GeriPal

JUNE 20, 2024

Alex 00:30 And we’re delighted to welcome Alison Huang, who’s a primary care doc and researcher and professor of medicine, urology, and epi-biostats at UCSF in the division of General Internal Medicine. On our last podcast about urinary incontinence the song request was, “Let it go.” George, welcome to the GeriPal podcast.

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IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

Kristine, do you have a song request for Alex? 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? Kristine: I was going to do David Bowie Changes for a variety of reasons, but it was sort of somewhat around the topic. Alex: (singing) Eric: That was wonderful.

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Physicals IT Hypertension Education 85

GeriPal

JUNE 12, 2025

Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Thank you, Alex.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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. Building a relationship with your primary care doctor should be a priority.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

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Family Physician Preventive Care Preventative Care Family 100

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. Plus , check out some home remedies that could help you feel better quicker.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JANUARY 25, 2024

Alex: And we’re also delighted to welcome Diah Martina, who’s a palliative care doc and physician researcher in Indonesia, who wants to start a podcast in Indonesia about palliative care, and she’s primarily observing today and also attending the ASCO GI conference here in San Francisco. Welcome to GeriPal, Lyndsay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 27, 2024

Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency. Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. Alex Gamble, do you have a song?

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Illness IT Diagnosis Patient-Centered 129

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. Sarah 00:37 Ooh, how about Free Fall in’? Alex 00:41 Free Fall in’?

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IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

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Community Transportation IT PCP 114

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?

Families 102

Families Family IT Diagnosis 102

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. The healthcare system must provide care in a just way so that those who need care have access to it.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

OCTOBER 20, 2022

We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care. It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? She did a palliative care fellowship, then she did hematology oncology fellowship at UCSF, and did a T32 research fellowship in aging with us in the division of geriatrics at UCSF. But does the geriatric assessment do anything? Mazie, welcome to GeriPal.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 15, 2023

AlexSmithMD Links: Papers on AI and palliative care and concerns about bias: [link] [link] Comparison of machine learning vs traditional prognostic methods based on regression: [link] Other links on the issue of AI and racial or ethnic bias: Are Robots Racist? I’m sure this is a subject we will return to, given the rapid progress on AI.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Maybe I can turn to both of you about how you got interested in thinking about decision-making and surgical care for those with dementia. Really, a smart and caring woman. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 25, 2023

It does seem that if communities, particularly historically marginalized communities, are interested in ACP, that fact should carry some weight in how resources are allocated to research and health care financing. Did the caregiver feel heard and understood? Complicated grief? Advance care planning doesn’t work.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 16, 2022

And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out. Chrissy: I do.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MAY 26, 2022

The basis of their argument is the ethical notion of “reciprocity” – people who are vaccinated have done something to protect the public health, and we owe them something for taking that action. Eric and I attempt to poke holes in their arguments, resulting in a spirited discussion. Evusheld is the latest case in point. . Alex: Love this.

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Vaccination Individual IT Healthcare 87

GeriPal

MARCH 24, 2022

Completion of advance directives and billing codes for advance care planning as quality metrics. Links to a few couple items mentioned on the podcast: Objectives for Advance Care Planning. Eric: We’ve got a lot talk to about out around advance care planning and serious illness communication. Among other topics. Here we go.

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Illness IT Healthcare Patient-Centered 72

GeriPal

OCTOBER 26, 2023

We’re both in my mind, and I’m biased, great team players, the palliative care team, the chaplain is a great, everybody’s super. So I’ve always worked in coronary care units and cardiac step-downs. Eric: And probably, you didn’t have to twist Alex’s arm for a Neil Diamond song. Here we go.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 9, 2022

Eric: We got a ton to talk about with you, Kate, about palliative care research into it. Also the daughter of Tim Quill, well known in palliative care. 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. Transcript.

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Consulting Patient-Centered Diagnosis Referral 99

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

AUGUST 11, 2022

We would love to hear your thoughts about things about palliative care, where we’re going, where were we before, intersection between psychiatry and palliative care. ” And I wonder, how did you fall in love with palliative care? Susan: Well, I think first of all, there was no palliative care back then.

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Illness IT Families Family 109

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Today we focus on an intervention , published in JAMA, that gave emergency clinicians basic palliative care knowledge, training, and skills. They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

MARCH 6, 2025

What makes palliative care for people experiencing homelessness challenging? What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 7, 2024

It was started by a social worker who really saw some gaps in care with those at end-of-life, particularly those with chronic long-term illness, having important conversations. But before we jump into that topic, John, do you have the song request for Alex? John: I do. It’s Jimmy Buffett’s song, Bubbles Up. You were a what?

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Provider Illness IT Healthcare 117

GeriPal

MARCH 3, 2022

And I noticed that I was taking care of older adults more and more, or maybe I just noticed it more. Alex: And we’re delighted to welcome you to the GeriPal Podcast, Julien Cobert, who is an intensivist and aging researcher GeriPal Podcast, Julien. Julien: Thanks Alex, thanks Eric. It’s great to be here. Alex: (Singing).

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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. Louise, welcome back to GeriPal. Bill 01:52 I do.

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Patients IT Patient-Centered Hospital 98

GeriPal

MAY 1, 2025

Eric 03:57 Next time, okay, we got a lot to talk about, HIV, geriatrics and palliative care. And that was before we even thought about palliative care as, as a specific field necessarily. And so I became in some ways a palliative care specialist for people with HIV almost just by being there. Eric 01:28 Wonderful.

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Primary Care IT Provider Clinic 94

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

JUNE 6, 2024

But as you know, I’m a palliative care researcher and supportive care researcher, so never in a million years when I started sort of working in the clinic thought, would I ever be doing sexual health work. Is that an issue for you? I’m happy to talk about it at any time.” Transcript Eric 00:00 Welcome to the GeriPal podcast.

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Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Alex: Good challenge.

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Hospital Patient-Centered Supply Chain IT 115