UCSF doctors, Eric Widera & Alex Smith, invite the brightest minds in geriatrics, hospice, & palliative care to talk about topics that you care most about.
Joined July 2009
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- Followers 11,007
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339 Photos and videos
When should doctors say "no" to treatments that won't help? We talk to Jason Batten, @LizDzeng & @TevaBrender about the real-world, unwritten "workarounds" clinicians use when standard ICU guidelines fail on the ground.
π bit.ly/GeriPalEp408
Hosts @AlexSmithMD | @EWidera
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How do we move from recognizing #ElderMistreatment to building actual solutions? We dive into #caregiver strain, clinical "spidey senses," hospital protection teams more. Guests @Carrie_Ruby, Julia Hiner, & Tony Rosen.
πbit.ly/GeriPalEp407
Hosts @AlexSmithMD | @EWidera
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When #healthcare experts become the patients. We dive into elder care transitions, structural flaws in assisted living, and impact of #PrivateEquity on #VulnerablePopulations. Guests John Burton, Bill Applegate, & @MAldridgePhD.
πbit.ly/GeriPalEp406
@AlexSmithMD | @EWidera
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What even is a #geriatrician? Today we bring together @GoalsDriveCare, Jerry Gurwitz, @hfernandez01 & @geri_doc to wrestle with #geriatric identity, and why the field must stop lamenting shortages to dream big. #hpm
Post: bit.ly/GeriPalEp405
Hosts @AlexSmithMD | @EWidera
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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 β just honest ones.
Post: bit.ly/GeriPalEp404
Hosts @AlexSmithMD | @EWidera
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We break down the #OrganDonation Conversation β 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.
π bit.ly/GeriPalEp403
@AlexSmithMD | @EWidera
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#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
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Live from SΓ£o 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.
π Post: bit.ly/GeriPalEp401
π Hosts @AlexSmithMD | @EWidera
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GeriPal celebrates 400 episodes! Hosts @EWidera & @AlexSmithMD do a Hot Onesβstyle AMA πΆοΈ: #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
π Post: bit.ly/GeriPalEp400
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Rural #PalliativeCare isn't urban care in a smaller town. It's "MacGyver medicine" β champions cobbling care together with what exists. Guests @karlbezakmd, Jeanie Youngwerth, Adie Goldberg, & @vandekieftg. #hapc
π Post: bit.ly/GeriPalEp399
π Hosts @AlexSmithMD | @EWidera
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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
π Post: bit.ly/GeriPalEp398
π Hosts @AlexSmithMD | @EWidera
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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
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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.
π Post: bit.ly/GeriPalEp396
π Hosts @AlexSmithMD | @EWidera
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Is Alzheimer's a clinical symptom or just a #biomarker? Weβre diving into the "A-words"β #amyloid, antibodies, and #Alzheimersβwith three top experts - Halima Amjad, Barak Gaster, & Heather Whitson. #dementia
π Post: bit.ly/GeriPalEp395
π Hosts @AlexSmithMD | @EWidera
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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!
π Post: bit.ly/GeriPalEp394
π Hosts @AlexSmithMD | @EWidera
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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
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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.
πbit.ly/GeriPalEp392
@AlexSmithMD | @EWidera
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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-pubcrawlβ¦
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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.
πbit.ly/GeriPalEp391
@AlexSmithMD | @EWidera
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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.
π Post: bit.ly/GeriPalEp390
π Hosts @AlexSmithMD | @EWidera
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