GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Which patients are eligible to go to an ACE unit? What are the benefits of an ACE unit? If ACE units are so great, why are they not so common? . I think Kellie, do you have it?

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

33 Charts

OCTOBER 19, 2021

This is the discovery of problems during physical exam and endoscopy. This is the job of taking bits and pieces of information and putting them together. It’s complicated when we can’t identify what our job is. This sounds like a crazy question. But it really isn’t. What does a doctor do? What is a doctor’s role?

Healthcare 80

Healthcare Clinic Patients Education 80

GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Here we go.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

JUNE 20, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. I do like that one.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

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. I was going to ask you… Kristine: Woo-hoo!

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

MARCH 14, 2024

Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby. Eric: Oh boy. That’s going to be one of our topics, huh? Alex: It’s back. It’s back. To talk about this. Nicole, welcome to GeriPal. Nicole: Thanks so much for having us. I have one.

IT 124

IT Patient-Centered Hospital Individual 124

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! This is Eric Widera.

Diabetes 73

Diabetes Management Patient-Centered Family 73

StorytellERdoc

MARCH 18, 2020

Being an ER physician facing this dilemma on the front lines of a large emergency and trauma center, I am also bearing witness to the more daunting picture of this dilemma--the mental and physical effects Covid-19 is having on our patients as well as on all of us. We are all scared. We feel helpless. Wear your smile often. Take a walk.

ER 100

ER Illness Physicals Provider 100

Mere Mortal MD

MAY 22, 2025

My role is to head the rehabilitation team, while treating any medical complications that may arise from their initial injury or diagnoses. Patients will participate in physical therapy (PT) for sure, which may or may not include some time on a treadmill, if they can walk. It is not a hotel. It is not a long term care facility.

Hospital 221

Hospital Patients Nurse Practitioner IT 221

GeriPal

JUNE 12, 2025

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

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Mesa Family Physician

MARCH 6, 2025

Identifying health concerns before symptoms appear gives us tremendous advantages in treatment success and minimizing long-term complications. Your provider updates this information at each visit to maintain an accurate picture of your health journey. Health tracking apps can help maintain this information systematically.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

Rao Doctor

APRIL 3, 2025

This information can help pinpoint possible causes of illness and guide further investigations. Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. Using these methods can reduce temperature discomfort and minimize complications.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Medical Xpress

JUNE 16, 2025

A 2024 study published in the journal Nature Medicine found that military veterans with brain injuries saw major mental and physical improvements after just one ibogaine session. The goal is to support clinical trials and bring in another $50 million in private investment to help ibogaine win approval from the U.S. Former Texas Gov.

Mental Health 52

Mental Health IT Medical Specialization 52

Medical Xpress

JUNE 16, 2025

This achievement is the result of an interdisciplinary collaboration among researchers in life science, physics, and computer science. But what we observed was much more complicated." This cluster of about 20,000 to 40,000 neurons functions like a central watch, coordinating the timing of body functions to follow the 24-hour day.

Provider 109

Provider Medical Complication Diabetes 109

Doctor On Demand

APRIL 28, 2025

Unlike urgent care, which is suited for non-life-threatening conditions, the ER is designed to provide immediate, high-level care for severe complications from a sore throat, such as difficulty breathing, inability to swallow, or signs of a serious infection. Swollen neck Neck swelling may suggest an infection spreading into deeper tissues.

ER 52

ER Telehealth Primary Care Doctor Appointment 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. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Community 114

Community Transportation IT PCP 114

Plum Health

OCTOBER 11, 2024

This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So it tends to be future oriented and tends to show up as a physical sensation in our body. Summary Transcript Summary “Anxiety is a lot like a toddler. Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Welcome to GeriPal, Lyndsay. Is it you Lyndsay?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? It’s titled the VitalTalk Method.

IT 132

IT Illness Families Family 132

GeriPal

FEBRUARY 8, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Naomi: Yes, I do. Everybody Hurts by REM.

IT 137

IT Families Family Physicals 137

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

Physician's Weekly

JUNE 23, 2025

Residents of East Palestine, Ohio, where the derailment occurred, have pressed the government to do more to answer questions about the mental and physical health effects of the disaster — from post-traumatic stress to cancer. She called the NIH news “a complicated mix of emotions,” CNN said. “We

Community 52

Community Asthma Engineering Family 52

GeriPal

JUNE 15, 2023

Hallucinations, or when the AI lies or b *s, then denies it When the AI approaches sentience, is it ethical to unplug it? I’m sure this is a subject we will return to, given the rapid progress on AI. But then it asked me, “Oh, that sounds really interesting. Who are you going to be talking to?” ” And I said, “Sure.”

IT 99

IT Patient-Centered Patients Healthcare 99

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? I like that song.

IT 102

IT Family Families Diagnosis 102

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. Summary Transcript CME Summary As you know, dear listeners, I love music. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. But before we get into this topic, does someone have a song request?

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MAY 4, 2023

We in geriatrics and adult palliative care clinicians have so much to learn from our colleagues in pediatrics – and though many of these lessons are specific to adolescents and young adults – many of the lessons are valuable for the care of patients in older life stages. Why does it feel different? Does it feel different? Abby: I do.

IT 83

IT Family Families Illness 83

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. Justin, welcome to GeriPal. Justin: Hello. Eric: Okay.

IT 128

IT Families Family Patient-Centered 128

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.

Vaccination 87

Vaccination Individual IT Healthcare 87

PEMBlog

JANUARY 16, 2025

Interestingly, when these are sold, either online or in physical stores, theyre marketed As additives to make your own whipped cream at home. Differentiate between the risks and toxic effects associated with specific inhalants, such as hydrocarbons, nitrites, and nitrous oxide. The customers and the people selling them know otherwise.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. 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. What makes it rewarding?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 9, 2022

How do we move from efficacy (works in highly controlled settings) from effectiveness (works in real world settings? What’s the role of implementation science? What is a pragmatic trial ? What outcomes should we measure? We cover a lot of ground! Working on a mystery. Going wherever it leads. “Runnin down a dream…” -@AlexSmithMD.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. I’m just stunned even writing that! We’ve come so far as a field. This is Eric Widera. Alex: This is Alex Smith. Eric: Alex, who do we have with us today?

Consulting 115

Consulting Patient-Centered IT Patients 115