Vida Family Medicine

JUNE 29, 2022

These are intellectually interesting but often personally devastating to the patient and family involved. The healthcare system must provide care in a just way so that those who need care have access to it. All physicians are trained in medical ethics, but I have always taken a particular interest in this field.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

Family 102

Family Families IT Diagnosis 102

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. David: Right. Eric: Okay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? She falls and breaks her hip. She has advance dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

NOVEMBER 14, 2024

And the big things that we think about as far as complications, so there, obviously the thing that comes to everybody’s mind is like fractures. You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Alex 20:55 How about in nursing home or long term care settings?

IT 124

IT Screening Patient-Centered Community 124

GeriPal

JULY 3, 2025

Summary Transcript CME Summary In this week’s episode, we dig into two deceptively simple questions: When does someone become a cancer survivor, and should palliative care be in the business of caring for them? Spoiler: It’s more complicated than it seems. What is the surveillance you’re going to need? 19:35 Both.

Patient-Centered 52

Patient-Centered Illness Clinic IT 52

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

Community 114

Community Transportation IT PCP 114

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. I worry, as a ex-primary care doctor, how much time I have. Bob: So I think it’s important.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 25, 2023

We additionally have a debate/discussion about which outcomes of ACP matter most, including Terri Fried’s commentary in JAGS that caregiver outcomes matter more than goal concordant care (the “holy grail”), completion of advance directives, or changes in health care services use. Complicated grief? Did they have PTSD?

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

AUGUST 11, 2022

There was no conversation with the patient or the family about this. And so my first introduction to the field came with my first job in 1982, when I went to the Cambridge Hospital to do primary care and internal medicine. And the families were part of it, which is not what it was like in the hospital.

Illness 109

Illness IT Family Families 109

GeriPal

JUNE 27, 2024

Alex Ablesmith, on his website, had a good kind of description, in summary, and I thought, boy, this is a really nice tool, because the design, the idea was to sort of bring a therapeutic intervention into a time contained environment, which the primary care clinic certainly is. And so bathe is an acronym.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JUNE 16, 2022

Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. Eric: So this is a complicated pathway, right? Can we help families as well as our nurses and everybody get there?

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. Do you know those?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. And then John, I’d love to hear from you starting off, you’re a palliative care doc, right? This is what I saw and heard.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MAY 26, 2022

To that point, in your article, you note that vaccination rates among blacks and Latinx individuals have been higher than whites according to a Kaiser Family Health news report. And then being on a scarce resource committee during March, April 2020, man, it got really complicated and we spent hours and days trying to figure things out.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

JUNE 9, 2022

How did you get interested in palliative care research and the stuff that you’re doing right now? I was always critical care bound since medical school. But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We have palliative care who gets what, what goes, where.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. It’s complicated because right now there’s no mechanism other than cost avoidance. So the question is, how do you pay for it?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 6, 2025

He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St. Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 3, 2022

When patients leave the hospital, the infection may be cured, but the patient and family will need to contend with a host of major new functional and cognitive deficits. Even if you think you anticipated this moment before, there’s a lot of literature out there about there’s advanced care planning.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. Yeah, that’s a more complicated story. But yeah, it’s complicated. No difference in their primary outcome. The primary care intervention did not work well. And it was like 29eds. Is that right?

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. Alex 15:13 This is really complicated.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

JUNE 6, 2024

And so clearly it matters how you bring up the topic, who brings up the topic, and probably the timing when this comes up for patients and families, just like we think about conversations about illness and prognostic understanding, I wish there was a good prevalent state data on how big this is of a problem in serious illness at large.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

We had, since the late seventies, a home-based primary care program. And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. We relied on our clinical experience as geriatricians, that home-based primary care experience.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115