GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Step four is adjusting it for your patient.

IT 139

IT Patients Individual Relationship 139

GeriPal

JULY 27, 2023

Alex: Here, I thought it was just like a relationship tension and breakup song. Cathy: Actually, basically, anytime I have a patient or their caregiver talk about a nighttime problem or problem with their sleep, I’m thinking about primary sleep disorders, insomnia, sleep apnea, et cetera. But okay, that’s better.

Illness 85

Illness IT Clinic Medical 85

GeriPal

NOVEMBER 9, 2023

We’re doing a lot of interactive relationship building. If you’re going to be talking to the brand new intern on the service, or the chief executive of the hospital, are there some themes or similarities to how you’d approach that in the mentoring, sorry, not the mentoring, the coaching process? Beth: Yeah.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

Concierge Choice Physicians

APRIL 23, 2025

The Concierge Choice by CCP is a unique concierge medicine style that allows physicians to offer patients an exclusive membership program while maintaining their entire patient panel. Membership is simply an option for those patients who want the assurance they will always see their chosen physician for appointments.

Healthcare 130

Healthcare Internal Medicine Primary Care Appointment 130

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. They also provide immunizations and lifestyle advice tailored to your specific needs.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

The Clinical Problem Solvers

APRIL 5, 2022

This is the last of three episodes interrogating the relationships between race, place, housing, and health. Our guests remind us to ask our patients about their housing status using non-judgmental and non-stigmatizing language. Can you refer your patient there? 3. Calac, Victor A. Lopez-Carmen, MPH, Naomi F.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

JANUARY 25, 2024

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. Your research is a lot in this patient population, right? Big randomized control study that came out.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

IT 98

IT Patient-Centered Patients Board-Certified 98

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. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

AUGUST 29, 2024

During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Why did you all decide to write an updated book on navigating communication with serious ill patients? Gordon 02:02 I do.

IT 133

IT Illness Families Family 133

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. Because I think we have someone special, a guest host.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

ABIM

JUNE 4, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. See the discussion on the Special Consideration IMG (International Medical Graduates) Pilot Pathway below.) Community Practice in ABIM Governance* Erica N.

Diabetes 52

Diabetes Board-Certified Telehealth Government 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. William: Thanks so much.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. And, you know, I just thought it was a really special song.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). What words to use? Is the POLST useful?

Families 113

Families Family Patient-Centered IT 113

GeriPal

APRIL 10, 2025

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? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

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 105

IT Patient-Centered Families Family 105

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. I think the theme is more saving someone’s life and the regret that follows.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MAY 8, 2025

Summary Transcript CME Summary Weve covered psychedelics on the podcast beforefirst in 2019 with Ira Byock, where we explored their potential role in medicine , and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. James 00:32 Good afternoon.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

SEPTEMBER 22, 2022

Have you ever had that moment when talking to a patient, when you realized that the phrase you just uttered, which you’ve uttered a hundred times before, came out rote and scripted? And in response, the family or patient looked at you like you were from another planet? All these studies in this fringe… We want the special key.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. And it not only leads to better outcomes for patients, it leads to our better sustainability. And we’ll have a patient with very severe symptoms that are just not responding to the normal treatments.

Screening 121

Screening IT Families Family 121

GeriPal

APRIL 28, 2022

Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. If you look back to some of my cartoons from late in residency, they showed just how dehumanized I felt and definitely give windows into how dehumanized I imagined my patients to be. Nathan: I do.

IT 145

IT Hospital Patients Illness 145

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. .

Illness 110

Illness IT Families Family 110

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. Midnight special shine a light on me or let the midnight special shine a light on me let the midnight special shine another loving light on me.” But the patient would say, well, but it still hurts, though.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

MAY 9, 2024

Matt Tyler (aka Pallidad for those on Twitter ): Matt is the Hospice and Palliative care doctor who created How To Train Your Doctor , which helps patients living with serious illness find tips on “owning” their healthcare plan on his Instagram and YouTube pages. Widera and Smith have no relationships to disclose. Matt: Yeah.

Education 128

Education IT Illness Healthcare 128

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. Connie 06:18 So, I’ve been a clinician working in the nursing home since back in the 80s, and I saw a lot of patients that really needed palliative care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. I just think that some of the hardest things we face are coping with and making decisions for patients when they can’t decide for themselves. These studies are important.

IT 99

IT Patient-Centered Families Family 99

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. So has a special resonance for, I think, a lot of people who are Tragically H ip fans. Today’s podcast is both similar and different. Ricky 00:38 Great to be back.

IT 108

IT Community Patients Families 108

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. This sort of stands in the face of what you and I learned in palliative care that illness is an opportunity for spiritual growth and transformation from what we have strived towards in caring for many of our patients. Alex: Lund.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. But my piece in the New England Journal is about being a patient right before awake brain surgery. I could learn this.

IT 96

IT Patient-Centered Patients Healthcare 96

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. You know, we may have known people, we may have cared for people who were dying.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

JUNE 29, 2023

This week we’re going on to episode two, which is for me one of the most special episodes we’ve done in GeriPal for a very, very long time. Eric: And in the end, we have a very special part where we actually get a tour of their gardens outside of the hospice unit. Alex: This is Alex Smith. ” He was hardcore.

IT 97

IT Families Family Board-Certified 97

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Providers at New South Family Medicine and MedSpa can address the patient's deeper needs, rather than trying to rush through a hectic day full of too-brief appointments.

DO 40

DO Family Medicine Families Family 40

GeriPal

DECEMBER 7, 2023

And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people.

Healthcare 130

Healthcare IT Education Community 130

GeriPal

APRIL 26, 2024

Who spends the most time with the patient in the infusion center? Widera and Smith have no relationships to disclose. Guest Betty Ferrell has no relationships to disclose. Mary Dwyer, who is a lawyer, and bioethicist and assistant professor at Case Western Reserve and University Hospitals. Doing home care? Hospice visits?

Patient-Centered 121

Patient-Centered IT Patients Consulting 121

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose.

Families 108

Families Family Patient-Centered Patients 108