The Medical Futurist

JUNE 21, 2025

2) iDoc24 The award-winning dermatology service is present in more than 160 countries and is available in 7 languages. 8) VisualDx Thousands of hospitals, clinics, and medical schools use VisualDx to aid diagnostic accuracy, enhance medical education, and improve patient outcomes. If there were ever a time to join us, it is now.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

GeriPal

APRIL 3, 2025

Ken 26:17 You presented that. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. Eric 26:13 Was actually one of mine.

IT 64

IT Hospital Screening Patients 64

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 22, 2024

So what’s amazing about these guidelines, so if you go to 12 different hospitals and ask them, “How are you managing psychiatric conditions and mental health concerns in the context of palliative care?” A lot of times I see private sector hospitals saying, “We have mental health covered. We have a social worker.”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Absolutely.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Family 98

Family Families Patient-Centered IT 98

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. Like, it’s like a hospital.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Within the VA it’s now at 70 VA hospitals. It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF.

IT 105

IT Patient-Centered Healthcare Illness 105

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. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

NOVEMBER 14, 2024

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. I like there was some work from Mary Tonetti’s group looking at a large sample of hospitalized patients with injurious falls and their antihypertensive use.

IT 124

IT Patient-Centered Screening Community 124

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

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. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JANUARY 30, 2025

Lynn 31:56 One little detail that stood out to me, which really rang true to real life, was that caregivers were actually less present during visits in the video visits. Because on one level, you could make the argument that with the caregiver not being present, perhaps there’s a breakdown in communication. So look for that.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Because I also feel like we target people’s low sodium diets in the hospital. Alex 04:47 Probably was, yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

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).

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

NOVEMBER 2, 2023

I was very close with my grandparents growing up, and then I actually was exposed to geriatrics as a pre-med student at Yale New Haven Hospital as one of the volunteers and Dr. Sharon Inouye’s initial help trial and had a fabulous role model Dr. Verano, who I wanted to be. Ryan: Actually, a very similar story as to Jerry.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). I mean, people who used to be in hospitals are now with quicker DRGs. So, the top two were that assisted living communities, in those communities the resident should be present during assessment and care planning. Or do you want to go to the hospital if something happens?

Community 97

Community IT Mental Health Medical 97

GeriPal

JULY 11, 2024

So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’m embedded in the ICU in one of our smaller hospitals. You still want to go to the hospital if you get sick? Sarah 24:24 See, I usually always present it as these are things we should think of. So I go between.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. You have a problem, this is your fix for your problem. Problem, fix for the problem.

IT 128

IT Family Families Patient-Centered 128

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. So then you drill down further, just like you said, Eric, when you were going back between different hospitals. Eric: Yeah.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. And love that Jim Croce choice.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 7, 2023

Overtreatment leads to hospitalizations, undertreatment leads to disease progression. And for some of them, the stays in hospitals are a month long. We can figure out how to keep them in the hospital for a month, or do all these other imaging tests, but we can’t do this one thing. William: Not the future, but the present.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JANUARY 16, 2025

Patient just got discharged from the hospital, just coming back from the skilled nursing facility. So kind of using that as a springboard to identify people and then I think taking advantage of the new CMS measure, the age friendly hospital measure. And ideally at other times too. For any MOC questions, please email moc@ucsf.edu.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MARCH 24, 2022

The challenge is not that people made decisions differently, and it was difficult, the challenge was the healthcare professionals who said, “This is not working for me. So every transition into the hospital, every transition out of the hospital. It was to the people who were asking for the decision to be made.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). I’m a PhD candidate at Yale School of Nursing.

Consulting 63

Consulting Community Patient-Centered Family 63

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. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. These hick pick codes are available to any chaplain in a healthcare system. They followed them during the course of their hospital stay. These studies are important. Lexy: Yeah.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JANUARY 11, 2024

One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. Eric: Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 19, 2024

* This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. I think it’s very present in maid.

Illness 101

Illness Mental Health IT Patient-Centered 101

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). Health care system drives where you end up, which hospital, which state you live in. Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.

Patients 109

Patients IT Family Families 109