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

PEMBlog

JUNE 2, 2025

In the case presented, the patients blood pressure was significantly elevated, and she exhibited symptoms indicative of end-organ involvement, including altered mental status, headache, and nausea.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

PEMBlog

MARCH 27, 2024

As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. But now I’m going to pass the mic. Take it away, Emily.

Consulting 59

Consulting Individual Family Families 59

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. So those questions we ask when we’re doing a palliative care consult. Within the VA it’s now at 70 VA hospitals. So I allow family members to be present if they want them to. She was a heart failure patient.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. People think of the phases of a typical clinical consultation. ” Eric: Yeah.

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

Tiny Physician

MARCH 30, 2022

Archana Sharma committed suicide because of the harassment by the bystanders of the patient who died at her hospital. She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. And love that Jim Croce choice.

IT 104

IT Patient-Centered Family Families 104

GeriPal

DECEMBER 19, 2024

* This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. Eric 12:11 And we consult psychiatry.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. I like to tell my trainees… Often with the earliest stage trainees, they’ll go in the room and they’ll ask the patient what brought them to the hospital. Josh: Mm-hmm.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

OCTOBER 5, 2023

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. I have never had a patient come into the hospital and say, Doctor, regardless of what you do, do a little CPR that’ll make me feel better.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.

Patients 109

Patients IT Family Families 109

GeriPal

JANUARY 11, 2024

And so in that context, knowing that there was going to be some evolution of policy in this area, that’s how I got involved consulting with members, trying to understand the situation better, that type of thing. One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 24, 2025

Years and years ago, the first few years as an attending physician, I was consulted to take care of a gentleman with metastatic esophageal cancer. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. So I’m going to present a case. I knew two things.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

SEPTEMBER 5, 2024

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. So she bled a lot and finally called for help and was transferred to the hospital, where she started crashing in the trauma room. She didn’t die in the hospital.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

APRIL 13, 2023

And so I was really thinking about why are some of my people that are hospitalized doing better than others? No, I mean, I think I had the initial feeling or thought about this being present after I learned about it and were thoughtful with senior mentors about it. You just knew it? Thomas: Yeah, yeah. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. And since starting the clinic, median time for consult to death was. Liz 00:32 Thanks.

Family 106

Family Families Patient-Centered IT 106

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. And it was really good for my mental and physical… Physical health, obviously, but mental health really.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

NOVEMBER 3, 2022

And I chose one in particular experience to write about, a trans woman who I call Jamie in the piece, who I had known prior to the pandemic who I was treating as a palliative care consultant for her cancer related pain. Because every time we remember a story, it’s changed physically in the brain. She was homeless.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

PEMBlog

APRIL 4, 2025

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 336 months presenting to the ED with fever. Unfortunately, timely clinical question, what do we do with the UN or under vaccinated child who presents to the emergency department with fever?

Vaccination 66

Vaccination Illness IT Clinic 66

Physician's Weekly

JUNE 13, 2025

The article “ American Doctors Are Moving to Canada To Escape the Trump Administration ” (May 30) presents us Canadians with welcome news. Walk-in clinics are overbooked, the emergency rooms at the hospitals all have overfull waiting rooms and doctors and nurses are doing 12-hour or longer shifts.

Vaccination 52

Vaccination Family Families IT 52