GeriPal

JANUARY 16, 2025

This is Eric Widera. Alex 01:24 This is Alex Smith. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Can you guys do that one?

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Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. Eric 01:27 So we ve got a podcast on music and medicine.

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IT Patient-Centered Patients Board-Certified 96

GeriPal

MAY 18, 2023

We’re delighted to welcome Mike Steinman, who’s a geriatrician professor of medicine at UCSF in the division of geriatrics, prior guest on this podcast. Alex: And we’re delighted to welcome Todd Semla, who is a clinical pharmacist and associate professor at the Feinberg School of Medicine at Northwestern University.

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Medical IT Patients Clinic 97

GeriPal

OCTOBER 17, 2024

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.

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Primary Care Patient-Centered IT Patients 113

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Turns out, in summary people who initiate dialysis have mildly longer lives, but spend more time in facilities, away from home. Well, I got.

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Management Patient-Centered Patients IT 116

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . Brian: Thanks so much.

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Illness IT Family Families 109

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. What makes it rewarding?

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Healthcare IT Community Illness 100

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office – weeding out those less fit – is also sludge.

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Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). What is making this hard for me?

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Patients Clinic Patient-Centered Illness 72

GeriPal

APRIL 10, 2025

Tammie 04:51 Yeah, so I would say that 30 years we’ve been in the palliative care space, not in emergency medicine, but we’ve been advancing the science in general palliative care for over 30 years and just plugging away with it, study after study after study to build the field. They got training in Vital Talk and ELNEC.

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Patient-Centered Hospital IT Patients 77

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. This field is not new. In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying.

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Hospital IT Patient-Centered Patients 125

GeriPal

MAY 29, 2025

Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no! This will give people false hope! That their loved one is in there. Andrew 00:42 Hey, everyone.

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Family Families IT Patient-Centered 93

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. Julien: Thanks Alex, thanks Eric. It’s great to be here. Alex: (Singing).

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Patient-Centered Patients IT Illness 96

GeriPal

APRIL 24, 2025

We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET? And I get to sing Bon Jovis Bad Medicine, which is such a fun song! Adam 01:12 American Journal of Palliative Medicine. Key ingredients are both potentially unsafe and low evidence.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 13, 2025

And then we incorporated that information into the consultation process. Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? Garfunkel says Simon was writing about Garfunklels friend and college roomate Sandy, who was blind.

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Consulting Community Patient-Centered Family 63

GeriPal

AUGUST 24, 2023

And although it wasn’t a conscious decision, or connection, in my mind between entering medicine and the experience of having grown up in a family with Ellen. But once I got into medicine, I found myself attracted to the field of psychiatry. Harvey: I feel welcome. Eric: Well, Harvey, I’m excited to talk.

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Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. For a deeper dive, check out some of these other studies and resources we talked about in the podcast: The Influence of Nursing Home Culture on the Use of Feeding Tubes.

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Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 20, 2025

Eric 00:13 And Alex, who do you have with us today? Alex 00:14 We have a very full house today. Hope Wechkin brought this topic to us. Thank you, Hope, for bringing a topic to us. We love it when our guests suggest things. Hope is a palliative care doc and hospice medical director at Evergreen Health up near Seattle, Washington. Take it over.

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IT Patient-Centered Patients Medical 87

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Who do we have with us on this podcast?

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IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 11, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. What about ambivalence on the part of the provider?

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Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Josh, welcome back to GeriPal. Josh: Thank you, you all.

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Patient-Centered IT Patients Consulting 119

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

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Community Nurse Practitioner Provider IT 89

GeriPal

JULY 25, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. You got it. Eric 04:06 Why is the PPS important?

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Family Families Patient-Centered Patients 106

GeriPal

JULY 7, 2022

So take a listen and if you are up for it, check out some of Haider’s other books including Modern Death: How Medicine Changed the End of Life and State of the Heart: Exploring the History, Science, and Future of Cardiac Disease. . Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. This is hurting me.

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Patient-Centered Physicals IT Patients 105

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. Jasmine, is it you?

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Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. On today’s podcast we talk with Malaz Boustani of Indiana University, as well as Diane Ty, the senior director of the Milken Institute Center for the Future of Aging, about the GUIDE model.

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Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? You may be thinking the same. Or does it raise more issues than it solves?

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Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

Monica Gandhi is a professor of medicine and associate division chief of HIV, Infectious Diseases, and Global Medicine at UCSF & San Francisco General Hospital. NIH study about long COVID published the day before in Annals of Internal Medicine. But we have very little information, almost no information.

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Vaccination IT Hospital Management 100