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. Communication techniques we can use when talking to individuals with hearing loss. But individuals who have hearing loss, there’s several problems. How to screen for hearing loss.

IT 102

IT Screening Hospital Clinic 102

Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. Dr. Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.)

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Gastroesophageal reflux disease is when the patients have severe symptoms that persist and cause long term issues.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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. Create spaces to have conversations about the broader contexts affecting patients. Insufficient language services (i.e.,

Community 52

Community Patient-Centered Relationship Healthcare 52

Today's Hospitalist

JUNE 7, 2025

Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. That’s according to two internists who work closely with hospitalized patients who take GLP-1s. These medications are truly life-changing for many patients.”

Hospital 62

Hospital Management Diabetes Patients 62

Physician's Weekly

JUNE 13, 2025

Yet, moderate-volume exercise lowers plaque volumes in both sexes compared with nonathletes, indicating sex-specific relationships between exercise dose and subclinical atherosclerosis. We split the data by sex because risk factors can affect male and female individuals differently. PW: What inspired this research?

Individual 72

Individual Relationship Patient-Centered IT 72

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. Going into patient’s homes was eye opening. Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. So that was great.

Community 113

Community Transportation IT PCP 113

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient?

Primary Care 112

Primary Care Patient-Centered IT Patients 112

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. So there’s an event or a series of events. Eric 04:19 Yeah.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. What’s the connection and why? Eric 04:50 Okay.

Patient-Centered 108

Patient-Centered IT Patients Clinic 108

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. Are we seeing people like more older adults, more nursing home patients starting dialysis, and even at a higher gfr? So I wonder if I could turn to either of our nephrologists.

Management 115

Management Patient-Centered Patients IT 115

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? What do we mean by health?

IT 136

IT Families Family Physicals 136

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. I loved the relationship that we developed and the fun we had.

IT 103

IT Patient-Centered Families Family 103

GeriPal

MAY 29, 2025

Particularly patients, families. 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? People are patients, families are wondering if their loved one is still in there.

Families 92

Families Family IT Patient-Centered 92

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Eric: And what a research agenda that you’ve done, including one of the most seminal papers that we have in palliative care in lung cancer patients.

Illness 109

Illness Hospital Patient-Centered Patients 109

GeriPal

SEPTEMBER 12, 2024

Eric 04:44 Could just make you a little bit more resilient, you can increase your Rvus so you can see more patients. But we can’t lose sight of the system level, the x individual outside of the individual, the system level factors that inform our day to day workplace experience. If you were just. Ishwaria 17:15 Billing.

IT 109

IT Healthcare Healthcare Professional Patient-Centered 109

GeriPal

AUGUST 17, 2023

However, as noted in our editorial published with the donanemab trial , the modest benefits of amyloid antibodies would likely not be questioned by patients, clinicians, or payers if amyloid antibodies were low risk, inexpensive, and simple to administer. I think geriatricians seed to decide whether they want to get on board as individuals.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. First, Black and Latinx persons experienced much higher rates of mortality than other groups. I probably should have said GFR. Eric: Yes. I just choose GFR.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

OCTOBER 5, 2023

I love this article as it specifically discusses what’s wrong with “ need ” statements and how we can shift our communication and thinking to create space for deliberation about patients’ priorities and the best course of action. Now doctors are unwilling to understand patients’ values and make recommendations, taking the science to it.

Illness 135

Illness IT Patient-Centered Families 135

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care.

Healthcare 99

Healthcare IT Community Illness 99

GeriPal

OCTOBER 3, 2024

Alex 00:08 UCSF’s Division of Palliative Medicine are looking to build on their research and clinical programs and are interviewing candidates for the associate chief of research position and for full time physician faculty to join them in the in-patient and out-patient settings. I wonder why you did that. Lingsheng 21:45 Now.

IT 120

IT Patient-Centered Patients Relationship 120

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 92

Illness Hospital IT Patient-Centered 92

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 117

Patient-Centered IT Patients Hospital 117

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. And so any additional stressor such as heat or an extreme weather event or having to move from your home because of a climate related disaster can really tax an older adult whose window of resilience is more limited.

Healthcare 128

Healthcare IT Education Community 128

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. So if you already have a condition, you might be able to prevent events. And I think that’s something that we can really focus on, especially with geriatric patients.

IT 115

IT Diabetes Chronic Disease Patient-Centered 115

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. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose.

Families 105

Families Family Patient-Centered IT 105

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And just going back to that patient, I’ll tell you, before I started this role, I would have probably looked at the handout box in our clinic and been like, oh, okay. To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 1, 2023

In particular we spend a good deal of time talking about what this means for asymptomatic patients who may have an abnormal biomarker, which by the proposed new definition would mean they would now have Alzheimer’s disease. Eric: Wonderful. Jason: A bit of an irony there is that Simple Minds is the band. laughter] Heather: Good point.

IT 114

IT Clinic Illness Hypertension 114