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. I’m fine.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JUNE 12, 2025

The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. So you have the consultation. Eric 27:57 And for those, does everything just condense as far as consultation, simulation and dose? Anish, can I ask you why you went into radiation oncology? Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. Josh: Mm-hmm.

Illness 101

Illness IT Patient-Centered Patients 101

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. These services go beyond treating illnesses; they aim to keep you healthy in the first place. Non-life-threatening illnesses often demand quick relief options.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. Why it’s such a natural way to explain the condition of someone with an acute critical illness that’s threatening their life. Eric: Why is it?

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. And then be quiet and listen.

Illness 132

Illness IT Family Families 132

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.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

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.

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. We had tried to actually select people who didn’t have a serious illness. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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! That’s what I’m waiting for, Alex.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. And what we are seeing in our research is that, we’re working on GPT four, is volunteering information that we didn’t ask for. The patient is crying in front of you.

IT 99

IT Patient-Centered Patients Healthcare 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. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: Sounds right.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. If there’s a serious illness, all of a sudden, you’re in this place where now you’re struggling between this growing independence and also then this dependence that you may have.

Family 83

Family Families IT Illness 83

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. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population.

Healthcare 100

Healthcare IT Community Illness 100

PEMBlog

MARCH 27, 2024

I put a lot more information about Dr. Groopman and how to contact her in the show notes. You won’t be able to diagnose them on history and physical alone. Therefore, in the ED, the goal is really to recognize the science and symptoms on history and physical exam that are suggestive of metabolic disease.

Consulting 59

Consulting Individual Family Families 59

Plum Health

OCTOBER 16, 2024

Whether you need a routine physical, vaccination, or management of a chronic illness, this clinic has you covered with a focus on holistic and individualized care. The clinic also offers virtual consultations for added flexibility, making it easier than ever to manage your health. Do I need insurance to visit the clinic?

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

OCTOBER 12, 2023

I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment. People think of the phases of a typical clinical consultation. And that’s how we connected. Gretchen: Absolutely. And I think it came out of this good space.

IT 128

IT Family Families Patient-Centered 128

GeriPal

APRIL 24, 2025

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? For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. Think vitamins.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Gender expression is your physical outward manifestation of how you express your gender identity. We did do another LGBT Care for Older Adults in Serious Illness Population with Carrie Kendrian and Angela Primbos.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. But now we have older people dying of older people illnesses. He struggled with mental illness, substance use disorder. Michele: Thank you for having me.

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Keri: It’s all normal, and it’s all data that can better inform our practice. And she couldn’t control her husband’s illness the way it was heading towards his death.

Patients 109

Patients IT Family Families 109

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. If they don’t, they don’t. Is this superior to that?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

SEPTEMBER 5, 2024

You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. And it’s not the same, but it does provide information. But she also thinks that would have been the perfect death. Eric 33:05 Well, let me ask you this.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

NOVEMBER 3, 2022

I t’s a collection of personal stories of a small number of health professionals, including Craig Blinderman and Susan Block , who have been struck by personal illness and loss. There were legal issues so we had to take out some of the information. Because every time we remember a story, it’s changed physically in the brain.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

PEMBlog

APRIL 4, 2025

And so I do encourage you to be familiar with some of the information provided by the CDC as long as it’s still online. A good enough question, and let’s be honest, many of us just rely on adult caregivers to give us this information. So how common is it for children to be unvaccinated in the United States? Unfortunately.

Vaccination 66

Vaccination Illness IT Clinic 66

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

Physician's Weekly

JUNE 13, 2025

Gloria Kohut, Grand Rapids, Michigan An upbraiding on X came from a reader Down Under: This decision – apparently made without any expert consultation – will have international ramifications, especially among the vaccine sceptical. Not vaccinating is playing Russian roulette with your child!

Vaccination 52

Vaccination Family Families Appointment 52