Reflections of a Grady Doctor

JUNE 30, 2022

One distinctly different and special from the one you had with him as a child—and unique to you and no one else? And especially thank you for the gift of showing up in every aspect of our lives—physically, emotionally, financially, collectively, and individually. We will forever speak your name and rejoice in your legacy.

IT 52

IT Relationship Specialization Physicals 52

GeriPal

JULY 19, 2024

What should we use to screen individuals? 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. Well, because they’re hard on people with dementia and they can be very hard on families, and they’re a form of crisis.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MAY 11, 2023

It’s just another example of, I think, that there’s a little extra special sauce there in the Beeson program. 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.

Physicals 85

Physicals IT Hypertension Education 85

Georgetown Pediatrics & Family Medicine

JANUARY 19, 2022

From the American Academy of Pediatrics : ​​​Fear, uncertainty, and being holed up at home more to slow the spread of COVID-19​ can make it tough for families to keep a sense of calm. Here are some tips from the American Academy (AAP) to help your family get through the stress of the pandemic. family time & reading​ before bed.

Physicals 40

Physicals Family Families Management 40

GeriPal

FEBRUARY 8, 2024

So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Families Family Physicals 137

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. And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. So the book is really about your own sort of skillset.

IT 132

IT Illness Families Family 132

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. Eric: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

Plum Health

OCTOBER 16, 2024

In Lansing , patients appreciate the clinic’s ability to accommodate busy professionals and students, while in Royal Oak , families trust the clinic for their children’s pediatric care. Royal Oak families trust the clinic for both pediatric and adult primary care, making it a true family-friendly option.

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

PEMBlog

MARCH 27, 2024

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. So, importantly, you may not have a positive family history.

Consulting 59

Consulting Individual Families Family 59

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. Well, I guess just over 20 years ago. I would put people on hold.

IT 104

IT Patient-Centered Families Family 104

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. I think for families and for other providers who are not trained in that, it’s very hard to predict. As this patient has an x percent mortality in three months, there’s a little more nuance to it, and it isn’t really applied to the individual.

Patient-Centered 109

Patient-Centered Patients IT Clinic 109

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. This is my early father’s day gift from the family. Welcome to the GeriPal podcast, Jennifer. Jennifer: Thanks. Welcome to the GeriPal Podcast, Areej. Eric: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. Because I think we have someone special, a guest host.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 29, 2024

Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. .” They ordered mild to hot. laughter] Alex: Yeah.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. And you can’t really predict how each individual might react to the same experience. Some of them are really deeply individual experiences.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MAY 9, 2024

Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. How you actually physically started doing this and built up so many followers over time and why are you doing it? Hsien: Hey, great to be here.

Education 127

Education IT Illness Healthcare 127

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JUNE 29, 2023

This week we’re going on to episode two, which is for me one of the most special episodes we’ve done in GeriPal for a very, very long time. Eric: And in the end, we have a very special part where we actually get a tour of their gardens outside of the hospice unit. I am there with individuals who are dying.

Families 97

Families Family IT Board-Certified 97

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 16, 2022

We’ve invited some very special guests to talk about the lower urinary tract – Christine Kistler and Scott Bauer. . 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. Alex: Right.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. Whereas the home with the low rate of feeding tube use involved families in decision making.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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. Eric: I think about it as the first one to address individuals’ curative therapy. I’m going to go to stem cell transplants.

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. The family meeting.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

SEPTEMBER 8, 2022

And also it’s a little bit of an insult to one’s identity to feel like if this special person in your life can be forgotten, then you can be forgotten. But our living memory home is a way to both maintain that connection, because that’s the fear is that you’re going to lose this connection to this very special person.

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 31, 2022

Marilyn: Well, I lived in a three generation family and my grandmother was an English teacher, and my mother was a teacher and everybody read. And so poetry was just part of the family discourse. And that poetry has helped in the process of both psychological and even sometimes physical healing. Since a kid? And I loved that.

IT 70

IT Patients Medical Illness 70

Vida Family Medicine

MARCH 1, 2023

Factors such as a history of trauma (abuse, neglect, sexual assault, attachment trauma, etc), life stressors including serious physical or mental illness, and social influences that portray thinness as an ideal and promote dieting combine with an underlying genetic predisposition to contribute to development of an eating disorder.

Mental Health 52

Mental Health Physicals DO Family Medicine 52

GeriPal

JULY 25, 2024

Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 00:09 Welcome to the GeriPal podcast. Eric 05:50 Yeah.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people. Voting and emailing congress to advocate for systemic change (e.g.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? Alex: But the longer title’s Ethno-Geriatrics and Special Populations. ” On that grand rounds, you differentiated structural factors from … I forget what the word was, individual- Margot: Individual risk factors.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

But as we talked to patients and providers, there was, really, this need for patients who wanted services, like IV antibiotics and IV fluids, but wanted to be able to spend that time at home, with their family, even if it meant it was their last days or weeks. And that’s a totally, totally appropriate question. Eric: Yeah.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Doctors for America

JUNE 23, 2025

These raids, detentions, and family separations are both morally reprehensible and public health catastrophes. Detaining individuals in overcrowded, unsanitary facilities without timely access to medical care directly endangers their lives.

Medical Student 86

Medical Student Mental Health Healthcare Patient-Centered 86

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73