GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. What should we use to screen individuals? Should it? If so, how do we screen and who do we screen? Who should get it if anyone? Soo 00:32 Thanks.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Alex: No, I think we did one other super special. Alex: So this is Super special 2.

Specialization 104

Specialization Medical Patient-Centered Provider 104

GeriPal

NOVEMBER 9, 2023

Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. Summary Transcript Summary Coaching is in. We address: What is coaching? Indeed, matey.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

JUNE 20, 2024

Alex 00:30 And we’re delighted to welcome Alison Huang, who’s a primary care doc and researcher and professor of medicine, urology, and epi-biostats at UCSF in the division of General Internal Medicine. Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

OCTOBER 13, 2022

In this context, we’re excited to hear from infectious disease experts and nephrologists about updates in the care of older adults. It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 11, 2023

Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Kristine: I was going to do David Bowie Changes for a variety of reasons, but it was sort of somewhat around the topic. Alex: (singing) Eric: That was wonderful.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

JUNE 12, 2025

Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Thank you, Alex.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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

The Motivated MD

SEPTEMBER 19, 2024

For the better half of 2024, I have been periodically writing posts that are individual articles that double as potential chapters to a future book. Before we discuss each individual savings account, let us first highlight exactly what it means to ‘automate’ your savings. So yes, humans make mistakes.

Finance 52

Finance Education Individual Healthcare Professional 52

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 01:19 Cyndi Lauper’s True Colors.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. And also I was in the HVMA primary care program.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. Plus , check out some home remedies that could help you feel better quicker.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JANUARY 25, 2024

Alex: And we’re also delighted to welcome Diah Martina, who’s a palliative care doc and physician researcher in Indonesia, who wants to start a podcast in Indonesia about palliative care, and she’s primarily observing today and also attending the ASCO GI conference here in San Francisco. Welcome to GeriPal, Lyndsay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

Community 114

Community Transportation IT PCP 114

GeriPal

JULY 21, 2022

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? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen?

IT 102

IT Family Families Diagnosis 102

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Alex 07:27 Are there professional society recommendations or U.S. Sarah 00:37 Ooh, how about Free Fall in’? Alex 00:41 Free Fall in’? But today I’m not because it is November 6th and I’m feeling subdued.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. Evusheld is the latest case in point. . Emily: It is.

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Vaccination IT Individual Healthcare 87

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.

Community 95

Community IT Patient-Centered Primary Care 95

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. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

MAY 18, 2023

We’ve invited two members who helped update the criteria including Todd Semla and Mike Steinman. We discuss a little history of the Beers criteria, including the original Beers Criteria that was published by the late Dr. Mark Beers, and how it has evolved over the last three decades. Alex: We’re having Beers. We’ll learn about that.

Medical 97

Medical IT Patients Clinic 97

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. A patient must have the autonomy to choose whether in their individual situation, the potential benefits outweigh the potential harms.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

NOVEMBER 2, 2023

But, it’s also hard not to be bullish on the future of the field to see the consistent strides geriatrics has made in the last two decades in improving care for older adults. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Mike, welcome to GeriPal. Mike: Great to be here. It was JAMA, right?

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Board-Certified IT Community Medical Student 91

GeriPal

JUNE 16, 2022

And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. Dementia Matters.

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Patient-Centered IT Clinic Patients 98

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.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 24, 2022

Completion of advance directives and billing codes for advance care planning as quality metrics. Links to a few couple items mentioned on the podcast: Objectives for Advance Care Planning. Eric: We’ve got a lot talk to about out around advance care planning and serious illness communication. Among other topics. Here we go.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. 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. Samir: Thanks, Alex and Eric.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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?

Healthcare 100

Healthcare IT Community Illness 100

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

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Vaccination Healthcare Professional Healthcare Primary Care 40

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. I really don’t know life at all.”

Family 112

Family Families Patient-Centered IT 112

GeriPal

AUGUST 31, 2023

We’re also delighted to welcome back to the GeriPal podcast, Juliet Jacobsen, who’s a palliative care doctor. Juliet, last time we talked to you, you were talking about shifting from advanced care planning to serious illness conversations. We have a Canadian theme going. We just had Harvey Chochinov on. Was it April 1st?”

Illness 128

Illness IT Diagnose Medical 128

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

OCTOBER 26, 2023

We’re both in my mind, and I’m biased, great team players, the palliative care team, the chaplain is a great, everybody’s super. So I’ve always worked in coronary care units and cardiac step-downs. Eric: And probably, you didn’t have to twist Alex’s arm for a Neil Diamond song. Here we go.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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.

Family 132

Family Families IT Community 132

GeriPal

JUNE 9, 2022

Eric: We got a ton to talk about with you, Kate, about palliative care research into it. Also the daughter of Tim Quill, well known in palliative care. How did you get interested in palliative care research and the stuff that you’re doing right now? I was always critical care bound since medical school. Transcript.

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Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Furthermore, only about half of nursing home residents nearing the end of life receive hospice care. So, how can we improve palliative care for individuals in nursing homes? And it’s, I think, a very uplifting song.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JUNE 23, 2022

Today we talk with Mara Schonberg, who has been tackling this issue from a variety of angles: building an index to estimate prognosis for older adults, writing about how to talk with older adults about stopping screening, a randomized trial of her decision aid , and how to talk to older adults about their long term prognosis. AlexSmithMD.

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Screening PCP PCP IT 99