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. Panelists Kate Courtright and Scott Halpern have no relationships to disclose. and consulting for Papa Health.

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GeriPal

JUNE 12, 2025

I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. So you have the consultation. But radiation oncology was really more or less like a black box. There really was very little.

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GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though.

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Hospital IT Patient-Centered Patients 125

Physician's Weekly

JUNE 14, 2025

They assessed 19,108 patients with coronary artery disease from 7 hospitals in Massachusetts between January 2019 and March 2024. Categorical relationships were examined using chi-square tests, and multivariable logistic regression accounted for confounders. Females had lower odds of achieving LDL-C goals (OR 0.53, 95%CI 0.49–0.58),

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StorytellERdoc

FEBRUARY 8, 2019

Margie to the hospital to have a variety of consultations and begin her journey of fighting cancer. And the ripples from these relationships travel far. I understand that some of these relationships have a reason to be strained and forced. Though brave faces were attempted, tears fell plentiful and freely. Mine included.

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ER Families Family Transportation 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. Patients can receive consultations, diagnosis, and treatment without needing an overnight stay.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

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. But watch out! Alex 01:06 Yeah, go in person.

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GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose.

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GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. But what was really interesting is the transport to the hospital was actually going down in their system.

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GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? 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.

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GeriPal

AUGUST 29, 2024

Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? There’s this therapeutic relationship. They’re asking you for a consultation.

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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.

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GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

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GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. So that’s great.

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GeriPal

JUNE 5, 2025

And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. And so we do have consultants who come in the building. And usually it’s simply for a consultation. Some will have stronger relationships with hospice. So that part we know and I.

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ABIM

JUNE 4, 2025

Highlights from the data so far show that 91% of respondents are clinically active, with a large majority practicing in hospital- or system-owned offices, private practice or academic faculty practice, and more than half in multi-specialty group practice. Community Practice in ABIM Governance* Erica N.

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GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. And so the video consult was what became the mode. NCP guideline, standard consultation.

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GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. This language grounds the hierarchical paradigm in interprofessional relationships because of the scope of practice alone, and then also talking about how this is sort of ingrained in our trainees, as you’ve mentioned.

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GeriPal

JANUARY 16, 2025

So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. So for example, you know, the director of the assisted living facility could be the person who knows the patient the best.

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GeriPal

MAY 12, 2022

I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission. Alex: I love the story of this book, how it starts so locally and then moves on to the Kerala region and then moves to India.

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GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult.

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GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Did they ask for a consult?” We’ve got him.

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GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships. How are we gonna do that if he leaves the hospital?

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GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

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GeriPal

SEPTEMBER 22, 2022

And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. 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. You had no relationship.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. 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.

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Healthcare IT Community Illness 100

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. Sue 01:26 Thank you.

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IT Patient-Centered Families Family 104

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.

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GeriPal

NOVEMBER 21, 2024

Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. Potentially harmful elements of that coping mechanism for your relationship with your four year old. Dani, welcome back to GeriPal. Dani 00:25 Excited to be back.

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Illness IT Patient-Centered Patients 125

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. And I think unfortunately, when anything kind of is moved into the clinical arena, similar to mindfulness in that way, where all of a sudden people became passive recipients, like they went and they got mindfulness in a consulting office. James, welcome to the GeriPal Podcast.

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Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. They’ve brought on experts, they’ve brought on additional people who are researchers or consultants who do this work all day long, and have added a lot of content. Eric: Can I ask why?

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GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Even if the cancer gets cured, they’re not going to become their buprenorphine prescriber, the palliative care consultant. Should they? Are they using substances intermittently or is there a pattern of substance use disorder?

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GeriPal

OCTOBER 5, 2023

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. I would say most of the time we offer CRT in the hospital. I point this out a lot more nowadays to the resident teams that consult. This is Eric Widera. Alex: This is Alex Smith.

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Illness IT Patient-Centered Families 136

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable. Eric: Yeah.

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GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. His lymphoma had relapsed, and palliative care was consulted to help with his symptoms.

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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. So there’s some concern, yeah.

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New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Instead, they establish a direct patient-provider relationship, for a flat fee. With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery. In some cases, you may be referred to a hospital or specialty service.

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