GeriPal

JUNE 20, 2024

Alex 00:30 And we’re delighted to welcome Alison Huang, who’s a primary care doc and researcher and professor of medicine, urology, and epi-biostats at UCSF in the division of General Internal Medicine. Biological aging or physiological aging varies from individual to individual. Welcome to GeriPal.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

JUNE 12, 2025

There were a number of opportunities to be involved in medical oncology and doing medical oncology rotations as a medical student, as an internal medicine residential. But there are times that a primary care physician or an internal medicine physician may make the referral. There really was very little.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. For example, with peritoneal dialysis and conservative management.

Management 116

Management Patient-Centered Patients IT 116

The Clinical Problem Solvers

MAY 2, 2022

Individuals who believe that genetic differences explain racial differences in health outcomes are more likely to practice race-based medicine. Oral Presentation at Society of General Internal Medicine 2022 Annual Meeting. Oral Presentation at Society of General Internal Medicine 2022 Annual Meeting.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

ABIM

JUNE 11, 2025

She also sought input on overlapping aspects of community practice across the disciplines of internal medicine to inform ABIM’s recruitment efforts for broad physician representation in governance roles. Dr. Bonura noted the importance of maintaining practice integrity and protecting health equity.

Board-Certified 52

Board-Certified Government Community Education 52

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. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? And then with collaboration with addiction medicine, we started the clinic, myself and a pharmacist, at just half a day a week.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Naheed 20:04 And you know, the key to this conversation is not to put the onus on individuals.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. I think we’re probably managing sicker patients on the floor.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MAY 18, 2023

First is we had a podcast recently about gabapentin, and I know we’d mentioned Mike’s prior study in Annals of Internal Medicine on off-label use of gabapentin. Eric: Or another good example is like for individuals with dementia. There are some different. Where does gabapentin fall out on the Beers criteria?

Medical 97

Medical IT Patients Clinic 97

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. Prior-auth forms?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So we have seen common serious problems be managed in an emergency department effect effectively with better outcomes when we put all of those things around it. Corita 10:59 No, it was rather simple. No, no, no.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

DECEMBER 8, 2022

You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. So it provided just a gem of something, connection around this story that had both been meaningful to both individuals, we’re humans too, clinicians. I may have talked about it before.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 15, 2022

You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. So it provided just a gem of something, connection around this story that had both been meaningful to both individuals, we’re humans too, clinicians. I may have talked about it before.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. It improves symptom management. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. That could include a robust home care plan to manage his symptoms. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. We wanted the definition to be pretty broad of what a pull.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 25, 2024

This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. That just leads to issues that can make home care very difficult for these individuals. So you’re kind of the guest host today. Why did you do that paper, James? James 17:03 Yeah, I think so.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Who do we have with us on this podcast? Great to be here.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

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. And is it at all individualized to the patient? It’s a lot.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. But we have managed to control it. Our World in Data COVID graphs.

Vaccination 100

Vaccination IT Hospital Management 100