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. On our last podcast about urinary incontinence the song request was, “Let it go.” George, welcome to the GeriPal podcast.

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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.

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Complication Patient-Centered IT Patients 97

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.

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Patient-Centered Referral Patients IT 102

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Building a relationship with your primary care doctor should be a priority.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

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

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

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Family Physician Preventive Care Preventative Care Families 100

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. They were stunned by the number of calls for lift assistance for older adults who had fallen. Going into patient’s homes was eye opening. Their job was done.

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Community Transportation IT PCP 114

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.

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ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 27, 2024

Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency. But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way.

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Illness IT Diagnosis Patient-Centered 129

The Motivated MD

SEPTEMBER 19, 2024

In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. Before we discuss each individual savings account, let us first highlight exactly what it means to ‘automate’ your savings. So yes, humans make mistakes. Fight this temptation.

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Finance Individual Education Healthcare Professional 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.

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Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. 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. It’s awesome.

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Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

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Screening IT Families Family 119

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?

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IT Families Family Diagnosis 102

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.

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Individual Community IT Chronic Condition 85

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? She did a palliative care fellowship, then she did hematology oncology fellowship at UCSF, and did a T32 research fellowship in aging with us in the division of geriatrics at UCSF. But does the geriatric assessment do anything? Mazie, welcome to GeriPal.

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Patient-Centered IT Patients Clinic 129

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

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Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 15, 2023

AlexSmithMD Links: Papers on AI and palliative care and concerns about bias: [link] [link] Comparison of machine learning vs traditional prognostic methods based on regression: [link] Other links on the issue of AI and racial or ethnic bias: Are Robots Racist? I’m sure this is a subject we will return to, given the rapid progress on AI.

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IT Patient-Centered Patients Healthcare 99

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. Chrissy: I do.

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Management IT Medical Patient-Centered 122

GeriPal

MAY 26, 2022

The basis of their argument is the ethical notion of “reciprocity” – people who are vaccinated have done something to protect the public health, and we owe them something for taking that action. Eric and I attempt to poke holes in their arguments, resulting in a spirited discussion. Evusheld is the latest case in point. . Alex: Love this.

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Vaccination IT Individual Healthcare 87

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.

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Complication Patient-Centered IT Patients 52

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

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!

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Consulting Patient-Centered IT Patients 115

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?

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Healthcare IT Community Illness 100

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Alex 00:41 And returning we have Ashwin Kotwal, who is a palliative care doc and geriatrician and assistant professor at UCSF. Mariah 00:29 Glad to be here.

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IT Patient-Centered Screening Patients 66

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.

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Families Family IT Community 132

GeriPal

APRIL 24, 2025

Rhymes with mullet (On the podcast we debate using the French pronunciation, though it sounds the same as the French word for chicken). We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET? Key ingredients are both potentially unsafe and low evidence.

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Patient-Centered IT Patients Illness 77

GeriPal

MARCH 3, 2022

And I noticed that I was taking care of older adults more and more, or maybe I just noticed it more. Alex: And we’re delighted to welcome you to the GeriPal Podcast, Julien Cobert, who is an intensivist and aging researcher GeriPal Podcast, Julien. Julien: Thanks Alex, thanks Eric. It’s great to be here. Alex: (Singing).

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Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 10, 2022

This came from a JAMA IM study that Ruth just published, the Advanced Study of Association of Nursing Home Organizational Culture and Staff Perspectives with Variability in Advanced Dementia Care. Welcome to the GeriPal Podcast, Caroline. Caroline: Thanks, Alex. I know it’s a mouthful. It’s exciting to be here. Thanks, Alex.

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Nurse Practitioner Hospital Families Family 60

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. Bill 01:52 I do.

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Patients IT Patient-Centered Hospital 98

GeriPal

JULY 7, 2022

We discussed the nature of pain, what makes chronic pain different from acute pain, what’s the difference between proprioception, pain, and suffering, and so much more. Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. Welcome back to the GeriPal podcast, Haider. It’s just such a pleasure to be back.

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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. Sydney 00:41 Thank you.

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Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

But as you know, I’m a palliative care researcher and supportive care researcher, so never in a million years when I started sort of working in the clinic thought, would I ever be doing sexual health work. Is that an issue for you? I’m happy to talk about it at any time.” Transcript Eric 00:00 Welcome to the GeriPal podcast.

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Illness IT Physicals Patients 130

GeriPal

APRIL 20, 2023

It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless. How has the history of redlining and the federal tax subsidy of wealthy (mostly white) people in the form of a mortgage interest deduction contributed to racial inequalities in homelessness? What can we do about it?

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Mental Health IT Community Individual 123

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. How is it financed and what comes next? Alex: Good challenge.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

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