The Medical Futurist

JUNE 21, 2025

It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. It’s complete in its descriptions and treatments which can also be used by medical professionals of all types. (*There are widely varying figures, ranging from 66% to 90% depending on the source of information.)

Patients 111

Patients Healthcare Board-Certified Telemedicine 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? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

MARCH 24, 2023

For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care. If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. Is it you, Ira?

IT 113

IT Provider Patients Family 113

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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 Family Families Diagnosis 102

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

FEBRUARY 22, 2024

Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Because we live in the world as it is, not as it should be, Des has helped develop an app ( link to pilot trial hot off the press !) ABIM MOC credit will be offered to subscribers in November, 2024.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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? 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.” That’s a huge amount of news all at once. This is Eric Widera.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 30, 2025

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

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

Hallucinations, or when the AI lies or b *s, then denies it When the AI approaches sentience, is it ethical to unplug it? I’m sure this is a subject we will return to, given the rapid progress on AI. Which I thought were great questions. Maybe we could jump into that. Eric: It said, “How about Sparky?” What is artificial intelligence?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. We can’t possibly meet the needs of all people with newly diagnosed serious illness. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . What’s the role of implementation science? We cover a lot of ground!

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

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. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come. I saw them only twice. Full electric experience.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So this is something. This is the plenary to attend. It is a sold out crowd. It is a standup crowd and it’s going to be a hard act to follow. Of course. We will step aside. Speaker 6 03:29 Andy.

IT 64

IT Hospital Screening Patients 64

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. 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. .

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 1, 2022

Barbara highlights social workers’ inherent leadership qualities and tasks us to consider whether our own team and organizational structures are allowing for optimal social work engagement and influence. by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Alex: This is Alex Smith. Is that right?

IT 102

IT Family Families Clinic 102

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How to make your voice heard and get involved. Eric: Welcome to the GeriPal podcast.

Complication 52

Complication Patient-Centered IT Patients 52

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. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. In 1990 the Supreme Court ruled…for the state of Missouri. ” Eric: That was lovely.

Family 112

Family Families Patient-Centered IT 112

GeriPal

APRIL 14, 2022

It’s been around for a long time but is acting like the hot new kid in town. Just look at this year’s AAHPM meeting, where it felt like every other session was talking about how hot buprenorphine is right now. But does this drug really live up to the hype? Eric: And why Under Pressure. Alex: So we’ll see what these come out like. Right, Katie?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. I am honored to introduce Bill Gardner, who’s a child psychologist and professor of psychiatry and epidemiology at the University of Ottawa. We have a Canadian theme going. We just had Harvey Chochinov on. Was it April 1st?”

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Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. 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 will prescribe the buprenorphine then?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MAY 9, 2024

He was also the one who we have to thank for suggesting this podcast! Hsien Seow & Samantha (“Sammy”) Winemaker : Hsein and Sammy’s goal was to start a revolution with their podcast “ The Waiting Room Revolution ,” which is now in its 7th season! ABIM MOC credit will be offered to subscribers in November, 2024. Great title. Matt: Same.

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Education IT Illness Healthcare 127

GeriPal

JANUARY 26, 2023

Like a lot of organizations, corporations, professionals, societies, we put out a statement that basically said we stood against violence and other forms of discrimination following his murder. 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.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. We’re going to be talking about each one of these papers. Yes, it is.

Family 106

Family Families IT Patients 106

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Alex: Great.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. It is the slippery slope made real. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. We’re going to define what that is and how it applies to the work that we do. Amber: I do. You know what? So I just can’t keep going.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 16, 2023

As Keri put it in the podcast, we must go beyond “a hammer and a nail” philosophy to approaching anger by developing a toolkit for anger that is vast and varied. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Is that you Dani? Dani: It is me. laughter] Alex: Not at all.

Patients 109

Patients IT Family Families 109

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. Today we talk with Josh about how to anticipate and avoid the uncanny valley. And talk about times when we’ve fallen into it. . Key message: Listen to the music. All the time. ;). We’ll have links to it.

Illness 101

Illness IT Patient-Centered Patients 101

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.

Screening 99

Screening PCP PCP IT 99

GeriPal

JUNE 13, 2024

Eduardo 03:38 A ll I can say is that the reason why I’m here is because I was a failed professional bass player. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Summary Transcript Summary I always find cachexia in serious illness puzzling. Eduardo, welcome to the GeriPal podcast.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 21, 2023

Eric: And somebody told me you’re a professional tambourine player. Summary Transcript Summary The proportion of people living with dementia who identify as Black/African Americans is on the rise , and so too are the proportion of caregivers who identify as Black/African American. African American? Black/African American? Karen: I do.

Community 128

Community Family Families IT 128

GeriPal

OCTOBER 3, 2024

I’ll have a more professional version on the audio- only versuib. Some highlights from our conversation: The role of art in humanizing the dying process. The rules are really quite simple: Find another person. Sit down and draw each other for only one minute. We invite you to post your drawings on twitter and tag us @GeriPalBlog!

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

AUGUST 8, 2024

Alex 00:17 So who came up with this name? Eric 00:19 Miguel Paniagua. We heard from him that he was going to do an ACP session on between two earns, including a funeral director or mortician, to talk about it in a play on B etween T wo F erns. Alex 00:35 Yep. And I gave it this title, talking about how we can get plenty more of everything but time.

IT 124

IT Family Families Relationship 124

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 27, 2022

Eric: 1982. James: … alive in the 1980s, but yes, you sang Forever Young by Bob Dylan around three years ago, and then Eric jokingly started singing this song, and so now it’s about time to fulfill Eric’s request. Alex Smith: Sei, do you have any comment? It was kind of the junior high party. Alex Smith: (Singing). Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. 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. At some point.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119