Tiny Physician

AUGUST 12, 2021

Health facilities and the health-seeking behavior of the community are far superior as compared to national standards. Developing a fine rapport, addressing the concerns regarding the illness, and curing the illness will earn accolades and not the apparel of the doctor. It includes certain dress codes also.

Medical 52

Medical Medical Student Illness Education 52

Tiny Physician

FEBRUARY 15, 2022

Geetanjali (Resident Doctor) Absence of a proper referral system Even though we have a good network of primary health centers, community health centers, and district hospitals, people still seek care at tertiary care centers like medical colleges even for trivial illnesses like a sore throat. are not met.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Listen in to learn more! Nadine: I do.

Diabetes 74

Diabetes Management Patient-Centered Families 74

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

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. Telemedicine allows you to consult with a doctor remotely via video, phone, or online messaging. Safety – Reduces exposure to contagious illnesses. Mild illnesses such as colds, rashes, or minor infections. Let’s break it down.

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

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. Is it you Lyndsay?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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 105

IT Patient-Centered Healthcare Illness 105

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

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 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Is it you, Ira? Eric: Great.

IT 114

IT Provider Patients Families 114

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. Why is this different from clinical communication skills? So what do we do about it? Transcript.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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 115

Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. Eloise, welcome to the GeriPal podcast. Eloise 00:47 Thanks so much for having me. I am super excited to have you on, Eloise. Alex 02:23 Terrific.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

FEBRUARY 23, 2023

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. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Families 98

Families Family Patient-Centered IT 98

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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

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 115

Consulting Patient-Centered IT Patients 115

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 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. So we’re going to be today talking about serious illness palliative care in the homelessness population. Homelessness?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. Participants were critically ill and intubated. What is sludge? Where was it?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

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 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. Graphic Novels. Graphic Medicine. I’m not sure what to title this podcast but I’ve been looking forward to it for some time. Why, because today we have Nathan Gray joining us. Transcript. This is Eric Widera.

IT 145

IT Hospital Patients Illness 145

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. Summary Transcript CME Summary The need for better palliative care in nursing homes is significant.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Four percent. It was amazing.

Illness 144

Illness IT Medical Provider 144

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

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. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Alex: Great. All right.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. You did a rural tele-palliative care consultation study. Who would/should be on that board? Which is it?

Consulting 63

Consulting Community Patient-Centered Families 63

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? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

Plum Health

OCTOBER 16, 2024

Comprehensive Primary Care for Michigan Communities What sets this clinic apart is its comprehensive approach to primary care. Whether you need a routine physical, vaccination, or management of a chronic illness, this clinic has you covered with a focus on holistic and individualized care. Here’s why everyone is talking about it!

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. We also talk about the eligibility for the unit, what makes it run including the interdisciplinary team and the inmate peer workers, and the topic of compassionate release.

Families 132

Families Family IT Community 132

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Before we go into this topic, who has a song request for Alex? It was Remember Me. Was that the title? Alex: I think it’s I Will Remember You. Joel: Yeah, right, I Will Remember You, right. Alex: … Sarah McLachlan.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. He looked very ill. But before we jump into that topic, John, do you have the song request for Alex? John: I do. You were a what?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation.

IT 107

IT Community Patients Families 107

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. This field is not new. In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying.

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Hospital IT Patient-Centered Patients 125

Blood, Sweat, and Tears

MARCH 18, 2023

A consultant I really respect and admire said “Atleast TB is treatable over a few months. Community service. We had 3 consulting rooms in one cramped up area which was permanently congested. “Well, I hope its TB and not leukemia.” ” He said. There was silence. I thought about that for a second.

Consulting 52

Consulting Specialization IT Management 52

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119