Shows / GeriPal - A Geriatrics and Palliative Medicine Podcast
GeriPal - A Geriatrics and Palliative Medicine Podcast
A geriatrics and palliative medicine podcast for every health care professional. Two UCSF doctors, Eric Widera and Alex Smith, invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn, and maybe sing along. CME and MOC credit available (AMA PRA Category 1 credits) at www.geripal.org
Episodes
GeriPal - A Geriatrics and Palliative Medicine PodcastElectronic Frailty Indexes: Kate Callahan, Ariela Orkaby, & Dae Kim
What is frailty? Kate Callahan relates a clear metaphor on today's podcast. A frail person is like an origami boat: fine in still water, but can't withstand a…
GeriPal - A Geriatrics and Palliative Medicine PodcastDysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia
Almost a decade ago, our hospice and palliative care team decided to do a "Thickened Liquid Challenge." This simple challenge was focused on putting ourselves…
GeriPal - A Geriatrics and Palliative Medicine PodcastEnd-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane
In the last several years, I've seen more and more articles about end-of-life doulas (like this NY Times article from 2021). Despite this, in my 20-year career…
GeriPal - A Geriatrics and Palliative Medicine PodcastGeriPal 300th Episode: Ask Me Anything Hot Ones Style
Today we celebrate eight years, around 2 million listens, and 300 podcasts! Eric and I take questions from you, our listeners, about: why we podcast, our most…
GeriPal - A Geriatrics and Palliative Medicine PodcastPsychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin
In our podcast with palliative care pioneer Susan Block, she identified the psychological/psychiatric aspects of palliative care as the biggest are of need for…
GeriPal - A Geriatrics and Palliative Medicine PodcastEMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates
We've talked about Falls a couple of times on this podcast, most recently with Tom Gill about the STRIDE study and before that with Sarah Szanton about the…
GeriPal - A Geriatrics and Palliative Medicine PodcastThe Nature of Suffering: BJ Miller and Naomi Saks
In 1982 Eric Cassell published his landmark essay: On the Nature of Suffering and the Goals of Medicine. Though his narrow definition of suffering as injured…
GeriPal - A Geriatrics and Palliative Medicine PodcastRCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern
Last week we talked about a trial of a nurse and social worker outpatient palliative care intervention published in JAMA. This week, we talk about the other…
GeriPal - A Geriatrics and Palliative Medicine PodcastRCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot
In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in…
GeriPal - A Geriatrics and Palliative Medicine PodcastSubstance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check
The CDC's Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. In doing so, it…
GeriPal - A Geriatrics and Palliative Medicine PodcastWhat is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind
Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. The number of people who have used MAID in Canada since it was…
GeriPal - A Geriatrics and Palliative Medicine PodcastGuiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty
We've talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been…
GeriPal - A Geriatrics and Palliative Medicine PodcastInfluence of Hospital Culture on Intensity of Care: Liz Dzeng
One of the things I love about Liz Dzeng's work is the way in which it draws upon, echoes, and advances our understanding of the influence of culture on the…
GeriPal - A Geriatrics and Palliative Medicine PodcastAging and Climate Change: Karl Pillemer, Leslie Wharton, & Ruth McDermott-Levy
To my teenagers, climate change is an existential crisis. It's the end of the world as we know it. They decry the lack of serious attention and prioritization…
GeriPal - A Geriatrics and Palliative Medicine PodcastRedefining Alzheimer's Disease: A Podcast with Heather Whitson, Jason Karlawish, Lon Schneider
There is a growing push to change how we define Alzheimer's disease from what was historically a clinically defined syndrome to a newer biological definition…
GeriPal - A Geriatrics and Palliative Medicine PodcastShould you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang
Coaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being…
GeriPal - A Geriatrics and Palliative Medicine PodcastThe Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper
What does the future hold for geriatrics? I've seen this question come up a lot since finishing fellowship nearly two decades ago. Historically, answers…
GeriPal - A Geriatrics and Palliative Medicine PodcastPalliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh
Often podcasts meet clinical reality. That's why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But rarely…
GeriPal - A Geriatrics and Palliative Medicine PodcastPOLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern
What level of evidence do we need for POLST to use it ourselves, to advocate for wider usage, and for establishing POLST completion as a quality metric? The…
GeriPal - A Geriatrics and Palliative Medicine PodcastSurgical Communication: A Podcast with Gretchen Schwarze, Justin Clapp and Alexis Colley
