We discuss how Embedding Care (PTs, pharmacists, & social services) directly in the ED can reduce repeat fall-related visits by 66% and connect vulnerable seniors with life-saving community resources. #medsky 👉 Post: bit.ly/GeriPalEp391 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Great discussion with Dr. Bob Wachter about his new book on AI and Healthcare, "A Giant Leap." We discuss using AI for diagnosis, job loss concerns, risks of direct-to-patient chatbots, ethics + more! #medsky 👉 Post: bit.ly/GeriPalEp390 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Surprise: Routine perioperative #PalliativeCare may NOT improve outcomes for curative-intent cancer surgery. Lead authors of the SCOPE & PERIOP-PC trials join us to discuss these null results. #medsky 👉 Post: bit.ly/GeriPalEp389 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Is the future of #PalliativeCare moving into the community? 🏡 We dive into #ValueBasedCare, the risks of "Palliative Lite," and how innovation is expanding access for patients with #SeriousIllness. 🩺 #medsky 👉 Post: bit.ly/GeriPalEp388 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social l

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. #medsky 👉 Post: bit.ly/GeriPalEp387 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Why we need quality improvement (QI) collaboratives, registries, and benchmarking, and the immense potential this has to enhance #PalliativeCare. Guests Steve Pantilat, David Currow, and Arif Kamal. #medsky   👉 Post: bit.ly/GeriPalEp386 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky Guests Sara Johnson, Yael Schenker, & Anne Kelly. 👉 Post: bit.ly/GeriPalEp385 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Link to the JAGS article “Rehab and Death: Improving End-of-Life Care for Medicare Skilled Nursing Facility Beneficiaries.” #medsky agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

Rehab & Death in Skilled Nursing Facilities is a vicious cycle: Sarguni Singh, Christian Furman, & Lynn Flint explain how hope, policy gaps, & payment rules shape these transitions—and why change is needed. #medsky 👉 Post: bit.ly/GeriPalEp384 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

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. #medsky 👉 Post: bit.ly/GeriPalEp383 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

The Chaplain and the Doctor: A Podcast with Betty Clark and Jessica Zitter ⁦‪ @geripal.bsky.social geripal.org/the-chaplain...

A chaplain (Betty Clark) and a doctor (Jessica Zitter) reflect on their new documentary, The Chaplain and the Doctor, and the ways personal stories and biases shape our interactions in healthcare. #medsky   👉 Post: bit.ly/GeriPalEp382 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Hospice & Palliative Care leaders reflect on the past 50 years—and the urgent need to raise standards, ensure access, & lead with love in a profit-driven system. Ira Byock, Kristi Newport, Brynn Bowman. #medsky   👉 Post: bit.ly/GeriPalEp381 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Sickle cell disease brings lifelong challenges—from severe pain to systemic inequities. Today our guests share how palliative care supports patients through compassion, trust, and whole-person care. 💜 #medsky 👉 Post: bit.ly/GeriPalEp380 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Join us! @ewidera.bsky.social & @alexsmithmd.bsky.social are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm PT. The topic is "What we've learned from nearly 400 GeriPal podcasts." Join via zoom or in person. Via zoom: ucsf.zoom.us/webinar/regi... See graphic for more info. #medsky

Join us! @ewidera.bsky.social & @alexsmithmd.bsky.social are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm PT. The topic is "What we've learned from nearly 400 GeriPal podcasts." Join via zoom or in person. Via zoom: ucsf.zoom.us/webinar/regi... See graphic for more info. #medsky

Billing in geriatrics doesn’t have to be confusing—or undervalued. Our guests share how to get paid fairly for the complex, team-based work geriatricians do—while supporting quality care for older adults. #medsky 👉 Post: bit.ly/GeriPalEp379 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Are Slow Codes ever ethical? We dive into the gray area of CPR, shallow compressions, walk don't run, compassion with deceit, outcomes vs values, bioethics vs real world, trust, + more. #medsky 👉 Post: bit.ly/GeriPalEp378 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

