GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. I think I certainly have had a lot of friends and colleagues in internal medicine who are so fearful that, oh, if I get this definition wrong, I’m going to cause some harm.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

MAY 22, 2025

I’m originally an ER physician. I’d been doing ER medicine for over a decade when I went back to palliative fellowship. Relationships are usually more complicated. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Or is it just this lingering practice of starting dialysis early before really severe complications develop? It’s right there.

Management 117

Management Patient-Centered Patients IT 117

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? This is not why I went into emergency medicine. I went into emergency medicine to act. We weren’t randomizing providers or patients.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. You know, we found that 64% of the people we cared for never went to the hospital or ER. They can’t believe it, but we come back again and again and again gently to provide that support.

Healthcare 102

Healthcare IT Community Illness 102