornell is one of my favorite musicians. Alex: (Singing).

Patient-Centered 96

Patient-Centered Patients IT Illness 96

FDA Law Blog

MAY 21, 2024

and its abuse may lead to only moderate or low physical dependence or high psychological dependence. DEA noted that “there is considerable variability in the cannabinoid concentrations and chemical constituency among marijuana samples and that the interpretation of clinical data related to marijuana is complicated.” . § 812(b)(1).

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

JUNE 6, 2024

Don Dizon, oncologist specializing in pelvic malignancies at Brown, suggests speaking in plain language, starting by normalizing sexual health issues, to paraphrase, “Many of my patients experience issues with intimacy and sexual health. Is that an issue for you? I’m happy to talk about it at any time.” Areej welc ome back to GeriPal. Ra ra ra ra.

Illness 131

Illness IT Physicals Patients 131

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. You got it.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

NOVEMBER 3, 2022

Eric: And why’d you pick that song? Vickie: It just reminds me of how important collegial support and being with each other is. Alex: Great choice. Eric: Thank you, Alex.All right, let’s jump into the topic at hand, loss and grief. I want to start off by turning to Matt. Matt, tell me about the book that you just published.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103