GeriPal

MARCH 14, 2024

Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Alex: Revisit thickened liquid challenge is back, baby. Eric: Oh boy. That’s going to be one of our topics, huh? Alex: It’s back. It’s back. To talk about this. Nicole, welcome to GeriPal. Nicole: Thanks so much for having us. I have one.

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IT Patient-Centered Hospital Individual 124

PEMBlog

MAY 1, 2025

Recognize key diagnostic features that help differentiate Parvovirus B19 from other viral exanthems and systemic illnesses. These are a group of viral rash-causing illnesses that were originally numbered in the late 19th and early 20th centuries based on their order of description. So as you can see, this virus does a lot of stuff.

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Complication Patient-Centered Patients Clinic 86

PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca A negative test can also provide false reassurance. for bronchiolitis and 1.5% isolation for SARS-CoV-2).

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Patients Hospital Illness Management 52

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex: This is Alex Smith.

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Complication Patient-Centered IT Patients 97

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy: Thank you. Alex: Great.

Community 101

Community IT Individual Patient-Centered 101

PEMBlog

SEPTEMBER 6, 2023

They carry existing diagnoses and are followed by outpatient mental health providers. Patients with psychosis caused by medical illness usually have abnormal vital signs, altered mental status, and impaired orientation with compromised intellectual function. Decades ago, psychiatric complaints in the pediatric ED were infrequent.

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Lab Testing Medical Patients Mental Health 52

Mere Mortal MD

MAY 22, 2025

People are not usually fond of hospitals, especially if they happen to be the patient. A hospital is a place for sick people, a place where death lurks around the corner, where a blood sucking phlebotomist pokes around your veins after strapping a blue rubber band tightly around your upper arm. Thanks for reading Mere Mortal MD!

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Hospital Patients Nurse Practitioner IT 221

GeriPal

JANUARY 18, 2024

Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. 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. This is Eric Widera.

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Illness Patient-Centered Screening Clinic 136

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Katie, before we jump into the topic of buprenorphine in serious illness, what’s the song request?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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Illness IT Diagnose Medical 128

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. In robotics, the Uncanny Valley is that strange almost-human-but-not-quite territory in which humanoid appearing robots repulse us with their close yet still “off” appearance. Key message: Listen to the music.

Illness 101

Illness IT Patient-Centered Patients 101

Adventures of a Sick Doctor

JUNE 5, 2021

But I thought about my friends and colleagues, my daily contacts and the faceless names on the hospital letters, and I thought about the pain and hurt in each of their hearts. When I was diagnosed with advanced cancer it was easier. There was a Milligan-esque relief in these counselling sessions – “I told you I was ill”.

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GP Screening Mental Health IT 100

Plum Health

OCTOBER 11, 2024

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. Urgent care clinics are ideal for treating illnesses like the flu, strep throat, or severe colds. It's a common challenge many people face.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

Doctors for America

MAY 30, 2025

As physicians, we know that access to these evidence-based tools to prevent severe illness, disability, and death, are essential to the care of our patients and our shared goal to improve the health of all Americans. Therefore, vaccine regulations must be guided by science, not political ideology.

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Vaccination Medical Student Patient-Centered Community 65

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Oh, wow.

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Mental Health Patient-Centered Illness Screening 122

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?

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IT Provider Patients Families 113

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. 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. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

Illness 110

Illness Hospital Patient-Centered Patients 110

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.

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Family Families Patient-Centered IT 97

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. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. What’s the role of implementation science? Kate: I surely do.

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Consulting Patient-Centered Diagnosis IT 99

Noreta Family Medicine

APRIL 17, 2024

Some family doctors work in a residency training program where they may see patients in the hospital, out of the hospital, and deliver babies. I cannot tell you the number of times that I have seen a patient and discovered additional diagnoses after they had been to urgent care. Read My Latest News!

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Primary Care Board-Certified GP Family Physician 52

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. 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? Alex: Pink Cadillac by Bruce Springsteen?

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IT Family Families Diagnosis 102

Mere Mortal MD

FEBRUARY 24, 2025

Fast forward thirty years later, and here I am in Anchorage, Alaska, practicing medicine as an inpatient rehabilitation hospital physician. I care for patients daily that unexpectedly get deathly ill, get in traumatic car accidents, or get diagnosed with terminal cancer. I wanted to be a channel of light and love.

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Family Families Diagnose IT 130

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?

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IT Patient-Centered Patients Healthcare 99

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!

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Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

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Patients Clinic Patient-Centered Illness 72

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. And PAIR stands for the Palliative and Advanced Illness Research Center. Much more to come. I saw them only twice.

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Consulting Hospital Patient-Centered IT 120

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Summary Transcript Summary On today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!), He was also the one who we have to thank for suggesting this podcast! Great title.

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Education IT Illness Healthcare 127

GeriPal

OCTOBER 20, 2022

The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). How to make your voice heard and get involved. Welcome back Lona.

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Patient-Centered Complication IT Patients 52

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C.

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IT Families Family Clinic 102

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. Four percent. It was amazing.

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Illness IT Medical Provider 144

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. What words to use?

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Family Families Patient-Centered IT 112

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. In fact, as Lauren Hunt found , the average likelihood that a person will be disenrolled from one hospice vs. another is two. Yes, it is.

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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.

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IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. A health services researcher and palliative care physician, Amber lauds the ability of simulation studies to isolate one variable in a study. Amber: I do. You know what?

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Patient-Centered Patients IT Healthcare 111

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. Summary Transcript Summary Think about the last time a patient yelled at you in anger. How did you react? Afterwards, I thought there must be a better way. Transcript Eric: Welcome to the GeriPal podcast.

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Patients IT Families Family 109

PEMBlog

MARCH 27, 2024

Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Unfortunately, that’s not always the case. And you’re thinking, hey! Take it away, Emily.

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Consulting Individual Families Family 59