The Medical Futurist

JUNE 21, 2025

Treating less serious ailments gets faster, more targeted and more efficient, while the means for curing more serious and life-altering illnesses improve. However, things are moving fast, and success doesn’t come easy for the pioneers of any medical field. Are 3D printed and digital contact lenses the future?

Diabetes 105

Diabetes Patient-Centered IT Patients 105

PEMBlog

JUNE 7, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together.

Transportation 122

Transportation Patient-Centered Management Finance 122

PEMBlog

JUNE 14, 2023

This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together.

Mental Health 98

Mental Health Management Patient-Centered Illness 98

GeriPal

JULY 27, 2023

For those with serious illness, sleep problems and insomnia are all too common. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Sometimes that’s medications. Insomnia sucks.

Illness 85

Illness IT Clinic Medical 85

PEMBlog

MAY 31, 2023

However, medications can be adjuncts to non-pharmacologic means to help keep agitated children safe from harm. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. When we think of managing agitated patients we think of medicines – but that shouldn’t be our first option. Government.

Management 89

Management Patient-Centered Finance Transportation 89

PEMBlog

MAY 17, 2023

Why then do we persist with the “is it medical/organic or psych” question? Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients. Government.

Patient-Centered 68

Patient-Centered Mental Health Management Finance 68

GeriPal

MAY 19, 2022

And really, the best that had ever been looked at, especially in our population and sort of a cancer serious illness population. I expect my colleagues to know that there’s a large amount of sophisticated, nuanced knowledge that all of us who do high risk pain management for seriously ill patients need to be aware of.

IT 139

IT Patients Individual Relationship 139

Annals of Family Medicine

NOVEMBER 20, 2024

This intervention used a primary care addiction consultation service model including education, an addiction medicine consultant, and practice facilitation to increase capacity for opioid use disorder (OUD) treatment. Results Practice types included clinician-owned, FQHCs, and system-owned; most specialized in family medicine (91%, N=22).

Primary Care 130

Primary Care Consulting Medical Illness 130

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. So medication adjustments. This is Eric Widera. Alex 00:03 This is Alex Smith.

Illness 107

Illness IT Patient-Centered Patients 107

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 . We got some really special guests with us. But does this drug really live up to the hype? Transcript.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. He’s a palliative care doctor and he is Medical Director of Palliative Care at Ascension Illinois Palliative Care. He was also the one who we have to thank for suggesting this podcast! Does that sound about right?

Education 127

Education IT Illness Healthcare 127

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. When people have no appetite, they know they’re ill. Alex 03:31 That was fun.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. David: Thank you.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

Georgetown Pediatrics & Family Medicine

FEBRUARY 7, 2022

“A lot of times when we talk about mental illness or mental health, I think there’s a lot missing from the conversation,” Dr. Joy said. “I It doesn’t always have to be about mental illness.” He was interested in understanding racial bias and supporting educational justice.

Mental Health 40

Mental Health Patient-Centered Hospital Education 40

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. Eric 05:03 Nice.

IT 132

IT Illness Families Family 132

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 126

IT Patient-Centered Illness Education 126

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. I have this wonderful opportunity right now where I chair this Department of Health Social Work in Dell Medical School.

IT 102

IT Families Family Clinic 102

GeriPal

AUGUST 11, 2022

– Serious Illness Conversation Guide podcast. He’s assistant professor of medicine at UCSF, and he’s one of my former research mentees, and he’s very interested in medical ethics and decision making in the ICU. I was a medical and psychiatric resident between 1977 and 1982. AlexSmithMD . Transcript.

Illness 109

Illness IT Families Family 109

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. And so I went into medical school wanting to cure cancer. Transcript. This is Eric Widera.

Illness 110

Illness Hospital Patient-Centered Patients 110

PEMBlog

MAY 24, 2023

Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. We have developed a series of pain focused episodes. These articles will take another look at the content included in this episode. Government.

Management 54

Management Patient-Centered Physicals Finance 54

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). The hospital refused without a court order, and the case eventually made its way to the Supreme Court. What words to use? Is the POLST useful?

Families 112

Families Family Patient-Centered IT 112

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. His work has been published in places like the L.A.

IT 145

IT Hospital Patients Illness 145

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. 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 ?

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. ” BJ: Well, I fall back on using physiology in the sort of medical sense. laughter] Eric: And part of that is this idea of, in hospice, sometimes we just try to medicate suffering away. We medicate that away. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. Consider this: the majority of the 1.4

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” In addition to that long list, I was also a chaplain educator.

IT 99

IT Patient-Centered Families Family 99

GeriPal

MARCH 24, 2023

We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. So if you think about 100 patients per year, that you need to have some benchmark after going into business to care for so many terminally ill patients. Welcome back to GeriPal, Lauren. I’m excited.

IT 113

IT Provider Patients Families 113

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

FEBRUARY 20, 2025

So thinking about, you know, if you are in sort of a home where you’re more likely to Experience childhood abuse that may potentially limit your education trajectory and your ability to attend school. And I think as an educator it’s been really important in particular to focus on that final, that last one.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

MARCH 31, 2022

Marilyn is joined by Guy Micco to talk about why poetry is important in general, why it’s important in medical or nursing education, and why it’s important for people who care for older adults. Patient Poets: Illness from the Inside Out. I think it’s titled Patient Poets Illness. AlexSmithMD. Is that right, Marilyn?

IT 70

IT Patients Medical Illness 70

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Kate: Yeah, some of the thoughts I’ve had in thinking about this: we did not require communication, training and education of the clinicians. Alex: We had you on just recently, the podcast. Kate: Sounds right. Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. So has a special resonance for, I think, a lot of people who are Tragically H ip fans.

IT 107

IT Community Patients Families 107

GeriPal

SEPTEMBER 5, 2024

And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985. You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. That makes it really special for them and for me.

Patients 98

Patients IT Patient-Centered Hospital 98

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 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. Who spends the most time with the patient in the infusion center? Doing home care? Hospice visits?

Patient-Centered 119

Patient-Centered IT Patients Consulting 119