CINXE.COM

<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <title>Coping with Serious Illness: Danielle Chammas and Amanda Moment</title> <link rel="canonical" href="https://castbox.fm/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330" > <link rel="dns-prefetch" href="https//s3.castbox.fm"> <link rel="dns-prefetch" href="https//everest.castbox.fm"> <link rel="dns-prefetch" href="https//data.castbox.fm"> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"> <meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=no" > <link rel="icon" href="https://s3.castbox.fm/app/castbox/static/images/logo_120.png" type="image/x-icon"> <meta name="apple-mobile-web-app-title" content="Castbox"> <meta name="apple-mobile-web-app-capable" content="yes"> <meta name="twitter:site" content="@CastBox_FM" > <meta name="twitter:creator" content="@CastBox_FM"> <meta name="twitter:domain" content="castbox.fm"> <meta name="twitter:card" content="summary" > <meta name="twitter:card" content="player" > <meta name="twitter:player" content="https://castbox.fm/app/castbox/player/id3520819/id755287330?v=03" > <meta property="twitter:player:height" content="500"> <meta property="twitter:player:width" content="500"> <meta name="twitter:player:width" content="500" > <meta name="twitter:player:height" content="500" > <meta property="og:image:width" content="600" > <meta property="og:image:height" content="600" > <meta property="twitter:title" content="Coping with Serious Illness: Danielle Chammas and Amanda Moment" > <meta property="twitter:image" content="https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg" > <meta property="twitter:description" content="<p>Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider ..." > <meta property="al:ios:url" content="castbox://episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330" > <meta property="al:ios:app_store_id" content="1100218439" > <meta property="al:ios:app_name" content="Castbox" > <meta property="al:android:url" content="castbox://episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330" > <meta property="al:android:package" content="fm.castbox.audiobook.radio.podcast" > <meta property="al:android:app_name" content="Castbox" > <meta property="al:web:url" content="https://castbox.fm/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330" > <meta property="fb:app_id" content="1840752496197771" > <meta property="og:type" content="article" > <meta property="og:site_name" content="Castbox" /> <meta property="og:url" content="https://castbox.fm/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330" > <meta property="og:image" content="https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg" > <meta property="og:title" content="Coping with Serious Illness: Danielle Chammas and Amanda Moment" > <meta property="og:description" content="<p>Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider ..." > <meta property="twitter:app:id:iphone" content="1243410543"> <meta property="twitter:app:id:googleplay" content="fm.castbox.audiobook.radio.podcast"> <meta name="description" content="<p>Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider ..." > <meta name="keywords" content="Free iPhone Podcast App, Free Podcast App, Rachel Maddow, Bill Bur Podcast, NPR, WNYC, WBEZ, This American Life, In-audio Search, What is Podcasting, Serial Podcast, On Demand Podcast, Public Radio" > <meta name="theme-color" content="rgba(64, 64, 64, 0.9)" /> <link rel="search" type="application/opensearchdescription+xml" href="https://castbox.fm/opensearch.xml" title="Castbox"> <link href="https://fonts.googleapis.com/css?family=Hind+Siliguri:300,400,500,600" rel="stylesheet"><link rel="stylesheet" type="text/css" href="https://s3.castbox.fm/app/castbox/static/css/slick.min.css" > <script type="application/ld+json"> {"@context":"http://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https://castbox.fm/home","name":"Channels","image":"https://s3.castbox.fm/app/castbox/static/images/logo.png"}},{"@type":"ListItem","position":2,"item":{"@id":"https://castbox.fm/channel/GeriPal---A-Geriatrics-and-Palliative-Care-Podcast-id3520819","name":"GeriPal%20-%20A%20Geriatrics%20and%20Palliative%20Care%20Podcast","image":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/200x200bb.jpg"}},{"@type":"ListItem","position":3,"item":{"@id":"https://castbox.fm/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330","name":"Coping%20with%20Serious%20Illness%3A%20Danielle%20Chammas%20and%20Amanda%20Moment","image":"https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg"}}]} </script> <link rel="manifest" id="pwaLink" href="/api/pwa/manifest.json"> <script type='text/javascript'> if (document.documentElement.clientWidth <= 720) { document.documentElement.style.fontSize = document.documentElement.clientWidth / 7.2 + 'px' } else { document.documentElement.style.fontSize = '100px' } window.onloadcallback=function(){} </script> <link data-chunk="global" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/vendors~global.96c36ed4.chunk.css"> <link data-chunk="global" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/global.c7478bb9.chunk.css"> <link data-chunk="castbox.main" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/castbox.main.ed6e5c24.chunk.css"> <link data-chunk="ep" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/ep.fe499db8.chunk.css"> </head> <body> <div id="root"><div class="castboxGlobal"><div style="width:0;height:0"><audio style="width:100%;height:100%" preload="auto"><source src="https://traffic.libsyn.com/secure/geripal/GeriPal_EP335_Coping_with_Serious_Illness.mp3?dest-id=2390675"/></audio></div><div class="castboxMain"><div class="mainBox"><div id="castboxHeader"><div class="castboxHeaderContainer"><div class="nav-item left navLogo"><a href="/"><img class="logoTextCover" src="https://s3.castbox.fm/webstatic/images/navLogo.c3d5a81b.png"/></a><a class="nav-item link" href="/home">Listen</a><a class="nav-item link" href="/categories/0">Top Shows</a><a class="nav-item link" href="/blog">Blog</a></div><div><div class="nav-item right topUserNav"><div class="userNav right"><div class="userNav-icon"><img class="userNav-img" src="https://s3.castbox.fm/webstatic/images/userIcon.06c408dc.png"/></div></div></div><div class="nav-item right upload"><a href="/creator/upload"><img class="img" src="https://s3.castbox.fm/webstatic/images/upload_icon.521c956a.png"/></a></div><div class="nav-item right search"><img class="img" src="https://s3.castbox.fm/webstatic/images/search_icon.3958760d.png"/></div></div></div></div><div style="padding-bottom:56px;min-height:100vh" id="childrenBox" class="childrenBox"><div class="topCon"></div><div class="topLeftCon"></div><div class="topRightCon"></div><div class="trackPlay clearfix childContent"><div style="text-align:left" class="guru-breadcrumb"><span class="guru-breadcrumb-item"><span style="max-width:40%" class="breadcrumb-text"><a href="/home">Discover</a></span><img class="breadcrumbImage" src="data:image/svg+xml;base64,PHN2ZyB3aWR0aD0iNyIgaGVpZ2h0PSIxMCIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj48cGF0aCBkPSJNMCA4Ljg1M2MwIDEuMTA0LjcxNyAxLjQ2OSAxLjYwMi44MTRsNC43MTMtMy40ODNjLjg4NS0uNjU0Ljg4Ni0xLjcxNCAwLTIuMzY4TDEuNjAyLjMzMkMuNzE3LS4zMjIgMCAuMDQ3IDAgMS4xNDd2Ny43MDZ6IiBmaWxsPSIjQkNCQ0JDIiBmaWxsLXJ1bGU9ImV2ZW5vZGQiLz48L3N2Zz4="/></span><span class="guru-breadcrumb-item"><span style="max-width:40%" class="breadcrumb-text"><a href="/channel/GeriPal---A-Geriatrics-and-Palliative-Care-Podcast-id3520819">GeriPal - A Geriatrics and Palliative Care Podcast</a></span><img class="breadcrumbImage" src="data:image/svg+xml;base64,PHN2ZyB3aWR0aD0iNyIgaGVpZ2h0PSIxMCIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj48cGF0aCBkPSJNMCA4Ljg1M2MwIDEuMTA0LjcxNyAxLjQ2OSAxLjYwMi44MTRsNC43MTMtMy40ODNjLjg4NS0uNjU0Ljg4Ni0xLjcxNCAwLTIuMzY4TDEuNjAyLjMzMkMuNzE3LS4zMjIgMCAuMDQ3IDAgMS4xNDd2Ny43MDZ6IiBmaWxsPSIjQkNCQ0JDIiBmaWxsLXJ1bGU9ImV2ZW5vZGQiLz48L3N2Zz4="/></span><span class="guru-breadcrumb-item active"><span style="max-width:40%" class="breadcrumb-text">Coping with Serious Illness: Danielle Chammas and Amanda Moment</span></span></div><div class="leftContainer"><div class="trackinfo"><div class="trackinfo-cover" data-episode_id="57f7e1f80e28804500fb24eb7df71bf4c602eedc-6277031448248b4fd492e9edcbc109f8529e80e0"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg" class="cover" alt="Coping with Serious Illness: Danielle Chammas and Amanda Moment" title="Coping with Serious Illness: Danielle Chammas and Amanda Moment"/></div></div><div class="trackinfo-titleBox"><h1 title="Coping with Serious Illness: Danielle Chammas and Amanda Moment" class="trackinfo-title"><div id="box-pro-ellipsis-173979416328464" class="box-ellipsis box-ellipsis-lineClamp"><style>#box-pro-ellipsis-173979416328464{-webkit-line-clamp:2;}</style><span>Coping with Serious Illness: Danielle Chammas and Amanda Moment</span></div></h1><div class="trackinfo-con-des"><span class="item">Update: 2024-11-21</span><span class="item"></span></div><div class="trackinfo-ctrls"><div class="player_play_btn pause loading " style="display:inline-block;cursor:pointer;margin-right:20px"></div><span><div class="sharePageBtn">Share</div></span></div></div><div class="trackinfo-des-title-wrapper"><p class="trackinfo-des-title ">Description</p></div><div class="trackinfo-des"><span class="box-ellipsis"><div><p>Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a particular time or situation?