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? Evidence has been mounting about the importance of the geriatric assessment for older adults with cancer, the subject of today’s podcast. Precision medicine?

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GeriPal

NOVEMBER 2, 2023

Summary Transcript Summary What does the future hold for geriatrics? Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. On today’s podcast, we are going to do a deep dive on the future of geriatrics with three amazing guests.

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GeriPal

APRIL 3, 2025

We’re representing the American Geriatric Society today and we are delighted to be here in the podcast. So first, I want to thank you and commend you for what you have contributed to the American Geriatric society and to all of our collective learning. That is the definition of the award. Ken 26:17 You presented that.

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GeriPal

JANUARY 30, 2025

Alex 01:56 And returning guest, Vicki Jackson, who’s a palliative care doc, chief of the Division of Palliative Care and Geriatric Medicine at MGH , professor at Harvard Medical School, and co director of the Harvard Medical School center for Palliative Care. So a pretty definitive and robust study to answer that question.

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GeriPal

JANUARY 16, 2025

Alex 01:27 We’re delighted to welcome back Tim F a rrell, who’s a geriatrician, associate chief for Age Friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Tim, welcome back to GeriPal.

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GeriPal

FEBRUARY 6, 2025

Well, so there is a debate in the field as to the definition of Alzheimer’s disease. Amyloid alone is enough of a definition of Alzheimer’s. So in someone who’s cognitively healthy, having the presence of amyloid would be enough for the definition of Alzheimer’s disease. And I pretty much present it as.

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GeriPal

FEBRUARY 20, 2025

Mariah 03:51 I like the SAMHSA definition as sort of a guiding definition for it, and I’m happy to read it. Well, being a pretty comprehensive definition. Kate 11:33 Yeah, I mean, definitely more indirect pathways than direct. Eric 04:19 Yeah. So there’s an event or a series of events. Everything may not be.

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GeriPal

MARCH 6, 2025

He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. So, you know, I just wanted to present a couple options and give you a sense of, you know, the background for both. You know, I think the key thing is that, yes, things are definitely changing back then.

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GeriPal

JUNE 27, 2024

That idea or that definition. So I think understanding the definition that the person in front of us has in relation to the word that they’re using is a really good jumping point, because we make a lot of assumptions in medicine and even in palliative care, hopefully trying to be more informed around our communication.

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GeriPal

AUGUST 17, 2023

Alex: And we’re delighted to welcome back Sharon Brangman, who is a SUNY Distinguished Service professor and chair of the Department of Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. The field of geriatrics has been, I would say, somewhat negative on these drugs. Nate, is it you? Jason: Yeah.

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GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. staff training in person centered care).

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GeriPal

JANUARY 26, 2023

Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society. Alex: And speaking of the American Geriatric Society, we are delighted to welcome Nancy Lundebjerg. Welcome to the GeriPal Podcast, Ramona. Ramona: Thank you.

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GeriPal

FEBRUARY 8, 2024

Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. BJ: Yeah, yeah.

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GeriPal

OCTOBER 24, 2024

Medical cannabis is not legal in North Carolina, so there are definitely some limits. Eloise 32:26 Yeah, I mean, I think definitely what I see in practice is that transdermal gives some patients more control. Eloise 36:49 I would first present to you what I think your options are. So I think that definitely is a concern.

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GeriPal

FEBRUARY 23, 2023

I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. And one quibble with that of course is that we think the definition of capacity is that it’s task and context specific.

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Hospice News

FEBRUARY 20, 2024

In the study, researchers present the case of an independent 87-year-old woman with moderate dementia admitted to the hospital with pneumonia. After experiencing a functional decline at the hospital, the woman, no longer able to live at home safely, was sent to an SNF for post-acute care, covered by Medicare.

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GeriPal

MARCH 24, 2022

Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. But when you’re asking someone to make a decision about code status, you’re asking them to make a decision that is in effect right now in the present, right?

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GeriPal

APRIL 13, 2023

We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. Ashwin, can you give us a broad overview of how you think about social isolation and loneliness as far as definitions?

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GeriPal

APRIL 24, 2025

We wanted the definition to be pretty broad of what a pull. But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion. So I’m going to present a case. Eric 21:46 We definitely. Adam 07:05 Absolutely.

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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. Nicole 06:04 In a way, it definitely does. And I know one of the topics I did was polypharmacy then. Is this tension?

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GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. I’m definitely scared of when he’s going to be driving soon. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care.

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GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren. Eric: Yeah.

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GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Ann: I definitely do. Sarguni: Yeah, definitely. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Sweet Caroline.

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GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. LJ: Definitely read it. Welcome to the GeriPal podcast, Sarah.

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GeriPal

SEPTEMBER 12, 2024

How do you talk to them about these terms and these definitions? Naomi 14:50 I definitely think, and I love Jane, how you keep coming back to the moment, because that’s all we have. And so in that way, it’s not the letterhead or the four walls and the roof that are perpetuating the present, it’s the people.

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GeriPal

SEPTEMBER 1, 2022

I am constantly talking to clinical social workers about what are the ways that you can be contributing to research, to publications, to scholarship, to presentations, even if it’s a reflection paper? And I think … And to me, working well speaks to what you describe as the transdisciplinary definition. Barbara: Yeah.

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GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Who would/should be on that board? Eric 00:42 Great.

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GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Keri: We definitely have a case. Keri: Definitely, yes. Definitely a deviation. Dani: Yeah, so the way you presented was triggering to them. Eric: Three steps. So let’s jump into it.

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GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. In this case I would say never use orals for staff, but in other bacteremias we are definitely seeing a movement towards oral therapies and there is a shift, but if we had money for more studies, this shift would move faster.

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GeriPal

DECEMBER 15, 2022

So I allow family members to be present if they want them to. It’s not something you can measure, but it’s definitely something that happens during these interviews. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin.

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GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. So I allow family members to be present if they want them to. It’s not something you can measure, but it’s definitely something that happens during these interviews. Wonderful work. Every Veteran has a story. That’s fine.

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GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Eric: But even that risks uncanny valley, because I have definitely seen people go through those list of questions in like 30 seconds, where it feels like I’m not even sure that they’re listening to the response. Eric: Yeah. There’s more to it than just showing up.

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GeriPal

DECEMBER 5, 2024

We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. Alex 32:22 Geriatrics Palliative Care Podcast. It’s not science, it’s not data. What’s the value of stories in medicine? Emily 03:59 Medicine is both a science and an art.

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GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. Gretchen: Yeah. This paper we submitted was called The Bin Of Bad S**t Has Three Layers.

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GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

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GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Kelly: Yeah, no, definitely. Abby: Yeah. Kelly, thoughts on that?

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GeriPal

JANUARY 11, 2024

So when initially this became legalized in Canada, was that a similar kind of definition? One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. One is definitely the safeguards that makes a huge difference. Eric: Yeah. Sonu: Can I jump in? Eric: Yeah. Sonu, please.

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