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.

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GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. Is there any relationship between frailty and urinary incontinence? I don’t see those perspectives as incompatible. AMA PRA Category 1 credit(s) ™. George, welcome to the GeriPal podcast. Nice to be on.

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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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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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GeriPal

JUNE 12, 2025

Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. Evie, welcome to GeriPal. Evie 00:41 Thank you. Do you have the song request for Alex?

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GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. David: People with these illnesses suffer from persistent symptoms, poor quality of life, depression, anxiety, despite all the great things we do and all our colleagues in those specialties and in primary care and geriatrics.

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GeriPal

JULY 21, 2022

Because how that is approached can have lasting effects on relationships, unfortunately. Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Eric: Yeah. Does someone else drive you and so forth?”

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GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity. AMA PRA Category 1 credit(s) ™. And many of them, they have a rapport.

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Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. The healthcare system must provide care in a just way so that those who need care have access to it.

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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. So kind of from a primary care point of view, the guys are doing okay. He’s in Boston. And Matt brought today’s topic to us.

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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. It’s individualized care for the inclusive and affirming care.

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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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BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. 29% (n=86) of the participants were undecided about getting vaccinated.

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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. I finished my fellowship in ’88. Why did you go into it? One was very surprising.

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GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. What is your relationship? Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™. And so bathe is an acronym.

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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? Is there a true relationship with that? This is Eric Widera.

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GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Have you thought about that?

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GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Most palliative care clinicians would refer back to their primary care provider and not change their hydrochlorothiazide dose or add another agent. AMA PRA Category 1 credit(s) ™. Most oncologists would say no. Katie: Sure.

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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. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

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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. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Alex: Bernie. Eric: Bernie.

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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. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time. Well, I do it personally.

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GeriPal

MAY 18, 2023

I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on. But it doesn’t mean avoid it in all situations. In many situations it might be a great choice.

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Medical IT Patients Clinic 97

GeriPal

JUNE 5, 2025

But to come back to just nursing homes, when you think about what a nursing home is and the range of people that they take care of, you can see why it’s so tricky to think about how do we get the right services in there. Eric 14:32 So there’s financial disincentives for interdisciplinary palliative care teams.

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GeriPal

DECEMBER 5, 2024

So I think just as much as we focus on the science and the evidence, it’s important to think about the art of how we apply that to people and the relationships and all of the great fun stuff, the stories that unfold in the exam room alongside the science itself. There’s obviously a lot of flaws in the healthcare system.

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GeriPal

AUGUST 17, 2023

And that’s going to be very interesting to see how that unfolds in healthcare practice. You’d like to have each healthcare system go through a checklist of do we have a neuroradiologist and if we don’t, how are we going to get one? It’s not intended to say a drug is risky. And, Sharon, you’ve outlined it.

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GeriPal

JUNE 23, 2022

So we have done a few qualitative studies where we’ve worked with a bunch of primary care clinicians, geriatricians included and adults 76 and older to try to get language to have these kind of conversations. And so we did learn in that study that even… Here we were trying to take the burden off primary care doctors.

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GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Eric 08:45 Why did you choose that as a primary outcome? That’s not news to us.

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GeriPal

AUGUST 11, 2022

And so my first introduction to the field came with my first job in 1982, when I went to the Cambridge Hospital to do primary care and internal medicine. I think that we have focused on completely the wrong desired outcomes for advanced care… Well, let me start all over on that one. Was before the Medicare hospice benefit.

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GeriPal

APRIL 24, 2025

And that was the last time that he’d been seen by our healthcare system. And so often, like, if you have a good relationship with them and you can understand what that root is, there’s so many other ways to come at it and they’re willing to back away. Widera and Smith have no relationships to disclose.

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Patient-Centered IT Patients Illness 77

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. It is very active here.

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GeriPal

FEBRUARY 20, 2025

You know, we may have known people, we may have cared for people who were dying. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. So we all went through a pandemic. I guess that’s an event.

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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. But as a person who’s done primary care and house calls, I know what happens.

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GeriPal

APRIL 18, 2024

Skepticism on the ability of predictive models to transform healthcare Consolidation of EHR’s into the hands of a very few companies, and potential for the drug and device industry to influence care delivery by tweaking AI in ways that are not transparent and already a sort of magical black box. Bob: Exactly. It could be anybody.

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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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GeriPal

MAY 1, 2025

I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. In San Francisco, HIV care was more specialized in that.

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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.

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GeriPal

JUNE 6, 2024

There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? So most of us in primary care, it’s probably even worse.

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