</p> <p>We are going to tackle this question and so many more about coping on this week's podcast with <a rel="nofollow"href="https://www.ucsfhealth.org/providers/dr-danielle-chammas">Dani Chammas</a>, a recurring GeriPal guest, psychiatrist, and palliative care doc at UCSF, and <a rel="nofollow"href="https://pallcare.hms.harvard.edu/faculty/node/74">Amanda Moment</a>, a Palliative Care Social Worker at Brigham and Women's Cancer Center. There are so many take-home points for me on this podcast, including this one on a framework for assessing coping in serious illness:</p> <ol> <li> <p>nonjudgmentally observe their coping</p> </li> <li> <p>wonder about the impacts of their coping</p> </li> <li> <p>prioritize helping patients maintain their psychological integrity</p> </li> <li> <p>mindfully think through how we can serve their coping in ways that they can tolerate, always calibrating based on the person, the moment, and the setting in front of us.</p> </li> </ol> <p><br /> <strong>Here are some more resources we’ve discussed in the podcast</strong></p> <ul> <li> <p>Dani’s NEJM article on coping: “<a rel="nofollow"href="https://www.nejm.org/doi/abs/10.1056/NEJMp2402142">Should I Laugh at That? Coping in the Setting of Serious Illness</a>”</p> </li> <li> <p>Dani’s GeriPal podcast with us on “<a rel="nofollow"href="https://geripal.org/improving-serious-illness-communication-by-formulations/">Improving Serious Illness Communication By Developing Formulations</a>”</p> </li> <li> <p>A great journal article on “<a rel="nofollow"href="https://journals.sagepub.com/doi/10.1177/10499091241300614">Formulation in Palliative Care: Elevating Our Potential for Therapeutic Communication</a>”</p> </li> <li> <p>A study on how palliative care may work by enhancing patients’ ability to access adaptive coping - “<a rel="nofollow"href="https://ascopubs.org/doi/10.1200/JCO.2017.73.7221">Role of Patient Coping Strategies in Understanding the Effects of Early Palliative Care on Quality of Life and Mood</a></p> </li> </ul> <p><strong><br /> <br /> ** NOTE: To claim CME credit for this episode, <a rel="nofollow"href="https://geripal.org/coping-with-serious-illness-danielle-chammas-and-amanda-moment/#cme">click here</a> **<br /> <br /></strong></p> <p> </p></div></span></div><div class="seeMorebtn seeMorebtn_up"><img class="img" src="data:image/png;base64,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"/></div></div><div class="trackPlay-comment"><div id="comments" class="commentList"><div class="commentList-title"><span>Comments </span></div><div class="addComment clearfix"><form class="addCommentForm"><div class="commentInputBox"><input type="text" value="" class="commentInputBox-input" placeholder="Sign in to Comment"/><input type="submit" style="display:none"/></div><div class="userCover"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="data:image/svg+xml;base64,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" class="userCover-img"/></div></div></form></div><div class="commentList-box"><div class="commentListCon"><div></div></div></div></div></div><div class="inner-links"><div class="title">Top Podcasts</div><div class="links"><a href="https://castbox.fm/blog/the-best-new-comedy-podcast-right-now-june-2024/" target="_blank">The Best New Comedy Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-news-podcast-right-now-june-2024/" target="_blank">The Best News Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-business-podcast-right-now-june-2024/" target="_blank">The Best New Business Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-sports-podcast-right-now-june-2024/" target="_blank">The Best New Sports Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-true-crime-podcast-right-now-june-2024/" target="_blank">The Best New True Crime Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-joe-rogan-experience-podcast-right-now-june-2024/" target="_blank">The Best New Joe Rogan Experience Podcast Right Now – June 20</a><a href="https://castbox.fm/blog/the-best-new-dan-bongino-show-podcast-right-now-june-2024/" target="_blank">The Best New Dan Bongino Show Podcast Right Now – June 20</a><a href="https://castbox.fm/blog/the-best-new-mark-levin-podcast-podcast-right-now-june-2024/" target="_blank">The Best New Mark Levin Podcast – June 2024</a></div></div></div><div class="rightContainer"><div class="rightContainer-item"><div class="TrackList"><div class="trackListCon"><div class="clearfix"><div class="trackListCon_title">In Channel</div></div><div class="trackListCon_list" style="height:600px"><div><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Plenary-Abstracts-at-AAHPMHPNA%3A-Yael-Schenker%2C-Na-Ouyang%2C-Marie-Bakitas-id3520819-id779187189"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/f/0/e/5/f0e5b9c6e7689eb416c3140a3186d450/GeriPal_EP343_forLibsyn.jpg" class="image" alt="Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas" title="Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas"/></div></a></div><div class="ep-item-con"><a href="/episode/Plenary-Abstracts-at-AAHPMHPNA%3A-Yael-Schenker%2C-Na-Ouyang%2C-Marie-Bakitas-id3520819-id779187189"><p title="Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas</span></p></a><p class="ep-item-con-des"><span class="item icon date">2025-02-13</span><span class="item icon time">47:19</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Plenary-Abstracts-at-AAHPMHPNA%3A-Yael-Schenker%2C-Na-Ouyang%2C-Marie-Bakitas-id3520819-id779187189"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/How-to-Make-an-Alzheimer's-Diagnosis-in-Primary-Care%3A-A-Podcast-with-Nathaniel-Chin-id3520819-id777185223"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/3/e/0/4/3e04b46f35fcfe5216c3140a3186d450/GeriPal_EP342_forLibsyn.jpg" class="image" alt="How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin" title="How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin"/></div></a></div><div class="ep-item-con"><a href="/episode/How-to-Make-an-Alzheimer's-Diagnosis-in-Primary-Care%3A-A-Podcast-with-Nathaniel-Chin-id3520819-id777185223"><p title="How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin</span></p></a><p class="ep-item-con-des"><span class="item icon date">2025-02-06</span><span class="item icon time">47:52</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/How-to-Make-an-Alzheimer's-Diagnosis-in-Primary-Care%3A-A-Podcast-with-Nathaniel-Chin-id3520819-id777185223"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Telehealth-vs-In-Person-Palliative-Care%3A-Guests-Joseph-Greer%2C--Lynn-Flint%2C-Simone-Rinaldi%2C-and-Vicki-Jackson-id3520819-id775111474"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/e6/87/66/5fd1b9a69434a62313861a5b73217fa33b_scaled_v1_400.jpg" class="image" alt="Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson" title="Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson"/></div></a></div><div class="ep-item-con"><a href="/episode/Telehealth-vs-In-Person-Palliative-Care%3A-Guests-Joseph-Greer%2C--Lynn-Flint%2C-Simone-Rinaldi%2C-and-Vicki-Jackson-id3520819-id775111474"><p title="Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson</span></p></a><p class="ep-item-con-des"><span class="item icon date">2025-01-30</span><span class="item icon time">51:14</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Telehealth-vs-In-Person-Palliative-Care%3A-Guests-Joseph-Greer%2C--Lynn-Flint%2C-Simone-Rinaldi%2C-and-Vicki-Jackson-id3520819-id775111474"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Deprescribing-Super-Special-III%3A-Constance-Fung%2C-Emily-McDonald%2C-Amy-Linsky%2C-and-Michelle-Odden-id3520819-id772939606"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/bc/5b/4f/398fcc0fdc908aeb574f21feb34db8a251_scaled_v1_400.jpg" class="image" alt="Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden" title="Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden"/></div></a></div><div class="ep-item-con"><a href="/episode/Deprescribing-Super-Special-III%3A-Constance-Fung%2C-Emily-McDonald%2C-Amy-Linsky%2C-and-Michelle-Odden-id3520819-id772939606"><p title="Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden</span></p></a><p class="ep-item-con-des"><span class="item icon date">2025-01-23</span><span class="item icon time">49:49</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Deprescribing-Super-Special-III%3A-Constance-Fung%2C-Emily-McDonald%2C-Amy-Linsky%2C-and-Michelle-Odden-id3520819-id772939606"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Caring-for-the-Unrepresented%3A-A-Podcast-with-Joe-Dixon%2C-Timothy-Farrell%2C-Yael-Zweig-id3520819-id770935229"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/d/5/e/5/d5e5dc001d44df33d959afa2a1bf1c87/GeriPal_EP339_forLibsyn.jpg" class="image" alt="Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig" title="Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig"/></div></a></div><div class="ep-item-con"><a href="/episode/Caring-for-the-Unrepresented%3A-A-Podcast-with-Joe-Dixon%2C-Timothy-Farrell%2C-Yael-Zweig-id3520819-id770935229"><p title="Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig</span></p></a><p class="ep-item-con-des"><span class="item icon date">2025-01-16</span><span class="item icon time">47:27</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Caring-for-the-Unrepresented%3A-A-Podcast-with-Joe-Dixon%2C-Timothy-Farrell%2C-Yael-Zweig-id3520819-id770935229"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Palliative-Care-for-Mental-Illness%3A-A-Podcast-with-Dani-Chammas-and-Brent-Kious-id3520819-id763707579"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/bf/ba/0b/bcbb8218000b3918bc3e4a6cce25a40798_scaled_v1_400.jpg" class="image" alt="Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious" title="Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious"/></div></a></div><div class="ep-item-con"><a href="/episode/Palliative-Care-for-Mental-Illness%3A-A-Podcast-with-Dani-Chammas-and-Brent-Kious-id3520819-id763707579"><p title="Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-12-19</span><span class="item icon time">49:44</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Palliative-Care-for-Mental-Illness%3A-A-Podcast-with-Dani-Chammas-and-Brent-Kious-id3520819-id763707579"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/AI-for-Surrogate-Decision-Making-!