Physician's Weekly

JUNE 11, 2025

Despite the hours spent counseling tobacco cessation, encouraging the use of inhalers with proper technique, ensuring compliance with durable medical equipment, and enrolling in pulmonary rehabilitation, more than once have we observed these methods fall short of the expected outcome. can provide valuable insights into their quality of life.

Patients 52

Patients Healthcare Professional Family Families 52

GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes.

Specialization 119

Specialization IT Patient-Centered Medical 119

FDA Law

APRIL 13, 2025

no comparator arm), FOENIX-CCA2 was not capable of establishing improvement on time-to-event efficacy endpoints such as PFS or OS and, without an appropriate comparator, it is not possible to determine if the observed effect is attributable to LYTGOBI or to other factor(s), such as the natural history of the disease. The problem?

Provider 52

Provider Healthcare Professional Patient-Centered Clinic 52

GeriPal

JULY 27, 2023

Cathy: Actually, many years ago, I did some research on delirium and then I was doing some research on nursing home residents and we were doing work looking at, I was interested in how sleep problems and nighttime events might lead to delirium, and then I just became very, very interested in sleep. Sometimes that’s medications.

Illness 85

Illness IT Medical Clinic 85

GeriPal

DECEMBER 2, 2022

And for people with dementia and their caregivers, who both feel very devalued in the social system, support systems, their communities, the medical system. We need to learn from them that they have moved on, so how do we not dwell in the past negative events? They get very little build up, they’re depleted. How do we move on?

Community 101

Community IT Individual Patient-Centered 101

GeriPal

MAY 19, 2022

But I think people would have an embolic event if you gave them a flipping range. The chart that I have in my book and that I use in practice and so many healthcare systems have adopted already, is the very best, cutting edge data we have. So, it’s exactly what I have in the chart. I see you inhaling, let me finish.

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IT Patients Individual Relationship 139

GeriPal

OCTOBER 13, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 5, 2022

And there’s multiple survival analyses looking at incident dementia, and hearing loss is strong, independently associated with the time to event dementia. One thing we’ve looked at a little bit, but it has not been well studied is the accumulation of ototoxic medications.

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IT Screening Hospital Clinic 102

My Green Doctor

JULY 2, 2025

in the need for healthcare—translating into over 500 million extra days of inpatient hospital care and more than 100 million emergency department visits across Europe by 2050. In the United States, extreme weather events and air pollution are already costing the healthcare system over $820 billion annually.

Healthcare 52

Healthcare Healthcare Professional Management Community 52

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. Estimating the Impact of Climate Change on European Healthcare (2025). Link NRDC/Medical Society Consortium.

Healthcare Professional 52

Healthcare Professional Healthcare Finance Education 52

GeriPal

MARCH 9, 2023

Today we largely focus on reasons for caution, including: We know almost nothing about psychedelics in older adults – only about 1% of patients in published trials were older adults, much less older adults with multiple chronic conditions, multiple medications, and frailty. There is a marked lack of diversity in published trials.

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Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. So there’s an event or a series of events.

IT 66

IT Patient-Centered Screening Patients 66

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.

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Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 15, 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.

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Community Transportation IT PCP 114

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Susan 01:36 To reflect continuing medical management versus starting dialysis, which is what Maria’s wonderful paper goes through.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

FEBRUARY 17, 2022

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. And really, the more important question is how quickly they would benefit from starting these medications. See screenshot below.

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Clinic IT Patients Medical 67

GeriPal

MAY 25, 2023

Van Scoy who is a pulmonary critical care advance care planning researcher at Penn State Hershey Medical Center in Pennsylvania. I see us measuring choice of a medical durable power of attorney. And then we were like, Well, what is a medical decision? Well, what’s a major medical decision? Eric: And we have L.J

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Community IT Patient-Centered Primary Care 95

GeriPal

SEPTEMBER 12, 2024

She’s a geriatrician and palliative care doc and is associate chair for professional development in the department of Psychosocial Oncology and Palliative Care at the Dana Farber Cancer Institute and Harvard Medical School. But the present is not because I, as an individual healthcare professional, am not enough.

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IT Healthcare Healthcare Professional Patient-Centered 110

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

FEBRUARY 8, 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 137

IT Family Families Physicals 137

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.

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Patient-Centered IT Patients Clinic 109

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. I’ve been running a medical storytelling program called the Nocturnus.

IT 107

IT Community Patients Family 107

GeriPal

MAY 29, 2025

I think we have ideas about are these paradoxical events, are they expected? And I think Andrew’s going to have good ideas about, like, why the term paradoxical and are these events paradoxical, truly? Did you have a different medication? So that would be how I would describe what lucidity looks like. Do you have like a.

Family 93

Family Families IT Patient-Centered 93

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

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Family Families IT Community 132

GeriPal

JANUARY 26, 2023

Alex: And we are delighted to welcome Sharon Brangman, who is a geriatrician and chair of the Department of Geriatrics at Upstate Medical University. Then, of course, that falls into medical rules. No need for me to get rid of that pesky J in my name. Welcome to the GeriPal podcast Sharon. Sharon: Thanks for having me.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. But rarely does the podcast and clinical reality meet in the same day. Very excited to be here. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 17, 2023

Alex: And we’re delighted to welcome Nate Chin, who is associate professor at the University of Wisconsin, where he is medical director of their Alzheimer’s Disease research center and runs a large study in Wisconsin called the RAP Study studying Alzheimer’s Disease. Welcome back to GeriPal podcast, Sharon. Eric: Yeah.

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Patient-Centered IT Clinic Patients 98

GeriPal

OCTOBER 12, 2023

Alex: And we’re delighted to welcome Justin Clapp, who is assistant professor of anesthesia and critical care and medical ethics and health policy. He’s a linguistic and medical anthropologist at the University of Pennsylvania. You’re a linguistic and medical anthropologist. Gretchen: Thank you. Justin: Hello.

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IT Family Families Patient-Centered 128

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. You’re a disgruntled medical student. You’re thinking about dropping out of medical school. Ive got a name. No, you dont need to be Canadian. It’s 1974.

IT 104

IT Patient-Centered Family Families 104

GeriPal

OCTOBER 5, 2023

And I’ve noticed how we can say things like, you’re not a surgical candidate or you’re too weak to get more chemotherapy, but we can never really talk about CPR as a medical procedure in the ways we talk about other procedures and can make recommendations and offer reasoning about those procedures. This is Eric Widera.

Illness 136

Illness IT Patient-Centered Family 136

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: Really?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 13, 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.

Illness 133

Illness Patient-Centered Patients IT 133

FDA Law

AUGUST 21, 2023

Brand drugs, generic drugs, and medical devices alike have all been the target of state failure-to-warn litigation; in a recent case, OTC acetaminophen is the target. This is because the presumption that manufacturers can unilaterally make substantive changes to the labeling of an OTC Monograph drug product is false.

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Manufacturing Consulting Healthcare Professional Vaccination 40

GeriPal

JULY 28, 2022

And so I went into medical school wanting to cure cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness. I entered medical school and I did a course that was offered that’s called living with a life threatening illness. ” Right?

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. So I went to medical school in Chicago and I got engaged in Chicago, and that night we went to a blues club with my sister and my husband, which was really fun. Alex, you’ve probably penned about 50 songs, which is also amazing.

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IT Hospital Screening Patients 64

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.

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Illness Hospital IT Patient-Centered 93