Center for Family Medicine

MAY 7, 2025

While occasional increases in urination can be due to factors like drinking more fluids or certain medications, persistent polyuria should not be ignored. If getting enough sleep is not enough or energy levels are down, consulting a healthcare professional is advised.

Diabetes 52

Diabetes Healthcare Professional Chronic Condition Family Medicine 52

Family Physicians of Greeley

FEBRUARY 23, 2024

The eyes are particularly vulnerable to the effects of diabetes, and routine exams play a pivotal role in preventing and managing diabetic retinopathy, a serious eye condition that can lead to vision impairment or even blindness. These changes can result in vision loss if not detected and managed promptly.

Diabetes 40

Diabetes Treatment Plan Healthcare Professional Management 40

Center for Family Medicine

MAY 14, 2025

Effective arthritis relief includes lifestyle changes such as regular low-impact exercise, weight management, and a diet rich in antioxidants. Adding these 3 supplements can also help with managing joint pain. Seeking arthritic relief through dietary supplements is an effective way of managing the beginning stages of the disease.

Healthcare Professional 52

Healthcare Professional Patient-Centered Management Family Medicine 52

Dr. Michael Bazel

FEBRUARY 15, 2025

People with certain medical conditions, such as diabetes, eating disorders, or metabolic issues, may find fasting detrimental to their health. Dinner with friends, work lunches, and family gatherings don’t always align with your eating schedule, which can lead to feelings of isolation or guilt. However, it’s not for everyone.

Individual 130

Individual Consulting Healthcare Professional IT 130

The Clinical Problem Solvers

APRIL 24, 2025

Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network.  References 1.

Mental Health 52

Mental Health Community Hospital Appointment 52

The Motivated MD

NOVEMBER 19, 2024

Because of this, carving out the time for family remains a top priority, and as our family grows, more and more time is needed to make that goal a reality. Publishing post after post, week after week, while juggling my clinical burdens, family life, personal goals, my health… it just became too much.

Finance 52

Finance Education Family Families 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And yet we’re also in a different place in diabetes monitoring and management. What are the risks and rewards of new classes of medications? How high is too high?

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. We didn’t have medications that were effective with a few side effects. I think she’s the creator of the mini cog. Is that right, Soo? Soo 00:32 Thanks.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

AUGUST 4, 2022

Today we are coming back for more (or less given the content), talking about the following articles with their lead authors: First up, we talk with Ariel Green about her article in JAMA Network on preferred phrases a clinician may use to explain why they should reduce or stop the medication. That’s huge! Elizabeth: Nice to be here.

Specialization 104

Specialization Medical Patient-Centered Provider 104

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Attendee 9: Early integration of palliative care in medical education. We’ve got a very large palliative care practice,” Rodgers told PCN.

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. To learn more about CME for other GeriPal episodes, click here.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. Summary Transcript Summary. Alex: This is Alex Smith. Welcome to the GeriPal podcast, Chrissy.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. For example, with peritoneal dialysis and conservative management.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

SEPTEMBER 29, 2022

Have you had difficulty managing a particular type of cancer pain? Janet Abrahm is one of the world’s experts in pain and symptom management for patients with cancer joins us to talk about (among other things): Ketamine for hyperalgesia and allodynia, how to treat dissociative side effects. Summary Transcript Summary. Janet: Thank you.

Management 101

Management IT Patients Family 101

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. We’ve done work with medical improvised, we’ve done work in museum based education. So the book is really about your own sort of skillset.

IT 132

IT Illness Family Families 132

GeriPal

OCTOBER 10, 2024

Alex 01:23 And we’re delighted to welcome DorAnne Donesky, who is a palliative care nurse practitioner at Queen of the Valley Medical center in Napa and professor emeritus at the UCSF School of Nursing. For instance, a family meeting or an update or communication with families. Michelle 01:22 Thanks for having us today.

Screening 119

Screening IT Family Families 119

GeriPal

JUNE 27, 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 129

Illness IT Diagnosis Patient-Centered 129

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.

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Yael 02:12 Thank you.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JANUARY 25, 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. ” BJ: Well, I fall back on using physiology in the sort of medical sense. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

MARCH 2, 2023

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. It’s not a controlled substance medication. Eric: So I heard gabapentin is the 10th most commonly prescribed medication in the US. J Am Geriatr Soc. Eric: Are these generic? Nisha: Both of them are generic, yeah.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

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.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. And I would say we weren’t doing training on symptom management, for example.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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.

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 22, 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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . I was a medical and psychiatric resident between 1977 and 1982. AlexSmithMD .

Illness 109

Illness IT Family Families 109

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

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Have you had a family history of substance use disorder? Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. Zachary: I mean, I did my med school and residency training in Louisville, Kentucky, and I had a second year med student lecture from Joe Rotella who was, I think the chief medical officer at Hospices at the time. And how am I going to manage their pain?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. This is like, back in 2013, and I joined the faculty at the Icahn School of Medicine at Mount Sinai.

Individual 85

Individual Community IT Chronic Condition 85

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.

IT 128

IT Family Families Patient-Centered 128

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. We provide critical conversations with colleagues and families to coordinate transition planning.”

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115