--Dave-Wendler%2C-Jenny-Blumenthal-Barby%2C-Teva-Brender-id3520819-id761761179"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/6/d/9/4/6d94a5fb147f8edb16c3140a3186d450/GeriPal_EP337_forLibsyn.jpg" class="image" alt="AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender" title="AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender"/></div></a></div><div class="ep-item-con"><a href="/episode/AI-for-Surrogate-Decision-Making-!--Dave-Wendler%2C-Jenny-Blumenthal-Barby%2C-Teva-Brender-id3520819-id761761179"><p title="AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-12-12</span><span class="item icon time">47:52</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/AI-for-Surrogate-Decision-Making-!--Dave-Wendler%2C-Jenny-Blumenthal-Barby%2C-Teva-Brender-id3520819-id761761179"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Stories-We-Tell-Each-Other-to-Heal%3A-Ricky-Leiter%2C-Alexis-Drutchas%2C-%26-Emily-Silverman-id3520819-id759438004"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/5/8/9/e/589eac7337b398fd16c3140a3186d450/GeriPal_EP336_forLibsyn.jpg" class="image" alt="Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman" title="Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman"/></div></a></div><div class="ep-item-con"><a href="/episode/Stories-We-Tell-Each-Other-to-Heal%3A-Ricky-Leiter%2C-Alexis-Drutchas%2C-%26-Emily-Silverman-id3520819-id759438004"><p title="Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-12-05</span><span class="item icon time">48:34</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Stories-We-Tell-Each-Other-to-Heal%3A-Ricky-Leiter%2C-Alexis-Drutchas%2C-%26-Emily-Silverman-id3520819-id759438004"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg" class="image" alt="Coping with Serious Illness: Danielle Chammas and Amanda Moment" title="Coping with Serious Illness: Danielle Chammas and Amanda Moment"/></div></a></div><div class="ep-item-con"><a href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"><p title="Coping with Serious Illness: Danielle Chammas and Amanda Moment" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Coping with Serious Illness: Danielle Chammas and Amanda Moment</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-11-21</span><span class="item icon time">50:24</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Falls-and-Fractures%3A-A-Podcast-with-Sarah-Berry-id3520819-id753236627"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/f1/97/8d/18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_400.jpg" class="image" alt="Falls and Fractures: A Podcast with Sarah Berry" title="Falls and Fractures: A Podcast with Sarah Berry"/></div></a></div><div class="ep-item-con"><a href="/episode/Falls-and-Fractures%3A-A-Podcast-with-Sarah-Berry-id3520819-id753236627"><p title="Falls and Fractures: A Podcast with Sarah Berry" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Falls and Fractures: A Podcast with Sarah Berry</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-11-14</span><span class="item icon time">46:46</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Falls-and-Fractures%3A-A-Podcast-with-Sarah-Berry-id3520819-id753236627"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Dialysis-vs-Conservative-Management-for-Older-Adults%3A-Manju-Kurella-Tamura%2C-Susan-Wong%2C-%26-Maria-Montez-Rath-id3520819-id751223931"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/3/4/d/8/34d8a78149ab1a8e88c4a68c3ddbc4f2/GeriPal_EP333_forLibsyn.jpg" class="image" alt="Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath" title="Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath"/></div></a></div><div class="ep-item-con"><a href="/episode/Dialysis-vs-Conservative-Management-for-Older-Adults%3A-Manju-Kurella-Tamura%2C-Susan-Wong%2C-%26-Maria-Montez-Rath-id3520819-id751223931"><p title="Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-11-07</span><span class="item icon time">47:07</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Dialysis-vs-Conservative-Management-for-Older-Adults%3A-Manju-Kurella-Tamura%2C-Susan-Wong%2C-%26-Maria-Montez-Rath-id3520819-id751223931"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/COVID-Updates%3A-A-Podcast-with-Peter-Chin-Hong-and-Lona-Mody-id3520819-id749229129"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/2/5/4/6/2546db89713497b1e55e3c100dce7605/GeriPal_EP332_forLibsybn.jpg" class="image" alt="COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody" title="COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody"/></div></a></div><div class="ep-item-con"><a href="/episode/COVID-Updates%3A-A-Podcast-with-Peter-Chin-Hong-and-Lona-Mody-id3520819-id749229129"><p title="COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-31</span><span class="item icon time">43:56</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/COVID-Updates%3A-A-Podcast-with-Peter-Chin-Hong-and-Lona-Mody-id3520819-id749229129"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Medical-Cannabis-Revisited%3A-A-Podcast-with-David-Casarett-and-Eloise-Theisen-id3520819-id747350331"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/1/c/3/1/1c31c273d8f9c859e55e3c100dce7605/GeriPal_EP331_forLibsyn.jpg" class="image" alt="Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen" title="Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen"/></div></a></div><div class="ep-item-con"><a href="/episode/Medical-Cannabis-Revisited%3A-A-Podcast-with-David-Casarett-and-Eloise-Theisen-id3520819-id747350331"><p title="Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-24</span><span class="item icon time">52:07</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Medical-Cannabis-Revisited%3A-A-Podcast-with-David-Casarett-and-Eloise-Theisen-id3520819-id747350331"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg" class="image" alt="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster"/></div></a></div><div class="ep-item-con"><a href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"><p title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-17</span><span class="item icon time">48:28</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Intentionally-Interprofessional-Care%3A-DorAnne-Donesky%2C-Michelle-Milic%2C-Naomi-Saks%2C-%26-Cara-Wallace-id3520819-id743368153"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/b/3/8/6/b386b50a8e734df7e55e3c100dce7605/GeriPal_EP329_forLibsyn.jpg" class="image" alt="Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace" title="Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace"/></div></a></div><div class="ep-item-con"><a href="/episode/Intentionally-Interprofessional-Care%3A-DorAnne-Donesky%2C-Michelle-Milic%2C-Naomi-Saks%2C-%26-Cara-Wallace-id3520819-id743368153"><p title="Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-10</span><span class="item icon time">47:56</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Intentionally-Interprofessional-Care%3A-DorAnne-Donesky%2C-Michelle-Milic%2C-Naomi-Saks%2C-%26-Cara-Wallace-id3520819-id743368153"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Images-of-the-Dying%3A-A-Podcast-with-Wendy-MacNaughton%2C-Lingsheng-Li%2C-and-Frank-Ostaseski-id3520819-id741630010"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/4/9/e/b/49eb67ffbcb18a0a27a2322813b393ee/GeriPal_EP328_forLibsyn.jpg" class="image" alt="Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski" title="Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski"/></div></a></div><div class="ep-item-con"><a href="/episode/Images-of-the-Dying%3A-A-Podcast-with-Wendy-MacNaughton%2C-Lingsheng-Li%2C-and-Frank-Ostaseski-id3520819-id741630010"><p title="Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-03</span><span class="item icon time">49:50</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Images-of-the-Dying%3A-A-Podcast-with-Wendy-MacNaughton%2C-Lingsheng-Li%2C-and-Frank-Ostaseski-id3520819-id741630010"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Stepped-Palliative-Care%3A-A-Podcast-with-Jennifer-Temel%2C-Chris-Jones%2C-and-Pallavi-Kumar-id3520819-id738168585"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/3/4/7/f/347f5b6a31e691e1e55e3c100dce7605/GeriPal_EP327_forLibsyn.jpg" class="image" alt="Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar" title="Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar"/></div></a></div><div class="ep-item-con"><a href="/episode/Stepped-Palliative-Care%3A-A-Podcast-with-Jennifer-Temel%2C-Chris-Jones%2C-and-Pallavi-Kumar-id3520819-id738168585"><p title="Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-09-19</span><span class="item icon