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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden

GeriPal

In our third segment, we explore Amy Linskys study that examined the effect of patient-directed educational materials on clinician deprescribing of potentially low-benefit or high-risk medications, such as proton pump inhibitors, high-dose gabapentin, or risky diabetes medications. So insulin, which is the injections, and then sulfonylurea.

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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. I’d been working with persons who had diabetes and also caregivers and so forth, trying to go at the direction and realize as I look more and more at hearing loss, that it was totally unrecognized in clinical practice. Alex: Great story.

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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

He was describing his, like, 87 year old grandma who was placed on a low salt diabetic diet. So I have a two and a half year old, and during my last pregnancy, I had gestational diabetes. If they’re frail, if they’re falling, if they have cognitive impairment, they’re at higher risk of adverse drug events.

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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. Alex Lee: Sure.

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Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera

GeriPal

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. It can be quite problematic in people with diabetes and so on.

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On Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg

GeriPal

Don’t worry about it,” or they never had good treatment for their hypertension for so many years or their diabetes, so they were much, much more advanced at a younger age. Because we know- Sharon: Maybe diabetes and hypertension, which is so prominent in African Americans can impact your amyloid deposition.

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Amyloid Antibodies and the Role of the Geriatrician: Nate Chin, Sharon Brangman, and Jason Karlawish

GeriPal

And so I think they need to provide- Eric: So fellowships need to change. In a way to try and resemble other diseases such as cancer, diabetes, et cetera, that defined quote on the basis of biology. I haven’t seen this clear direct relationship that all abnormally high levels of amyloid lead to tau. It’s coherent.