GeriPal Live at NPCRC Foley Retreat! We talk with Prasanna Ananth, Dio Kavalieratos, & Alexi Wright about why palliative care clinicians get fired, global care equity, and cancer treatment behind bars. #medsky   👉 Post: bit.ly/GeriPalEp377 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

#GeriPal #hospice #palliativecare #medsky #hapc #hpm

GeriPal Live! at CAPC: Matt Gonzales on AI & #palliativecare, Kim Curseen on outpatient training gaps, Karen Bullock on equity in #hospice and palliative care. Plus a fun sing-along finale! #medsky #hpm #hapc 👉 Post: bit.ly/GeriPalEp376 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

A response to a thought-provoking conversation on @geripal.bsky.social familymeetingnotes.substack.com/p/whats-a-go... #medsky #hapc

And the episode of @geripal.bsky.social ! geripal.org/what-makes-a...

Geriatricians Houman Javedan & Vicky Tang discuss Preoperative Assessments for Older Adults, emphasizing CGAs, frailty screening, and the Geriatric Surgery Verification program to optimize outcomes. #medsky 👉 Post: bit.ly/GeriPalEp375 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

What makes a "good death"? We dive into landmark studies: Karen Steinhauser on pain, peace & awareness; Edison Vidal & Rasa Mikelyte on UK/Brazil dementia views—choice vs. faith. Key: Listen to patients! #medsky   👉 Post: bit.ly/GeriPalEp374 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

A podcast on medical billing & coding? Yes! Billing isn’t hard. Know your worth & bill for it, even if the visit doesn't FEEL hard as it can help pay for team members who often can't bill, and it benefits the patients.   👉 Post: bit.ly/GeriPalEp373 😀 Hosts: Drs. Alex Smith and Eric Widera

GeriPACTs bring specialized team-based care to older veterans with complex needs - smaller panels, geriatric training & more social work/pharmacy support. But are they better than standard care? #medsky 👉 Blog post: bit.ly/GeriPalEp372 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

GeriPACTs bring specialized team-based care to older veterans with complex needs - smaller panels, geriatric training & more social work/pharmacy support. But are they better than standard care? #medsky 👉 Blog post: bit.ly/GeriPalEp372 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Do Dementia Care Management Programs Work? We’ve invited David Reuben & Greg Sachs to talk about their two respective trials, published in JAMA — D-CARE and IN-PEACE. #medsky 👉 Full episode: bit.ly/GeriPalEp371 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social #dementia #dementiacare

(1/3) In this podcast, Drs @ericwongmd.bsky.social (geriatrician, researcher, and KT Program grad student) & Thiago Silva, geriatrician-researcher (@uspoficial.bsky.social) discuss the comprehensive geriatrics assessment with the @geripal.bsky.social. Listen: bit.ly/4lZckxH

This was too much fun!!! Listen to the episode (there is some great music in it) and find out about our movement for care @patientrevolution.org

@ericwongmd.bsky.social, a geriatrician and researcher at St. Michael’s Hospital, recently joined to the @geripal.bsky.social podcast to explain what exactly a comprehensive geriatrics assessment is and to discuss his team’s recent study. #ResearchSky #UnityHealthResearch

We discuss the Comprehensive Geriatric Assessment, what it is, benefits, JAGS study showing it's more cost-effective vs usual care, & who it helps the most. #medsky    👉 Full Ep: bit.ly/GeriPalEp370 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Eric Wong & Thiago Avelino-Silva

Please listen to this recording 2x. Thank you @geripal.bsky.social. Looking forward to reading Dr. Montori's text care-fully.