time">50:17</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Stepped-Palliative-Care%3A-A-Podcast-with-Jennifer-Temel%2C-Chris-Jones%2C-and-Pallavi-Kumar-id3520819-id738168585"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Well-being-and-Resilience%3A-a-Podcast-with-Jane-Thomas%2C-Naomi-Saks%2C-Ishwaria-Subbiah-id3520819-id736361408"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/5/9/1/a/591aa8ade6d8ebfa27a2322813b393ee/GeriPal_EP326_forLibsyn.jpg" class="image" alt="Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah" title="Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah"/></div></a></div><div class="ep-item-con"><a href="/episode/Well-being-and-Resilience%3A-a-Podcast-with-Jane-Thomas%2C-Naomi-Saks%2C-Ishwaria-Subbiah-id3520819-id736361408"><p title="Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-09-12</span><span class="item icon time">50:50</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Well-being-and-Resilience%3A-a-Podcast-with-Jane-Thomas%2C-Naomi-Saks%2C-Ishwaria-Subbiah-id3520819-id736361408"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Allowing-Patients-to-Die%3A-Louise-Aronson-and-Bill-Andereck-id3520819-id734439460"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/e/a/5/f/ea5f7516fa79a54427a2322813b393ee/GeriPal_EP325_forLibsyn.jpg" class="image" alt="Allowing Patients to Die: Louise Aronson and Bill Andereck" title="Allowing Patients to Die: Louise Aronson and Bill Andereck"/></div></a></div><div class="ep-item-con"><a href="/episode/Allowing-Patients-to-Die%3A-Louise-Aronson-and-Bill-Andereck-id3520819-id734439460"><p title="Allowing Patients to Die: Louise Aronson and Bill Andereck" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Allowing Patients to Die: Louise Aronson and Bill Andereck</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-09-05</span><span class="item icon time">49:03</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Allowing-Patients-to-Die%3A-Louise-Aronson-and-Bill-Andereck-id3520819-id734439460"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Stump-the-VitalTalk-Communication-Experts%3A-A-Podcast-with-Gordon-Wood%2C-Holly-Yang%2C-Elise-Carey-id3520819-id731911402"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/d/d/0/4/dd044008772c03b9e55e3c100dce7605/GeriPal_EP324_forLibsyn.jpg" class="image" alt="Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey" title="Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey"/></div></a></div><div class="ep-item-con"><a href="/episode/Stump-the-VitalTalk-Communication-Experts%3A-A-Podcast-with-Gordon-Wood%2C-Holly-Yang%2C-Elise-Carey-id3520819-id731911402"><p title="Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-08-29</span><span class="item icon time">48:06</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Stump-the-VitalTalk-Communication-Experts%3A-A-Podcast-with-Gordon-Wood%2C-Holly-Yang%2C-Elise-Carey-id3520819-id731911402"></a></div></div><div class="audiobox"></div></section><div style="text-align:center" id="LoadInline"><img style="width:.84rem;max-width:64px;height:.84rem;max-height:64px" src="data:image/svg+xml;base64,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" alt="loading"/></div></div></div></div></div></div><div class="rightContainer-item adBanner fadeInUp animated"><ins id="googleAdRightBanner" class="adsbygoogle" style="display:inline-block;margin:0 auto;text-align:center;height:250px;overflow:hidden;width:300px" data-ad-client="ca-pub-2774555922612370" data-ad-slot="7703469247"></ins></div><div class="footer-wrapper "><div class="rightContainer-item downloadPlay"><div class="downloadPlay-title-empty"></div><div class="downloadPlay-item clearfix google"><div class="link"><a target="_black" href="https://play.google.com/store/apps/details?id=fm.castbox.audiobook.radio.podcast&referrer=utm_source%3Dcastbox_web%26utm_medium%3Dlink%26utm_campaign%3Dweb_right_bar%26utm_content%3D"><img style="width:100%" class="store" src="https://s3.castbox.fm/fa/00/5a/19fd024f1fa0d92ce80cd72cfe.png" alt="Google Play" title="Google Play"/></a></div><div class="text">Download from Google Play</div></div><div class="downloadPlay-item clearfix google"><div class="link"><a target="_black" href="https://itunes.apple.com/app/castbox-radio/id1243410543?pt=118301901&mt=8&ct=web_right_bar"><img style="width:100%" class="store" src="https://s3.castbox.fm/8a/81/60/605a1c40698998c6ff2ba624ea.png" alt="Castbox" title="App Store"/></a></div><div class="text">Download from App Store</div></div></div><div class="rightFooter rightContainer-item clearfix"><ul class="footerLinks"><li class="footerLinks-item"><a href="https://helpcenter.castbox.fm/portal/kb">FAQs</a></li></ul><div class="footerCounrtySel"><div><div class="footer_select_country"><img class="countryCover" src="/app/castbox/static/images/flags/us.svg" alt="us"/><span class="countryName">United States</span></div></div></div></div></div></div></div></div><div class="mainBoxFooter"><div class="castboxFooterBar"><div class="footemain"><div class="PlayControl"><span class="back icon"></span><span class="playBtn icon pause loading"></span><span class="forward icon"></span></div><div class="sticker"><div class="player-stick"><div class="current-time">00:00</div><div class="player-stick-coat"><div class="PlayerStickBar"><div style="left:0%" class="circleBar"></div><div style="width:0%" class="playerStick"></div></div></div><div class="duration">00:00</div></div></div><div class="playbackRate"><div class="playbackRate-value">x</div><div class="playbackRate-list hide"><p class="playbackRate-list-item">0.5x</p><p class="playbackRate-list-item">0.8x</p><p class="playbackRate-list-item">1.0x</p><p class="playbackRate-list-item">1.25x</p><p class="playbackRate-list-item">1.5x</p><p class="playbackRate-list-item">2.0x</p><p class="playbackRate-list-item">3.0x</p></div></div><div class="playbackRate timing icon"><div class="playbackRate-value"><img src="data:image/svg+xml;base64,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"/></div><div class="playbackRate-list hide"><p class="playbackRate-list-title">Sleep Timer</p><p class="playbackRate-list-item">Off</p><p class="playbackRate-list-item">End of Episode</p><p class="playbackRate-list-item">5 Minutes</p><p class="playbackRate-list-item">10 Minutes</p><p class="playbackRate-list-item">15 Minutes</p><p class="playbackRate-list-item">30 Minutes</p><p class="playbackRate-list-item">45 Minutes</p><p class="playbackRate-list-item">60 Minutes</p><p class="playbackRate-list-item">120 Minutes</p></div></div><div class="volumeCtrl"><img class="volumeCtrl-img" src="https://s3.castbox.fm/webstatic/images/volume.86474be8.png"/><div style="height:0;padding:0;border:0;overflow:hidden" class="volumeCtrl-sliderCon"></div></div><div class="footerFeed"><div class="leftImg"><a href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg" alt="Coping with Serious Illness: Danielle Chammas and Amanda Moment" title="Coping with Serious Illness: Danielle Chammas and Amanda Moment"/></div></a></div><div class="rightText"><h1 class="title ellipsis">Coping with Serious Illness: Danielle Chammas and Amanda Moment</h1><h1 class="author ellipsis">Drs. Eric Widera and Alex Smith</h1></div></div></div></div></div></div></div><div class="Toastify"></div></div></div> <script> window.__INITIAL_STATE__ = "%7B%22ch%22%3A%7B%22chInfo%22%3A%7B%22uid%22%3A%220ba2239677254759aa4cd4df3a36e272%22%2C%22episode_count%22%3A343%2C%22x_play_base%22%3A0%2C%22stat_cover_ext_color%22%3Atrue%2C%22keywords%22%3A%5B%22doctors%22%2C%22clinicalpractice%22%2C%22dialysis%22%2C%22elderly%22%2C%22intensivecare%22%2C%22surgery%22%2C%22eom%22%2C%22PalliativeCare%22%2C%22olderadults%22%2C%22dementia%22%2C%22advancecareplanning%22%2C%22nurses%22%2C%22hospice%22%2C%22Geriatrics%22%2C%22aging%22%2C%22cancer%22%2C%22Gerontology%22%2C%22disability%22%2C%22caregiver%22%2C%22caregiving%22%2C%22icu%22%2C%22endoflife%22%2C%22seniors%22%2C%22medicalresearch%22%2C%22nursing%22%2C%22COPD%22%2C%22nursinghome%22%2C%22hospital%22%2C%22Medicine%22%2C%22Life%20Sciences%22%2C%22palliative%22%2C%22heartdisease%22%2C%22ACP%22%2C%22Health%20%26%20Fitness%22%2C%22FOAMed%22%2C%22medical%22%2C%22Science%22%2C%22MedEd%22%2C%22heartfailure%22%2C%22physicians%22%2C%22medicine%22%2C%22hospitalist%22%2C%22geriatricians%22%5D%2C%22cover_ext_color%22%3A%22-16352598%22%2C%22mongo_id%22%3A%225faed65ebe48032ae239942c%22%2C%22show_id%22%3A%2257fee30bd58830736da1bb8b%22%2C%22copyright%22%3A%222021%20GeriPal.%20All%20rights%20reserved.%22%2C%22author%22%3A%22GeriPal%22%2C%22is_key_channel%22%3Atrue%2C%22audiobook_categories%22%3A%5B%5D%2C%22user_info%22%3A%7B%22suid%22%3A20361655%2C%22picture_url%22%3A%22https%3A%2F%2Flh3.googleusercontent.com%2Fa-%2FAOh14GioJzBMLGGF-6-eP8xUf4s1cSQ-IsXHyUmpER22Bg%3Ds96-c%22%2C%22email%22%3A%22eric.widera%40gmail.com%22%2C%22name%22%3A%22Eric%20Widera%22%2C%22uid%22%3A%220ba2239677254759aa4cd4df3a36e272%22%7D%2C%22comment_count%22%3A0%2C%22website%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22rss_url%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Frss%22%2C%22description%22%3A%22A%20geriatrics%20and%20palliative%20care%20podcast%20for%20every%20health%20care%20professional.%20%5Cn%5CnWe%20invite%20the%20brightest%20minds%20in%20geriatrics%2C%20hospice%2C%20and%20palliative%20care%20to%20talk%20about%20the%20topics%20that%20you%20care%20most%20about%2C%20ranging%20from%20recently%20published%20research%20in%20the%20field%20to%20controversies%20that%20keep%20us%20up%20at%20night.%20%20%20You'll%20laugh%2C%20learn%20and%20maybe%20sing%20along.%20%20Hosted%20by%20Eric%20Widera%20and%20Alex%20Smith.%20CME%20available!