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 120

IT Patient-Centered Patients Clinic 120

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

The Medical Futurist

JUNE 21, 2025

It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. It’s complete in its descriptions and treatments which can also be used by medical professionals of all types. (*There are widely varying figures, ranging from 66% to 90% depending on the source of information.)

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

GeriPal

JUNE 19, 2025

My transition was very public at Sinai, and in a way, I became like a poster child for living my truth in terms of being trans, having lived and embracing different intersectional identities, being an immigrant woman of trans experience, identifying as a straight woman and as a professional. Jace, welcome to the GeriPal Podcast.

Individual 82

Individual Community IT Chronic Condition 82

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Community-based organizations led by Black women may be even more impactful.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

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

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

SEPTEMBER 1, 2022

Barbara highlights social workers’ inherent leadership qualities and tasks us to consider whether our own team and organizational structures are allowing for optimal social work engagement and influence. by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Alex: This is Alex Smith. Is that right?

IT 102

IT Families Family Clinic 102

GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. 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. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Welcome to the GeriPal Podcast, Fayron.

Community 128

Community Families Family IT 128

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). It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. This is Eric Widera.

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. Eric: Now, it’s interesting.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 31, 2023

I am honored to introduce Bill Gardner, who’s a child psychologist and professor of psychiatry and epidemiology at the University of Ottawa. We have a Canadian theme going. We just had Harvey Chochinov on. Bill, welcome to the GeriPal podcast. Can you believe that this is happening?” Was it April 1st?” Juliet: It was great.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So this is something. This is the plenary to attend. It is a sold out crowd. It is a standup crowd and it’s going to be a hard act to follow. Of course. We will step aside. Speaker 6 03:29 Andy.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 26, 2023

Like a lot of organizations, corporations, professionals, societies, we put out a statement that basically said we stood against violence and other forms of discrimination following his murder. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you.

IT 92

IT Patient-Centered Healthcare Patients 92

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

MAY 9, 2024

He was also the one who we have to thank for suggesting this podcast! Hsien Seow & Samantha (“Sammy”) Winemaker : Hsein and Sammy’s goal was to start a revolution with their podcast “ The Waiting Room Revolution ,” which is now in its 7th season! ABIM MOC credit will be offered to subscribers in November, 2024. Great title. Matt: Same.

Education 127

Education IT Illness Healthcare 127

GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. We’re going to be talking about each one of these papers. Yes, it is.

Families 106

Families Family IT Patients 106

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 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 27, 2025

Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM. What is harm reduction and how can we implement it in practice? Who follows the patient once the cancer goes into remission? Who will prescribe the buprenorphine then? Oh, my goodness.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

JUNE 13, 2024

Eduardo 03:38 A ll I can say is that the reason why I’m here is because I was a failed professional bass player. 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. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. It is the slippery slope made real. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

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. But before we jump into that topic, John, do you have the song request for Alex? John: I do. It was on his last album. You were a what?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 23, 2022

Today we talk with Mara Schonberg, who has been tackling this issue from a variety of angles: building an index to estimate prognosis for older adults, writing about how to talk with older adults about stopping screening, a randomized trial of her decision aid , and how to talk to older adults about their long term prognosis. AlexSmithMD.

Screening 99

Screening PCP PCP IT 99

GeriPal

FEBRUARY 9, 2023

We’re going to define what that is and how it applies to the work that we do. But before we go into that, Amber, I think you got a song request for Alex. Amber: I do. Being a palliative care physician, the one that came immediately to mind was Knocking on Heaven’s Door. You know what? So I just can’t keep going. I love this song.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Eric: 1982. Alex Smith: (Singing).

IT 95

IT Clinic Screening Patients 95

GeriPal

AUGUST 8, 2024

Alex 00:17 So who came up with this name? Eric 00:19 Miguel Paniagua. We heard from him that he was going to do an ACP session on between two earns, including a funeral director or mortician, to talk about it in a play on B etween T wo F erns. Alex 00:35 Yep. And I gave it this title, talking about how we can get plenty more of everything but time.

IT 124

IT Families Family Relationship 124

GeriPal

OCTOBER 3, 2024

I’ll have a more professional version on the audio- only versuib. Some highlights from our conversation: The role of art in humanizing the dying process. The rules are really quite simple: Find another person. Sit down and draw each other for only one minute. We invite you to post your drawings on twitter and tag us @GeriPalBlog!

IT 122

IT Patient-Centered Patients Relationship 122

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

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

-Alex Smith Additional links mentioned by Tsai-Chin Cho: – Wealth shocks and mortality in the US – Change in marital status as a risk for wealth shock ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 W elcome to the GeriPal p odcast. This is Eric Widera. Alex 00:12 This is Alex Smith. Is it you, Rebecca?

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

APRIL 21, 2022

The impossiblity which is life, which is everything, and death, which is the end of life. As Mary Oliver tells us In Blackwater Woods , and I’m paraphrasing here, we must to hold it to our bones, knowing our lives depend on it, and when the time comes, to let it go. To let it go. . Poetry helps us grapple with our own experiences of illness.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. People are living with HIV into advanced ages. Eric 01:28 Wonderful.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. Jennifer, welcome to the GeriPal Podcast. Jasmine, is it you?

Primary Care 79

Primary Care IT Clinic Illness 79

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 106

Families Family Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

I’m happy to talk about it at any time.” All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. Treatments for vaginal dryness and atrophy ACS links , NCCN links , Cancersexnetwork , and a great handout that Areej created And I get to sing Lady Gaga, also a first for GeriPal! Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130