For surgeons and patients, deciding if and when to operate can be challenging. Often, the way surgeons communicate about these decisions doesn't make things…
GeriPal - A Geriatrics and Palliative Medicine PodcastThe Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser
Communicating about a serious illness is hard. Last week's podcast we talked about the challenge around miscommunication in serious illness. This week we dive…
GeriPal - A Geriatrics and Palliative Medicine PodcastMiscommunication in Medicine: A podcast with Shunichi Nakagawa, Abby Rosenberg and Don Sullivan
Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician's thoughts…
GeriPal - A Geriatrics and Palliative Medicine PodcastBlack/African American Caregivers of Older Adults Living with Dementia: Podcast with Fayron Epps and Karen Moss
The proportion of people living with dementia who identify as Black/African Americans is on the rise, and so too are the proportion of caregivers who identify…
GeriPal - A Geriatrics and Palliative Medicine PodcastHospital-at-Home: Bruce Leff and Tacara Soones
Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which…
GeriPal - A Geriatrics and Palliative Medicine PodcastTime for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons
The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that…
GeriPal - A Geriatrics and Palliative Medicine PodcastNormalcy, introspection, & the experience of serious illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart
How do people react when they hear they have a serious illness? Shock, "like a car is rushing straight at me" (says Bill Gardner on our podcast). After the…
GeriPal - A Geriatrics and Palliative Medicine PodcastDignity at the End of Life: A Podcast with Harvey Chochinov
I hear the word dignity used a lot in the medical setting, but I'm never sure what people mean when they use it. You'd imagine that as a seasoned palliative…
GeriPal - A Geriatrics and Palliative Medicine PodcastAmyloid Antibodies and the Role of the Geriatrician: Nate Chin, Sharon Brangman, and Jason Karlawish
It's been over two years since one of the worst product launches of all time - Aduhelm (aducanumab). Praised by the FDA, Alzheimer's Association (AA), and…
GeriPal - A Geriatrics and Palliative Medicine PodcastSleep problems and Insomnia in Serious Illness: A Podcast with Cathy Alessi and Brienne Miner
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…
GeriPal - A Geriatrics and Palliative Medicine PodcastTelemedicine in a Post-Pandemic World: Joe Rotella, Brook Calton, Carly Zapata
There's a saying, "never let a crisis go to waste." The pandemic was horrific in many ways. One positive change that came about was the lifting of restrictions…
GeriPal - A Geriatrics and Palliative Medicine PodcastJumpstarting Goals of Care Convos: Erin Kross, Bob Lee, and Ruth Engelberg
Today's podcast is a follow up to our 2018 podcast with Randy Curtis about the Jumpstart intervention. On that podcast he and collaborators tested a combined…
GeriPal - A Geriatrics and Palliative Medicine PodcastHow State and Local Agencies on Aging Help Older Adults: A Podcast with Susan DeMarois, Greg Olsen, and Lindsey Yourman
You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master…
GeriPal - A Geriatrics and Palliative Medicine PodcastHospice in Prison Part 2: An interview with the Pastoral Care Workers
I don't know 'bout religion I only know what I see And in the end when I hold their hand It's both of us set free These are the ending lyrics to Bonnie Raitt's…
GeriPal - A Geriatrics and Palliative Medicine PodcastHospice in Prison Part 1: An interview with Michele DiTomas and Keith Knauf
In the early 1990's, California Medical Facility (CMF) created one of the nation's first licensed hospice units inside a prison. This 17-bed unit serves…
GeriPal - A Geriatrics and Palliative Medicine PodcastArtificial Intelligence: Charlotta Lindvall, Matt DeCamp, Sei Lee
Artificial Intelligence, or AI, has tremendous potential. We talk on this podcast about potential uses of AI in geriatrics and palliative care with natural…
GeriPal - A Geriatrics and Palliative Medicine PodcastDiabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee
Diabetes is common. When I'm on nursing home call, the most common page I receive is for a blood sugar value. When I'm on palliative care consults and…
GeriPal - A Geriatrics and Palliative Medicine PodcastGroup ACP and Equity: Sarah Nouri, Hillary Lum, LJ Van Scoy
Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Sarah Nouri, Hillary Lum, and LJ…
GeriPal - A Geriatrics and Palliative Medicine PodcastAGS Beers Criteria for Potentially Inappropriate Medication Use: A Podcast with Todd Semla and Mike Steinman
Hot off the press is a brand spanking new updated 2023 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. The Beers Criteria is…
GeriPal - A Geriatrics and Palliative Medicine PodcastPrevention of Dementia: Kristine Yaffe
We've had multiple GeriPal episodes about treatments for dementia, including aducanumab (here, here, and here) and lecanemab (here). As today's guest, Kristine…
GeriPal - A Geriatrics and Palliative Medicine PodcastWhy is working with adolescents and young adults so hard? Abby Rosenberg, Nick Purol, Daniel Eison, & Andrea Thach
I haven't worked with many adolescents and young adults (AYA, roughly teens to twenties). But when I have, I find that they're often some of the hardest…
