GeriPal

JUNE 20, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. I do like that one.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Eric: Oh boy.

Hospital 124

Hospital IT Patient-Centered Individual 124

GeriPal

MAY 11, 2023

Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Kristine: I was going to do David Bowie Changes for a variety of reasons, but it was sort of somewhat around the topic. Alex: (singing) Eric: That was wonderful.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! Nadine: I do. Good choice.

Diabetes 73

Diabetes Management Patient-Centered Family 73

Rao Doctor

APRIL 3, 2025

In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

The Medical Futurist

JUNE 21, 2025

There are widely varying figures, ranging from 66% to 90% depending on the source of information.) As, based on the results of my whole genome sequencing , I have a moderate risk for melanoma, a reliable and easily accessible source of information could be incredibly useful for me, too, thus I tried to find the best tools possible.

Healthcare 111

Healthcare Patients 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

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. Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. Eric 00:49 And I just want a big shout out to Alex Gamble, who said, we have to get Eloise on a podcast to talk about this topic. Do you want one?

Medical 98

Medical IT Patient-Centered Healthcare 98

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.

Family 102

Family Families IT Diagnosis 102

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? It’s titled the VitalTalk Method.

Illness 132

Illness IT Family Families 132

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. But then it asked me, “Oh, that sounds really interesting. Who are you going to be talking to?” ” And I said, “Sure.”

IT 99

IT Patient-Centered Patients Healthcare 99

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. Summary Transcript CME Summary As you know, dear listeners, I love music. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine.

IT 96

IT Patient-Centered Patients Board-Certified 96

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

Doctor On Demand

APRIL 28, 2025

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. Most sore throats are common cases, so it can be hard to know when to seek urgent care or when to just rest at home.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

FEBRUARY 23, 2023

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. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JUNE 19, 2025

My transition was very public at Sinai, and in a way, I became like a poster child for living my truth in terms of being trans, having lived and embracing different intersectional identities, being an immigrant woman of trans experience, identifying as a straight woman and as a professional. Jace, welcome to the GeriPal Podcast.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JUNE 9, 2022

By diagnosis? We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? Should eligibility and access be determined by clinician referral? By prognosis? Can nudges help? What is a pragmatic trial ?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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. 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. Jessie: Thank you.

Illness 136

Illness Patient-Centered Screening Clinic 136

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.). Chrissy: I do. Alex: (Singing).

Management 122

Management IT Medical Patient-Centered 122

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. 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. Simple, right? Alex: (Singing).

Family 144

Family Families Patient-Centered IT 144

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. The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Don’t take my word for it, listen for yourself! Lynn: Okay. It’s called Hot Ones.

IT 126

IT Patient-Centered Illness Education 126

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.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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. Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Eric: Oh, wow. Des: So yeah, lots of big things.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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? And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications?

IT 128

IT Family Families Patient-Centered 128

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. Eric: Yeah, he is the host of my favorite dementia podcast. Dementia Matters. Dementia Matters.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

MAY 4, 2023

We in geriatrics and adult palliative care clinicians have so much to learn from our colleagues in pediatrics – and though many of these lessons are specific to adolescents and young adults – many of the lessons are valuable for the care of patients in older life stages. Why does it feel different? Does it feel different? Abby: I do.

Family 83

Family Families IT Illness 83

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. He was also the one who we have to thank for suggesting this podcast! MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Education 127

Education Illness IT Healthcare 127

GeriPal

FEBRUARY 17, 2022

And so many older adults with diagnosis of osteoporosis have never received any therapy for it. When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. See screenshot below. James: I do.

Clinic 67

Clinic IT Patients Medical 67

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. 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. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 19, 2023

Summary Transcript Summary What level of evidence do we need for POLST to use it ourselves, to advocate for wider usage, and for establishing POLST completion as a quality metric? The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. But is it a tiny, meaningless, fraction?

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Before we go into this topic, who has a song request for Alex? It was Remember Me. Was that the title? Alex: I think it’s I Will Remember You. Joel: Yeah, right, I Will Remember You, right. Alex: … Sarah McLachlan.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. But before we do, I think somebody has a song request for Alex. Alex: (singing). Areej: Wow. Jennifer: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

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 72

Patients Clinic Patient-Centered Illness 72

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

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. Thus, they have little in the way of long term vision for hospices, instead focused on cutting costs and maximizing profits. . People with dementia make up about half of hospice admissions. Is it you, Melissa?

Family 106

Family Families IT Patients 106