Physician's Weekly

JUNE 19, 2025

We need to better understand the guardrails around safe cannabis use and educate the healthcare community and patients. It’s more complicated than that. Participants provided urine samples on the day of scanning to detect recent use. We need to engage in conversations about what can harm and what can help.

Community 52

Community Healthcare Diagnosis Medical 52

GeriPal

MAY 19, 2022

Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . which advocates for an updated, wait for it… equianalgesic table! .

IT 139

IT Patients Individual Relationship 139

The Motivated MD

SEPTEMBER 12, 2024

We are a collective profession of high-earning and driven individuals. With a significant portion of our income now free from the shackles of educational debt, we can entertain new ways to invest our earnings and grow our wealth. I understand the incentive, sure. Like so many of you, I have little background in real estate investing.

Management 52

Management Finance Individual Education 52

GeriPal

OCTOBER 13, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: Welcome to the GeriPal podcast.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JUNE 20, 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.

IT 120

IT Patient-Centered Patients Clinic 120

PEMBlog

APRIL 20, 2023

Rather, it can change the bleeding phenotype from severe hemophilia to mild hemophilia – thus potentially reducing the risk of complications. An increasing number of children and adolescents with hemophilia A are on Hemlibra, and therefor the purpose of this post is to educate and raise awareness. This is a black box warning.

Individual 52

Individual Patient-Centered Patients IT 52

33 Charts

OCTOBER 2, 2021

And individual practice styles are fine. This thread from a 2015 post illustrates how varying needs of a child with ulcerative colitis call for different ways to connect: Take Luke, a school-aged child with moderate ulcerative colitis complicated by sclerosing cholangitis. Crucial that we fix this. Pretty simple. A cue for an action.

Patients 75

Patients IT Provider Family Doctor 75

GeriPal

MAY 11, 2023

If we focused on prevention, from a public health standpoint, we would achieve far more than spending millions billions on treatment. Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Alex: (singing) Eric: That was wonderful. Kristine: Yeah, yeah, yeah.

Physicals 85

Physicals IT Hypertension Education 85

CDOCS

APRIL 7, 2021

<p><span style="font-size:14px;">Dental technologies are constantly being developed, and each clinician must decide which innovations best fit their individual practice needs. Some other uses for CBCT are when I sense complicated anatomy, resorption, perforations, or instrument failures.</span></p>

Treatment Plan 52

Treatment Plan Patients IT Consulting 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 73

Diabetes Management Patient-Centered Families 73

FDA Law

JULY 10, 2023

By Philip Won & Adrienne R. Lenz, Principal Medical Device Regulation Expert — It takes a significant amount of time, cost, and effort to prepare a premarket notification 510(k) submission. But that is only the beginning. After a firm submits a 510(k) to FDA, FDA will request still more information after a first-pass review. The stakes are high.

Provider 75

Provider IT Engineering Medical 75

FDA Law

MAY 17, 2022

But even before the House Energy and Commerce Committee acts, the Senate Health, Education, Labor and Pensions Committee held a April 26, 2022 hearing on UFA reauthorization. Usually FDA’s lobbying activities are done rather quietly. Usually FDA’s lobbying activities are done rather quietly. Becerra.” Becerra , Catalyst Pharmaceuticals, Inc.

IT 40

IT Patients Individual Provider 40

PEMBlog

OCTOBER 2, 2024

Red flags that you should always ask about include hematemesis, melana, dysphagia, and Unintentional weight loss, these all need further investigation for complications like esophagitis or another diagnosis such as EOE or peptic ulcer disease. Topics covered include: The pathophysiology of GER and GERD in the pediatric population.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). Well, today’s podcast aims to clear up all these uncertainties. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Evie, welcome to GeriPal.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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.

Community 114

Community Transportation IT PCP 114

Vida Family Medicine

MARCH 28, 2024

Therefore, it is my practice not to prescribe intentional weight loss and instead focus on improving each patient's health with an individualized approach- by addressing underlying health conditions, social, and lifestyle factors affecting health- regardless of weight. This approach is not one-size-fits-all and it takes time.

Diabetes 52

Diabetes Primary Care Physician Medical Patients 52

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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

The Clinical Problem Solvers

APRIL 5, 2022

Push back against individual narratives that blame individuals for systemic injustice. Dr. Kushel detailed how the use of dehumanizing language equates to complicity in a narrative that systemically harms our neighbors with lived expertise in homelessness. Push back against dehumanizing language.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. Evusheld is the latest case in point. . Emily: It is.

Vaccination 87

Vaccination Individual IT Healthcare 87

The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

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

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. That’s a hard enough task, given that most of us have never had any communication skills training. I’m just so excited about our guests today. Gordon 02:02 I do.

IT 132

IT Illness Families Family 132

GeriPal

FEBRUARY 8, 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.

IT 137

IT Families Family Physicals 137

GeriPal

MARCH 9, 2023

Eric, did you take your ketamine before this podcast? Eric: No, I did a little psilocybin. Eric: Thanks to our Ira Byock podcast. I forget how long ago that was. Alex: Yeah, it’s time to update, psilocybin is having a moment. We’re going to talk about that. Welcome back to GeriPal, Stacy. Stacy: It’s great to be here. Alex: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” That’s a huge amount of news all at once.

Families 97

Families Family Patient-Centered IT 97

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

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. First, Black and Latinx persons experienced much higher rates of mortality than other groups. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Alex: Thank you.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better. Well, I got.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 15, 2025

The nudge toward offering comfort care led to more hospice and early comfort-care orders. Is this due to chance alone, given the multiplicity of secondary outcomes examined? We’ve done a podcast already on nudging. Where was it? Alex 01:13 The nudging podcast We’ve done a couple I think. We also had a podcast with. Eric 02:08 Great.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

PEMBlog

JANUARY 16, 2025

You can either get one little individual canister of nitrous, or a big canister which costs about 120 to 120. Differentiate between the risks and toxic effects associated with specific inhalants, such as hydrocarbons, nitrites, and nitrous oxide. The customers and the people selling them know otherwise. English elite.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. 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. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Fernanda 01:16 I do have a song request.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 24, 2022

All decisions are made in advance, the question that we are debating is how far in advance and what to call it. Completion of advance directives and billing codes for advance care planning as quality metrics. Among other topics. We can work it out! Links to a few couple items mentioned on the podcast: Objectives for Advance Care Planning.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 28, 2024

I’m just stunned even writing that! We’ve come so far as a field. This isn’t to say we’ve “made it” – more to say that we’ve reached a new stage of maturation of the field – in which the evidence we are discussing is frequently high quality randomized trial level data. -@AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

Consulting 115

Consulting Patient-Centered IT Patients 115

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