GeriPal - A Geriatrics and Palliative Medicine PodcastGeriPal Special: Hopes and Worries for Hospice and Palliative Care
We have a special extra podcast this week. During the last AAHPM - HPNA meeting in Montréal, we went around asking attendees what one thing that they are most…
GeriPal - A Geriatrics and Palliative Medicine PodcastAging and Homelessness: Margot Kushel
In 1990 11% of homeless persons were older than 50. Today half are over age 50. Today we talk with Margot Kushel about how we got here, including: That sense…
GeriPal - A Geriatrics and Palliative Medicine PodcastThe importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto
Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from…
GeriPal - A Geriatrics and Palliative Medicine PodcastRCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley
Do we need an RCT to establish the worth of chaplaincy? Einstein once said, "Everything that can be counted does not necessarily count; everything that counts…
GeriPal - A Geriatrics and Palliative Medicine PodcastStorytelling in Medicine: A Podcast with Liz Salmi, Anne Kelly, and Preeti Malani
Two weeks ago on the GeriPal podcast we talked about why and how to write for the general public. This week we've invited three guests to share their stories…
GeriPal - A Geriatrics and Palliative Medicine PodcastIs Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega
In November of 2022, Ava Kofman published a piece in the New Yorker titled "How Hospice Became a For-Profit Hustle." Some viewed this piece as an affront to…
GeriPal - A Geriatrics and Palliative Medicine PodcastWriting for the Lay Public: Rosanne Leipzig and Louise Aronson
So you want to write a book. So you want to write a book! So…you want to write a book?!? Today we talk with two geriatricians: Rosanne Leipzig, author of…
GeriPal - A Geriatrics and Palliative Medicine PodcastPsychedelics - reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino
Psychedelics are having a moment. Enthusiasm is brimming. Legalization is moving forward in several states, following the lead of Oregon and Colorado. FDA is…
GeriPal - A Geriatrics and Palliative Medicine PodcastGabapentinoids - Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer
Gabapentin is the 10th most prescribed drug in the United States and use is increasing. In 2002, 1% of adults were taking gabapentinoids (gabapentin and or…
GeriPal - A Geriatrics and Palliative Medicine PodcastInvolving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly
You know when you walk out of a patient's room and have that sense, "This isn't going to go well." The patient is sick and getting sicker, and refuses to let…
GeriPal - A Geriatrics and Palliative Medicine PodcastThe Angry Patient: A podcast with Dani Chammas and Keri Brenner
Think about the last time a patient yelled at you in anger. How did you react? The last time this happened to me I immediately went on the defensive despite…
GeriPal - A Geriatrics and Palliative Medicine PodcastWhat can we learn from simulations? Amber Barnato
Amber Barnato is an expert in simulation studies. A health services researcher and palliative care physician, Amber lauds the ability of simulation studies to…
GeriPal - A Geriatrics and Palliative Medicine PodcastBooks on Becoming A Better Mentor (and Better Person): Bob Arnold
Sometimes you read a book and get a flash of insight - that "ah ha!" moment - about yourself and the ways you interact with others. That happened to me when…
GeriPal - A Geriatrics and Palliative Medicine PodcastOn Racism & Ageism: Ramona Rhodes, Sharon Brangman, Tim Farrell, and Nancy Lundebjerg
The Covid epidemic laid bare two major structural issues. First, Black and Latinx persons experienced much higher rates of mortality than other groups. Second…
GeriPal - A Geriatrics and Palliative Medicine PodcastImproving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman
In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and…
GeriPal - A Geriatrics and Palliative Medicine PodcastImproving Hospital Care for Older Adults through Acute Care for Elders (ACE Units): A Podcast with Kellie Flood and Stephanie Rogers
Acute Care for Elders (ACE Units) have been around for over a quarter of a century. Randomized trials of ACE units date back to 1996 when Seth Landefeld and…
GeriPal - A Geriatrics and Palliative Medicine PodcastConscientious Provision of MAID and Abortion: Robert Brody, Lori Freedman, Mara Buchbinder
Today's podcast may be a stretch for our listeners. Please stick with us. No matter what your position on medical aid in dying (I'm ambivalent) or abortion…
GeriPal - A Geriatrics and Palliative Medicine PodcastNegotiation and Dispute Resolution: A Podcast with Lee Lindquist and Alaine Murawski
From discussing "taking away the keys to the car" for a cognitively impaired older adult to decisions to limit life sustaining treatments at the end of life…
GeriPal - A Geriatrics and Palliative Medicine PodcastIs it time for geriatricians to get on board with lecanemab? Jason Karlawish and Ken Covinsky
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…
GeriPal - A Geriatrics and Palliative Medicine PodcastStorycatching: Podcast with Heather Coats and Thor Ringler
Eric and I weren't sure what to call this podcast - storytelling and medicine? Narrative medicine? We discussed it with today's guests Heather Coats…