Physician's Weekly

JUNE 29, 2025

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Healthcare Professional 52

Healthcare Professional Primary Care Family Families 52

Imperial Center Family Medicine

JUNE 9, 2025

Effective blood pressure management requires taking the appropriate medicine as prescribed by a healthcare professional and implementing appropriate lifestyle changes. Many individuals with high blood pressure must take specific drugs to keep it at a healthy level.

Management 52

Management Medical Treatment Plan DO 52

Imperial Center Family Medicine

JUNE 9, 2025

Effective blood pressure management requires taking the appropriate medicine as prescribed by a healthcare professional and implementing appropriate lifestyle changes. Many individuals with high blood pressure must take specific drugs to keep it at a healthy level.

Management 52

Management Medical Treatment Plan DO 52

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. What should we use to screen individuals? But I also wanted to touch on something that I think Alex brought up about systems of care.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Maybe that’s where the individualizing it, the person that’s front of me.

Specialization 104

Specialization Medical Patient-Centered Provider 104

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. I’m thinking of chronic pain, for example, and individuals with chronic pain often have disturbed sleep or other conditions.

Physicals 85

Physicals IT Education Hypertension 85

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

Vida Family Medicine

JUNE 29, 2022

These are intellectually interesting but often personally devastating to the patient and family involved. A patient must have the autonomy to choose whether in their individual situation, the potential benefits outweigh the potential harms. Medicine involves many extremely ethically challenging situations.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

Family 102

Family Families IT Diagnosis 102

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. And also I was in the HVMA primary care program.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. All of these are factors that are on the individual level. Welcome, Katie, to the GeriPal podcast. Katie: Thanks for the opportunity. Alex: I think this is a first. Katie: Awesome.

Community 114

Community Transportation IT PCP 114

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. And that family was not necessarily a trusted network.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

APRIL 4, 2024

Today, we talk with Bernie Lo, prominent bioethicist and practicing primary care internist, and Laurie Dornbrand, geriatrician at the IOA On Lok PACE, about the legacy of Nancy Curzan. ICU care was pretty rudimentary. We use Bernie’s NEJM Perspective as a springboard for discussion. And that helps us get to the decision.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JUNE 22, 2023

So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals.

Family 132

Family Families IT Community 132

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? Welcome to the GeriPal podcast, Samir. Samir: Thanks, Alex and Eric.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. I worry, as a ex-primary care doctor, how much time I have. Bob: So I think it’s important.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Have you had a family history of substance use disorder?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Sarah 11:14 So it’s really assessing patients for their individual risk factors for falls. They took primary care practice and they randomize them to get their prevention. Anxiety and institutionalization.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. And then John, I’d love to hear from you starting off, you’re a palliative care doc, right? I often say that doulas are mirrors.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 16, 2022

Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. The family asks you for an antibiotic and their goals are limited additional interventions. Alex: This is Alex Smith.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

NOVEMBER 2, 2023

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. There are truly so many incredible learners and professionals out there that are passionate about geriatrics. How do we train primary care doctors to do geriatrics?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. 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. Are there any tools?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. link] Kensington Hospice & ‘Radical Love’ Equity-Oriented Hospice Palliative Care Naheed Dosani also serves as the Medical Director of Kensington Hospice, Torontos largest hospice.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Furthermore, only about half of nursing home residents nearing the end of life receive hospice care. So, how can we improve palliative care for individuals in nursing homes? Use your Medicare benefit to pay for that care.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

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. Well, being a pretty comprehensive definition.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MARCH 3, 2022

When patients leave the hospital, the infection may be cured, but the patient and family will need to contend with a host of major new functional and cognitive deficits. Even if you think you anticipated this moment before, there’s a lot of literature out there about there’s advanced care planning.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. It was the first randomized palliative care trial in hematology, is the way that I think of it. Palliative care doesn’t work?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. Do elements of care that are often administered to seriously ill patients count? Ivermectin to treat cancer. Stem cell treatments.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JUNE 9, 2022

How did you get interested in palliative care research and the stuff that you’re doing right now? I was always critical care bound since medical school. But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We have palliative care who gets what, what goes, where.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

AUGUST 31, 2023

What happened is we’re in the serious illness care business and so we were busy rolling out our serious illness conversations at Mass General and we were getting resistance, which we expected from oncology and primary care, but then we started getting resistance from the geriatricians. It’s all individual.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Palliative Care in Nursing Homes: Discussion of a Multinational Trial with Lieve Van den Block. A Podcast with Caroline Stephens about her publication in JAGS where she studied palliative care-eligibility and POLST completion.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. So I guess the bigger question I’m going to turn to you, Tammie, on this is that we actually had Yale Shanker and Bob Arnold on to talk about primary palliative care intervention and oncology in infusion clinics. That is safe.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77