GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Modern subspecialist practice advances at such a remarkably rapid pace, it can be hard to keep up. Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex: This is Alex Smith.

Complication 97

Complication Patient-Centered IT Patients 97

Tiny Physician

FEBRUARY 15, 2022

There is an increasing trend in the number of medico-legal cases filed against doctors and doctors have started practicing defensive medicine (the ordering of tests, procedures, referrals, or avoidance of high-risk patients or procedures, to reduce medico-legal cases) for the sake of their safety. are not met.

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Patient-Centered Government Referral Hospital 52

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Topics covered include: The pathophysiology of GER and GERD in the pediatric population.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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.

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Patient-Centered Referral Patients IT 102

Family Medicine Initiative

APRIL 28, 2025

An older BMJ Studie (2000) surveyed 343 doctors on how long 468 terminally ill patients (at the time of their hospice referral; average age 69) were likely to live. The actual average survival time of these patients was 24 days.

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Referral DO Family Medicine Illness 130

GeriPal

JANUARY 18, 2024

Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. This is Eric Widera.

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Illness Patient-Centered Screening Clinic 136

GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. 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. But watch out!

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Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Oh, wow.

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Mental Health Patient-Centered Illness Screening 122

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. So what do we do about it? Why is this different from clinical communication skills? Transcript. Marian: I do.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? We can’t possibly meet the needs of all people with newly diagnosed serious illness. By diagnosis? By prognosis?

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Consulting Patient-Centered Diagnosis IT 99

Hitchcock Family Medicine

AUGUST 11, 2023

If possible, the same applies to helping prevent conditions like cancer and other illnesses. Your doctor will monitor every condition, whether you have weight loss goals or a mental illness. You may see your general practitioner for a referral to someone else, such as a psychologist, for a mental illness.

Family Care Physician 52

Family Care Physician Family Families General Practitioner 52

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. 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? Alex: Pink Cadillac by Bruce Springsteen?

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IT Family Families Diagnosis 102

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. 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

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. Today we discuss: What is the best terminology? Homelessness? Marginally housed?

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Healthcare IT Community Illness 100

GeriPal

FEBRUARY 6, 2025

And my wife went to over, I want to say, 20 concerts. Eric 00:58 Have you been to a concert? Nate 00:59 I went one in Milwaukee, Wisconsin, and I’m so glad I did. I loved it and this was his favorite song and so I wanted to do it. Alex 01:07 And Bruce Springsteen did a stage dive. We were talking about this before. Nate 01:11 Very healthy man.

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Primary Care Diagnosis Screening IT 96

GeriPal

OCTOBER 20, 2022

The recent focus on nursing facilities and long term supportive services during the pandemic, along with key gaps. How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). How to make your voice heard and get involved. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

Today’s podcast is part one of a two-part podcast where we spend a day at CMF, a medium security prison located about halfway between San Francisco and Sacramento, and the hospice unit housed inside its walls. Afterwards, we chat with the prison’s chaplain, Keith Knauf. And it’s an incredibly compelling place to work. Eric: Yeah. Alex: Yeah.

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Family Families IT Community 132

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients.

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Patient-Centered Patients IT Illness 98

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. It meets in-person, once a month, over nine sessions. First, the lyrics, that’s the main reason why I chose it. The theme is death. LaVera: Yeah.

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IT Patient-Centered Family Families 99

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

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IT Patient-Centered Patients Medical 88

GeriPal

OCTOBER 27, 2022

Eric: 1982. James: … alive in the 1980s, but yes, you sang Forever Young by Bob Dylan around three years ago, and then Eric jokingly started singing this song, and so now it’s about time to fulfill Eric’s request. Alex Smith: Sei, do you have any comment? It was kind of the junior high party. Alex Smith: (Singing). Eric: Yeah.

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IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

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Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. Is that an issue for you? I’m happy to talk about it at any time.” And let me tell you, there’s nothing like the first time (sorry, I couldn’t help it!). Ra ra ra ra.

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Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

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Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

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Telemedicine Telehealth Patient-Centered Board-Certified 73

PEMBlog

MAY 9, 2024

Febrile seizures are due to the degree of fever, not the rate of temperature rise, even though we see them as the temperature is increasing rapidly in the early parts of the illness. The majority of children have febrile seizures on the first day of illness. In some cases, it’s actually their first manifestation of illness.

Illness 59

Illness Vaccination Family Families 59

Physician's Weekly

JUNE 13, 2025

They gave me another referral and reported the practice to Medicare. No post-graduation debt in Germany. That has proved to be a great policy for Germany. It attracts brainy students from all over the world and ensures the continuing high level of the German health system. The US is better off without them. billion to the California economy.

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Vaccination Family Families IT 52