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 PodcastTransforming the Culture of Dementia Care: Podcast with Anne Basting, Ab Desai, Susan McFadden, and Judy Long
What would it take to transform dementia care? While a lot of hope and money is being put into new monoclonal amyloid antibodies like lecanemab, the evidence…
GeriPal - A Geriatrics and Palliative Medicine PodcastAssisted Living Communities: Podcast with Sheryl Zimmerman, Kenny Lam, and Ken Covinsky
Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? That's the central…
GeriPal - A Geriatrics and Palliative Medicine PodcastLoss, Grief, and Wellness Debriefings: A Podcast with Matt Loscalzo, Vickie Leff, and Craig Blinderman
Health care professionals are human, and as humans we experience loss both in and out of work. You'd imagine though that our professional expertise and…
GeriPal - A Geriatrics and Palliative Medicine PodcastNew Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee
Dr. Faith Fitzgerald once quipped that prognostic modeling is the "punctilious quantification of the amorphous." She has a point. Prognosis is inherently…
GeriPal - A Geriatrics and Palliative Medicine PodcastDemystifying the Role of HHS and ASPE in Guiding Federal Aging Policy and Priorities with Dr. Tisamarie Sherry
The Department of Health and Human Services helps to guide billions of dollars in investment and direction in research, policy, and health care. The Assistant…
GeriPal - A Geriatrics and Palliative Medicine PodcastUpdates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani
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…
GeriPal - A Geriatrics and Palliative Medicine PodcastEvidence-Based Messaging for Serious Illness Care: A Podcast with Tony Back and Marian Grant
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…
GeriPal - A Geriatrics and Palliative Medicine PodcastAdvanced Pain Management in Cancer: Janet Abrahm
Have you had difficulty managing a particular type of cancer pain? For me it's radiation induced mucositis/esophagitis. Janet Abrahm is one of the world's…
GeriPal - A Geriatrics and Palliative Medicine PodcastAvoiding the Uncanny Valley in Serious Illness Communication: Josh Briscoe
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…
GeriPal - A Geriatrics and Palliative Medicine PodcastAortic Stenosis, TAVRs, and Code Status: A Podcast with Gwen Bernacki and Ashok Krishnaswami
Transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of valvular heart disease for patients with severe aortic stenosis, a condition…
GeriPal - A Geriatrics and Palliative Medicine PodcastProlonged Grief Disorder: Holly Prigerson
Holly Prigerson recalls the moments in which she started investigating prolonged grief disorder. She recalls being "a social scientist [Holly] in room a full…
GeriPal - A Geriatrics and Palliative Medicine PodcastSocial Workers as Leaders on Palliative Care Teams: A Podcast with Barbara Jones
In day-to-day practice, It's hard to imagine providing excellent hospice or palliative care services without access to a team social worker. Social workers…
GeriPal - A Geriatrics and Palliative Medicine PodcastPrivate Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt
Two major shifts are transforming the landscape of hospice. First, private equity firms are gobbling up hospices. As Melissa Aldridge, a health services…
GeriPal - A Geriatrics and Palliative Medicine PodcastPalliative Care Pioneer: Susan Block
Today we have the honor of interviewing Susan Block, MD, one of the pioneering leaders in the fields of palliative care, particularly psychosocial aspects of…
GeriPal - A Geriatrics and Palliative Medicine PodcastDeprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy
A year ago we did our first "Deprescribing Super Special". Today we are coming back for more (or less given the content), talking about the following articles…
GeriPal - A Geriatrics and Palliative Medicine PodcastPalliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri
We are fortunate today to interview two oncologists whose research has catapulted palliative care forward: Jennifer Temel, author of the landmark NEJM study on…
GeriPal - A Geriatrics and Palliative Medicine PodcastTime to stop driving? Podcast with Emmy Betz and Terri Cassidy
The science of balancing safety and independence of older drivers has come a long way. Some key points from our podcast today with Emmy Betz (emergency…
GeriPal - A Geriatrics and Palliative Medicine PodcastWhat Lessons Have We Learned from the First COVID Surges? A Podcast with Jim Wright & Darrell Owens
"Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. Seventeen of your…
GeriPal - A Geriatrics and Palliative Medicine PodcastExploring the Nature of Chronic Pain with Haider Warraich
On today's podcast we welcome back Haider Warraich to talk about pain. Now this may surprise our frequent listeners as we have had Haider on before to talk…
GeriPal - A Geriatrics and Palliative Medicine PodcastDementia and high risk surgery: Joel Weissman and Samir Shah
You have a patient with dementia severe enough that she cannot recognize relatives. She falls and breaks her hip. Should she have an operation, and risk the…
GeriPal - A Geriatrics and Palliative Medicine PodcastHow to discuss stopping screening: Mara Schonberg
Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening…
