GeriPal

NOVEMBER 2, 2023

Alex: Today we’re delighted to welcome Jerry Gurwitz, who is a geriatrician and professor of medicine at the UMass Chan Medical School. I talked about lack of prestige and respect, and I talked about how healthcare system leaders and medical school deans don’t always seem to value the field of geriatrics.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JUNE 16, 2022

And so I trained as an epidemiologist before medical school, and started out studying prostate cancer. 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. And so really am fascinated by tough medical decisions.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

JUNE 30, 2022

You have a patient with dementia severe enough that she cannot recognize relatives. A huge part of this decision rests on (1) her previously stated wishes, values, and goals (prior to the onset of dementia); and (2) the outcomes of surgery for patients with dementia. Summary Transcript Summary. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. And I don’t think necessarily, that appointment needs to be a medicalized process. So we see the name on the file and we’re like, okay, done, we’ll wash our hands because the checkbox was taken care of. I need structure.”

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? How should we screen for cognitive impairment? Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. John: I am what I am, which is a family practice doctor. Jane: Right. It just depends.

Provider 117

Provider Illness IT Healthcare 117

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. I’ve been running a medical storytelling program called the Nocturnus. And it was born when I was a medical resident at UCSF Internal Medicine.

IT 107

IT Community Patients Family 107

GeriPal

JUNE 23, 2022

Mara Schonberg is associate professor of medicine at Beth Israel Deaconess Medical Center and Harvard Medical School. Do you think most patients know that? Mammography, the harms include false positives, or sometimes they say false alarms because patients sometimes understand that better. Mara: Thank you so much.

Screening 99

Screening PCP PCP IT 99

GeriPal

JULY 3, 2025

We’ve invited two palliative care doctors to talk about survivorship with us: Laura Petrillo , a physician-researcher at Mass General Hospital and Harvard Medical School, and Laura Shoemaker , an outpatient palliative care doctor at the Cleveland Clinic. And we’re still early palliative care trials are on.

Patient-Centered 52

Patient-Centered Illness Clinic IT 52

GeriPal

APRIL 18, 2024

We discuss, among other things: Findings that in several studies AI was rated by patients as more empathetic than human clinicians (not less, that isn’t a typo). And I’d say, particularly in healthcare, where we’re not very good. The experience of both patients and clinicians isn’t very good.

Electronics 139

Electronics IT Patients Healthcare 139