GeriPal - A Geriatrics & Palliative Care Podcast

We discuss guest Athanase Benetos's study that found no difference in mortality between #deprescribing antihypertensives & usual care in frail nursing home residents. We also interview Mike Steinman for context. 👉 Post: bit.ly/GeriPalEp396 😀 Hosts @AlexSmithMD | @EWidera

Is Alzheimer's a clinical symptom or just a #biomarker? We’re diving into the "A-words"— #amyloid, antibodies, and #Alzheimers—with three top experts - Halima Amjad, Barak Gaster, & Heather Whitson. #dementia 👉 Post: bit.ly/GeriPalEp395 😀 Hosts @AlexSmithMD | @EWidera

Today we dive deep into Leadership, Quality, & the Future of #Hospice & #PalliativeCare with TCNtalks' Chris Comeaux & Cordt Kassner. Leadership challenges, mission vs money, fraud, research funding + much more! 👉 Post: bit.ly/GeriPalEp394 😀 Hosts @AlexSmithMD | @EWidera

We discuss the challenges of #Deprescribing at the #EndOfLife, from the "easy" calls (statins) to the hard ones (anticoagulants), & how to align meds with a patient's true goals. Guests Jennifer Tjia, @jfuruno, & Simon Mooijaart. bit.ly/GeriPalEp393 @AlexSmithMD | @EWidera

Should hospitals allow Unilateral DNR orders? We dive into this and the silent practice of assent DNRs, ethics, the wild west of state statutes, and bias in end-of-life care. Guests @GinaPiscitello, Erin DeMartino, & @WF_Parker. 👉bit.ly/GeriPalEp392 @AlexSmithMD | @EWidera

Join us at the GeriPal Pub Crawl The GeriPal pub crawl in San Diego during the Annual Assembly of #Hospice and #PalliativeCare. We start at 8pm on Thursday night, March 5th. Details are on the link below: geripal.org/geripal-pubcra…

Embedding Care (PTs, pharmacists, & social services) directly in the ED can reduce repeat fall-related visits by 66% & connect vulnerable seniors with life-saving community resources. Guests @LizGoldbergMD & Lauren Southerland. 👉bit.ly/GeriPalEp391 @AlexSmithMD | @EWidera

Great discussion with @Bob_Wachter about his new book on #AI and #Healthcare, "A Giant Leap." We discuss AI for diagnosis, job loss concerns, risks of direct-to-patient bots, time efficiencies, ethics + more. 👉 Post: bit.ly/GeriPalEp390 😀 Hosts @AlexSmithMD | @EWidera

Surprise: Routine perioperative #PalliativeCare may NOT improve outcomes for curative-intent cancer surgery. Lead authors of the SCOPE (@mcshinalljr) & PERIOP-PC (@AslaksonRebecca) trials join us to discuss these null results. - bit.ly/GeriPalEp389 - @AlexSmithMD | @EWidera

Is the future of #PalliativeCare moving into the community? We dive into #ValueBasedCare, the risks of "Palliative Lite," & how innovation is helping those with #SeriousIllness. Alan Chiu, Mindy Stewart-Coffee, & Ben Thompson. 👉bit.ly/GeriPalEp388 @AlexSmithMD | @EWidera

Today we explore Uncertainty in Medicine and the need to rethink & embrace uncertainty to better manage complexities of #medicine & build confidence in the face of the unknown. Guests @Jon_Ilgen & @Gurpreet2015. 👉 Post: bit.ly/GeriPalEp387 😀 Hosts @AlexSmithMD | @EWidera

Why we need #QualityImprovement (QI) collaboratives, registries, and benchmarking, and the immense potential this has to enhance #PalliativeCare. Guests @stevepantilat, David Currow, & @arifkamalmd. #MedTwitter 👉 Post: bit.ly/GeriPalEp386 😀 Hosts @AlexSmithMD | @EWidera

To what extent is it our job as consultants to navigate, manage, or attend to Clinician Distress? What happens if that clinician distress leads to conflict? Guests Sara Johnson, Yael Schenker, & Anne Kelly. #hpm 👉 Post: bit.ly/GeriPalEp385 😀 Hosts @AlexSmithMD | @EWidera

Rehab and Death in #SkilledNursingFacilities is a vicious cycle. @SarguniSingh, @cdfurm02, & Lynn Flint explain how hope, policy gaps, and payment rules shape these transitions—and why change is needed. #hpm 👉 Post: bit.ly/GeriPalEp384 😀 Hosts @AlexSmithMD | @EWidera

#Inflammaging—chronic, low-grade inflammation that rises with age—may be a key driver behind many chronic and acute diseases. We talk with 3 experts: Brian Andonian, Sara LaHue, & Joe Hippensteel. #AgingResearch 👉 Post: bit.ly/GeriPalEp383 😀 Hosts @AlexSmithMD | @EWidera

A chaplain (Betty Clark) and a doctor (@JessicaZitter) reflect on their new documentary, The Chaplain and the Doctor, and the ways personal stories and biases shape our interactions in healthcare. #hapc #chaplain 👉 Post: bit.ly/GeriPalEp382 😀 Hosts @AlexSmithMD | @EWidera

#Hospice & #PalliativeCare leaders reflect on the past 50 years—and the urgent need to raise standards, ensure access, and lead with love in a profit-driven system. Guests @IraByock, @kbnewport, & @BrynnBHealth. 👉 Post: bit.ly/GeriPalEp381 😀 Hosts @AlexSmithMD | @EWidera

#SickleCell disease causes immense pain & suffering—but #palliativecare can help by addressing pain, inequities, and trust to improve quality of life. Guests @CraigBlinderman, @stephbkiser, @DrO_MD_. #hpm 👉Post: bit.ly/GeriPalEp380 😀Hosts @AlexSmithMD | @EWidera

Join us! @EWidera and @AlexSmithMD are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm Pacific Time. Topic is "What we've learned from nearly 400 GeriPal podcasts." Join via zoom or in person. To join via zoom: ucsf.zoom.us/webinar/regist… See graphic below for more info:

#Geriatrics Billing doesn’t have to be confusing or undervalued. Learn to capture the complexity of geriatric care & use new codes like G2211 & APCM to support your team. Peter Hollmann, @CLEGeriatrics, Audrey Chun. Post: bit.ly/GeriPalEp379 Hosts @AlexSmithMD | @EWidera