GeriPal - A Geriatrics and Palliative Medicine PodcastManaging Urinary Symptoms and UTI's in Older Adults: A Podcast with Christine Kistler and Scott Bauer
There are a lot of old myths out there about managing urinary tract symptoms and UTI's in older adults. For example, we once thought that the lower urinary…
GeriPal - A Geriatrics and Palliative Medicine PodcastWho should get Palliative Care? Kate Courtright
In the US, geriatrics "grew up" as an academic profession with a heavy research base. This was in part due to the tremendous support of the National Institute…
GeriPal - A Geriatrics and Palliative Medicine PodcastWhat We Now Know About COVID Prevention and Treatment: A Podcast with Monica Gandhi
We are two and a half years into the COVID pandemic. We've lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU's…
GeriPal - A Geriatrics and Palliative Medicine PodcastShould we prioritize the unvaccincated for treatment? Govind Persad and Emily Largent
It's been a while since we've done a Covid/bioethics podcast (see prior ethics podcasts here, here, here, and here). But Covid is not over and this pandemic…
GeriPal - A Geriatrics and Palliative Medicine PodcastRethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle
A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a…
GeriPal - A Geriatrics and Palliative Medicine PodcastPalliative Care in India: M.R. Rajagopal
In today's podcast we talk with Dr. Rajagopal (goes by "Raj"), one of the pioneers of palliative care in India. Raj is an anesthesiologist turned palliative…
GeriPal - A Geriatrics and Palliative Medicine PodcastHearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen
Think about the last time you attended a talk on communication skills or goals of care discussions. Was there any mention about the impact that hearing loss…
GeriPal - A Geriatrics and Palliative Medicine PodcastComics and Humor in Palliative Care: A Podcast with Nathan Gray
Comics. Cartoons. Graphic Novels. Graphic Medicine. I'm not sure what to title this podcast but I've been looking forward to it for some time. Heck, I'm not…
GeriPal - A Geriatrics and Palliative Medicine PodcastPoetry & Palliative Care: Podcast with Mike Rabow and Redwing Keyssar
In celebration of National Poetry Month, we are delighted to share with you the second podcast in our series on poetry and medicine. In the first podcast, we…
GeriPal - A Geriatrics and Palliative Medicine PodcastBuprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho
Buprenorphine. It's been around for a long time but is acting like the hot new kid in town. Just look at this year's AAHPM meeting, where it felt like every…
GeriPal - A Geriatrics and Palliative Medicine PodcastPoetry about Aging: Marilyn McEntyre and Guy Micco
In her essay "Why Read a Poem in a Time Like This?", Marilyn McEntyre writes: All of us need it. We need it because good poems do something prose can't do…
GeriPal - A Geriatrics and Palliative Medicine PodcastAdvance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold
One of my favorite Piece of My Mind essays in JAMA is by Rebecca Sudore, titled, "Can We Agree to Disagree?" And today our guests agree to disagree. And yet…
GeriPal - A Geriatrics and Palliative Medicine PodcastUnderstanding the Variability in Care of Nursing Home Residents with Advanced Dementia
If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. While we like to think…
GeriPal - A Geriatrics and Palliative Medicine PodcastAging and the ICU: Podcast with Lauren Ferrante and Julien Cobert
A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to…
GeriPal - A Geriatrics and Palliative Medicine PodcastShould We Shift from Advance Care Planning to Serious Illness Communication?
There is a lively debate going on in academic circles about the value of Advance Care Planning (ACP). It's not a new debate but has gathered steam at least in…
GeriPal - A Geriatrics and Palliative Medicine PodcastBisphosphonates for Osteoporosis: Podcast with James Deardorff and Sei Lee
My mom is an Asian woman in her 70s with osteoporosis. She tried an oral bisphosphonate and had horrible esophagitis. She said never again, though she…
GeriPal - A Geriatrics and Palliative Medicine PodcastInternational Palliative Care: A Podcast with Kathy Foley, Stephen Connor, Eric Krakauer
This week many of our listeners will gather for the annual American Academy of Hospice and Palliative Medicine (AAHPM) & Hospice and Palliative Nursing…
GeriPal - A Geriatrics and Palliative Medicine PodcastStructural, Institutional, and Interpersonal Racism: Podcast with Deborah Ejem and Deep Ashana
In prior podcasts we talked about racism and COVID, lack of diversity in the palliative care workforce, racial and ethnic differences in end of life care, and…
GeriPal - A Geriatrics and Palliative Medicine PodcastEnd Stage Liver Disease: Podcast with Jen Lai, Ricky Shinall, Nneka Ufere, and Arpan Patel
Patients with end stage liver disease and decompensated cirrhosis have an average life expectancy of 2 years without transplant. Outcomes are worse among those…
GeriPal - A Geriatrics and Palliative Medicine PodcastMedicare Advantage, Special Needs Plans, and the Hospice Carve-In: A podcast with Dr. Claire Ankuda and Dr. Cheryl Phillips
More Health Policy this week! Today, we discuss "SNPs" but this is not a podcast about haircuts during the pandemic. We take a deeper dive into the world of…
GeriPal - A Geriatrics and Palliative Medicine PodcastMedicare Advantage and the "Medicare Money Machine": Guests Dr. Don Berwick & Dr. Rick Gilfillan
