GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s. I’m fine.

Illness 107

Illness IT Patient-Centered Patients 107

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Assessing Accompanying Symptoms in fever In addition to temperature measurement, we doctors evaluate accompanying symptoms to determine the potential causes of illness. F (38°C) is generally regarded as indicative of illness.

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Diagnosis Management Illness Diagnose 130

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address.

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Family Physician Preventative Care Preventive Care Families 100

GeriPal

NOVEMBER 21, 2024

Coping in the setting of serious illness. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. In robotics, the Uncanny Valley is that strange almost-human-but-not-quite territory in which humanoid appearing robots repulse us with their close yet still “off” appearance. Key message: Listen to the music.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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Illness IT Diagnose Medical 128

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. This week we dive into the challenges with communication when it comes to life sustaining treatments and CPR. Jacky: Thank you. It’s a pleasure. Bob: The fish.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

DECEMBER 15, 2022

Summary Transcript Summary. We’ve talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA’s decision to approve it. . But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No No it’s not just the French version of Aducanumab). . In an article in the NEJM (a published article this time, wonder of wonders!)

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IT Patient-Centered Healthcare Illness 105

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Dani, welcome back. Dani 01:17 Always a pleasure. Dani 01:30 The Pal.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 00:57 Thanks.

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Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Summary Transcript Summary. Narrative medicine?

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Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. Summary Transcript CME Summary Cannabis is complicated. Alex 02:23 Terrific.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Oh, wow.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Alex: Pink Cadillac by Bruce Springsteen?

IT 102

IT Families Family Diagnosis 102

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast.

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Individual Community IT Chronic Condition 81

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Where does POLST fit in with this debate? Among other topics. We can work it out! This is Eric Widera.

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Illness IT Healthcare Patient-Centered 72

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Families 97

Families Family Patient-Centered IT 97

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C.

IT 102

IT Families Family Clinic 102

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. 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. Look for Jenny to potentially appear on the show Americas Got Talent (no lie).

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Four percent. It was amazing.

Illness 144

Illness IT Medical Provider 144

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. Welcome, Karl.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A. Accepting This Poem by Mark Nepo [link] Saks, N.,

IT 137

IT Families Family Physicals 137

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). We additionally firmly establish that the song How to Save a Life by the Fray was a product of the aughts (2005, to be exact), not the 90’s ): Enjoy! Transcript. Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex: This is Alex Smith. And which journal again? Eric: JAMA Network Open.

Community 97

Community IT Mental Health Medical 97

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

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). Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. But before we jump into that topic, I think somebody has a song request. Sarah: It is.

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Community IT Patient-Centered Primary Care 95

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. He looked very ill. Jane, welcome to the GeriPal podcast. John: I do.

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Provider Illness IT Healthcare 117

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. He’s a linguistic and medical anthropologist at the University of Pennsylvania.

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IT Families Family Patient-Centered 128

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. Today we discuss: What is the best terminology? Homelessness? Marginally housed?

Healthcare 100

Healthcare IT Community Illness 100

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. I’m just stunned even writing that! We’ve come so far as a field. This is Eric Widera. Alex: This is Alex Smith. Kate: Thank you.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count?

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). What words to use? Is the POLST useful?

Families 112

Families Family Patient-Centered IT 112

GeriPal

FEBRUARY 6, 2025

And my wife went to over, I want to say, 20 concerts. Eric 00:58 Have you been to a concert? Nate 00:59 I went one in Milwaukee, Wisconsin, and I’m so glad I did. I loved it and this was his favorite song and so I wanted to do it. Alex 01:07 And Bruce Springsteen did a stage dive. We were talking about this before. Nate 01:11 Very healthy man.

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Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Summary Transcript Summary Think about the last time a patient yelled at you in anger. How did you react? Afterwards, I thought there must be a better way. Transcript Eric: Welcome to the GeriPal podcast.

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Patients IT Families Family 109