%22%2C%22tags%22%3A%5B%22from-itunes%22%2C%22evst-review-passed%22%2C%22from-google%22%5D%2C%22editable%22%3Atrue%2C%22play_count%22%3A28908%2C%22link%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22twitter_names%22%3A%5B%22GeriPalBlog%22%5D%2C%22categories%22%3A%5B10091%2C10059%2C10062%2C10095%2C10012%5D%2C%22x_subs_base%22%3A24%2C%22small_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F200x200bb.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F600x600bb.jpg%22%2C%22language%22%3A%22en%22%2C%22cid%22%3A3520819%2C%22latest_eid%22%3A779187189%2C%22release_date%22%3A%222025-02-13T07%3A45%3A00Z%22%2C%22title%22%3A%22GeriPal%20-%20A%20Geriatrics%20and%20Palliative%20Care%20Podcast%22%2C%22uri%22%3A%22%2Fch%2F3520819%22%2C%22https_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F400x400bb.jpg%22%2C%22channel_type%22%3A%22private%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22sub_count%22%3A758%2C%22internal_product_id%22%3A%22cb.ch.3520819%22%2C%22social%22%3A%7B%22website%22%3A%22https%3A%2F%2Fwww.geripal.org%22%2C%22youtube%22%3A%5B%7B%22name%22%3A%22channel%2FUCuqH32jtgFwqJ8jYoQbQgdQ%22%7D%5D%2C%22twitter%22%3A%5B%7B%22name%22%3A%22GeriPalBlog%22%7D%5D%2C%22facebook%22%3A%5B%7B%22name%22%3A%22GeriPal%22%7D%5D%2C%22instagram%22%3A%5B%7B%22name%22%3A%22geripal_podcast%2F%22%7D%5D%7D%7D%2C%22overview%22%3A%7B%22latest_eid%22%3A779187189%2C%22sort_by%22%3A%22default%22%2C%22sort_order%22%3A0%2C%22cid%22%3A3520819%2C%22eids%22%3A%5B779187189%2C777185223%2C775111474%2C772939606%2C770935229%2C763707579%2C761761179%2C759438004%2C755287330%2C753236627%2C751223931%2C749229129%2C747350331%2C745504196%2C743368153%2C741630010%2C738168585%2C736361408%2C734439460%2C731911402%2C729995771%2C727926305%2C726005802%2C724100393%2C722165182%2C720631022%2C719882962%2C718422833%2C714113418%2C711916914%2C709984037%2C708033619%2C705980082%2C701968400%2C700053302%2C695973479%2C693394075%2C691522180%2C689005916%2C686521334%2C684267800%2C682350866%2C680441627%2C678304032%2C675236574%2C673252313%2C671200166%2C669625461%2C667554877%2C665586573%2C663862826%2C658814383%2C656402169%2C654456325%2C652990278%2C647269820%2C645445093%2C643625413%2C641664759%2C639897002%2C637896747%2C635850862%2C633782894%2C631942881%2C630267640%2C628442592%2C626829997%2C625264966%2C620053192%2C618183246%2C616479895%2C609727479%2C607859715%2C606031290%2C604213613%2C602333754%2C598604672%2C596714039%2C594847833%2C593035670%2C591231288%2C589325217%2C587346345%2C585451432%2C583421614%2C581826080%2C579299860%2C577267122%2C575333200%2C573437613%2C571684993%2C569838882%2C567743209%2C565857689%2C564265658%2C562250727%2C560449436%2C558968381%2C555874461%2C554054212%2C552528213%2C548662111%2C545250619%2C543330782%2C541765185%2C540089372%2C538367883%2C536055534%2C532091335%2C530134171%2C528535547%2C526645311%2C524976404%2C521258672%2C519382729%2C517237559%2C515310167%2C513190128%2C511201545%2C509201563%2C507221867%2C505194736%2C503194807%2C501038755%2C498766507%2C496435322%2C494317411%2C492421202%2C490017186%2C488234005%2C486065601%2C481383902%2C479469573%2C474920389%2C472867789%2C470890099%2C468923021%2C466826936%2C464816435%2C462720441%2C460660985%2C458609875%2C456626753%2C454905677%2C451267502%2C449558827%2C447218993%2C444916472%2C443183035%2C440901546%2C439144063%2C436669632%2C434712359%2C432488580%2C430432433%2C428212850%2C423985360%2C421814475%2C419713872%2C417659605%2C415583457%2C409129220%2C406954432%2C404819107%2C402528483%2C400113368%2C396029386%2C392670159%2C390484747%2C388390041%2C385989675%2C384164755%2C382124772%2C380001656%2C377503059%2C375521886%2C373580215%2C371499249%2C367440701%2C365352252%2C361267087%2C359015926%2C356721816%2C354272954%2C349584167%2C347120394%2C344928031%2C342991399%2C337423754%2C335212445%2C333377764%2C329192234%2C326769647%2C326769645%2C326769643%2C326769642%2C326769597%2C326769593%2C326769590%2C326769586%2C326769585%2C326769582%2C326769571%2C326769567%2C326769566%2C326769565%2C326769564%2C326769563%2C326769562%2C326769561%2C326769560%2C326769558%2C326769557%2C326769556%2C326769554%2C326769549%2C326769545%2C326769541%2C326769534%2C326769533%2C326769531%2C326769530%2C326769526%2C326769524%2C326769522%2C326769508%2C326769507%2C326769506%2C326769504%2C326769501%2C326769499%2C326769496%2C326769494%2C326769493%2C326769492%2C326769488%2C326769484%2C326769482%2C326769479%2C326769478%2C326769476%2C326769475%2C326769473%2C326769471%2C326769468%2C326769467%2C326769466%2C326769465%2C326769464%2C326769462%2C326769461%2C326769459%2C326769458%2C326769457%2C326769456%2C326769455%2C326769454%2C326769453%2C326769452%2C326769451%2C326769450%2C326769449%2C326769447%2C326769446%2C326769445%2C326769444%2C326769443%2C326769440%2C326769439%2C326769438%2C326769436%2C326769434%2C326769430%2C326769427%2C326769424%2C326769419%2C326769414%2C326769401%2C326769400%2C326769399%2C326769398%2C326769397%2C326769396%2C326769395%2C326769394%2C326769389%2C326769387%2C326769386%2C326769383%2C326769377%2C326769376%2C326769375%2C326769374%2C326769373%2C326769372%2C326769371%2C326769369%2C326769363%2C326769360%2C326769358%2C326769355%2C326769347%2C326769346%2C326769345%2C326769344%2C326769343%2C326769342%2C326769341%2C326769340%2C326769339%2C326769338%2C326769337%2C326769336%2C326769335%2C326769334%2C326769333%2C326769332%2C326769331%2C326769330%2C326769328%2C326769327%2C326769326%2C326769324%2C326769320%2C326769319%2C326769318%2C326769317%2C326769316%2C326769315%2C326769314%2C326769313%2C326769312%2C326769311%2C326769309%2C326769308%2C326769306%2C326769305%2C326769304%2C326769302%2C326769301%2C326769300%2C326769299%2C326769297%5D%7D%2C%22eps%22%3A%5B%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fplenary-abstracts-at-aahpmhpna-yael-schenker-na-ouyang-marie-bakitas%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20today%E2%80%99s%20podcast%20we%20were%20delighted%20to%20be%20joined%20by%20the%20presenters%20of%20the%20top%20scientific%20abstracts%20for%20the%20Annual%20Assembly%20of%20the%20American%20Academy%20of%C2%A0%20Hospice%20and%20Palliative%20Medicine%20(AAHPM)%20and%20the%20Hospice%20and%20Palliative%20Medicine%20Nurses%20Association%20(HPNA).%C2%A0%20Eric%20and%20I%20interviewed%20these%20presenters%20at%20the%20meeting%20on%20Thursday%20(before%20the%20pub%20crawl%2C%20thankfully).%C2%A0%20On%20Saturday%2C%20they%20formally%20presented%20their%20abstracts%20during%20the%20plenary%20session%2C%20followed%20by%20a%20wonderful%20question%20and%20answer%20session%20with%20Hillary%20Lum%20doing%20a%20terrific%20job%20in%20the%20role%20of%20moderator.%20Our%20three%20guests%20were%20Marie%20Bakitas%2C%20who%20conducted%20a%20trial%20of%20tele%2Fvideo%20palliative%20care%20for%20Black%20and%20White%20inpatients%20with%20serious%20illness%20hospitalized%20in%20the%20rural%20south%3B%20Yael%20Shenker%2C%20for%20a%20trial%20of%20patient-directed%20Prepare-for-your-care%20vs.%20facilitated%20Respecting%20Choices%20style%20advance%20care%20planning%20interventions%3B%20and%2C%20Na%20Ouyang%2C%20who%20studied%20the%20relationship%20between%20prognostic%20communication%20and%20prolonged%20grief%20among%20the%20parents%20of%20children%20who%20died%20from%20cancer.%C2%A0%20From%20just%20the%20abstracts%20we%20had%20so%20many%20questions.%20We%20covered%20some%20of%20our%20questions%20on%20the%20podcast%2C%20others%20you%20can%20ponder%20on%20your%20own%20or%20in%20your%20journal%20clubs%2C%20including%3A%20%20%20Marie%E2%80%99s%20tele%2Fvideo%20palliative%20care%20intervention%20was%20tailored%2Frefined%20with%20the%20help%20of%20a%20community%20advisory%20board.%20Does%20every%20institution%20need%20to%20get%20a%20community%20advisory%20board%20to%20tailor%20their%20rural%20tele-palliative%20care%20initiative%20(or%20geriatrics%20intervention)%20to%20the%20local%20communities%20served%3F%C2%A0%20Who%20would%2Fshould%20be%20on%20that%20board%3F%20How%20to%20be%20sensitive%20to%20the%20risks%20of%20stereotyping%20based%20on%20recommendations%20from%20the%20few%20members%20of%20the%20board%20to%20the%20many%20heterogeneous%20patients%20served%3F%20%20%20Advance%20care%20planning%20has%20taken%20a%20beating.%20For%20the%20purposes%20of%20a%20thought%20exercise%2C%20no%20matter%20what%20you%20believe%2C%20let%E2%80%99s%20assume%20that%20there%20are%20clear%20important%20benefits.%20Based%20on%20the%20results%20of%20Yael%E2%80%99s%20study%2C%20should%20resources%20be%20allocated%20to%20resource%20intensive%20nurse%20facilitated%20sessions%20(Respecting%20Choices)%2C%20which%20had%20significantly%20better%20engagement%2C%20or%20to%20low%20resource%20intensive%20patient-facing%20materials%20(Prepare)%2C%20which%20had%20significantly%20less%20engagement%20but%20still%20plenty%20of%20engagement%20(e.g.%2075%25%20vs%2061%25%20advance%20directive%20completion)%3F%20%20%20One%20interpretation%20of%20Na%E2%80%99s%20study%20is%20that%20clinicians%20can%20lean%20on%20the%20high%20levels%20of%20trust%20and%20high%20ratings%20of%20communication%20to%20engage%20with%20parents%20of%20children%20with%20cancer%20about%20prognosis.%C2%A0%20Another%20interpretation%20is%20that%20clinicians%20avoided%20telling%20the%20parents%20prognosis%20in%20order%20to%20bolster%20their%20ratings%20of%20trust%20and%20communication%20quality.%C2%A0%20Which%20is%20it%3F%20%20%20Bonus%3A%20%20Simon%20says%20he%20composed%20the%20song%20Sounds%20of%20Silence%20in%20a%20dark%20echoing%20bathroom%20about%20his%20concerns%20that%20people%20had%20stopped%20listening%20to%20each%20other%20in%20the%201960s%20(still%20resonates%2C%20right%3F).%C2%A0%20Garfunkel%20says%20Simon%20was%20writing%20about%20%20Garfunklel%E2%80%99s%20friend%20and%20college%20roomate%20Sandy%2C%20who%20was%20blind.