Investor money and venture capital funding is pouring into Medicare Advantage (MA) plans. Enrollment in MA plans has more than doubled from 12 million members…
GeriPal - A Geriatrics and Palliative Medicine PodcastAmyotrophic lateral sclerosis (ALS) - What every Geriatrician and Palliative Care Clinician Should Know
Three months ago we did a podcast with Randy Curits about his recent diagnosis of ALS in March and what it was like for someone who studies and cares for…
GeriPal - A Geriatrics and Palliative Medicine PodcastCelebrating GeriPal's 200th with Leaders in Geriatrics and Palliative Care
It's GeriPal's 200th episode. Yup, we started the podcast in 2016 and over the years we have grown from basically podcasting for Alex's mom to now getting over…
GeriPal - A Geriatrics and Palliative Medicine PodcastGeriatric Oncology: Podcast with Melisa Wong and Louise Walter
Geriatric Oncology has arrived. Yes, Louise Walter has been leading the fight to improve cancer screening in older adults for years. But when it came to…
GeriPal - A Geriatrics and Palliative Medicine PodcastGeriatric Anesthesia: Podcast with Mark Neuman, Liz Whitlock, and Cindy Hsu
Geriatric anesthesia is a thing. The average age of people getting surgery is increasing. Anesthesiologists and surgeons feel that with new techniques and…
GeriPal - A Geriatrics and Palliative Medicine PodcastBurnout and Resiliency: A Podcast with Janet Bull and Arif Kamal
The great resignation is upon us. One in five health-care workers has left their job since the pandemic started. Geriatrics and palliative care are not immune…
GeriPal - A Geriatrics and Palliative Medicine PodcastSpiritual Care in Palliative Care: A Podcast with Allison Kestenbaum, Katy Hyman, and Paul Galchutt
I don't consider myself spiritual. For some in palliative care, this would be considered heresy as we are told "everyone is spiritual." But, hey, I'm not. So…
GeriPal - A Geriatrics and Palliative Medicine PodcastEvery deep drawn breath: Podcast with Wes Ely
Though "breath" is in the title of Wes Ely's book (and his song choice by the Police), relationships are its beating heart. The book operates on two levels. On…
GeriPal - A Geriatrics and Palliative Medicine PodcastThe Messiness of Medical Decision Making in Advanced Illness: A Podcast with James Tulsky
Anyone who cares for individuals with serious illness must live in a messy space where tough conversations about treatment decisions are common and…
GeriPal - A Geriatrics and Palliative Medicine PodcastReducing Prolonged Admissions: Podcast with Kenny Lam, Jessica Eng, Sarah Hooper, and Anne Fabiny
"The secret sauce of the Transitions, Referral and Coordination (TRAC) team was including a lawyer." This is brilliant and will ring true to those of us who…
GeriPal - A Geriatrics and Palliative Medicine PodcastMeaningful Activities: Podcast with Anna Oh and Theresa Allison
Most studies in geriatrics have used metrics such as survival time or disability in activities of daily living as their outcome measure. Many palliative care…
GeriPal - A Geriatrics and Palliative Medicine Podcast"Real world" eligibility for aducanumab: A Podcast with Tim Anderson and Marco Canevelli
The FDA label for the amyloid antibody aducanumab (Aduhelm) started off exceedingly broad, basically including anyone with Alzheimer's disease, but was…
GeriPal - A Geriatrics and Palliative Medicine PodcastPrimary Palliative Care for Cancer: Podcast with Yael Schenker and Bob Arnold
"The take home message of this study is NOT that primary palliative care does not work." So says Yael Schenker of the negative study of an oncology nurse-led…
GeriPal - A Geriatrics and Palliative Medicine PodcastTime Limited Trials in the ICU: A Podcast with Dong Chang and Richard Leiter
Time-limited trials. We've all probably used them before. We meet with patients and families. We agree to either start or continue a particular treatment to…
GeriPal - A Geriatrics and Palliative Medicine PodcastIs nudging patients ethical? Podcast with Jenny Blumenthal-Barby and Scott Halpern
I'm going to start this introduction the way Eric ended our podcast. You are a GeriPal listener. Like us, you care deeply about our shared mission of improving…
GeriPal - A Geriatrics and Palliative Medicine PodcastLiving with and studying serious illness: Podcast with Randy Curtis
Randy Curtis, a paragon of palliative care research, was diagnosed with ALS in March. Randy is in a unique position as someone who studies and cares for people…
GeriPal - A Geriatrics and Palliative Medicine PodcastPalliative Care's Diversity Problem: A Podcast with Lindsay Bell, Tessie October, and Riba Kelsey
alliative care has a diversity problem. The workforce of palliative care looks nothing like the patient population that we care for in the hospital and in our…
GeriPal - A Geriatrics and Palliative Medicine PodcastGrief and Academia: Podcast with Krista Harrison
Much has been written in geriatrics and palliative care about anticipatory grief, about the grief of caregivers, and even the grief clinicians experience…
GeriPal - A Geriatrics and Palliative Medicine Podcast#AcademicLifeHacks: A Podcast About Tips and Tricks to Thrive in Academic Medicine
Today's podcast is on academic life hacks, those tips and tricks we have seen and developed over the years to succeed in academic medicine in fields that are…