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

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Because how that is approached can have lasting effects on relationships, unfortunately. They’re really not.

IT 102

IT Family Families Diagnosis 102

GeriPal

MAY 22, 2025

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? And so this is a shout out to our inpatient palliative team at Dell Medical School.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? 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

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Emily is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania. And as we all know, for many people there comes a time where they are no longer able to make their own medical decisions. Lynn: Sure.

Families 97

Families Family Patient-Centered IT 97

GeriPal

JUNE 19, 2025

And so when I had decided to socially, medically, and surgically transition, I had to really sit down with members of the department and really did a lot of in services. Eric 04:53 How is it public? Can you tell me about that? Noelle Marie 04:57 Yeah. So when I joined Sinai In 2013, I was in a different form at that time. Making sure.

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Individual Community IT Chronic Condition 85

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. We’ve done work with medical improvised, we’ve done work in museum based education. So the first thing, explain the diagnosis.

IT 132

IT Illness Family Families 132

GeriPal

MAY 12, 2022

Raj: It was indeed very, very gradual, and the seeds were sown when I was a medical student. So, we formed this organization called Pain and Palliative Care Society in the Northern Kerala city of Kalakkad based in the government medical college. It’s easier to concentrate on cure, diagnosis, cure. We create definitions.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. Eric: Yeah. Dr. Smith, I believe you missed an emotional cue.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. Alex: And, we’ve had two prior podcasts where we had guests who were very pro Medical Aid In Dying.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. That’s probably too medical. I’m using my medical brain.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. He’s a palliative care doctor and he is Medical Director of Palliative Care at Ascension Illinois Palliative Care.

Education 127

Education IT Illness Healthcare 127

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. We might say, “Of course you’re sad, you just got a very serious diagnosis.” If combined with medications, we see the best outcomes, usually. Alex: This is fascinating.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. What’s up with Medical aid in dying in Canada? Four percent. Transcript Eric: Welcome to the GeriPal Podcast.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. We know what’s going to happen. How you think about that.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder.

Illness 136

Illness Patient-Centered Screening IT 136

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. Welcome back to GeriPal podcast, Sharon. Sharon: Thank you for having me again. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. And so I went into medical school wanting to cure cancer. I have oncology on the brain.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. So she had them early in diagnosis and then a little bit later.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. Or they might, you know, they might sell their medication, which this population is also prone to. Who’s going to manage these medications?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Family Families Illness 83

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. So one of the criticisms is that it’s an insult to the dignity of a loving relationship. This led her on a remarkable journey. What does that even mean?

IT 100

IT Relationship Complication Specialization 100

GeriPal

MARCH 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

OCTOBER 27, 2022

But if they’re not going to live another 20 years, then there’s no point in giving them the extra medication for lowering their A1C. And if you look at previous kind of population-based studies, the median survival time after diagnosis is really broad and can range based on the study from 3 to 12 years. Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 18, 2024

Then, it was like, well, it does as well as, and now, better than humans passing the medical boards, passing the law boards, doing great on the SAT, all that stuff. And what I want to do is, this is a tough task for you, I’m sure, but I have a patient with a new diagnosis of cancer, and it’s actually a 35-year-old woman.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

JUNE 26, 2025

Disruptive events are medical, surgical. And there is this bidirectional relationship between wealth and health shocks. And then I was inspired by this paper and then really interested in looking at the bidirectional relationship between the two of them. And hospitalization for pneumonia is like a medical event.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. It’s about establishing a relationship and rapport. And it’s a lot easier to calculate prognosis likely from, you know, the labs and the medical record than it is to, like, get patients to stomp onto a survey about quality of life. English or spanish speakers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. I knew them, I developed a relationship with them. Are there fall and injury risk?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . I thought I couldn’t finish medical school. I heard this loud click. I couldn’t move any of my body.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

MAY 1, 2025

And I graduated from medical school in the early 80s. And I was working at the time at Yale in New Haven, and I became medical director of a facility which was initially created in New Haven as a hospice like facility for people with HIV, which is in late 1995 and in 1996 when the Protease inhibitors came along. Meredith 09:33 Yes.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Redwing, who is a cancer survivor, shares poems about her experiences with cancer.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. We have a lot of loss of libido, loss of physical intimacy as a result of the changing dynamic in the relationship.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Liz 00:32 Thanks.

Family 106

Family Families Patient-Centered IT 106

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? That also speaks to a lot of the particular family relationships and, of course, in that case, allegations of mistreatment along racial lines and so forth. There’s disagreement within, some medical associations are against this.

IT 113

IT Family Families Patient-Centered 113

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. Widera and Smith have no relationships to disclose.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JANUARY 5, 2023

No matter what your position on medical aid in dying (I’m ambivalent) or abortion (I’m pro-choice), this is a bioethics podcast, and I hope that we can all agree that the ethical issues at stake deserve a critical re-think. Today, medical aid in dying is legal in some 10 states, and illegal in others. . Summary Transcript Summary.

Provider 19

Provider Medical Hospital IT 19