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? This is not why I went into emergency medicine. I went into emergency medicine to act. I went into emergency medicine to act.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

DECEMBER 5, 2024

We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. So has a special resonance for, I think, a lot of people who are Tragically H ip fans. And it was born when I was a medical resident at UCSF Internal Medicine.

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IT Community Patients Family 107

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. And also of course this, the psychosocial support we can, can give.

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IT Patient-Centered Screening Patients 66

GeriPal

MARCH 31, 2022

And maybe, just maybe, we convince that poetry skeptic Eric Widera that there is a place for poetry in medicine after all. Patient Poets: Illness from the Inside Out. I think it’s titled Patient Poets Illness. Marilyn: Patient Poets: Illness From Inside Out. Alex: Patient Poets: Illness From Inside Out.

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IT Patients Medical Illness 70

GeriPal

MARCH 20, 2025

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

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IT Patient-Centered Patients Medical 87

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death.

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Nurse Practitioner Hospital Family Families 60

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. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Widera and Smith have no relationships to disclose.

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IT Diabetes Chronic Disease Patient-Centered 116

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?

Family 106

Family Families Patient-Centered IT 106

GeriPal

APRIL 26, 2024

Who spends the most time with the patient in the infusion center? And so we had this run of consults and we walked out of each consult thinking and talking about how different each patient’s experience was. Eric: So not from the patient perspective or family, but from the provider perspective? Doing home care?

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 7, 2022

Haider: Yeah, this is a special song. And I was an internal medicine resident. And in some ways I have this special responsibility in part, along with others, to pass those teachings along to a new generation who may never get to talk to him in the middle of a day on a landline. But my editor cut it, to my dismay.

Patient-Centered 105

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. I’m hearing dementia patients or patients with dementia.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? And a lot of my patients at that time identified as older asian immigrant. question used to screen for domestic violence.

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Mental Health Community Screening IT 116

GeriPal

APRIL 21, 2022

Poetry puts us in our patient’s shoes. Poetry holds us in that liminal space so many of our patients are in. Then it really wasn’t until I got into medicine, medical school and residency, that I discovered poetry per se, and a mentor commented, I think to a number of us on this podcast, Steve McKee introduced me to poetry.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

FEBRUARY 2, 2023

That happened to me when reading “Range: Why Generalists Triumph in a Specialized World.” Bob: Well, it changed how I helped talk to people who are seriously ill and it acknowledged some of the feelings that I have and helped me be more aware of those feelings when I’m taking care of patients. Eric: Yeah. Eric: Yeah.

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IT Medical Student Medical Family 104

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Care Ecosystem.

Patient-Centered 125

Patient-Centered IT Family Families 125