GeriPal

NOVEMBER 9, 2023

We make a diagnosis. But oftentimes, a therapist has deeper training and really history of trauma and specific diagnoses, versus a coach may be a little bit more future-focused and really works with people, regardless of whether they’re having any diagnosable challenge at the moment. It’s so different from therapy.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? 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. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Because how that is approached can have lasting effects on relationships, unfortunately. They’re really not.

Families 102

Families IT Family Diagnosis 102

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Emily is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania. And as we all know, for many people there comes a time where they are no longer able to make their own medical decisions. Eric: Lynn or Anne?

Families 98

Families Family Patient-Centered IT 98

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. Jessie: Yes.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

JUNE 19, 2025

And so when I had decided to socially, medically, and surgically transition, I had to really sit down with members of the department and really did a lot of in services. Eric 04:53 How is it public? Can you tell me about that? Noelle Marie 04:57 Yeah. So when I joined Sinai In 2013, I was in a different form at that time. Making sure.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. So she had them early in diagnosis and then a little bit later.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. And we’ve been diagnosing it at Penn. Welcome back to GeriPal podcast, Sharon. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? And this case has been worked out the best in terms of the artificial intelligence suggesting diagnoses the clinician may have missed. Is there a true relationship with that? Eric: Yeah. Alex: Mm-hmm. I got another use question.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. That’s probably too medical. I’m using my medical brain.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. And so I went into medical school wanting to cure cancer. I have oncology on the brain.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. We might say, “Of course you’re sad, you just got a very serious diagnosis.” So how we screen for mental health distress is really important. Is this a new onset depression?

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. What’s up with Medical aid in dying in Canada? Four percent. Transcript Eric: Welcome to the GeriPal Podcast.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. He’s a palliative care doctor and he is Medical Director of Palliative Care at Ascension Illinois Palliative Care.

Education 128

Education IT Illness Healthcare 128

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. Or they might, you know, they might sell their medication, which this population is also prone to. Who’s going to manage these medications?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

OCTOBER 27, 2022

Someone who’s healthy in their 60s and just got diagnosed with diabetes, yeah, they might benefit, if they have a very long life expectancy, to prevent that decline in kidney function. But if they’re not going to live another 20 years, then there’s no point in giving them the extra medication for lowering their A1C.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 18, 2024

Then, it was like, well, it does as well as, and now, better than humans passing the medical boards, passing the law boards, doing great on the SAT, all that stuff. And what I want to do is, this is a tough task for you, I’m sure, but I have a patient with a new diagnosis of cancer, and it’s actually a 35-year-old woman.

IT 140

IT Electronics Patients Healthcare 140

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Within eight weeks of diagnosis of advanced disease. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

Disruptive events are medical, surgical. And there is this bidirectional relationship between wealth and health shocks. And then I was inspired by this paper and then really interested in looking at the bidirectional relationship between the two of them. And hospitalization for pneumonia is like a medical event.

Illness 60

Illness Hospital IT Patient-Centered 60

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And I graduated from medical school in the early 80s. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. Meredith 09:33 Yes.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. I knew them, I developed a relationship with them. It’s somebody different every month, and you never develop that relationship. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . I thought I couldn’t finish medical school. I heard this loud click. I couldn’t move any of my body.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Redwing, who is a cancer survivor, shares poems about her experiences with cancer.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. And I said, sure. And she’s like, is it okay for me to kiss my husband now?

Illness 131

Illness IT Physicals Patients 131

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. Widera and Smith have no relationships to disclose.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 117

IT Clinic Illness Hypertension 117

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. 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. Liz 00:32 Thanks.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? That also speaks to a lot of the particular family relationships and, of course, in that case, allegations of mistreatment along racial lines and so forth. There’s disagreement within, some medical associations are against this.

IT 115

IT Families Family Patient-Centered 115