GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. I think there’s maybe a little bit of debate as to when those turn from being just normal age related changes to then being something more, but it happens in many different areas of healthcare. Eric: Lovely.

IT 124

IT Patient-Centered Hospital Individual 124

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. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

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. And I can only imagine that’s even more complicated in the cancer patient population, where we’re asking them to do so many other things as well.

Diabetes 73

Diabetes Management Patient-Centered Family 73

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? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Your insights could help someone else in their healthcare journey! What is in a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. So you have the consultation. Eric 27:57 And for those, does everything just condense as far as consultation, simulation and dose? Evie, welcome to GeriPal. Evie 00:41 Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Rao Doctor

APRIL 3, 2025

During the examination, healthcare providers assess vital signs, such as heart rate and blood pressure, and look for physical signs of infection or illness. Consulting your doctor ensures proper treatment. Using these methods can reduce temperature discomfort and minimize complications.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Is that your feeling, too? David 12:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JANUARY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. David: Right.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

FEBRUARY 23, 2023

And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. This is not a process where they can see into the future around what complications or challenges may arise, but this is the world that we live in and we can anticipate that. That can all start with you.”

Family 97

Family Families Patient-Centered IT 97

GeriPal

JUNE 15, 2023

Rethinking Automation and Inequity in Healthcare [link] [link] [link] MD Calc approach to inclusion of race [link] —— Transcript Eric: Welcome to the GeriPal podcast. So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Charlotta: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 9, 2022

And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. I have never myself called a palliative care consult as a trainee because we didn’t have one. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

AUGUST 29, 2024

Elise 07:02 So healthcare workers for sure. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? They’re asking you for a consultation. This is a complicated case. After a very long 1 hour consult, you’re exhausted.

IT 132

IT Illness Families Family 132

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. They were more likely to have a major inpatient surgical complication. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

FEBRUARY 15, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Katie: Yeah.

Community 114

Community Transportation IT PCP 114

GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Have you thought about that?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? The problem is, that’s actually not a very good narrative for nearly everything we take care of in healthcare. And that’s how we connected. When can I see again?”

IT 128

IT Families Family Patient-Centered 128

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. Ann: My palliative care doc is great.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 12, 2022

Alex: We are honored to welcome Dr. Rajagopal, who goes by Raj, who is the author of Walk with the Weary: Lessons in Humanity in Healthcare. The reasons are tied to the basically poor healthcare in low and middle income countries. We know that a department of healthcare cannot give it. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? But yeah, it’s complicated.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

DECEMBER 14, 2023

And what my goal was was to try to get a 360 degree view of the healthcare system by interviewing as many different types of people that will influence care for people who are at the end-of-life or people with serious illness in the hospital. Is that right too? Alex: I found your quotes particularly hard hitting here.

Hospital 125

Hospital IT Patient-Centered Patients 125

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. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee? Inside or outside of healthcare? What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. Eric: Yeah. What are the patients that we remember?

IT 83

IT Family Families Illness 83

GeriPal

NOVEMBER 21, 2024

And the person who was coming to me for consultation said, well, how do I get them to open up the box? This is so complicated. To get even more complicated. This is complicated. What you said is humanity is complicated. I’ve put that in a small box. And my first question was, why? Dani 42:36 You had me.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

MARCH 7, 2024

I thought that was an interesting take on doing this, because a mother-daughter relationship can be complicated, can be wonderful, and it’s hard to navigate when you lose your mother. There were rules a little bit, because the healthcare system likes to have some level of consistency as people move in. It just depends.

Provider 117

Provider Illness IT Healthcare 117

Tiny Physician

MARCH 30, 2022

She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days. Postpartum hemorrhage is an unfortunate and well-known complication of delivery. link] What is postpartum hemorrhage?

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

FEBRUARY 16, 2023

I recently had this patient in clinic who, for complicated reasons that I won’t go into, our outpatient clinic had to put limits on his frequency of visits with me. And we received this consult to assist with goals of care. Because we will have a different kind of countertransference to different formulations. And he was livid.

Patients 109

Patients IT Families Family 109

GeriPal

JANUARY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 19, 2024

Eric 12:11 And we consult psychiatry. People who have serious medical illness and have psychiatric complications as a result, or people who have coexisting psychiatric illness and serious medical illness and that this issue of maid sort of brings things. We do not have a psychiatrist, but we have consultants. Alex 40:57 Yeah.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. Alex 15:13 This is really complicated. This shouldn’t have happened. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

FEBRUARY 24, 2022

And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. And I think the advanced planning debate is really a question of, how do we help this very complicated situation? ” I always get myself into problems.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

AUGUST 22, 2024

Healthcare provide. Healthcare companies. Eric 11:54 And also lots of other things we don’t even think about too revolve around this life insurance and whether or not how much you can sue your doctor or healthcare providers for depends if the patient’s still alive or if they’re dead. Insurance companies.

IT 113

IT Families Family Patient-Centered 113