GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Jace, welcome to the GeriPal Podcast. Noelle Marie, welcome to the GeriPal Podcast.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

IT 102

IT Families Family Diagnosis 102

GeriPal

OCTOBER 17, 2024

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.

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Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Yeah, exactly.

Families 98

Families Family Patient-Centered IT 98

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. AMA PRA Category 1 credit(s) ™. Eric: Oh, wow. No pressure.

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Mental Health Patient-Centered Illness Screening 122

GeriPal

AUGUST 17, 2023

Summary Transcript Summary It’s been over two years since one of the worst product launches of all time – Aduhelm (aducanumab). Eric: Yeah, he is the host of my favorite dementia podcast. Dementia Matters. If you haven’t checked out that podcast, please do. Dementia Matters. Nate: Thank you guys for having me. Nate, is it you?

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Patient-Centered IT Clinic Patients 98

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Was hoping to hear Hey, Ya by OutKast. Alex: Great. All right.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. In 1990 the Supreme Court ruled…for the state of Missouri.

Families 112

Families Family Patient-Centered IT 112

GeriPal

FEBRUARY 27, 2025

Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM. What is harm reduction and how can we implement it in practice? Who follows the patient once the cancer goes into remission? Who will prescribe the buprenorphine then? Oh, my goodness.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

JULY 28, 2022

Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . Alex: (singing). Areej: Wow.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

JANUARY 26, 2023

Eric: So we’re going to be talking about the intersection between structural racism and ageism, but before we go into that topic, Ramona, I think you have a song request for Alex. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you. I love this song.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. Summary Transcript Summary I always find cachexia in serious illness puzzling. 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. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 11, 2024

Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. To many this rapid expansion will represent autonomy run amok. It is the slippery slope made real. It was amazing.

Illness 144

Illness IT Medical Provider 144

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. But before we jump into that topic, John, do you have the song request for Alex? John: I do.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 23, 2022

Today we talk with Mara Schonberg, who has been tackling this issue from a variety of angles: building an index to estimate prognosis for older adults, writing about how to talk with older adults about stopping screening, a randomized trial of her decision aid , and how to talk to older adults about their long term prognosis. AlexSmithMD.

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Screening PCP PCP IT 99

GeriPal

OCTOBER 3, 2024

As BJ MIller writes in the foreword, “ May this book be a portal — a way for us to move beyond the unwise territory of trying to ‘do it right’ and into the transcendent terrain of noticing what we can notice, loving who we love, and letting death — like life –surprise us with its ineffable beauty. I got questions. Thank you, Alex.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

We discuss, among other things: Findings that in several studies AI was rated by patients as more empathetic than human clinicians (not less, that isn’t a typo). Turns my concern about lack of empathy from AI on its head – the AI may be more empathetic than clinicians, not less. ” Eric: What was it called again, Wachter’s World?

IT 139

IT Electronics Patients Healthcare 139

GeriPal

JUNE 26, 2025

-Alex Smith Additional links mentioned by Tsai-Chin Cho: – Wealth shocks and mortality in the US – Change in marital status as a risk for wealth shock ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 W elcome to the GeriPal p odcast. This is Eric Widera. Alex 00:12 This is Alex Smith. Is it you, Rebecca?

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. She’s a palliative care nurse educator and a writer, and she’s joining us from the great state of Hawaii. The impossiblity which is life, which is everything, and death, which is the end of life.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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. Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™. You got it. Eric 04:06 Why is the PPS important?

Families 106

Families Family Patient-Centered Patients 106

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. 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. People are living with HIV into advanced ages. Eric 01:28 Wonderful.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JUNE 6, 2024

I’m happy to talk about it at any time.” All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. Treatments for vaginal dryness and atrophy ACS links , NCCN links , Cancersexnetwork , and a great handout that Areej created And I get to sing Lady Gaga, also a first for GeriPal! Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist. We’ll have a link to that in our show notes. We’re gonna double up on that subject. Alex 01:07 We haven’t figured it out. Alex 01:48 All right.

IT 113

IT Families Family Patient-Centered 113

Mesa Family Physician

MARCH 6, 2025

These measures are taken after a disease has been diagnosed. Key examples include: Well-child visits at regular intervals Childhood immunization series Developmental screenings Vision and hearing tests Dental health promotion Nutrition and physical activity counseling Safety education (car seats, bicycle helmets, etc.)

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Preventative Care Preventive Care Family Physician Screening 100