Vida Family Medicine

JUNE 29, 2022

I want to respond to the many strong emotions and fears expressed by many of my patients regarding the recent Supreme Court decision overturning of the Roe v. I try as much as possible to avoid political and polarizing topics with my patients because I recognize that we all have different beliefs, and that is okay.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

JUNE 19, 2025

Just today (June 17th) as we record this podcast: Ezra Klein released a wonderful interview with Sarah McBride , the first openly transgender member of congress A judge ruled that cuts to NIH grants focused on minority groups, including transgender people, were illegal and ordered the government to restore funding. Can you tell me about that?

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 20, 2022

And, who within ASPE guides aging policy and connects policy to every day health challenges experienced by patients and clinicians? For the policy buffs and policy newbies out there, we hope this podcast is an essential primer to government in action. We talk about: . The structure of federal agencies and how they coordinate.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. I think the theme is more saving someone’s life and the regret that follows. Bill 01:52 I do.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

NOVEMBER 17, 2022

Sheryl: Largely the people who live there as opposed to government funds. And which journal again? Ken Covinsky: JAMA Network Open. Eric: JAMA Network Open. Kenny Lam: Yeah, yeah. JAMA Network Open. Eric: But before we do, we have a song request. Luckily, it’s not going to go to Ken Covinsky, because he would do a Chicago Cubs song.

Community 97

Community IT Mental Health Medical 97

GeriPal

JANUARY 20, 2023

I know you’ve been a strong advocate for nursing home patients particularly in California. There have been multiple subsequent government reports on nursing home care, most recently was about eight, nine years ago from the OIG. Welcome back to the GeriPal podcast, Mike. I hope I got that right. Mike: You got it right.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Alex: Great. All right.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MAY 12, 2022

Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. Social pain and loneliness. Community-based palliative care networks . Raj’s reflections on the state of palliative care in the US. Transcript.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. It was amazing.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 29, 2022

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. Taught me everything I know about symptom management for patients with cancer. Lidocaine: worth the hype?

Management 101

Management IT Patients Families 101

Tiny Physician

MARCH 30, 2022

Archana Sharma committed suicide because of the harassment by the bystanders of the patient who died at her hospital. However, she found herself in trouble when one of her patients, whom she treated at her hospital, died due to postpartum hemorrhage (bleeding from the birth canal after delivery). link] What is postpartum hemorrhage?

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

MARCH 6, 2025

Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes palliative care for people experiencing homelessness challenging? What makes it rewarding? What is unique about the practice of palliative care for people experiencing homelessness? And I gonna choose Bryan Adams, summer of 69. Naheed 03:48 Yeah, for sure.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 18, 2024

We discuss, among other things: Findings that in several studies AI was rated by patients as more empathetic than human clinicians (not less, that isn’t a typo). Bob recently wrote an essay in JAMA on AI and delivered a UCSF Grand Round s on the same topic. ” Eric: What was it called again, Wachter’s World? Bob: There you go.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

MARCH 16, 2023

Rosanne: I think I was motivated by the number of times patients asked me to get rid of their pot-bellies, quite honestly. So I felt like over all these years I have learned so much from my patients and from the science, that it should be out there in one place where people can easily access it and help themselves. And I loved it.

IT 105

IT Healthcare Professional Healthcare Transportation 105

GeriPal

JUNE 26, 2025

And the government can do something about that?!? Tsai-Chin’s article, published in Lancet Healthy Longevity, found a tantalizing hint that countries with stronger safety nets had lower incidence of wealth shocks, and less of a deleterious impact of the wealth shock on cognitive function. This is Eric Widera. Alex 00:12 This is Alex Smith.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

DECEMBER 7, 2023

Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. They decry the lack of serious attention and prioritization this issue has in the US. My kids ask – why don’t adults care about this issue the same way that they and their friends care about it? Ruth: Thank you.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism.

Mental Health 116

Mental Health Community Screening IT 116

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 IT Community Individual 123

FDA Law

FEBRUARY 11, 2024

The regulated cannabis marketplace brings in billions of dollars in revenue into state and federal governments, with predictions that cannabis sales will exceed $53 billion by 2027. Not surprisingly, then-presidential candidate Asa Hutchinson, DEA Administrator from 2001 to 2003, did not sign the letter. In other words, no rescheduling.

Medical 59

Medical Healthcare Professional Community IT 59

GeriPal

AUGUST 22, 2024

Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist. We’ll have a link to that in our show notes. We’re gonna double up on that subject. Alex 01:07 We haven’t figured it out. Alex 01:48 All right.

IT 113

IT Families Family Patient-Centered 113

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 Family Families 125

GeriPal

JUNE 2, 2022

Well, on today’s podcast we invite Monica Gandhi to sum up the evidence to date about how best to prevent getting COVID (or at least the severe outcomes of the disease) and how to treat it, including the role of Paxlovid in symptomatic disease. A good twitter criticism of the CDC 1 in 5 COVID survivors have long COVID study. Transcript. Alex: Great.

Vaccination 100

Vaccination IT Hospital Management 100

FDA Law

JUNE 1, 2025

Government Accountability Office (GAO) published a report finding that, for the years 2016-2018, the pharmaceutical industry spent on average for a sample of 553 drug products approximately $6 billion annually on DTC advertisements, with a significant portion of this spending allocated to television commercials. In 2021, the U.S.

Healthcare Professional 59

Healthcare Professional Manufacturing Healthcare Utilities 59

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

APRIL 17, 2025

Summary Transcript CME Summary I read Farah Stockmans article in the NYT on why attacks on DEI will cost us all , and thought, Yes, and everyone includes harm to our healthcare workforce, our patients, and their families. What a Wonderful World could be sung in irony at this moment. Alex Smith ** This podcast is not CME eligible.

IT 70

IT Community Government Management 70