GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Because one of the things I think is so interesting, you know, as we go on experiencing more people having the experience of serious illness and traversing that landscape is that they don’t all have the same experience.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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.

Primary Care 95

Primary Care Diagnosis Screening IT 95

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical.

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Family Physician Preventative Care Preventive Care Families 100

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 136

Illness Patient-Centered Screening IT 136

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

JUNE 12, 2025

But there are times that a primary care physician or an internal medicine physician may make the referral. Even if it’s a discussion that is involving the primary care physician, the geriatrician, the medical oncologist, the surgical oncologist. Eric 09:13 Do you ever get it from a hospice agency?

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Patient-Centered Referral Patients IT 102

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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. And the primary care provider had assumed he was no longer driving, I think.

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IT Family Families Diagnosis 102

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. Psychiatric training is about major mental illness. AlexSmithMD . Links: – PDIA Faculty Scholars Program. Transcript.

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Illness IT Family Families 109

GeriPal

JUNE 9, 2022

When should people get palliative care? We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s trained in pulmonary critical care and palliative care. She’s a palliative care researcher. I think that palliative care in the ICU is an absolute important area.

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Consulting Patient-Centered Diagnosis Referral 99

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. Hillary: I certainly agree lots to think about. Hillary: So those all differ.

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Community IT Patient-Centered Primary Care 95

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. And then if, let’s say they plan to switch to you as their primary care provider, then there are a few steps that you can take. Happy pride and thanks for the invitation, Alex and E. Also a shout out.

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Individual Community IT Chronic Condition 85

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. So we used a lot of rehab to death.

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Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Anything cool in the palliative care field with AI?

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IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. link] Kensington Hospice & ‘Radical Love’ Equity-Oriented Hospice Palliative Care Naheed Dosani also serves as the Medical Director of Kensington Hospice, Torontos largest hospice. People with.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 30, 2022

We think there are some cases, certain kinds of illnesses or conditions or operations, where people have the surgery and never get out of bed again. So for example, tracheostomies frequently occur in patients who are quite ill, but it’s not the trach itself that tends to lead to the mortality, it’s their generalized illness.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. We do conversations on goals of care and advanced care planning as well. This is the non-medical part of someone being ill. This is not that.

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Provider Illness IT Healthcare 117

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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Nurse Practitioner Referral Consulting Board-Certified 78

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. They were seriously ill and had a chance to get to know. We use Bernie’s NEJM Perspective as a springboard for discussion. What words to use?

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Family Families Patient-Centered IT 112

GeriPal

APRIL 24, 2025

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? If its low evidence but not unsafe, not generally an issue. Think vitamins. Think chemo. What counts as potentially unsafe?

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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. And certainly we can take care of patients at more advanced ages.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. Everybody has a primary care doctor, a primary care nurse, a team. Eric: Mm-hmm.

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Family Families IT Community 132

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. Eric: That’s pretty impressive.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Tom: Do you think they relayed that info to the primary care [inaudible 00:34:14]. Alex: We had you on just recently, the podcast. We’ve had you on twice before. Kate: Sounds right. Also the same hospital system?

Consulting 115

Consulting Patient-Centered IT Patients 115

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 66

IT Patient-Centered Screening Patients 66

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. No difference in their primary outcome. I went into emergency medicine to act.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

DECEMBER 5, 2024

And for about five years, my mom was declining from a dementia illness, we think something Parkinsonian. And I turned to my dad and I said, I think mom needs palliative care. And she did have a primary care doctor. And I called up my friend who is a palliative care doctor and described the situation.

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IT Community Patients Family 107

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.

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Patients IT Patient-Centered Hospital 98

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. I think this is a topic we don’t talk about as much in the context of serious illness. So most of us in primary care, it’s probably even worse.

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Illness IT Physicals Patients 130

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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Primary Care Supply Chain General Practitioner Vaccination 40

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

GeriPal

MAY 1, 2025

Do we need specialists who care for people living with HIV, whether they’re geriatrics specialists or palliative care specialists? Or is the aging process and development of serious illness so similar to people who are not living with HIV that we can sort of move on and consider it, you know, sort of like diabetes, for example.

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Primary Care IT Provider Clinic 94

GeriPal

JULY 7, 2022

So Eric Cassell, for folks who don’t know, was a primary care physician. But really was a seminal pioneering figure in the field of bioethics, palliative care, et cetera. One of the definitions I liked a lot was the late Eric Cassell’s definition-. Eric: And you actually interviewed Eric, right?

Patient-Centered 105

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. We have home-based primary care.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

Happy to be here Alex: And we’re delighted to welcome Carly Zapata, who is a palliative care physician faculty at UCSF and directs the Palliative Care Fellowship at UCSF. So we’re going to be talking about telemedicine, telehealth for people with serious illness. Now is the time to act, dear listeners! Eric: Yeah.

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Telemedicine Telehealth Patient-Centered Board-Certified 73