My Green Doctor

MAY 29, 2025

In the United States, extreme weather events and air pollution are already costing the healthcare system over $820 billion annually. We must transform healthcare into a frontline responder for climate resilience. At My Green Doctor, we help clinics and health professionals build climate resilience from the ground up.

Healthcare Professional 52

Healthcare Professional Healthcare Finance Education 52

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Eduardo 25:39 I think that’s wonderful, Alex, because all our social and even religious events have metaphors of food.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 9, 2023

Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. So there’s an event or a series of events. So there’s an event or a series of events. Kate 04:53 As well as how they cope with that event.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. We provide critical education. Ann: No, he was very excited.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 25, 2023

Sarah: But as you bring your inner circle into your care, you know, how does that that that feels like an important group to be assessing in terms of psychological outcomes and kind of what their experience with the process is like as they’re navigating illness and serious illness. LJ: We provide all the marketing materials.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. And this is really traumatic event for his street family and the street community that he knew.

Healthcare 100

Healthcare IT Community Illness 100

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

SEPTEMBER 12, 2024

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. And that’s how the names have really changed.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty. Lauren: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 30, 2022

We think there are some cases, certain kinds of illnesses or conditions or operations, where people have the surgery and never get out of bed again. So for example, tracheostomies frequently occur in patients who are quite ill, but it’s not the trach itself that tends to lead to the mortality, it’s their generalized illness.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And that grew into a group of volunteers coming back and at least providing support groups, giving those men a place where they could talk at least. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Usually events open up some insight into the person themselves as they’re describing the suffering. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Theresa 28:12 In 20 years, I have once seen somebody deliberately choose a song that was so traumatic, I had to actually put in my very first adverse event report. Eric 28:10 Eric, it’s been 20 years. But back to the point.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. What I think so special about palliative care is that there’s some really radical and important ideas that sort of undergird our work and that provided a foundation for our work.

IT 104

IT Patient-Centered Family Families 104

GeriPal

FEBRUARY 17, 2022

This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. So these are really relevant outcome events. So we provide a range of these clinically meaningful benefits. But how long does it take until you see those events?

Clinic 67

Clinic IT Patients Medical 67

GeriPal

OCTOBER 12, 2023

Two or three decades now, Gretchen, about fix-it language not only in surgery but in a variety of clinical spaces, which really refers to language that portrays illness, really, through a mechanical model. Wasn’t that the Provide Your Opinion, Don’t Hide It? We hope you enjoy this episode. Because I read that.

IT 128

IT Family Families Patient-Centered 128

GeriPal

JUNE 26, 2025

Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover. Today we talk about disruptive events, or health and wealth shocks. So thought it related to our theme of disruptive events about different ways in which you may experience an early demise.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

FEBRUARY 2, 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.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

OCTOBER 3, 2024

I wonder if you could say a little bit more about the meta Institute in particular and what it is that clinicians today can do to learn, to be more present and learn about the need to be thoughtful and compassionate in the care that they provide people with serious illness. Frank 08:43 Well, briefly. Where can they go?

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

OCTOBER 27, 2022

And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. That’s a difficult decision to make, and providing these estimates can help clinicians and patients with that type of shared decision-making. I don’t need to get into much of the details.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 5, 2024

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. So in some ways, it was an iatrogenic event. There was also a second event in that the pressures chosen weren’t the ideal ones.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. So at our cancer center, we have physicians, advanced practice providers. So, for example, the intervention visits had to be delivered by a physician or advanced practice provider.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MARCH 16, 2023

So this week we’re going to be talking about writing for the lay public, and next week we’ll be publishing a podcast on writing for healthcare providers. Louise: Well again, if you take that approach, you also get rid of ableism and ageism against children and prejudice against people who are ill. Eric: Yeah.

IT 105

IT Healthcare Professional Healthcare Transportation 105

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. To let it go. . Or as in Mark Nepo’s poem Adrift, I am so sad and everything is beautiful. AlexSmithMD .

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Family 106

Family Families Patient-Centered Patients 106