We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky   We start with Todd's new pothole analogy😂   👉 Full episode: bit.ly/GeriPalEp369 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Art in Medical Education: How art museums can enhance empathy & awareness, and create deeper team bonds for health care professionals. #medsky   👉 Full episode: bit.ly/GeriPalEp368 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Amy Klein, Laura Morrison, and Gordon Wood

Guest Victor Montori's book, "Why We Revolt," decries the Industrialization of #healthcare. Clinicians become busier & patients are tasked with more work to self manage. #medsky 👉 Full episode at bit.ly/GeriPalEp367 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guest: Victor Montori

Providence Health Care System increased their Goals of Care conversation documentation from 7% to 85%. How did they achieve this? And how can you? #medsky 👉 Full episode bit.ly/GeriPalEp366 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Ira Byock, Chris Dale, and Matt Gonzales

How can we best manage #DeathAnxiety? While some don't worry about it, others, including patients and clinicians, grapple with its impact. #medsky   👉 Full episode at geripal.org/death-anxiet... 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Dani Chammas & Keri Brenner

Il y a 50 ans, Balfour Mount et Sue Britton ouvraient le premier service de soins palliatifs au Québec. Pour souligner l'événement, excellente conversation sur les racines des #soinspalliatifs avec @geripal.bsky.social, Sue Britton, Michael Kearney & Justin Sanders #50ansSoinsPalliatifsQC #santeqc

Should we individualize #bloodpressure targets for #olderadults? Or aim for a systolic BP of 120 mmHg in ALL older adults? Risks & benefits. Guests Mitra Jamshidian, Simon Ascher, & Mark Supiano. #medsky   👉 Full episode at bit.ly/GeriPalEp364 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Renn and friend Evan on hike to Stubai glacier in Tyrollean alps, Austria. (Look closely @geripal.bsky.social)

Should #PalliativeCare be in the business of caring for #CancerSurvivors? It’s more complicated than it seems. We talk with Laura Petrillo and Laura Shoemaker about this topic. #medsky #cancersurvivor 👉 Full episode at bit.ly/GeriPalEp363 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

How we handle death and what needs to change. Full episode at geripal.org/between-two-...

#HealthShocks like hip fractures or pneumonia can cause major declines in #dementia patients. Widowhood & wealth loss also worsen outcomes. Strong safety nets may help. Guests Lauren Hunt, Rebecca Rodin, Tsai-Chin Cho. #medsky bit.ly/GeriPalEp362 - @alexsmithmd.bsky.social | @ewidera.bsky.social

Being that it's Pride Month, our focus today is on the Health, Aging, & Advocacy of transgender Older Adults with guests Noelle Marie Javier (palliative care doc at Mt Sinai) & Jace Flatt (Assoc. Prof. at UNLV). #medsky   bit.ly/GeriPalEp361 - hosts @alexsmithmd.bsky.social l | @ewidera.bsky.social

If you ever had questions about Radiation Oncology, we aim to clear that up, from the initial planning visit to the final treatment + more. Guests Anish Butala, Emily Martin, & Evie Kalmar. #medsky   bit.ly/GeriPalEp360 - hosts @alexsmithmd.bsky.social l | @ewidera.bsky.social

The need for better Palliative Care in nursing homes is significant. So how do we achieve that? And what are the obstacles? We talk with guests Connie Cole, Kathleen Unroe, and Cari Levy. #medsky   bit.ly/GeriPalEp359 - hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Can music play an important role for those at the end of life? What about for dementia patients and caregivers? We examine the role of Music as Medicine with 3 guests: Jenny Chen, Tyler Jorgensen, and Theresa Allison. #medsky   bit.ly/GeriPalEp357 - @alexsmithmd.bsky.social | @ewidera.bsky.social

#Dementia patients having Lucid Episodes can be impactful for family, loved ones, #caregivers, and others. We discuss this impact with nurse researcher Andrea Gilmore-Bykovskyi & philosopher Andrew Peterson. #medsky   bit.ly/GeriPalEp358 - hosts @alexsmithmd.bsky.social | @ewidera.bsky.social