GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? We also worked a little bit with the primary care team certain of the risk factors. I presented this at the big clinical trials meeting in November in San Francisco. We had diabetes, hypertension, risky medications. Should I do neuro?

Physicals 85

Physicals IT Hypertension Education 85

The Medical Futurist

JUNE 21, 2025

Matthew Enevoldson, PR Manager at SkinVision told The Medical Futurist that technology such as their own is becoming more integrated within the health system, to both ensure that those who need treatment are made aware of it and that those who have an unfounded concern do not take up valuable time and resources.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

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

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 27, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

NOVEMBER 14, 2024

This is Sarah Berry, who is at the Hebrew Senior Life and Beth Israel Deaconess Medical center and Harvard Medical School. You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. I mean, there’s a lot, you know, medications that goes on and on. Medications.

IT 124

IT Patient-Centered Screening Community 124

GeriPal

JULY 21, 2022

Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. It’s like breaking bad news in palliative care. They’re really not. Absolutely. Is this our role? Emmy: Yeah.

IT 102

IT Family Families Diagnosis 102

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 19, 2025

And so when I had decided to socially, medically, and surgically transition, I had to really sit down with members of the department and really did a lot of in services. You present your. And then if, let’s say they plan to switch to you as their primary care provider, then there are a few steps that you can take.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Van Scoy who is a pulmonary critical care advance care planning researcher at Penn State Hershey Medical Center in Pennsylvania. Welcome to the GeriPal podcast.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

AUGUST 17, 2023

Alex: And we’re delighted to welcome Nate Chin, who is associate professor at the University of Wisconsin, where he is medical director of their Alzheimer’s Disease research center and runs a large study in Wisconsin called the RAP Study studying Alzheimer’s Disease. Welcome back to GeriPal podcast, Sharon. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. And the classic case that we often hear of is the poor old person who got a whole lot of medical treatment they wouldn’t have wanted an ICU flog.

Family 112

Family Families Patient-Centered IT 112

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. And so you could say that’s sort of starting the normalizing that process of advance care planning. I think it’s all about how important. I need structure.”

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. He had a very aggressive lymphoma, highly aggressive, with a lot of different medical conditions. Eric: Whose job, though, is it?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. We could have talked for hours! Bill: Thank you. Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. But rarely does the podcast and clinical reality meet in the same day. Very excited to be here. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 6, 2025

[link] Promising Practice Recognition PEACH was named a Promising Practice in equity-oriented palliative care as part of a national initiative funded by Health Canada, operated by Healthcare Excellence Canada & the Canadian Partnership Against Cancer. We have world class primary care, cancer care, palliative care.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 24, 2025

And so this term was developed by our group to capture either non traditional therapies or really conventional medical therapies that patients may be pursuing with little hope of reaching a goal of care and significant risk. Eric 04:02 Jill, you practice alternative and integrated medicine. Did I say that correctly? Eric 09:30 Okay.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. I’ve been running a medical storytelling program called the Nocturnus.

IT 107

IT Community Patients Family 107

GeriPal

FEBRUARY 20, 2025

So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach. Much of my training has been in, in sort of the medical management and symptom management of a patient at the end of their life and thinking about how we do that.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

MARCH 3, 2022

Julien: He basically had an end of life care discussion with this patient. And so the key there is, of course these were prospectively measured where patients were called every month from 1998 through actually the present day among those who are still alive. It was this slow build, I would say.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

APRIL 10, 2025

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? No difference in their primary outcome. That’s not news to us.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. Bill, welcome to the GeriPal podcast.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 10, 2022

Ruth: Then we saw at the other extreme where people thought that feeding tubes prolonged life, improved quality of life, made it easier to give medications, which it does do, and that they should be used. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I graduated from medical school in the early 80s. I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. Meredith 09:33 Yes. Peter 14:48 So it’s completely shifted.

Primary Care 94

Primary Care IT Provider Clinic 94

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.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So most of us in primary care, it’s probably even worse.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. We had, since the late seventies, a home-based primary care program. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115