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. George, welcome to the GeriPal podcast. George 00:28 Hi, guys. Nice to be on. Alison and I go way back.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

MAY 11, 2023

But I would say that in terms of education, it’s really complicated because it’s so confounded by socioeconomic status and so many social determinants of health. We also worked a little bit with the primary care team certain of the risk factors. Kristine: All of these questions, each of these is an hour discussion.

Physicals 86

Physicals IT Hypertension Education 86

Plum Health

OCTOBER 11, 2024

Regular visits to a primary care clinic can make a world of difference in your overall health. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Building a relationship with your primary care doctor should be a priority.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical.

Family Physician 100

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. If your symptoms get worse before your appointment, you may need to go to urgent care.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 12, 2025

But there are times that a primary care physician or an internal medicine physician may make the referral. Even if it’s a discussion that is involving the primary care physician, the geriatrician, the medical oncologist, the surgical oncologist. Eric 09:13 Do you ever get it from a hospice agency?

Patient-Centered 103

Patient-Centered Referral Patients IT 103

Vida Family Medicine

JUNE 29, 2022

The healthcare system must provide care in a just way so that those who need care have access to it. This is relatively easy for straightforward medical decisions like taking an antibiotic for an infection, but becomes complicated during more complex situations.

Family Physician 52

Family Physician Families Family Healthcare Professional 52

GeriPal

JANUARY 25, 2024

David: People with these illnesses suffer from persistent symptoms, poor quality of life, depression, anxiety, despite all the great things we do and all our colleagues in those specialties and in primary care and geriatrics. David: We used the VA specific care assessment needs score, which- Eric: Oh, the CAN score. David: Yeah.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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 125

IT Patient-Centered Screening Community 125

GeriPal

JULY 21, 2022

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Is this our role?

Families 102

Families IT Family Diagnosis 102

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. One of your articles addresses that.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 15, 2024

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. So we’ve published a couple of studies ourselves and we’re finding more and more groups that are trialing in different capacities.

Community 116

Community Transportation IT PCP 116

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

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 130

Illness IT Diagnosis Patient-Centered 130

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 96

Community IT Patient-Centered Primary Care 96

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. I think it’s all about how important. And the reality is they don’t.

Illness 73

Illness IT Healthcare Patient-Centered 73

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. Eric: So this is a complicated pathway, right? Eric: Not Scott the researcher, but Scott the primary care provider who has to see another patient in 15 minutes.

Management 123

Management IT Medical Patient-Centered 123

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 100

IT Patient-Centered Patients Healthcare 100

GeriPal

MAY 26, 2022

It means that we’re still having those one-on-one conversations between primary care providers and individuals who are vaccine hesitant to try to educate them and understand and respond to their concerns. And just trying to figure out when somebody got a vaccination for me is exceedingly confusing, it takes a while.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. I hope people take that away, that’s what I love about geriatric oncology, palliative care, it’s all interdisciplinary.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

AUGUST 11, 2022

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 hardest stuff that we deal with in palliative care is the psychosocial stuff. I mean, I’ve been in the field for 12, 13, 14 years by the time PDIA came along.

Illness 110

Illness IT Families Family 110

GeriPal

MARCH 6, 2025

We have world class primary care, cancer care, palliative care. As you can imagine, get referrals from healthcare workers, emergency departments, primary care, cancer care hospital, you know, internal medicine to our service. But it was really traumatic for me as a trainee living in Toronto.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

APRIL 10, 2025

Yeah, that’s a more complicated story. But yeah, it’s complicated. So I guess the bigger question I’m going to turn to you, Tammie, on this is that we actually had Yale Shanker and Bob Arnold on to talk about primary palliative care intervention and oncology in infusion clinics. And it was like 29eds.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MARCH 28, 2024

It’s complicated because right now there’s no mechanism other than cost avoidance. What if it was, should the next study be a palliative care team seeing the patient twice a week versus telephonic RN from a central site checking up on them? Tom: Do you think they relayed that info to the primary care [inaudible 00:34:14].

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

OCTOBER 26, 2023

One thing I’m wondering about though is that we have all these wonderful services, and as we educate teams, both hospital medicine teams, primary care teams, palliative care teams about these services, there’s still that push to get people, if we’re talking about inpatient, get people out. Do you know those?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JUNE 9, 2022

We have palliative care who gets what, what goes, where. That gets really complicated as well. When you go to need, palliative care may be best for some needs. And we keep on bringing up primary palliative care. Alex: We did one on patient care Centers for patients with cancer. We had another-.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

MARCH 7, 2024

Whenever I take care of a patient, I see myself as a family practice doctor, but I’ve been a hospitalist, I’ve been a primary care doctor, and I’ve done palliative. At what point were you engaged with the patients either as a geriatrician, primary care, or a palliative care or hospice?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. Julien: I like this question.

Patient-Centered 96

Patient-Centered Patients IT Illness 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. Alex 15:13 This is really complicated.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. In San Francisco, HIV care was more specialized in that. So it was more integrated.

Primary Care 96

Primary Care IT Clinic Provider 96

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 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Don 13:50 Well, you know, I think one of the issues, though, when you ask about prevalence data, especially, say, in the oncology world, not only does it matter about how you ask the questions, but because it’s such a complicated topic, people may infer very different things as to what you’re talking about. Sharon 15:21 Right.

Illness 131

Illness IT Physicals Patients 131

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