GeriPal

MAY 19, 2022

Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . which advocates for an updated, wait for it… equianalgesic table! . Drew: Yeah.

IT 139

IT Patients Individual Relationship 139

Doctor On Demand

APRIL 16, 2025

This may mean you’re not getting enough oxygen, which can cause serious complications. Am I at risk for complications due to my medical history? Difficulty breathing that worsens rapidly or doesn’t go away with rest is another warning sign. Receiving treatment quickly can make a life-saving difference.

Medical 52

Medical Board-Certified Asthma Telehealth 52

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 120

Specialization IT Patient-Centered Medical 120

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. 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 suggested even flow.

IT 121

IT Patient-Centered Patients Clinic 121

Reflections of a Grady Doctor

FEBRUARY 28, 2019

steps onto soapbox* Look here, man: Everything--and I do mean EVERYTHING--is about relationships. I implore you to do whatever it takes to get on the other side of that complicated. Still work at the relationships. Are they rude? Screaming and hollering? Not so much. Partner: "I just don't even try with them anymore.

Illness 52

Illness Relationship IT Insurance 52

The Motivated MD

SEPTEMBER 12, 2024

We are a collective profession of high-earning and driven individuals. It seems natural that, as we look to build our wealth, we will inevitably stumble upon the many forms of real estate investing and weigh their merits. I had never genuinely considered real estate investing (in its many forms) until I finished paying off most of our debts.

Management 52

Management Finance Individual Education 52

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 74

Diabetes Management Patient-Centered Families 74

PEMBlog

OCTOBER 2, 2024

Red flags that you should always ask about include hematemesis, melana, dysphagia, and Unintentional weight loss, these all need further investigation for complications like esophagitis or another diagnosis such as EOE or peptic ulcer disease. Topics covered include: The pathophysiology of GER and GERD in the pediatric population.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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.

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Patient-Centered Referral Patients IT 103

Dr. Michael Bazel

APRIL 29, 2025

Early detection helps prevent complications and protects your partners. More than just routine screenings, Dr. Bazel prioritizes building lasting relationships with his patients. When it comes to taking care of your health, proactive choices today can prevent serious problems tomorrow.

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Screening Illness Checkup Primary Care Doctor 130

Mesa Family Physician

MARCH 13, 2025

For Mesa residents dealing with these ongoing health challenges, regular visits to Mesa Family Physicians ensure that your condition remains well-controlled and complications are minimized. In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong.

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Family Physician Preventive Care Preventative Care Family 100

Plum Health

OCTOBER 11, 2024

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. It's a common challenge many people face. Regular check-ups ensure early detection of health issues.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. 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.” Alex Gamble, do you have a song? I forgot my guitar.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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. Alex: I think this is a first.

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Community Transportation IT PCP 116

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 ABIM MOC credit will be offered to subscribers in November, 2024. Welcome to GeriPal, Lyndsay.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MAY 22, 2025

This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM. So check that episode out. Check all the episodes out. It’s a terrific podcast, Tyler. Welcome, Tyle r.

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IT Patient-Centered Patients Board-Certified 98

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. That’s a hard enough task, given that most of us have never had any communication skills training. I’m just so excited about our guests today. Gordon 02:02 I do.

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IT Illness Families Family 133

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

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. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Yeah, exactly.

Families 98

Families Family Patient-Centered IT 98

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.

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Families IT Family Diagnosis 102

GeriPal

NOVEMBER 21, 2024

Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a particular time or situation? Amanda, welcome to GeriPal.

Illness 126

Illness IT Patient-Centered Patients 126

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 100

IT Patient-Centered Patients Healthcare 100

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 130

Patient-Centered IT Patients Clinic 130

Vida Family Medicine

JANUARY 4, 2022

to take care of ourselves and prevent disease, or to treat disease when we catch it early than it is to treat a more complicated health problem. Preventive care works best when you build a relationship over time with a physician who knows you and your health and can make personalized recommendations. It is much easier (and cheaper!)

Preventive Care 52

Preventive Care Preventative Care Chronic Disease Insurance 52

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. 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

The Clinical Problem Solvers

APRIL 5, 2022

This is the last of three episodes interrogating the relationships between race, place, housing, and health. Dr. Kushel detailed how the use of dehumanizing language equates to complicity in a narrative that systemically harms our neighbors with lived expertise in homelessness.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

MAY 12, 2022

Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. Social pain and loneliness. Community-based palliative care networks . Raj’s reflections on the state of palliative care in the US. Transcript.

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Community IT Relationship Healthcare 116

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better. Well, I got.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MAY 4, 2023

Eric: So we’re going to be talking about palliative care for adolescents, and young adults. Why does it feel different? Does it feel different? How should we think about the care? But before we do, Abby, I think you have a song request for Alex. Abby: I do. So I requested that Alex play for us, Let It Grow, which is from The Lorax soundtrack.

IT 83

IT Families Family Illness 83

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. 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. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Fernanda 01:16 I do have a song request.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MARCH 6, 2025

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. Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes it rewarding? Naheed 03:48 Yeah, for sure.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JULY 28, 2022

Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . Alex: (singing). Areej: Wow.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

DECEMBER 14, 2023

Summary Transcript Summary One of the things I love about Liz Dzeng’s work is the way in which it draws upon, echoes, and advances our understanding of the influence of culture on the end of life experience. This field is not new. At the end we also pay tribute to Randy Curtis, senior author on this paper and mentor to Liz. Eric: Great.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

AUGUST 11, 2022

Alex: Today, we are truly honored to welcome Susan Block, who is the founder of the department of psychosocial oncology at the Dana-Farber Cancer Institute in the Brigham and Women’s Hospital in Boston. She is one of the founders of the field and has worked to develop it over the last 25 to 30 years. She is one of my earliest mentors.

Illness 110

Illness IT Families Family 110

Maine Academy of Family Physicians

OCTOBER 22, 2023

At the Family Medicine office, I observed the close relationships fostered between Dr. Der Simonian and her patients. During this day I observed one medication abortion administration and two aspiration abortion procedures, the second of which was complicated by hemorrhage (which was swiftly controlled).

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40