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. When people have no appetite, they know they’re ill. Alex 03:31 That was fun.

Illness 134

Illness Patient-Centered Patients IT 134

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). And I wonder when we think about targeting particular population, it’s not just, you know, how seriously ill they are. Alex: LJ, are you going to add to that?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. What I think so special about palliative care is that there’s some really radical and important ideas that sort of undergird our work and that provided a foundation for our work.

IT 105

IT Patient-Centered Families Family 105

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? Eric: Yeah.

IT 102

IT Families Family Clinic 102

GeriPal

APRIL 4, 2024

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). They were seriously ill and had a chance to get to know. In 1990 the Supreme Court ruled…for the state of Missouri. What words to use?

Families 113

Families Family Patient-Centered IT 113

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. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness.

Consulting 116

Consulting Patient-Centered Patients IT 116

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. My voice is nothing special. Jenny 04:15 Good question. Alex 09:00 Not true.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Naomi: Well, I have a special place of not being a doctor within this great group of people. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

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? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. And I will say that I think palliative care has thrived for two reasons. Eric: I want to be mindful of the time.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 20, 2025

And this is, I’m going to go a little wonky just for a second because like looking at the 11 things that you looked at for trauma events, some seem like pretty universal trauma events, like having a life threatening illness, a child of yours who died being physically abused when you were young. Which may not be necessarily traumatizing.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

DECEMBER 5, 2024

So has a special resonance for, I think, a lot of people who are Tragically H ip fans. And so I think one thing we really like about not having it scripted word for word is the opportunity to kind of flex into that moment and just be present and kind of try that out. It was my first concert without my parents. But not exactly sure.

IT 108

IT Community Patients Families 108

GeriPal

AUGUST 8, 2024

Eric 00:05 And Alex, we have a special episode today — B etween T wo U rns. And I think, oh, there was something she did besides getting cancer and dying, which requires such a focus, you know, cancer and terminal illness of any kind. And I got to sing Tom Waits’ Time, one of my favorites. This is Eric Widera.

IT 125

IT Families Family Relationship 125

GeriPal

SEPTEMBER 5, 2024

You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. And he had a deadly fear of being institutionalized, based on his previous present experience. That makes it really special for them and for me.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 131

Illness IT Physicals Patients 131

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. I feel like there are similar features of how it presents for both patients and providers when they’re dealing with this issue and that they can’t even put a label on too.

Patient-Centered 121

Patient-Centered IT Patients Consulting 121

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Why do this?

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. And that included scheduling a visit with a, with a facilitator who had been specially trained. Like, how close to the end of life is it all just in seriously ill patients, I guess. Like if somebody just drops.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80

GeriPal

FEBRUARY 2, 2023

That happened to me when reading “Range: Why Generalists Triumph in a Specialized World.” Really talking about, Bob did a talk that I was not present at what meeting Alex? Can I ask, how did it change you, how you think about talking to folks with serious illness? Also hat tip to Matthew Growdon for recommending the book.

IT 105

IT Medical Student Medical Families 105

GeriPal

MAY 1, 2025

And again, if you were to go to, you know, AIDS in terms of transmission is primarily a sexually transmitted disease of young adults, which is why it presented the way it did in the pre treatment era, really all over the world. In San Francisco, HIV care was more specialized in that. Peter 14:48 So it’s completely shifted.

Primary Care 96

Primary Care IT Clinic Provider 96

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. Annals of Int Med.

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Hospital Patient-Centered Supply Chain IT 115