%C2%A0%20Who%E2%80%99s%20got%20the%20right%20of%20it%3F%20%20%20%C2%A0%20Enjoy!%20-Alex%20Smith%C2%A0%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D779187189%22%2C%22internal_product_id%22%3A%22cb.ep.779187189%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-401151a5aba4c66112c885ba93bc21af891465c2%22%2C%22play_count%22%3A33%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Ff%2F0%2Fe%2F5%2Ff0e5b9c6e7689eb416c3140a3186d450%2FGeriPal_EP343_forLibsyn.jpg%22%2C%22duration%22%3A2839000%2C%22download_count%22%3A31%2C%22size%22%3A68123067%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Ff%2F0%2Fe%2F5%2Ff0e5b9c6e7689eb416c3140a3186d450%2FGeriPal_EP343_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Ff%2F0%2Fe%2F5%2Ff0e5b9c6e7689eb416c3140a3186d450%2FGeriPal_EP343_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP343_AAHPM.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222025-02-13T07%3A45%3A00Z%22%2C%22title%22%3A%22Plenary%20Abstracts%20at%20AAHPM%2FHPNA%3A%20Yael%20Schenker%2C%20Na%20Ouyang%2C%20Marie%20Bakitas%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A779187189%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP343_AAHPM.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fhow-to-make-an-alzheimers-diagnosis-in-primary-care-a-podcast-with-nathaniel-chin%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Things%20are%20changing%20quickly%20in%20the%20Alzheimer%E2%80%99s%20space.%20We%20now%20have%20biomarkers%20that%20can%20reasonably%20approximate%20the%20degree%20of%20amyloid%20build-up%20in%20the%20brain%20with%20a%20simple%20blood%20test.%C2%A0%20We%20have%20two%20new%20FDA-approved%20medications%20that%20reduce%20that%20amyloid%20buildup%20and%20modestly%20slow%20down%20the%20progression%20of%20the%20disease.%C2%A0%20So%2C%20the%20question%20becomes%2C%20what%2C%20if%20anything%2C%20should%20we%20do%20differently%20in%20the%20primary%20care%20setting%20to%20diagnose%20the%20disease%3F%20On%20today%E2%80%99s%20podcast%2C%20we%E2%80%99ve%20invited%20Nathaniel%20Chin%20back%20to%20the%20GeriPal%20podcast%20to%20talk%20about%20what%20primary%20care%20needs%20to%20manage%20this%20new%20world%20of%20Alzheimer%E2%80%99s%20disease%20effectively.%C2%A0%20Nate%20is%20a%20geriatrician%20and%20clinician-scientist%20at%20the%20University%20of%20Wisconsin%2C%20as%20well%20as%20the%20host%20of%20the%20Wisconsin%20ADRC's%20podcast%2C%20%5C%22Dementia%20Matters.%5C%22%20In%20each%20bi-weekly%20episode%2C%20he%20interviews%20Alzheimer's%20disease%20experts%20about%20research%20advances%20and%20caregiver%20strategies.%20Nate%20also%20wrote%20a%20NEJM%20piece%20last%20year%20on%20%E2%80%9CAlzheimer%E2%80%99s%20Disease%2C%20Biomarkers%2C%20and%20mAbs%20%E2%80%94%20What%20Does%20Primary%20Care%20Need%3F%E2%80%9D%20We%20address%20the%20following%20questions%20with%20Nate%3A%20%20%20Has%20anything%20changed%20for%20the%20primary%20care%20doctor%20when%20diagnosing%20Alzheimer%E2%80%99s%3F%C2%A0%20How%20should%20we%20screen%20for%20cognitive%20impairment%3F%20%20%20Does%20a%20good%20history%20matter%20anymore%3F%20%20%20What%E2%80%99s%20the%20role%20of%20assessing%20function%3F%20%20%20What%20do%20we%20do%20with%20those%20who%20have%20only%20subjective%20cognitive%20complaints%3F%20%20%20Can%E2%80%99t%20we%20skip%20all%20this%20and%20just%20send%20some%20blood-based%20biomarkers%3F%20%20%20What%20is%20the%20role%20of%20the%20amyloid%20antibody%20treatments%3F%20%20%20%20Lastly%2C%20take%20a%20look%20at%20the%20following%20if%20you%20want%20to%20take%20a%20deeper%20dive%20into%20some%20of%20the%20other%20articles%20and%20podcasts%20we%20discuss%3A%20%20%20First%2C%20two%20competing%20definitions%20of%20what%20is%20Alzheimer%E2%80%99s%3A%20%20%20%20%20Alzheimer%20Disease%20as%20a%20Clinical-Biological%20Construct%E2%80%94An%20International%20Working%20Group%20(IWG)%20Recommendation%20%20%20%20Revised%20criteria%20for%20diagnosis%20and%20staging%20of%20Alzheimer's%20disease%3A%20Alzheimer's%20Association%20Workgroup%20%20%20%20%20Alzheimer's%20Association%20clinical%20practice%20guideline%20for%20the%20Diagnostic%20Evaluation%2C%20Testing%2C%20Counseling%2C%20and%20Disclosure%20of%20Suspected%20Alzheimer's%20Disease%20and%20Related%20Disorders%20(DETeCD-ADRD)%3A%20Executive%20summary%20of%20recommendations%20for%20primary%20care%20%20%20Podcasts%20we%20mentioned%20%20%20%20Prevention%20of%20Dementia%3A%20A%20Podcast%20with%20Kristine%20Yaffe%20%20%20%20Screening%20for%20Dementia%3A%20A%20Podcast%20with%20Anna%20Chodos%2C%20Joseph%20Gaugler%20and%20Soo%20Borson%20%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D777185223%22%2C%22internal_product_id%22%3A%22cb.ep.777185223%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-c0fbbf894194444e843bde10c5b7f5225c8be569%22%2C%22play_count%22%3A53%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2Fe%2F0%2F4%2F3e04b46f35fcfe5216c3140a3186d450%2FGeriPal_EP342_forLibsyn.jpg%22%2C%22duration%22%3A2872000%2C%22download_count%22%3A39%2C%22size%22%3A68926400%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2Fe%2F0%2F4%2F3e04b46f35fcfe5216c3140a3186d450%2FGeriPal_EP342_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2Fe%2F0%2F4%2F3e04b46f35fcfe5216c3140a3186d450%2FGeriPal_EP342_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP342_How_to_Make_an_Alzheimers_Diagnosis_in_Primary_Care.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222025-02-06T07%3A45%3A00Z%22%2C%22title%22%3A%22How%20to%20Make%20an%20Alzheimer's%20Diagnosis%20in%20Primary%20Care%3A%20A%20Podcast%20with%20Nathaniel%20Chin%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A777185223%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP342_How_to_Make_an_Alzheimers_Diagnosis_in_Primary_Care.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Ftelehealth-vs-in-person-palliative-care-guests-joseph-greer-lynn-flint-simone-rinaldi-and-vicki-jackson%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22It%20is%20a%20battle%20royale%20on%20this%20week%E2%80%99s%20GeriPal%20podcast.%20In%20one%20corner%2C%20weighing%20in%20at%20decades%20of%20experience%2C%20well%20known%20for%20heavy%20hits%20of%20bedside%20assessments%2C%20strong%20patient-family%20relationships%2C%20and%20a%20knockout%20punch%20of%20interdisciplinary%20collaboration%2C%20we%20have%20in-person%20palliative%20care%20consults.%20But%20watch%20out!%20Travel%20time%20can%20leave%20this%20champ%20vulnerable%20to%20fatigue%20and%20no-shows.%C2%A0%20In%20the%20other%20corner%2C%20we%20have%20the%20young%20upstart%2C%20able%20to%20reach%20patients%20across%20vast%20distances%20when%20delivering%20palliative%20care%2C%20all%20in%20the%20comfort%20of%20wearing%20pajamas%2C%20we%20have%20telehealth%20delivered%20palliative%20care.%C2%A0%20However%2C%20lack%20of%20physical%20presence%20may%20make%20this%20contender%20struggle%20to%20land%20the%20emotional%20support%20punch%20that%20is%20at%20the%20very%20heart%20of%20palliative%20care.%20Who%20will%20emerge%20victorious%3F%20Will%20in-person%20palliative%20care%20use%20its%20experience%20and%20bedside%20manner%20to%20overwhelm%20telehealth%20palliative%20care%2C%20or%20will%20telehealth%20deliver%20the%20knockout%20blow%20of%20efficiency%20and%20accessibility%3F%20Find%20out%20on%20this%20week%E2%80%99s%20podcast%20where%20we%20invite%20Joseph%20Greer%2C%C2%A0%20Simone%20Rinaldi%2C%20and%20Vicki%20Jackson%20to%20talk%20about%20their%20recent%20JAMA%20article%20on%20%E2%80%9CTelehealth%20vs%20In-Person%20Early%20Palliative%20Care%20for%20Patients%20With%20Advanced%20Lung%20Cancer%20-%20A%20Multisite%20Randomized%20Clinical%20Trial.%E2%80%9D%20Additionally%2C%20here%20are%20some%20of%20the%20resources%20we%20talked%20about%20during%20the%20podcast%3A%20%20%20Eduardo%20Bruera%E2%80%99s%20editorial%20that%20accompanies%20the%20JAMA%20paper%20titled%20%E2%80%9CImproving%20Palliative%20Care%20Access%20for%20Patients%20With%20Cancer%E2%80%9D%20%20%20%20Our%20podcast%20on%20Stepped%20Palliative%20Care%20with%20Jennifer%20Temel%2C%20Chris%20Jones%2C%20and%20Pallavi%20Kumar%20%20%20The%20book%20%E2%80%9CWhat's%20in%20the%20Syringe%3F%20Principles%20of%20Early%20Integrated%20Palliative%20Care%E2%80%9D%20by%20Juliet%20Jacobsen%2C%20Vicki%20Jackson%2C%20Joseph%20Greer%2C%20and%20Jennifer%20Temel%20%20%20%20Lastly%2C%20don%E2%80%99t%20forget%20about%20attending%20some%20of%20the%20sessions%20Vicki%20mentioned%20at%20the%20end%20of%20the%20podcast%20during%20the%20HPNA%2FAAHPM%20annual%20meeting%20in%20Denver%2C%20as%20well%20as%20the%C2%A0GeriPal%20%23HPMParty%20Pub%20Crawl!%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D775111474%22%2C%22internal_product_id%22%3A%22cb.ep.775111474%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-3760bb7cd29a832e1fa3c57e21862b67c0fb5592%22%2C%22play_count%22%3A47%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fe6%2F87%2F66%2F5fd1b9a69434a62313861a5b73217fa33b_scaled_v1_400.jpg%22%2C%22duration%22%3A3074000%2C%22download_count%22%3A41%2C%22size%22%3A73780928%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fe6%2F87%2F66%2F5fd1b9a69434a62313861a5b73217fa33b_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fe6%2F87%2F66%2F5fd1b9a69434a62313861a5b73217fa33b_scaled_v1_600.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP341_Telehealth_vs_In-Person_Palliative_Care.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222025-01-30T07%3A45%3A00Z%22%2C%22title%22%3A%22Telehealth%20vs%20In-Person%20Palliative%20Care%3A%20Guests%20Joseph%20Greer%2C%20%20Lynn%20Flint%2C%20Simone%20Rinaldi%2C%20and%20Vicki%20Jackson%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A775111474%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP341_Telehealth_vs_In-Person_Palliative_Care.