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. We don’t believe in one-size-fits-all medicine.

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Family Physician Preventive Care Preventative Care Family 100

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

GeriPal

JUNE 12, 2025

Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. Evie, welcome to GeriPal. Evie 00:41 Thank you. Anish 00:54 I do.

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Patient-Centered Referral Patients IT 102

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. AMA PRA Category 1 credit(s) ™. This is Eric Widera. It’s me.

Illness 136

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. With their regular providers? The article we discuss today, also published in JAMA , addresses these two gaps.

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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. Eric: Well, Terri and Emmy, thank you for joining on this podcast. Is this our role?

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IT Family Families 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. Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. Happy pride and thanks for the invitation, Alex and E.

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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. We provide critical education. Ann: No, he was very excited.

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Patient-Centered Hospital Patients IT 132

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

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. Alex: And we’re delighted to welcome John Loughnane who is a palliative care doctor and end-of-life doula and co-founder of Present for You. Are they the same?

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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

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.

Illness 109

Illness IT Family Families 109

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.

Healthcare 100

Healthcare IT Community Illness 100

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 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 IT 99

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. I think the AI can allow for that complexity but still provide some guidance.

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IT Patient-Centered Patients Healthcare 99

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? It’s just that he was foregoing things that we think would have provided him more benefit. Think vitamins.

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Patient-Centered IT Patients Illness 77

GeriPal

JUNE 22, 2023

And that grew into a group of volunteers coming back and at least providing support groups, giving those men a place where they could talk at least. But now we have older people dying of older people illnesses. So they can be referred by their primary care doctor or to us. Eric: Mm-hmm. That’s one.

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Family Families IT Community 132

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

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. Eric: And Laurie for this patient, were you the outpatient provider? We use Bernie’s NEJM Perspective as a springboard for discussion.

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Family Families Patient-Centered IT 112

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. 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.

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Complication Patient-Centered IT Patients 52

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.

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Patient-Centered Patients IT Illness 96

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. You know, we may have known people, we may have cared for people who were dying. So we all went through a pandemic. I guess that’s an event. Like, does that indirect?

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. We weren’t randomizing providers or patients. That’s not news to us.

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Patient-Centered IT Hospital Patients 77

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. Eric: Nudge it.

Consulting 115

Consulting Patient-Centered IT Patients 115

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. And that really is what prompted me to get certified as a sexual education provider. Don, welcome to GeriPal. Don 01:11 Thank you so much. The state of the science.

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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 Patient-Centered 79

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I became more and more involved in it, including becoming involved in research and developing some of the programs initially to provide care for people with both drug use and HIV related problems, women with HIV vulnerable populations.

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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. Very, very few centers are providing those services. One of the definitions I liked a lot was the late Eric Cassell’s definition-.

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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. We have home-based primary care.

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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. What was life for you as a provider pre-pandemic?

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Telemedicine Telehealth Patient-Centered Board-Certified 73