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.

Families 102

Families Family IT Diagnosis 102

GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. So kind of from a primary care point of view, the guys are doing okay. He’s in Boston. And Matt brought today’s topic to us.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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.

Families 112

Families Family Patient-Centered IT 112

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. You present your. If we think of discrimination, how people are treated by their biological family.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Am I measuring it for my health system or even within that, we’re part of primary care first value based payment program. Hillary: So those all differ.

Community 95

Community IT Patient-Centered Primary Care 95

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

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 27, 2024

Alex Ablesmith, on his website, had a good kind of description, in summary, and I thought, boy, this is a really nice tool, because the design, the idea was to sort of bring a therapeutic intervention into a time contained environment, which the primary care clinic certainly is. And so bathe is an acronym.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. Alex: And we’re delighted to welcome John Loughnane who is a palliative care doctor and end-of-life doula and co-founder of Present for You.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. They took primary care practice and they randomize them to get their prevention. The present. Eric 38:38 The present two years versus one year. Like, what do you say to patients or their family members?

IT 124

IT Screening Patient-Centered Community 124

GeriPal

AUGUST 17, 2023

And I think that’s what’s important for families to know because everyone wants to stop this disease and roll back the clock to make their loved one better. But all of this has to be understood by the patient and the families and so that they’re comfortable of that. Remember, family member.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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

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. How do we train primary care doctors to do geriatrics? And of course those high rates of burnout and exhaustion are present across medical specialties.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 6, 2025

He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St. Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew.

Healthcare 100

Healthcare IT Community Illness 100

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

DECEMBER 5, 2024

And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. Maybe the alternative of the patient whose family hopes for a miracle in the face of certain death, for only that death to occur as anticipated by all. Ricky 11:23 Yeah.

IT 107

IT Community Patients Families 107

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 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 Families Family 60

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. Now it’s what?

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 20, 2025

And I think that I love this paper you wrote because the audience or the patients that you focused on in the last four years in particular also in a Venn diagram, like many of the same patients I care for in home based primary care. Trauma informed care approach. And I love the structured approach. Eric 27:45 Yes.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? No difference in their primary outcome. The primary care intervention did not work well.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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 entertained her family.

Patients 98

Patients IT Patient-Centered Hospital 98

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

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So most of us in primary care, it’s probably even worse. I learned nothing.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. We had, since the late seventies, a home-based primary care program. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115