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fdeprescribing-super-special-iii-constance-fung-emily-mcdonald-amy-linsky-and-michelle-odden%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22It%E2%80%99s%20another%20deprescribing%20super%20special%20on%20today's%20GeriPal%20Podcast%2C%20where%20we%20delve%20into%20the%20latest%20research%20on%20deprescribing%20medications%20prescribed%20to%20older%20adults.%20Today%2C%20we%20explore%20four%20fascinating%20studies%20highlighting%20innovative%20approaches%20to%20reducing%20medication%20use%20and%20improving%20patient%20outcomes.%20In%20our%20first%20segment%2C%20we%20discuss%20a%20study%20led%20by%20Constance%20Fung%20and%20her%20team%2C%20which%20investigated%20the%20%20use%20of%20a%20masked%20tapering%20method%20combined%20with%20augmented%20cognitive%20behavioral%20therapy%20for%20insomnia%20(CBTI)%20to%20help%20patients%20discontinue%20benzodiazepines.%20The%20study%20involved%20188%20middle-aged%20and%20older%20adults%20who%20had%20been%20using%20medications%20like%20lorazepam%2C%20alprazolam%2C%20clonazepam%2C%20temazepam%2C%20and%20zolpidem%20for%20insomnia.%20The%20results%20were%20impressive%3A%2073%25%20of%20participants%20in%20the%20masked%20tapering%20plus%20augmented%20CBTI%20group%20successfully%20discontinued%20their%20medication%2C%20compared%20to%2059%25%20in%20the%20open%20taper%20plus%20standard%20CBTI%20group.%20This%20significant%20difference%20highlights%20the%20potential%20of%20targeting%20placebo%20effect%20mechanisms%20to%20enhance%20deprescribing%20efforts.%20Next%2C%20we%20turn%20to%20Emily%20McDonald%2C%20the%20director%20of%20the%20Canadian%20Medication%20Appropriateness%20and%20Deprescribing%20Network%2C%20to%20discuss%20her%20%20study%20on%20the%20impact%20of%20direct-to-consumer%20educational%20brochures%20on%20gabapentin%20deprescribing.%20Patients%20received%20brochures%20detailing%20the%20risks%20of%20gabapentinoids%2C%20nonpharmacologic%20alternatives%2C%20and%20a%20proposed%20deprescribing%20regimen%20(see%20here%20for%20the%20brochure).%20Additionally%2C%20clinicians%20participated%20in%20monthly%20educational%20sessions.%20The%20intervention%20group%20saw%20a%20deprescribing%20rate%20of%2021.1%25%2C%20compared%20to%209.9%25%20in%20the%20usual%20care%20group.%20This%20study%20underscores%20the%20power%20of%20patient%20education%20in%20promoting%20safer%20medication%20use.%20In%20our%20third%20segment%2C%20we%20explore%20Amy%20Linsky%E2%80%99s%20%20study%20that%20examined%20the%20effect%20of%20patient-directed%20educational%20materials%20on%20clinician%20deprescribing%20of%20potentially%20low-benefit%20or%20high-risk%20medications%2C%20such%20as%20proton%20pump%20inhibitors%2C%20high-dose%20gabapentin%2C%20or%20risky%20diabetes%20medications.%20The%20intervention%20involved%20mailing%20medication-specific%20brochures%20to%20patients%20before%20their%20primary%20care%20appointments%20(click%20here%20for%20the%20brochure).%20The%20results%20showed%20a%20modest%20but%20significant%20increase%20in%20deprescribing%20rates%20among%20the%20intervention%20group.%20This%20approach%20demonstrates%20the%20potential%20of%20simple%2C%20low-cost%20interventions%20to%20improve%20medication%20safety.%20Finally%2C%20we%20discuss%20Michelle%20Odden%E2%80%99s%20%20study%2C%20which%20used%20a%20target%20trial%20emulation%20approach%20to%20investigate%20the%20effects%20of%20deprescribing%20antihypertensive%20medications%20on%20cognitive%20function%20in%20nursing%20home%20residents.%20The%20study%20included%2012%2C644%20residents%20and%20found%20that%20deprescribing%20was%20associated%20with%20less%20cognitive%20decline%2C%20particularly%20among%20those%20with%20dementia4.%20These%20findings%20and%20the%20two%20studies%20Michelle%20mentions%20in%20the%20podcast%20(DANTE%20and%20OPTIMIZE)%20suggest%20that%20carefully%20reducing%20medication%20use%20in%20older%20adults%20may%20help%20preserve%20cognitive%20function.%20However%2C%20the%20DANTON%20study%20adds%20more%20questions%20to%20that%20conclusion.%20Join%20us%20as%20we%20dive%20deeper%20into%20these%20studies%20and%20discuss%20the%20implications%20for%20clinical%20practice%20and%20patient%20care.%20Don%E2%80%99t%20miss%20this%20episode%20if%20you%E2%80%99re%20interested%20in%20the%20latest%20advancements%20in%20deprescribing%20research!%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D772939606%22%2C%22internal_product_id%22%3A%22cb.ep.772939606%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-8e79cdc0ed315d7c9a30e3350d62ac81835cf208%22%2C%22play_count%22%3A56%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fbc%2F5b%2F4f%2F398fcc0fdc908aeb574f21feb34db8a251_scaled_v1_400.jpg%22%2C%22duration%22%3A2989000%2C%22download_count%22%3A44%2C%22size%22%3A71726336%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fbc%2F5b%2F4f%2F398fcc0fdc908aeb574f21feb34db8a251_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fbc%2F5b%2F4f%2F398fcc0fdc908aeb574f21feb34db8a251_scaled_v1_600.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP340_Deprescribing_Super_Special_III.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222025-01-23T07%3A45%3A00Z%22%2C%22title%22%3A%22Deprescribing%20Super%20Special%20III%3A%20Constance%20Fung%2C%20Emily%20McDonald%2C%20Amy%20Linsky%2C%20and%20Michelle%20Odden%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A772939606%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP340_Deprescribing_Super_Special_III.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fcaring-for-the-unrepresented-a-podcast-with-joe-dixon-timothy-farrell-yael-zweig%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Many%20older%20adults%20lose%20decision-making%20capacity%20during%20serious%20illnesses%2C%20and%20a%20significant%20percentage%20lack%20family%20or%20friends%20to%20assist%20with%20decisions.%20These%20individuals%20may%20become%20%E2%80%9Cunrepresented%2C%E2%80%9D%20meaning%20they%20lack%20the%20capacity%20to%20make%20a%20specific%20medical%20decision%2C%20do%20not%20have%20an%20advance%20directive%20for%20that%20decision%2C%20and%20do%20not%20have%20a%20surrogate%20to%20help.%20In%20today%E2%80%99s%20podcast%2C%20we%20talk%20with%20Joe%20Dixon%2C%20Timothy%20Farrell%2C%20and%20Yael%20Zweig%2C%20authors%20of%20the%20%20AGS%20position%20statement%20on%20making%20medical%20treatment%20decisions%20for%20unrepresented%20older%20adults.%20We%20define%20%E2%80%9Cunrepresented%E2%80%9D%20and%20address%20the%20following%20questions%3A%20%20%20What%20is%20the%20scope%20of%20the%20unrepresented%20problem%3F%20%20%20Why%20not%20use%20the%20older%20term%20%E2%80%9Cunbefriended%E2%80%9D%3F%20%20%20How%20should%20we%20care%20for%20unrepresented%20individuals%20in%20inpatient%20and%20outpatient%20settings%3F%20%20%20What%20can%20we%20do%20to%20prevent%20someone%20from%20becoming%20unrepresented%3F%20%20%20Find%20answers%20to%20these%20questions%20and%20more%20in%20this%20week%E2%80%99s%20podcast.%20Listen%20in%2C%20and%20if%20you%E2%80%99re%20interested%2C%20explore%20the%20topic%20further%20with%20the%20following%20resources%3A%20%20%20%20AGS%20Position%20statement%20on%20making%20medical%20treatment%20decisions%20for%20unrepresented%20older%20adults%20%20%20%20VA%20Policy%20on%20Advance%20Care%20Planning%20and%20on%20%20Informed%20Consent%C2%A0%20%20%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D770935229%22%2C%22internal_product_id%22%3A%22cb.ep.770935229%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-c1d5ae71d9ea6acb6efd869c8415d4fc13b8fcb2%22%2C%22play_count%22%3A48%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2F5%2Fe%2F5%2Fd5e5dc001d44df33d959afa2a1bf1c87%2FGeriPal_EP339_forLibsyn.jpg%22%2C%22duration%22%3A2847000%2C%22download_count%22%3A45%2C%22size%22%3A68318720%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2F5%2Fe%2F5%2Fd5e5dc001d44df33d959afa2a1bf1c87%2FGeriPal_EP339_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2F5%2Fe%2F5%2Fd5e5dc001d44df33d959afa2a1bf1c87%2FGeriPal_EP339_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP339_Caring_for_the_Unrepresented.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222025-01-16T07%3A45%3A00Z%22%2C%22title%22%3A%22Caring%20for%20the%20Unrepresented%3A%20A%20Podcast%20with%20Joe%20Dixon%2C%20Timothy%20Farrell%2C%20Yael%20Zweig%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A770935229%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP339_Caring_for_the_Unrepresented.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fpalliative-care-for-mental-illness-a-podcast-with-dani-chammas-and-brent-kious%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22We%E2%80%99ve%20talked%20a%20lot%20before%20about%20integrating%20psychiatry%20into%20palliative%20care%20(see%20%20here%20and%20%20here%20for%20two%20examples).%20Still%2C%20we%20haven%E2%80%99t%20talked%20about%20integrating%20palliative%20care%20into%20psychiatry%20or%20in%20the%20care%20of%20those%20with%20severe%20mental%20illness.%20On%20this%20week%E2%80%99s%20podcast%2C%20we%20talk%20with%20two%20experts%20about%20palliative%20psychiatry.%20We%20invited%20Dani%20Chammas%2C%20a%20palliative%20care%20physician%20and%20psychiatrist%20at%20UCSF%20(and%20a%20frequent%20guest%20to%20the%20GeriPal%20podcast)%2C%20as%20well%20as%20Brent%20Kious%2C%20a%20psychiatrist%20at%20the%20Huntsman%20Mental%20Health%20Institute%2C%20focusing%20on%20the%20management%20of%20severe%20persistent%20mental%20illnesses.