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. Here we go.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy: Thank you. Alex: Great.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Think about the last time you attended a talk on communication skills or goals of care discussions. I’m guessing not. How to screen for hearing loss. Welcome to the GeriPal Podcast, Meg.

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IT Screening Hospital Clinic 102

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.

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IT Patients Individual Relationship 139

PEMBlog

MAY 31, 2023

Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice. It is also episode 3 in a 5 episode series focused on agitation in children and adolescents. 2022 May 11;12(5):e059876. doi: 10.1136/bmjopen-2021-059876.

Management 89

Management Patient-Centered Finance Transportation 89

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex: This is Alex Smith.

Complication 97

Complication Patient-Centered IT Patients 97

FDA Law Blog

NOVEMBER 1, 2023

In fact, stakeholders have repeatedly challenged FDA’s assertions of authority in Citizen Petitions, public comments, and other forums. Premarket Approval or De Novo pathways). In support for this position, FDA states that hospitals that reprocess single-use devices have been viewed as manufacturers and points to its own webpage for support.

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Manufacturing Hospital Healthcare Medical 81

FDA Law Blog

JUNE 12, 2023

At that event, PFI proposed the creation of a federal system for regulating pet food including the creation of a new center within FDA, the Center for Companion Animal Nutrition, that will have federal regulatory authority over pet food and treats for dogs and cats.

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Manufacturing Individual Government Illness 45

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. This measures both acid and non acid reflux events. This is obviously ordered by a gastroenterologist, but But the probe itself measures reflux, and then the patient can press a button for an event monitor.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

Pamela Wible MD

JUNE 20, 2025

Moral injury is a normal human response to an abnormal traumatic event—a deep soul wound shattering one’s identity and morality. It’s a growing crisis affecting over half of all doctors in the U.S., and it has been linked to rising rates of physician depression , doctor suicide , and medical errors. They’re suffering from moral injury.

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Medical Student Diagnosis Physicals Medical 246

Physician's Weekly

JUNE 12, 2025

As climate change increases in certain pediatric illnesses like asthma, pediatricians have a role in caring for children, especially in vulnerable communities. Globally, flooding is the most common type of extreme weather event (EWE) and >500 million children reside in flood zones worldwide. Shah, DO, and Maya I.

Asthma 52

Asthma Mental Health Illness Chronic Disease 52

StorytellERdoc

FEBRUARY 8, 2019

I dedicate this to each of you who have cared for or are currently caring for an ill parent or family member. All the while, the three family members, who I learned later to be her son, her daughter, and grandson, focused all their attention onto a sporting event on the TV. We sat the back up for her to be more comfortable.

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ER Family Families Transportation 100

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: The fish.

Illness 136

Illness IT Patient-Centered Families 136

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. ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 00:57 Thanks.

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.

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Patient-Centered Community IT Medical 91

Hitchcock Family Medicine

APRIL 25, 2024

This means that if medical events or illnesses have surfaced in your immediate family since your last checkup, your doctor can calculate this information into your risk factors for other conditions. Let’s look at some reasons why preventative care is so important. Going to your regular checkups is the only way to do this.

Checkup 52

Checkup Medical Family Care Physician Preventative Care 52

FDA Law Blog

NOVEMBER 22, 2022

Gaulkin — At the risk of ruining our readers’ appetite for America’s most food-focused holiday, foodborne illnesses have been a feature of Thanksgiving for some time now. When foodborne illness outbreaks arise, efficient traceability is critical to prevent illnesses, death, and unnecessary product loss. 20, 2026.

Supply Chain 52

Supply Chain Illness Family Families 52

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.

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. 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. . Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. Look for Jenny to potentially appear on the show Americas Got Talent (no lie). Tyler 01:12 AHPM. We were in Denver.

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Patient-Centered IT Patients Board-Certified 96

GeriPal

MAY 25, 2023

Others cited the call from communities to meet them where they are – be they senior centers, Black-owned businesses, or churches (we have a podcast planned in the fall with Fayron Epps and Karen Moss on the church setting). In a group visit there is a social norming effect – “if my neighbor is doing it, perhaps I should be doing it to?”

Community 95

Community IT Patient-Centered Primary Care 95

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. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. 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. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A. Accepting This Poem by Mark Nepo [link] Saks, N.,

IT 137

IT Families Family Physicals 137

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered Patients IT Clinic 109

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 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

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. This means: Direct influence: Training healthcare professionals to understand and manage the growing connections between environment and illness. But this is not only a European story.

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Healthcare Professional Healthcare Finance Education 52

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. Today we discuss: What is the best terminology? Homelessness? Marginally housed?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Before we go into this topic, who has a song request for Alex? It was Remember Me. Was that the title? Alex: I think it’s I Will Remember You. Joel: Yeah, right, I Will Remember You, right. Alex: … Sarah McLachlan.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 12, 2023

Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. And, surgeons often spend the majority of their conversations with patients describing anatomical details and exactly how they plan to ‘fix it’ , with little discussion of what that ‘fix’ will do for a patient’s overall goals.

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IT Families Family Patient-Centered 128

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. Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. See screenshot below.

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Clinic IT Patients Medical 67

GeriPal

DECEMBER 5, 2024

One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation. We answered the survey and handed it in. One of the questions was, “Can you name a song by the Tragically Hip?” Eric 00:18 Throwing us off.

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IT Community Patients Families 107

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. Alex: (Singing).

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Patient-Centered Patients IT Hospital 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. 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.

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IT Patient-Centered Families Family 104

GeriPal

OCTOBER 20, 2022

The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). How to make your voice heard and get involved. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 2, 2024

And PAIR stands for the Palliative and Advanced Illness Research Center. 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.

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Consulting Hospital Patient-Centered IT 120

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.

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IT Healthcare Healthcare Professional Patient-Centered 110