GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. We got some really special guests with us. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Transcript.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. My voice is nothing special. I think that’s more palliative than me. I forgot about.

IT 96

IT Patient-Centered Patients Board-Certified 96

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. 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.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. 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.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. And so I thought it was appropriate.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. People with dementia make up about half of hospice admissions.

Family 106

Family Families IT Patients 106

GeriPal

FEBRUARY 29, 2024

Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. Alex: And, it means pain management. Alex: So many, I remember in Palliative care fellowship learning how to prescribe Tramadol and even giving a talk at the general on pain management and recommending Tramadol. Alex: Okay.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. They’re like, “Everyone wants to make every moment of our day special.”

Illness 128

Illness IT Diagnose Medical 128

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. Is the sort of task to manage. Eric 10:36 But I asked Chachi Bt, I said to Chatty BT, I need to tell my patient they have cancer. What should I say? So you got to be better than AI.

IT 132

IT Illness Families Family 132

GeriPal

MARCH 20, 2025

And we’ll say that we will link to an article that Hope and Thaddeus and others, I think Tim Quill was on there, wrote in journal, Pain and symptom Management, I think it was. Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. Thaddeus 39:58 That’s how she decided to manage it.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

MAY 1, 2025

Alex 16:55 My guess is probably not something that most geriatricians or internists or family medicine docs caring for older people have on their differential diagnosis. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis. In San Francisco, HIV care was more specialized in that. Meredith 17:07 Yes.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 25, 2024

Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Eric 25:08 Super special. I don’t know how our patients manage that. Alex 00:05 To claim credit, p lease go to the C ME tab on GeriPal.org. Eric 00:09 Welcome to the GeriPal podcast.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JULY 7, 2022

Haider: Yeah, this is a special song. And in some ways I have this special responsibility in part, along with others, to pass those teachings along to a new generation who may never get to talk to him in the middle of a day on a landline. And the VA has become really the center of excellence for interdisciplinary pain management.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 130

Illness IT Physicals Patients 130

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). Alex: Is that publication out?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? Margot: Yes.

Mental Health 123

Mental Health IT Community Individual 123

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. And that included scheduling a visit with a, with a facilitator who had been specially trained.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. But what happened when we finally… When he did get the diagnosis, it all fell into place.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. By the year 2000, everyone will be in a Medicare managed care plan.” We’re not paid, as part of a DRG, for any particular diagnosis.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JANUARY 5, 2023

He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. There’s nothing special about it. I don’t think it needs a special term particularly.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

JULY 14, 2022

Alex: We are delighted to welcome back two very special guests who were with us early in the COVID pandemic, and really shown a light on what was happening for the rest of us who could see this giant wave coming, and were just thirsty for information and experiences from those people who were experiencing it early. This is Eric Widera.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136