Shows
GeriPal - A Geriatrics and Palliative Care PodcastCannabis in Older Adults: A Podcast with Bree Johnston and Ben HanCannabis use by older adults has increased substantially over the last decade, a trend that has paralleled the legalization of its use for medical and recreational purposes. In that same time, there has been a decreased perceived risk associated with cannabis use in older adults as noted in a recent study published in JAGS. On today’s podcast we talk with Drs. Bree Johnston and Ben Han about what the health care providers role is in cannabinoid prescribing and advising when caring for older adults. We try to cover a lot in this podcast, including som...2021-07-2244 min
GeriPal - A Geriatrics and Palliative Care PodcastTime to Benefit of Statins for Primary Prevention: A Podcast with Lindsey Yourman and Sei LeeHow long does it take to see a benefit of statin therapy for primary prevention of cardiovascular events in adults aged 50 to 75 years? That's the question we try to answer with our two guests today, Drs Lindsey Yourman and Sei Lee, the lead and senior author of a JAMA IM study that tried to answer this question. In this podcast Drs. Yourman and Lee define what time to benefit is, why it is important in regards to decision making for older adults, and common lag time to benefits for common preventative interventions. We then take a deep di...2020-11-2044 min
GeriPal - A Geriatrics and Palliative Care PodcastCommunication Skills in a time of Crises: A Podcast with VitalTalk Faculty Drs. Back and AndersonDespite being in the field over 15 years, I've never felt so far outside my comfort zone as as palliative care provider as I have felt in the last four months. A worldwide pandemic of a novel virus had me questioning how I communicate prognostic information when uncertainty was one of the few things I was certain about. It also pushed me to have these conversations via telemedicine, something I was previously more than happy to leave as a tool for only outpatient providers. The pandemic and the murder of George Floyd brought to the forefront the systemic racism that permeates...2020-06-1853 min
GeriPal - A Geriatrics and Palliative Care PodcastRationing of Scarce COVID-19 Drug Treatments: A Podcast with Drs. DeJong, Chen, and WhiteThe question of who should get limited supplies of drugs that treat COVID-19 is not a theoretical question, like what seems to have happened with ventilators in the US. This is happening now. Hospitals right now have limited courses of remdesivir. For example the University of Pittsburgh hospital system has about 50 courses of remdsivir. They expect it to last to mid-June, enough for about 30% of patients who will present in the next 3 weeks. Who do you give it to? The first that present to the hospital (give it all away in the first week)? Random lottery? Or something else that...2020-06-0249 min
GeriPal - A Geriatrics and Palliative Care PodcastDo Sitters Prevent Falls for Hospitalized Patients?One million inpatient falls occur annually in U.S. acute care hospitals. Sitters, also referred to as Continuous Patient Aids (CPA's) or safety attendants, are frequently used to prevent falls in high-risk patients. While it may make intuitive sense to use sitters to prevent falls, it does beg the question, what's the evidence that they work? We discussed with Drs. Adela Greeley and Paul Shekelle from the West Los Angeles Veterans Affairs Medical Center their recent systematic review published in Annals of Internal Medicine. Their review identified 20 studies looking at this issue (none of which are randomized trials). To sum...2020-05-1530 min
The Surgical Palliative Care PodcastSpecial Edition: Joint Episode with the GeriPal Podcast!#010 - Join host Dr. Red Hoffman as she joins the long-running GeriPal Podcast to discuss all things surgical palliative care. As is the tradition on the GeriPal podcast, Red gets serenaded by GeriPal co-hosts Drs. Eric Widera and Alex Smith, along with guest co-host Dr. Joe Lin. They then go on to chat about the definition of surgical palliative care, the importance of building relationships between surgeons and palliative care providers and the common misconceptions that both disciplines have about each other. They review a recent retrospective study of the utilization of palliative care in VA patients undergoing high-risk sur...2020-05-0843 min
GeriPal - A Geriatrics and Palliative Care PodcastHow are hospices responding to the COVID pandemic? Podcast with Kai Romero and Todd CoteThe vast majority of hospice services are delivered in patient's homes or other places of residence like nursing homes. This makes the traditional model of hospice care vulnerable in this coronavirus pandemic, especially in the era of social distancing and limited personal protective equipment (PPE). So how are hospice's responding to the COVID-19 pandemic? On this weeks podcast, we talk to two leaders of two large hospice agencies, Drs. Kai Romero and Todd Cote, to get their views on this question. Kai is the Chief Medical Office of Hospice by the Bay in California. Todd is the Chief Medical Officer...2020-04-1045 min
GeriPal - A Geriatrics and Palliative Care PodcastCOVID in New York 2: Podcast with Craig Blinderman, Shunichi Nakagawa, and Ana BerlinIn the latest in our series of talking with front line providers in the midst of the COVID pandemic, we talk with Drs. Craig Blinderman, Shunichi Nakagawa, and Ana Berlin of the palliative care service at Columbia University Irving Medical Center. We cover a host of topics, including the urgent need to conduct advance care planning with our outpatients (including Craig's new Epic dotphrase below, and guide to COVID advance care planning); the need to be flexible to suit shifting demands; to stock up on iPads to engage patients/family members in goals of care discussions from outside the room...2020-03-3151 min
GeriPal - A Geriatrics and Palliative Care PodcastDepression at the end of life: Podcast with Elissa Kozlov and Claire AnkudaYou’ve probably heard patients say, “Of course I’m depressed, I’m dying. Wouldn’t you be?” This is a fundamental question - to what extent are depressive symptoms “normal” at the end of life? To what extent are they maladaptive, a fancy word for psychological conditions that have a negative impact on your life. In this week’s GeriPal podcast we talked with Elissa Kozlov, a psychologist-researcher at Rutgers, and Claire Ankuda, a palliative care physician-researcher at Mt. Sinai about their JAGS paper describing the epidemiology of depressive symptoms in the last year of life. This was an interesting conver...2020-01-2343 min
GeriPal - A Geriatrics and Palliative Care PodcastGeriatricizing the ICUFor today's GeriPal Podcast we talk with Drs. Nathan Brummel and Lauren Ferrante, both critical care physician-researchers, about integrating geriatrics principles in intensive care units.2018-07-0429 min