GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? And then be quiet and listen.

IT 132

IT Illness Family Families 132

GeriPal

SEPTEMBER 28, 2023

First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens. Simple, right?

Family 144

Family Families Patient-Centered IT 144

GeriPal

JUNE 27, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. If they’ve said they had a traumatic experience receiving a diagnosis. And so in terms of, am I looking to put a DSM diagnosis to someone? I wonder why? Alex Smith 22:01 Right.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. Now actually suggesting perhaps that you missed a diagnosis that you should have considered? And that I see as something very positive, because I think none of us like to spend hours documenting.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 9, 2022

By diagnosis? But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. Eric: Our outpatient service does have guides around diagnosis and prognosis.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous. You’re recognizing that, wow, this could happen to me, and I wonder sometimes about the challenges.

IT 83

IT Family Families Illness 83

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment.

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 24, 2024

Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. David 12:31 Yeah, if you believe the results of an informal. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JUNE 16, 2022

We discuss with her how we should work-up and manage “urinary tract infections” (I’ve added air quotes to “UTI” in honor of Tom Finucane’s JAGS article titled “Urinary Tract Infection”—Requiem for a Heavyweight in which he advocated to put air quotes around the term UTI due to the ambiguity of the diagnosis.). I appreciate that information.

Management 122

Management IT Medical Patient-Centered 122

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. If we think of discrimination, how people are treated by their biological family. Caregivers too.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research. We have both inpatient and outpatient at IU.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And as of 2015, the survey started to ask folks about cancer history, just some broad questions about lifetime history of cancer and whether they’ve had a cancer diagnosis in the past year.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

MAY 9, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care.

Education 127

Education IT Illness Healthcare 127

GeriPal

JUNE 22, 2023

In many cases, the families were the victims of the crime. And we’ve really tried to serve that hospice mission of serving the patient and the family. And so not all of our patients still have friends or family in the community because they’ve been incarcerated for so long. They suffered from it.

Family 132

Family Families IT Community 132

GeriPal

JUNE 30, 2022

And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? But we know that 30% of all decedents who are Medicare beneficiaries either die from dementia or have an existing diagnosis of dementia, which is something we talk about quite often, Joel and I.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. Sharon: Yeah, they have to understand the risks. How long do we need to give it? Eric: PET scans.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. 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.

Family 106

Family Families IT Patients 106

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. ” I think the family would like you to consider how to work with that. That dawned on me.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 29, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. They ordered mild to hot.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 22, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. We might say, “Of course you’re sad, you just got a very serious diagnosis.” Do we have any information on that, do you know? Is this a new onset depression?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 16, 2023

So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond. What feelings do we have toward the patient and toward their families? And countertransference is everywhere.

Patients 109

Patients IT Family Families 109

GeriPal

JANUARY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. We can talk about the informal and the formal differences in expansion later. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 17, 2024

Eric 12:05 Any pearls on the diagnosis of HFpEF. So I would agree, just in terms of not trying to dismiss a lot of these patients in terms of deconditioning and really trying to sometimes hone in on the diagnosis despite a Bnp level that is not necessarily very high. A pill organizer, having family. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. So I do think it’s useful to have that additional information. Karl: Yeah, very much so.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? So we did a perfect cross so that the race and actual primary diagnosis was perfectly matched across groups.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

OCTOBER 27, 2022

But we know from previous studies that a lot of older adults actually want this information, but might not feel comfortable bringing it up. So yes, it’s imperfect and we recognize that, and we’re always clinically making decisions that are based on imperfect information. Eric: Well, let me push you on that.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. And it was very clear, and she could now no longer recognize her family members. Who do you give informed consent to? Thaddeus 00:46 Thank you.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 18, 2024

For the foreseeable future, it’s going to be right 90%, 95%, 85%, so the safety system, of course, will be, the AI says something, makes a recommendation or gives you a draft diagnosis or drafts your note, and then, the failsafe is, the doctor reads it over. I’m connecting. This is GPT-4. “Hi, GPT-4. ” Alex: Wow.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

JULY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But I think that would be a really interesting next step to see if the trend in PPS scores adds information about the patient’s prognosis, which I expect it would.

Family 106

Family Families Patient-Centered IT 106

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. We’re selling objectivity, information, independence and choice. Take some time to get trust, to get real information.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

We focus on function and mortality because these are outcomes that really are important to patients and families. And it was her conceptual, like incorporation of functional decline, some measure of functional decline along with a serious illness diagnosis that you’re utilizing here. What is your function? And do you die?

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. So I don’t know how clinically meaningful that week difference was to families. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. English or spanish speakers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79