GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. People don’t ask about it, they don’t screen about it. Eric 00:57 Subdued.

IT 124

IT Patient-Centered Screening Community 124

GeriPal

OCTOBER 10, 2024

Interprofessional palliative care has a ton of great authors, an inter professional list of amazing authors. Show me your scars.” Scars, really? I’ve been there. You probably have too. On the one hand, I don’t think interprofessional teamwork needs to be scarring. It’s starting to feel like nothing’s gonna stop us now.

Screening 119

Screening IT Families Family 119

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. Their job was done.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. Summary Transcript Summary. Mara keeps working at it, and the more she works, the closer we are to fine.

Screening 99

Screening PCP PCP IT 99

GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). The efficacy of psychedelics without therapy, and the impact of variations in therapy type, training, duration, is unknown. Ethical issues , including colonization of psychedelics by big pharma. We cover these issues and more in today’s podcast.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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 122

Patient-Centered IT Illness Patients 122

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 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Nate also wrote a NEJM piece last year on Alzheimers Disease, Biomarkers, and mAbs What Does Primary Care Need? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? Does a good history matter anymore? Okay, Non Sequitur.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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 begin with a refresher on psilocybinwhat it is, how it might work, what conditions it may help treat (including demoralization), and how its typically administered. It’s there.

Illness 107

Illness IT Patient-Centered Patients 107

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.

IT 102

IT Families Family Diagnosis 102

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. So this is something. It is a sold out crowd.

IT 64

IT Hospital Screening Patients 64

GeriPal

FEBRUARY 8, 2024

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. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Naomi: Yes, I do. Alex: Yeah.

IT 137

IT Families Family Physicals 137

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 96

IT Patient-Centered Patients Board-Certified 96

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

JANUARY 16, 2025

We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Tim 02:29 Yeah, it’s such an honor to make a song request. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below. James: Thanks for having me.

Clinic 67

Clinic IT Patients Medical 67

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

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. 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.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). It meets in-person, once a month, over nine sessions. The theme is death. Alex: That is wonderful context.

IT 99

IT Patient-Centered Families Family 99

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

JUNE 5, 2025

Cari 01:42 I would like to request Hallelujah, one of my favorite songs. And I love hearing you sing, and so it’s an excuse to have you sing a beautiful song. And it’s, I think, a very uplifting song. And I’m so pleased with Connie and that she’s doing so well, and so it’s a celebration of her, too. No problem.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

JULY 28, 2022

I had it on my screen. 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: (singing).

Illness 110

Illness Hospital Patient-Centered Patients 110

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. Who would/should be on that board? Which is it? Whos got the right of it? Na 01:01 Yes, I requested the song.

Consulting 63

Consulting Community Patient-Centered Families 63

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

MARCH 10, 2022

Welcome to the GeriPal Podcast, Caroline. Caroline: Thanks, Alex. I know it’s a mouthful. It’s exciting to be here. Alex: And welcoming back to the GeriPal Podcast for, like, her 10th time, we have Lauren Hunt, who is nurse researcher and assistant professor at the UCSF School of Nursing. Welcome back to the GeriPal Podcast, Lauren.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. Add to this, “do you feel safe outside the home?” Jessica, welcome back to GeriPal.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

AUGUST 1, 2024

Summary Transcript Summary What is a healthy diet and how much does it really matter that we try to eat one as we age? That’s the topic of this week’s podcast with three amazing guests: Anna Pleet, Elizabeth Eckstrom, and Emily Johnston. Emily Johnston is a registered dietitian, nutrition researcher, and Assistant professor at NYU.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

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

APRIL 20, 2023

How has the history of redlining and the federal tax subsidy of wealthy (mostly white) people in the form of a mortgage interest deduction contributed to racial inequalities in homelessness? What can we do about it? What are the highest yield interventions and policy changes? What should we call it – homeless or unhoused? Eric: I love this.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. Meredith wore a shirt that said Silence=death. Eric gave me the hook during my live cover of One, by U2, a song released in 1992 whose proceeds went entirely to AIDS research. Eric 01:28 Wonderful.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

DECEMBER 21, 2023

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. It requires a fight. It’s been going on for many decades now. Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 14, 2022

Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. Welcome back to GeriPal, Darrell. Darrell: Yes.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JUNE 2, 2022

Well, on today’s podcast we invite Monica Gandhi to sum up the evidence to date about how best to prevent getting COVID (or at least the severe outcomes of the disease) and how to treat it, including the role of Paxlovid in symptomatic disease. A good twitter criticism of the CDC 1 in 5 COVID survivors have long COVID study. Transcript. Alex: Great.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

Before we do, I think, Joe, you have a song request for Alex. Joe: I do. I would like to hear Space Oddity and it’s because I can’t imagine being more lonely and isolated than being in a tin can orbiting around the earth by myself and just how comforting it is even to hear that scratchy little voice from ground control. Joe: Right.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73