GeriPal

MAY 19, 2022

Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . which advocates for an updated, wait for it… equianalgesic table! . Drew: Yeah.

IT 139

IT Patients Individual Relationship 139

GeriPal

MAY 5, 2022

COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. Think about the last time you attended a talk on communication skills or goals of care discussions. I’m guessing not. Welcome to the GeriPal Podcast, Meg.

IT 102

IT Screening Hospital Clinic 102

FDA Law

JULY 5, 2023

Outsourcing facilities are not exempt from FDA’s cGMP for drug manufacturers (as lightly tweaked via cGMP Guidance for outsourcing facilities ) or adverse event reporting requirements , and are subject to regular inspection by FDA. the wholesale distributor, repackager, relabeler). Draft Guidance III.B.2(d)

Supply Chain 52

Supply Chain Manufacturing Physicals Healthcare 52

GeriPal

JULY 27, 2023

Alex: Here, I thought it was just like a relationship tension and breakup song. Summary Transcript Summary Insomnia. We’ve all had it. Lying in bed at 2 am staring at the ceiling, getting anxious every hour that you’re not falling asleep as you have a busy day coming up. Insomnia sucks. Chronic insomnia sucks even more. Thank you, Alex.

Illness 85

Illness IT Medical Clinic 85

The Clinical Problem Solvers

DECEMBER 20, 2021

Appreciate how intergenerational trauma may surface amongst Asian-Americans, and how these intergenerational relationships may also offer fertile ground for generating understanding. In the healthcare space, it can also result in a lack of data collection to demonstrate and understand issues faced by these groups.

Community 52

Community Patient-Centered Relationship Healthcare 52

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. AMA PRA Category 1 credit(s) ™.

Community 114

Community Transportation IT PCP 114

GeriPal

MAY 22, 2025

This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM. So check that episode out. Check all the episodes out. It’s a terrific podcast, Tyler. Welcome, Tyle r.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Family Families Physicals 137

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. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) AMA PRA Category 1 credit(s) ™. Excited to be here. K idney P al? Renal P al?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Instead, they establish a direct patient-provider relationship, for a flat fee. With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery. You will love how easy it is to stay in contact with your healthcare provider.

Family Medicine 40

Family Medicine DO Family Families 40

GeriPal

OCTOBER 17, 2024

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

MARCH 6, 2025

Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes palliative care for people experiencing homelessness challenging? What makes it rewarding?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

NOVEMBER 7, 2024

Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better. Let it be (hint hint). Again, we’re going to be talking about conservative management versus dialysis in older adults.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JANUARY 26, 2023

I think that, as Ramona will talk about and elucidate a bit further, is just a recognition that in this country we have traditionally, and to my mind continue to do so, cause serious harm to Black people, that you can see that play out within healthcare in ways that are both big and small. Ramona: I do. Alex: Thank you. I love this song.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

DECEMBER 5, 2024

So I think just as much as we focus on the science and the evidence, it’s important to think about the art of how we apply that to people and the relationships and all of the great fun stuff, the stories that unfold in the exam room alongside the science itself. We answered the survey and handed it in. Eric 00:18 Throwing us off.

IT 107

IT Community Patients Family 107

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. If you read just one, read Palliative Medicine – Just Another Specialty ? by Kearney. I promise its short. Ive got a name. No, you dont need to be Canadian.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MAY 29, 2025

Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no! This will give people false hope! That their loved one is in there. Andrew 00:42 Hey, everyone.

Family 93

Family Families IT Patient-Centered 93

GeriPal

AUGUST 17, 2023

Summary Transcript Summary It’s been over two years since one of the worst product launches of all time – Aduhelm (aducanumab). Eric: Yeah, he is the host of my favorite dementia podcast. Dementia Matters. If you haven’t checked out that podcast, please do. Dementia Matters. Nate: Thank you guys for having me. Nate, is it you?

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. 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 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JULY 28, 2022

Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . Alex: (singing). Areej: Wow.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. This week we dive into the challenges with communication when it comes to life sustaining treatments and CPR. Jacky: Thank you. It’s a pleasure. Bob, welcome back to GeriPal.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

OCTOBER 3, 2024

As BJ MIller writes in the foreword, “ May this book be a portal — a way for us to move beyond the unwise territory of trying to ‘do it right’ and into the transcendent terrain of noticing what we can notice, loving who we love, and letting death — like life –surprise us with its ineffable beauty. I got questions. Thank you, Alex.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

AUGUST 8, 2024

Alex 00:17 So who came up with this name? Eric 00:19 Miguel Paniagua. We heard from him that he was going to do an ACP session on between two earns, including a funeral director or mortician, to talk about it in a play on B etween T wo F erns. Alex 00:35 Yep. And I gave it this title, talking about how we can get plenty more of everything but time.

IT 124

IT Family Families Relationship 124

GeriPal

OCTOBER 27, 2022

Eric: 1982. James: … alive in the 1980s, but yes, you sang Forever Young by Bob Dylan around three years ago, and then Eric jokingly started singing this song, and so now it’s about time to fulfill Eric’s request. Alex Smith: Sei, do you have any comment? It was kind of the junior high party. Alex Smith: (Singing). Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. But before we go into all of that, I think, Bill, you have a song request for Alex. Bill 01:52 I do. Here we go.

Patients 98

Patients IT Patient-Centered Hospital 98

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

DECEMBER 7, 2023

Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. They decry the lack of serious attention and prioritization this issue has in the US. My kids ask – why don’t adults care about this issue the same way that they and their friends care about it? Ruth: Thank you.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

AUGUST 1, 2024

Widera and Smith have no relationships to disclose. Guests Anna Pleet, Elizabeth Eckstrom, and Emily Johnston have no relationships to disclose. Summary Transcript Summary What is a healthy diet and how much does it really matter that we try to eat one as we age? AMA PRA Category 1 credit(s) ™. Eric 01:20 Why are you embarrassed?

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

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 ”. Eric: We’re going to be talking about loss and grief and the role of debriefing for healthcare providers. Turns out, it’s maybe not.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 21, 2022

The impossiblity which is life, which is everything, and death, which is the end of life. As Mary Oliver tells us In Blackwater Woods , and I’m paraphrasing here, we must to hold it to our bones, knowing our lives depend on it, and when the time comes, to let it go. To let it go. . Poetry helps us grapple with our own experiences of illness.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™. You got it. Eric 04:06 Why is the PPS important?

Family 106

Family Families Patient-Centered IT 106

GeriPal

DECEMBER 1, 2023

Alex: We’re delighted to welcome back Jason Karlawish, who’s a Geriatrician and Professor of Medicine at Penn and Director of the Penn Memory Center. He’s been on several podcasts about this issue. Jason, welcome back to GeriPal. Jason: It’s great to be back, Alex and Eric. Eric: Wonderful. laughter] Heather: Good point.

IT 115

IT Clinic Illness Hypertension 115