Vida Family Medicine

JUNE 28, 2024

Come prepared to your doctors’ appointment: Make sure you are scheduled for a problem visit, not a physical or check-up, so that you are scheduled appropriately in the correct time slot and there will not be confusion about billing. There are many factors that make it a challenge to get answers for unexplained symptoms.

Patients 52

Patients Primary Care Appointment Diagnose 52

GeriPal

MAY 5, 2022

Think about the last time you attended a talk on communication skills or goals of care discussions. Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? I’m guessing not. COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Alex: (Singing).

IT 102

IT Screening Hospital Clinic 102

GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Here we go.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

DECEMBER 2, 2022

Summary Transcript Summary. What would it take to transform dementia care? Alex: We have a full house today. We’re delighted to welcome Judy Long, who’s a palliative care chaplain at UCSF and a caregiver. Judy, welcome to the GeriPal podcast. Judy: Thank you. It’s great to be here. Alex: Great. So take it away. When was that, 2010?

Community 101

Community IT Individual Patient-Centered 101

The Clinical Problem Solvers

AUGUST 25, 2020

Police brutality Police brutality should be thought of as the ways state-sanctioned violence leads to the physical, psychological, and emotional harm of its victims. This starts with self-education and a commitment to speak up when blatant examples of racism come up in the work space and beyond.

Community 52

Community Patient-Centered Education Relationship 52

FDA Law

JULY 5, 2023

While section 503B expressly does not require a patient-specific prescription, FDA clarifies that Congress evidently did contemplate a “connection” (our words…) between an outsourcing facility and the prescriber; the more attenuated that relationship, the more an outsourcing facility starts to resemble a conventional drug manufacturer.

Supply Chain 52

Supply Chain Manufacturing Physicals Healthcare 52

GeriPal

JULY 27, 2023

Alex: Here, I thought it was just like a relationship tension and breakup song. Summary Transcript Summary Insomnia. We’ve all had it. Lying in bed at 2 am staring at the ceiling, getting anxious every hour that you’re not falling asleep as you have a busy day coming up. Insomnia sucks. Chronic insomnia sucks even more. Thank you, Alex.

Illness 85

Illness IT Medical Clinic 85

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! Nadine: I do. Good choice.

Diabetes 73

Diabetes Management Patient-Centered Families 73

Pamela Wible MD

JUNE 20, 2025

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork?

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Medical Student Diagnosis Physicals Medical 246

GeriPal

JUNE 12, 2025

Anish 00:24 Thanks so much for having me. Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Evie, welcome to GeriPal.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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. Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. Going into patient’s homes was eye opening. Their job was done.

Community 114

Community Transportation IT PCP 114

Concierge Choice Physicians

APRIL 23, 2025

Condrell specializes in acute and urgent care, annual physicals, cardiac evaluations, preventative health, sports injuries, and vaccinations. He creates a relationship with patients that allows their participation in determining treatment options. No patients are dismissed, and referral networks remain intact.

Healthcare 130

Healthcare Internal Medicine Primary Care Appointment 130

Adventures of a Sick Doctor

JUNE 5, 2021

But I thought about my friends and colleagues, my daily contacts and the faceless names on the hospital letters, and I thought about the pain and hurt in each of their hearts. In fact I was scared, and worried and uncertain, and it manifested in physical symptoms of dyspnoea, tachycardia and headrush. I went back to the Red Door.

GP 100

GP Screening Mental Health IT 100

Plum Health

OCTOBER 11, 2024

Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Building a relationship with your primary care doctor should be a priority. It's a common challenge many people face. Regular check-ups ensure early detection of health issues.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

DECEMBER 15, 2022

Summary Transcript Summary. We’ve talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA’s decision to approve it. . But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No No it’s not just the French version of Aducanumab). . In an article in the NEJM (a published article this time, wonder of wonders!)

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. ABIM MOC credit will be offered to subscribers in November, 2024. Naomi: Yes, I do.

IT 137

IT Families Family Physicals 137

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. Show me your scars.” Scars, really? I’ve been there. You probably have too.

Screening 119

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? I like that song.

IT 102

IT Families Family Diagnosis 102

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Eric: Oh, wow. Des: So yeah, lots of big things.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. That’s a hard enough task, given that most of us have never had any communication skills training. I’m just so excited about our guests today. Gordon 02:02 I do.

IT 132

IT Illness Families Family 132

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Summary Transcript Summary. Narrative medicine? Here we go.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. He’s in Boston. 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

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. .

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. James, welcome to the GeriPal Podcast. James 00:32 Good afternoon. She’s joining us at 6am her time. Im b leary eyed.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JUNE 15, 2023

Hallucinations, or when the AI lies or b *s, then denies it When the AI approaches sentience, is it ethical to unplug it? I’m sure this is a subject we will return to, given the rapid progress on AI. Which I thought were great questions. Maybe we could jump into that. Eric: It said, “How about Sparky?” What is artificial intelligence?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 12, 2022

Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. Social pain and loneliness. Community-based palliative care networks . Raj’s reflections on the state of palliative care in the US. Transcript.

Community 115

Community IT Relationship Healthcare 115

GeriPal

APRIL 28, 2022

Graphic Novels. Graphic Medicine. I’m not sure what to title this podcast but I’ve been looking forward to it for some time. Heck, I’m not even sure to call it a podcast, as I think to get the most out of it you should watch it on YouTube. Why, because today we have Nathan Gray joining us. Transcript. Eric: Welcome to the GeriPal podcast.

IT 145

IT Hospital Patients Illness 145

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? In todays podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care.

IT 104

IT Patient-Centered Families Family 104

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. He was also the one who we have to thank for suggesting this podcast! Great title. Matt: Same. Alex: Wild, yeah.

Education 127

Education IT Illness Healthcare 127

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. Today we talk with Naheed Dosani, a palliative care physician at St. His story, which he shares on todays podcast, is remarkable. Today we discuss: What is the best terminology? Homelessness?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Today we talk with Josh about how to anticipate and avoid the uncanny valley. And talk about times when we’ve fallen into it. . Key message: Listen to the music. All the time. ;). We’ll have links to it.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable. Abby: I do.

IT 83

IT Families Family Illness 83