GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JULY 3, 2025

We’ve invited two palliative care doctors to talk about survivorship with us: Laura Petrillo , a physician-researcher at Mass General Hospital and Harvard Medical School, and Laura Shoemaker , an outpatient palliative care doctor at the Cleveland Clinic. I was there and at University Hospitals, had a great visit.

Patient-Centered 68

Patient-Centered Illness Clinic IT 68

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.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

BMJ

MAY 10, 2022

Primary health care workers are a critical component of immunization services, a part of preventive health services. Family health centers are the facilities where the vaccination intention is much more vital, as they carry out the contact and case follow-ups during the pandemic and are the center of vaccination application.

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

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. When they built a new prison hospital in Stockton, the dialysis went there. In many cases, the families were the victims of the crime. They suffered from it.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. .

Illness 109

Illness IT Family Families 109

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

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. 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? Joel: Oh yeah.

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

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. Health care system drives where you end up, which hospital, which state you live in.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. I think there’s a few studies in dialysis patients and in hospitalized patients suggesting that gabapentin and pregabalin is associated with an increased risk of falls. Anxiety and institutionalization. Eric 04:51 Yeah.

IT 124

IT Screening Patient-Centered Community 124

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. I’ve talked to, I don’t know if you know Houman Javedan from Brigham and Women’s Hospital. ” And in my head the answer was, “Because they’re in the hospital.”

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. I was always critical care bound since medical school.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. That’s a pretty big palliative care study. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. I think back in what, May 2016, you published a randomized controlled trial, first author, palliative care and the ED randomized study, cancer patients.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. That can’t go out for specialty care all the time, like pain management. That’s a big question.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. Julien: He basically had an end of life care discussion with this patient. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. Ricky, welcome back to the GeriPal Podcast. Ricky 00:38 Great to be back.

IT 107

IT Community Patients Family 107

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 6, 2025

Today we talk with Naheed Dosani, a palliative care physician at St. Michaels Hospital in Toronto, and health justice activist. Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 26, 2022

Emily: And so even in the pandemic, we’ve seen circumstances like this where hospitals wrote allocation policies that were going to give preference to frontline healthcare workers in hopes, right, that they would incentivize them to stay on the job knowing that they would be taken care of and because they had been working for the public good.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

JANUARY 18, 2024

Have you had a family history of substance use disorder? Most palliative care clinicians would refer back to their primary care provider and not change their hydrochlorothiazide dose or add another agent. And they ask questions like, have you used substances? Most of our population has trauma.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. She was a prior guest with Rachelle Bernacki on our most listened to podcast of 2022, Should We Shift from Advanced Care Planning to Serious Illness Conversations? Alex: She is working in Sweden and researching in Sweden, in Lund.

Illness 128

Illness IT Diagnose Medical 128

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. The first bat.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 20, 2025

You know, we may have known people, we may have cared for people who were dying. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. Like, does that indirect? Is that also a trauma? Kate 41:32 Yeah.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. She didn’t die in the hospital.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

APRIL 18, 2024

And the actors were blinded to whether this was a primary care doctor or a chat bot answering them. It’ll certainly write the letter summarizing your visit to the primary care doc, and then, write another version of it in patient language, both their language and their reading level, if you want, to the patient.

Electronics 139

Electronics IT Patients Healthcare 139

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless.

Mental Health 123

Mental Health Community IT Individual 123

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. So most of us in primary care, it’s probably even worse. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Bruce: Yeah.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. They couldn’t get a case manager to refer them in palliative care.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73