GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

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Primary Care Diagnosis Screening IT 95

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. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

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GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. This is Eric Widera.

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Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

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Patient-Centered IT Illness Patients 122

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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GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. Love to talk about also in the serious illness population. 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?

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IT Family Families Diagnosis 102

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Jace, welcome to the GeriPal Podcast. Noelle Marie 01:15 I do. Eric 01:45 Wonderful.

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GeriPal

JUNE 15, 2023

AlexSmithMD Links: Papers on AI and palliative care and concerns about bias: [link] [link] Comparison of machine learning vs traditional prognostic methods based on regression: [link] Other links on the issue of AI and racial or ethnic bias: Are Robots Racist? I’m sure this is a subject we will return to, given the rapid progress on AI.

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IT Patient-Centered Patients Healthcare 99

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. . Completion of advance directives and billing codes for advance care planning as quality metrics.

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Illness IT Healthcare Patient-Centered 72

GeriPal

AUGUST 11, 2022

We delighted to be joined by Brian Block, pulmonary/critical care faculty at UCSF and frequent guest host on GeriPal…and also nephew to Susan. – Serious Illness Conversation Guide podcast. AlexSmithMD . Links: – PDIA Faculty Scholars Program. – Therapeutic presence in the time of covid podcast. Transcript.

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Illness IT Family Families 109

GeriPal

MAY 25, 2023

It does seem that if communities, particularly historically marginalized communities, are interested in ACP, that fact should carry some weight in how resources are allocated to research and health care financing. Group visits are one way of reaching diverse communities to which advance care planning has not traditionally been targeted.

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Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. Eric: We got a ton to talk about with you, Kate, about palliative care research into it. What’s the role of implementation science?

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Consulting Patient-Centered Diagnosis Referral 99

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. So I’ve always worked in coronary care units and cardiac step-downs.

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Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 6, 2025

What makes palliative care for people experiencing homelessness challenging? What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Today we discuss: What is the best terminology?

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Healthcare IT Community Illness 100

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. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. What words to use? Is the POLST useful?

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Family Families Patient-Centered IT 112

GeriPal

JUNE 30, 2022

Maybe I can turn to both of you about how you got interested in thinking about decision-making and surgical care for those with dementia. Really, a smart and caring woman. So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-life care, and similar consequences.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 5, 2025

Summary Transcript CME Summary The need for better palliative care in nursing homes is significant. nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments.

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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?

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Patient-Centered IT Patients Illness 77

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. But before we jump into that topic, John, do you have the song request for Alex? John: I do. It’s Jimmy Buffett’s song, Bubbles Up. It was on his last album.

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Provider Illness IT Healthcare 117

GeriPal

OCTOBER 20, 2022

We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care. It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. How to make your voice heard and get involved.

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Complication Patient-Centered IT Patients 52

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. Afterwards, we chat with the prison’s chaplain, Keith Knauf. Eric: Yeah.

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Family Families IT Community 132

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. Julien: Thanks Alex, thanks Eric. It’s great to be here.

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Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. So it was not the fact that this was another primary palliative care that bit the dust.

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Patient-Centered IT Hospital Patients 77

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. The instructor, Fran Cook , gave all the students a survey without explanation.

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IT Community Patients Family 107

GeriPal

FEBRUARY 20, 2025

Alex 00:41 And returning we have Ashwin Kotwal, who is a palliative care doc and geriatrician and assistant professor at UCSF. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Kate, welcome to the GeriPal Podcast. Here we go.

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IT Patient-Centered 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. Louise, welcome back to GeriPal. Bill 01:52 I do.

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GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. Is that an issue for you? I’m happy to talk about it at any time.” And let me tell you, there’s nothing like the first time (sorry, I couldn’t help it!). Ra ra ra ra.

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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.

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Primary Care IT Clinic Illness 79

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

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GeriPal

MAY 1, 2025

Eric 03:57 Next time, okay, we got a lot to talk about, HIV, geriatrics and palliative care. And that was before we even thought about palliative care as, as a specific field necessarily. And so I became in some ways a palliative care specialist for people with HIV almost just by being there. Eric 01:28 Wonderful.

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GeriPal

JULY 7, 2022

We discussed the nature of pain, what makes chronic pain different from acute pain, what’s the difference between proprioception, pain, and suffering, and so much more. Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. Welcome back to the GeriPal podcast, Haider. It’s just such a pleasure to be back.

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Patient-Centered Physicals IT Patients 105

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Thanks, Bruce.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

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