Tiny Physician

AUGUST 12, 2021

The birth of a female baby creates an equal amount of joy for parents as that of a male baby, and the education of girls is given due importance here. The birth of a female baby creates an equal amount of joy for parents as that of a male baby, and the education of girls is given due importance here.

Medical 52

Medical Medical Student Illness Education 52

Tiny Physician

FEBRUARY 15, 2022

Studies have shown that increasing manpower at hospitals has resulted in improvements in resident perceived educational value and clinical experience of ward rounds [7]. Even though many medical colleges provide outpatient consultations to only referral cases, people come to the emergency department for minor ailments. are not met.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Listen in to learn more! Nadine: I do.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

JUNE 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). Well, today’s podcast aims to clear up all these uncertainties. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Evie, welcome to GeriPal.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Katie, before we jump into the topic of buprenorphine in serious illness, what’s the song request?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

NOVEMBER 21, 2024

Coping in the setting of serious illness. 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? Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. and consulting for Papa Health. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. AMA PRA Category 1 credit(s) ™.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Is it you Lyndsay?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. Any one of our podcasts with Bob Arnold, including this one on the language of serious illness or this one on books, to become a better mentor. That’s a hard enough task, given that most of us have never had any communication skills training. Gordon 02:02 I do.

IT 132

IT Illness Families Family 132

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Dani, welcome back. Dani 01:17 Always a pleasure. Dani 01:30 The Pal.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

DECEMBER 15, 2022

Summary Transcript Summary. We’ve talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA’s decision to approve it. . But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No No it’s not just the French version of Aducanumab). . In an article in the NEJM (a published article this time, wonder of wonders!)

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 24, 2023

For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care. If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. Is it you, Ira?

IT 114

IT Provider Patients Families 114

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Summary Transcript Summary.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Jace, welcome to the GeriPal Podcast. Noelle Marie, welcome to the GeriPal Podcast.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 23, 2023

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. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Families 98

Families Family Patient-Centered IT 98

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. Eloise, welcome to the GeriPal podcast. Eloise 00:47 Thanks so much for having me. I am super excited to have you on, Eloise. Alex 02:23 Terrific.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

MARCH 28, 2024

I’m just stunned even writing that! We’ve come so far as a field. This isn’t to say we’ve “made it” – more to say that we’ve reached a new stage of maturation of the field – in which the evidence we are discussing is frequently high quality randomized trial level data. -@AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. Summary Transcript CME Summary The need for better palliative care in nursing homes is significant.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. Graphic Novels. Graphic Medicine. Transcript.

IT 145

IT Hospital Patients Illness 145

GeriPal

OCTOBER 12, 2023

Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. And, surgeons often spend the majority of their conversations with patients describing anatomical details and exactly how they plan to ‘fix it’ , with little discussion of what that ‘fix’ will do for a patient’s overall goals.

IT 128

IT Families Family Patient-Centered 128

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Four percent.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 4, 2024

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. In 1990 the Supreme Court ruled…for the state of Missouri. What words to use? Is the POLST useful? Under what circumstances?

Families 112

Families Family Patient-Centered IT 112

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. Where was it?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count?

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? 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.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

OCTOBER 20, 2022

And they should be forced by doing research, followed by translating research into practice and continued education of a wide variety of individuals to then care for our aging population. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. Eric: Welcome to the GeriPal podcast.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. 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. It was on his last album.

Provider 117

Provider Illness IT Healthcare 117

Blood, Sweat, and Tears

FEBRUARY 24, 2023

When I come across difficult consultants, I always wonder what kind of registrar they were. Questioning, not to genuinely inquire and start an educational discussion, but questioning to make you doubtful. Instead of kind, reassuring voices, demanding tones laced with arrogance and ill intent. Post call hope. She thought.

ER 52

ER Management IT Consulting 52

GeriPal

DECEMBER 5, 2024

One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation. We answered the survey and handed it in. One of the questions was, “Can you name a song by the Tragically Hip?” Eric 00:18 Throwing us off.

IT 107

IT Community Patients Families 107