GeriPal - A Geriatrics & Palliative Care Podcast

What is it really like to prescribe Medical Aid in Dying? Drs. Carly Zapata & @ChammasDani open up about moral ambivalence, clinician grief, and the ethical "gray zones" of #MAiD. No easy answers — just honest ones. Post: bit.ly/GeriPalEp404 Hosts @AlexSmithMD | @EWidera

We break down the #OrganDonation Conversation — what clinicians often get wrong, why it's governed by gift law, and why donor families often say "donation saved us." Guests Toby Campbell, Nikole Neidlinger, & Samantha Taylor. 👉 bit.ly/GeriPalEp403 @AlexSmithMD | @EWidera

#BasalCell is the #1 cancer in the US. But for #OlderAdults, watchful waiting may be the right call. We dive into #GeriatricDermatology (#GeriDerm) + itching, moisturizers, & more with @linos_eleni & @DanielButlerMD. Post: bit.ly/GeriPalEp402 Hosts @AlexSmithMD | @EWidera

Live from São Paulo: Brazilian geriatricians join GeriPal to discuss intrinsic capacity, loneliness as a medical syndrome, and advance care planning. Guests Eduardo Ferriolli, @marlon_aliberti, & Edison Vidal. 👉 Post: bit.ly/GeriPalEp401 😀 Hosts @AlexSmithMD | @EWidera

GeriPal celebrates 400 episodes! Hosts @EWidera & @AlexSmithMD do a Hot Ones–style AMA 🌶️: #AI in medicine, future of #PalliativeCare, joy in #geriatrics, what they'd do differently after 10 years + more. Guest hosts Lynn Flint & Anne Kelly. #hpm 👉 Post: bit.ly/GeriPalEp400

Rural #PalliativeCare isn't urban care in a smaller town. It's "MacGyver medicine" — champions cobbling care together with what exists. Guests @karlbezakmd, Jeanie Youngwerth, Adie Goldberg, & @vandekieftg. #hapc 👉 Post: bit.ly/GeriPalEp399 😀 Hosts @AlexSmithMD | @EWidera

Researchers from UCLA and UCSF join GeriPal to discuss a Pragmatic Trial using EHR nudges and navigators to increase #AdvanceCarePlanning. Guests @DrAnneMWalling, Neil Wenger, & Rebecca Sudore. #hpm #hapc 👉 Post: bit.ly/GeriPalEp398 😀 Hosts @AlexSmithMD | @EWidera

CMS's Age-Friendly Hospital Measure to improve care for #OlderAdults. We discuss the 4Ms framework and the move from disease-centric care to person-centered care. Guests @j_r_a_m, Stephanie Rogers, & Shari Ling. #hpm Post: bit.ly/GeriPalEp397 Hosts @AlexSmithMD | @EWidera

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