GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. There, we may do very poorly, where we can describe our beautiful models of all the kind of risk factors and contributors, ranging from organ level, patient level, behavioral, contextual, environmental.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

NOVEMBER 9, 2023

Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. We’re doing a lot of interactive relationship building. Beth: Thank you.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

JUNE 12, 2025

Summary Transcript CME Summary If you’re anything like me, you might find the process of what happens to patients when they visit a radiation oncologist somewhat mysterious. Anish 01:02 Well, I speak, you know, from a physician lens of some of the patients that I get referred, and by the time there’s. This is not a good option.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Plum Health

OCTOBER 11, 2024

Regular visits to a primary care clinic can make a world of difference in your overall health. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Conclusion Finding the right clinic doesn't have to be a headache.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

Family Physician 100

Family Physician Preventative Care Preventive Care Family 100

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. And also I was in the HVMA primary care program.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. Widera and Smith have no relationships to disclose.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. Going into patient’s homes was eye opening. Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. So that was great.

Community 115

Community Transportation IT PCP 115

GeriPal

JULY 21, 2022

Initially, it was just because there weren’t really answers for my patients. Because how that is approached can have lasting effects on relationships, unfortunately. We’re going to go into how to talk to patients about this, because Emmy, you’ve done some research on it. “When can I get back to driving?”

IT 102

IT Family Families Diagnosis 102

Vida Family Medicine

JUNE 29, 2022

I want to respond to the many strong emotions and fears expressed by many of my patients regarding the recent Supreme Court decision overturning of the Roe v. I try as much as possible to avoid political and polarizing topics with my patients because I recognize that we all have different beliefs, and that is okay. What Roe v.

Family Physician 52

Family Physician Families Family Healthcare Professional 52

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. John: Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Alex: Yeah, that means you could see more patients, right. Eric: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MAY 18, 2023

There are some older adults in whom these are the correct drugs, either because of their particular clinical circumstances or because shared decision making and patient values and preferences. So we want to alert clinicians as well as patients and policy makers to the presence of these drugs. Is this the right drug for this patient?”

Medical 97

Medical IT Patients Clinic 97

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Eric: … out of the 20 patients that you see in one day, potentially, one of them has substance use disorder, potentially based on these… Depending on, again, the types of cancers that you see, obviously, more in head and neck lessen some others.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 19, 2025

And also kind of highlights, you know, part of what we try to do in geriatrics and palliative care is really individualize how we care for individual, like, the people in front of us, the patients, the caregivers, their family members, their friends. So we’re actually finding care circles, right? We need to.

Individual 82

Individual Community IT Chronic Condition 82

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.

Screening 120

Screening IT Family Families 120

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose.

Family 112

Family Families Patient-Centered IT 112

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. And he asked me questions like, “Why is this patient in bed?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. The patient case. Louise, welcome back to GeriPal. Louise 00:26 Thanks for having me.

Patients 98

Patients IT Patient-Centered Hospital 98

BMJ

MAY 10, 2022

Hence, we conducted this study to determine the risk perceptions of primary care workers for COVID-19 vaccines and the predictive factors in their willingness to have the COVID-19 vaccine before vaccination, which started on January 14, 2021, in Turkey. 29% (n=86) of the participants were undecided about getting vaccinated. 150 (54.3)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JUNE 23, 2022

And so all of my work has really been trying to help patients understand what matters to them or make decisions based on what is likely the realistic outcomes of a decision and try to explain it to them in a way that they can understand so that they can make the best choice for them. Do you think most patients know that? Mara: Yeah.

Screening 99

Screening PCP PCP IT 99

GeriPal

JUNE 5, 2025

Eric 03:25 So we have a lot to talk about, but I’m wondering if we can kind of take a big step back and just talk about the patient population that’s in nursing homes. Like, do they have palliative care needs? What were you seeing when you saw that need for palliative care? No, you do see palliative care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 10, 2025

Summary Transcript CME Summary Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. 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?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Think chemotherapy to imminently dying patients, or CPR. Think chemo.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

AUGUST 11, 2022

We talk with Susan about how far the field has come, from early days when the attending physician would decide which patients were DNR and place a black “no code” dot in the chart. There was no conversation with the patient or the family about this. We talk about challenges facing the field today.

Illness 109

Illness IT Family Families 109

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. But in the end, I see these as my patients and I’m trying to define what is the right model.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

AUGUST 17, 2023

However, as noted in our editorial published with the donanemab trial , the modest benefits of amyloid antibodies would likely not be questioned by patients, clinicians, or payers if amyloid antibodies were low risk, inexpensive, and simple to administer. The patients continued to be followed. However, they are none of these.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. Because we all interface with it at the end of the day as patients. Today’s podcast is both similar and different. Eric 04:44 Yeah. And we had these amazing stories.

IT 107

IT Community Patients Families 107

GeriPal

AUGUST 31, 2023

What happened is we’re in the serious illness care business and so we were busy rolling out our serious illness conversations at Mass General and we were getting resistance, which we expected from oncology and primary care, but then we started getting resistance from the geriatricians.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 6, 2025

He had this disseminated head and neck cancer and he had tried to get care before and due to his mental illness, he couldn’t follow up for cancer care. We have world class primary care, cancer care, palliative care. Naheed 17:53 Yeah, they want connection, they want relationship, they want, meaning.

Healthcare 100

Healthcare IT Community Illness 100

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.

IT 67

IT Patient-Centered Individual Patients 67

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.

IT 139

IT Electronics Patients Healthcare 139

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

MAY 1, 2025

And so the patients who had been admitted there to die, essentially most, if not all, got better and HIV became much more of a chronic condition. It is kind of weird that my first publication was in jama, part of the Care of the Aging Patient series. And I think patients too, don’t always people. And that was.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . So Eric Cassell, for folks who don’t know, was a primary care physician. Haider: That was a great story.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

JUNE 6, 2024

Summary Transcript Summary As Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. But one issue we’re not as good at discussing with our patients is sexual health. Clearly this issue is important to patients. And here I am considering myself all palliative care or supportive care.

Illness 130

Illness IT Physicals Patients 130