GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. I didn’t really know, similar to what Evie was talking about, how to provide any anticipatory guidance or to know what to expect in residency. Evie, welcome to GeriPal. Anish 00:54 I do.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

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. My office is a safe space.

Family Physician 52

Family Physician Families Family Healthcare Professional 52

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 116

Community Transportation IT PCP 116

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. Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. With their regular providers? And really learning from them about what kinds of things healthcare might provide, that might be of help to them. It used to be a much more complicated model. AMA PRA Category 1 credit(s) ™.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. I’ve seen patients post transplant when they start having complications. They are complicated. They’re complicated from a symptom standpoint.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. How do you think about non pharmacological approaches, or maybe even in the people who just have a shorter, maybe less complicated anxiety, but it’s still impacting their sleep? Eric 24:51 Yeah.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. And so the family is there in much more of an advisory role rather than providing say, cognitive scaffolding that they might provide in supported decision making.

Families 98

Families Family Patient-Centered IT 98

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Families Family Physicals 137

GeriPal

AUGUST 29, 2024

And for many years, I think there was a focus on physicians and then providers. Gordon 12:01 One absolute right answer to all these questions, and we will provide that. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. There’s this therapeutic relationship. Anne 26:34 Yes.

IT 133

IT Illness Families Family 133

GeriPal

MAY 22, 2025

Relationships are usually more complicated. Widera and Smith have no relationships to disclose. Guests Jenny Chen, Tyler Jorgensen, & Theresa Allison have no relationships to disclose. You’ve done research on caregivers, too, and the engagement of music and caregivers. There are lots of people involved.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

NOVEMBER 21, 2024

Potentially harmful elements of that coping mechanism for your relationship with your four year old. And if you look what they did early on, the very first things were relationship rapport building and how was somebody coping with their illness? What are you seeing in terms of the relationship between this patient and their family?

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

NOVEMBER 7, 2024

And I think the question for our field is, is that because the estimates that we have of GFR based on creatinine provide misrepresentation or an inaccurate representation of someone’s kidney function. Or is it just this lingering practice of starting dialysis early before really severe complications develop?

Management 117

Management Patient-Centered Patients IT 117

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Eric: Yeah. From a personal emotional perspective, what do you think makes it hard? Nick: Such a good question. It’s very fraught.

IT 83

IT Families Family Illness 83

GeriPal

MAY 12, 2022

And then there are a number of groups that go out in vans and cars and go out into the surrounding community of Kerala to provide care for patients who are in their homes. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one. I’m not sure he would really approve.

Community 116

Community IT Relationship Healthcare 116

GeriPal

JUNE 15, 2023

I think the AI can allow for that complexity but still provide some guidance. Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. Alex: I want to hear more use cases. And having something that sift through that data.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. AMA PRA Category 1 credit(s) ™. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

Tiny Physician

MARCH 30, 2022

Postpartum hemorrhage is an unfortunate and well-known complication of delivery. A doctor-patient relationship is mandatory in the case and this can be proven by cross-checking the duty list or from the patient’s case sheet. Direct causation There has to be a direct relationship between the damage and the breach of duty.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

APRIL 10, 2025

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. We weren’t randomizing providers or patients. Yeah, that’s a more complicated story. But yeah, it’s complicated. I went into emergency medicine to act.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JANUARY 26, 2023

Those that were at greater risk of having complications from COVID or even dying from it, in the early stages at least, were those who were older and those who were of certain racial or ethnic minority groups. Eric: And it’s even more complicated, right? We just haven’t looked at it.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

SEPTEMBER 7, 2023

But I mean, I would also add that not all of the responses to the PGA, and to the provider part that is completed, are coming from the patient. So they are an important part of developing a relationship where one of the manifestations clearly is, “Well, yeah, I felt good about that. The caregiver has access to these tools.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

JULY 28, 2022

But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. The model is predominantly physicians, advanced practice providers. So their practices were really collaborative and informed. And those studies are being done.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And then I’d also imagine from a quality of life perspective, like a one time visit by a palliative care provider, I can’t imagine it really significantly improving quality of life unless there was robust like the symptom.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

MARCH 30, 2023

This week we’ve invited three guests to share their stories about storytelling that’s written for healthcare providers. Today we’re going to be talking about narrative writing specifically for healthcare professionals. The first guest is Liz Salmi. So unlike academic journals and elsewhere. Liz: That’s right.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

AUGUST 11, 2022

It is an indicator that to provide the best care, we need to go deeper into trying to understand what the dynamics are there. The post Palliative Care Pioneer: Susan Block appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. And I wonder what you think about that. Are they using drugs?

Illness 110

Illness IT Families Family 110

GeriPal

SEPTEMBER 8, 2022

It’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Eric: Is that the same as complicated grief? So one of the criticisms is that it’s an insult to the dignity of a loving relationship. Holly: Oh absolutely. Holly: They’re the same symptoms.

IT 100

IT Complication Relationship Specialization 100

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. Summary Transcript Summary I always find cachexia in serious illness puzzling.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. This is, you know, has to do with our personal relationship. And there’s like the emphasis on the relational component and what that means in terms of the relationship between the caregiver and the patient and the person.

Families 94

Families Family IT Patient-Centered 94

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. And it’s not the same, but it does provide information. And in fact, after a complicated ethics issue, we will oftentimes go in and try and debrief them. Widera and Smith have no relationships to disclose. This shouldn’t have happened. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I became more and more involved in it, including becoming involved in research and developing some of the programs initially to provide care for people with both drug use and HIV related problems, women with HIV vulnerable populations.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. It’ll provide you with like a percentage estimate of probability of nursing home level of care at two, five and ten years, and also the median predicted time to nursing home care.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. So provide multiple sort of concrete examples of what you’re talking about. Sharon 15:21 Right.

Illness 131

Illness IT Physicals Patients 131

GeriPal

MARCH 27, 2025

But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up.

Primary Care 80

Primary Care IT Clinic Illness 80