%20We%20discuss%20the%20following%3A%20%20%20What%20is%20Palliative%20Psychiatry%20(and%20how%20is%20it%20different%20from%20Palliative%20Care%20Psychiatry)%3F%20%20%20What%20does%20it%20look%20like%20to%20take%20a%20palliative%20approach%20to%20severe%20mental%20illness%3F%20%20%20Is%20%5C%22terminal%5C%22%20mental%20illness%20a%20thing%3F%20%20%20Is%20hospice%20appropriate%20for%20people%20with%20serious%20mental%20illness%20(and%20does%20hospice%20have%20the%20skills%20to%20meet%20their%20needs%3F)%20%20%20Controversy%20over%20Medical%20Aid%20in%20Dying%20for%20primary%20psychiatric%20illness%20(and%20for%20those%20with%20serious%20medical%20illness%20who%20have%20a%20comorbid%20psychiatric%20illness)%20%20%20The%20level%20of%20provider%20moral%20distress%20that%20can%20be%20created%20in%20a%20system%20not%20designed%20to%20meet%20the%20needs%20of%20specific%20populations...%20and%20when%20we%20are%20asked%20to%20meet%20a%20need%20we%20don't%20feel%20equipped%20to%20meet.%20%20%20Here%20are%20a%20couple%20of%20articles%20if%20you%20want%20to%20do%20a%20deeper%20dive%3A%20%20%20Dani%20and%20colleagues%20article%20on%20%E2%80%9CPsychiatry%20and%20Palliative%20Care%3A%20Growing%20the%20Interface%20Through%20Education.%E2%80%9D%20%20%20Dani%20and%20colleagues%20article%20on%20%E2%80%9CPalliative%20Care%20Psychiatry%3A%20Building%20Synergy%20Across%20the%20Spectrum.%E2%80%9D%20%20%20Brent%E2%80%99s%20article%20on%20%E2%80%9CPhysician%20Aid-in-Dying%20and%20Suicide%20Prevention%20in%20Psychiatry%3A%20A%20Moral%20Crisis%3F%E2%80%9D%20%20%20A%20NY%20Times%20article%20titled%20%E2%80%9CShould%20Patients%20Be%20Allowed%20to%20Die%20From%20Anorexia%3F%E2%80%9D%20%20%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D763707579%22%2C%22internal_product_id%22%3A%22cb.ep.763707579%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-8114f03b7b27b7c3dd17138f755114186b909646%22%2C%22play_count%22%3A55%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fbf%2Fba%2F0b%2Fbcbb8218000b3918bc3e4a6cce25a40798_scaled_v1_400.jpg%22%2C%22duration%22%3A2984000%2C%22download_count%22%3A49%2C%22size%22%3A71610560%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fbf%2Fba%2F0b%2Fbcbb8218000b3918bc3e4a6cce25a40798_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Fbf%2Fba%2F0b%2Fbcbb8218000b3918bc3e4a6cce25a40798_scaled_v1_600.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP338_Palliative_Care_for_Mental_Illness.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-12-19T07%3A45%3A00Z%22%2C%22title%22%3A%22Palliative%20Care%20for%20Mental%20Illness%3A%20A%20Podcast%20with%20Dani%20Chammas%20and%20Brent%20Kious%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A763707579%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP338_Palliative_Care_for_Mental_Illness.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fai-for-surrogate-decision-making-dave-wendler-jenny-blumenthal-barby-teva-brender%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Surrogate%20decision%20making%20has%20some%20issues.%C2%A0%20Surrogates%20often%20either%20don%E2%80%99t%20know%20what%20patients%20would%20want%2C%20or%20think%20they%20know%20but%20are%20wrong%2C%20or%20make%20choices%20that%20align%20with%20their%20own%20preferences%20rather%20than%20the%20patients.%C2%A0%20After%20making%20decisions%2C%20many%20surrogates%20experience%20regret%2C%20PTSD%2C%20and%20depressive%20symptoms.%C2%A0%20Can%20we%20do%20better%3F%20Or%2C%20to%20phrase%20the%20question%20for%202024%2C%20%E2%80%9CCan%20AI%20do%20better%3F%E2%80%9D%20Follow%20that%20path%20and%20you%20arrive%20at%20a%20potentially%20terrifying%20scenario%3A%20using%20AI%20for%20surrogate%20decision%20making.%C2%A0%20What%3F!%3F%C2%A0%20When%20Teva%20Brender%20and%20Brian%20Block%20first%20approached%20me%20about%20writing%20a%20%20thought%20piece%20about%20this%20idea%2C%20my%20initial%20response%20was%2C%20%E2%80%9CHell%20no.%E2%80%9D%C2%A0%20You%20may%20be%20thinking%20the%20same.%C2%A0%20But%E2%80%A6stay%20with%20us%20here%E2%80%A6might%20AI%20help%20to%20address%20some%20of%20the%20major%20issues%20present%20in%20surrogate%20decision%20making%3F%20Or%20does%20it%20raise%20more%20issues%20than%20it%20solves%3F%20Today%20we%20talk%20with%20Teva%2C%20Dave%20Wendler%2C%20and%20Jenny%20Blumenthal-Barby%20about%3A%20%20%20Current%20clinical%20and%20ethical%20issues%20with%20surrogate%20decision%20making%20%20%20The%20Patient%20Preferences%20Predictor%20(developed%20by%20Dave%20Wendler)%20or%20Personalized%20Patient%20Preferences%20Predictor%20(updated%20idea%20by%20Brian%20Earp)%20and%20%20commentary%20by%20Jenny%20%20%20%20Using%20AI%20to%20comb%20through%20prior%20recorded%20clinical%20conversations%20with%20patients%20to%20play%20back%20pertinent%20discussions%3B%20to%20predict%20functional%20outcomes%3B%20and%20to%20predict%20patient%20preferences%20based%20on%20prior%20spending%20patterns%2C%20emails%2C%20and%20social%20media%20posts%20(Teva%E2%80%99s%20thought%20piece)%20%20%20A%20whole%20host%20of%20%20ethical%20issues%20raised%20by%20these%20ideas%20including%20the%20black%20box%20nature%2C%20the%20motivations%20of%20private%20AI%20algorithms%20run%20by%20for%20profit%20healthcare%20systems%2C%20turning%20an%20%E2%80%9Cis%E2%80%9D%20into%20an%20%E2%80%9Cought%E2%80%9D%2C%20%20defaults%20and%20nudges%2C%20and%20privacy.%20%20%20I%E2%80%99ll%20end%20this%20intro%20with%20a%20quote%20from%20Deb%20Grady%20in%20an%C2%A0editor%E2%80%99s%20commentary%20to%20our%20%20thought%20piece%20in%20JAMA%20Internal%20Medicine%20about%20this%20topic%3A%20%E2%80%9CVoice%20technology%20that%20creates%20a%20searchable%20database%20of%20patients%E2%80%99%20every%20encounter%20with%20a%20health%20care%20professional%3F%20Using%20data%20from%20wearable%20devices%2C%20internet%20searches%2C%20and%20purchasing%20history%3F%20Algorithms%20using%20millions%20of%20direct%20observations%20of%20a%20person%E2%80%99s%20behavior%20to%20provide%20an%20authentic%20portrait%20of%20the%20way%20a%20person%20lived%3F%20Yikes!%20The%20authors%20discuss%20the%20practical%2C%20ethical%2C%20and%20accuracy%20issues%20related%20to%20this%20scenario.%20We%20published%20this%20Viewpoint%20because%20it%20is%20very%20interesting%2C%20somewhat%20scary%2C%20and%20probably%20inevitable.%E2%80%9D%20-%40alexsmithmd.bsky.social%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D761761179%22%2C%22internal_product_id%22%3A%22cb.ep.761761179%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-43df05f3dc4c3e749f1ee37c807f0750303ca0e6%22%2C%22play_count%22%3A49%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2Fd%2F9%2F4%2F6d94a5fb147f8edb16c3140a3186d450%2FGeriPal_EP337_forLibsyn.jpg%22%2C%22duration%22%3A2872000%2C%22download_count%22%3A44%2C%22size%22%3A68922440%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2Fd%2F9%2F4%2F6d94a5fb147f8edb16c3140a3186d450%2FGeriPal_EP337_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2Fd%2F9%2F4%2F6d94a5fb147f8edb16c3140a3186d450%2FGeriPal_EP337_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP337_AI_for_surrogate_decision_making.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-12-12T07%3A45%3A00Z%22%2C%22title%22%3A%22AI%20for%20Surrogate%20Decision%20Making%3F!%3F%20Dave%20Wendler%2C%20Jenny%20Blumenthal-Barby%2C%20Teva%20Brender%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A761761179%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP337_AI_for_surrogate_decision_making.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fstories-we-tell-each-other-to-heal-ricky-leiter-alexis-drutchas-emily-silverman%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22We%E2%80%99ve%20covered%20stories%20before.%C2%A0%20With%20%20Liz%20Salmi%2C%20Anne%20Kelly%2C%20and%20Preeti%20Malani%20we%20talked%20about%20stories%20written%20up%20in%20the%20academic%20literature%2C%20such%20as%20the%20JAMA%20Piece%20of%20My%20Mind%20series.%C2%A0%20We%20talked%20with%20%20Thor%20Ringler%2C%20who%20helped%20found%20the%20My%20Life%20My%20Story%20Project%20at%20the%20VA%20and%20beyond%2C%20and%20%20Heather%20Coats%20about%20the%20evidence%20base%20for%20capturing%20patient%20stories.%20Today%E2%80%99s%20podcast%20is%20both%20similar%20and%20different.%C2%A0%20Similar%20in%20that%20the%20underlying%20theme%20of%20the%20power%20of%20stories.%C2%A0%20Different%20in%20that%20these%20storytelling%20initiatives%2C%20the%20Nocturnists%20and%20the%20Palliative%20Story%20Exchange%2C%20are%20focused%20on%20clinicians%20sharing%20stories%20with%20each%20other%20in%20small%20groups%20to%20heal.%20There%E2%80%99s%20something%20magical%20that%20happens%20in%20small%20group%20storytelling.%20It%E2%80%99s%20that%20mixture%20of%20intimacy%20and%20vulnerability%2C%20of%20shared%20clinical%20experiences%2C%20that%20fosters%20a%20sense%20of%20belonging.%C2%A0%20We%20model%20that%20small%20group%20storytelling%20experience%20today.%20We%20discuss%3A%20%20%20The%20%E2%80%9Corigin%20stories%E2%80%9D%20of%20the%20Nocturnists%20Live%20Show%20and%20Podcast%20and%20the%20Palliative%20Story%20Exchange%20%20%20The%20process%20for%20story%20creation%20and%20development%2C%20written%20in%20advance%20or%20not%2C%20feedback%20or%20not%20after%20the%20story%2C%20and%20the%20aims%20and%20goals%20of%20each%20initiative%20%20%20And%20we%20each%20tell%20a%20short%20story%2C%20modeling%20the%20process%20for%20The%20Nocturnists%20and%20the%20Palliative%20Story%20Exchange%20for%20our%20listeners%20%20%20These%20initiatives%20arose%20organically%20from%20clinicians%20as%20part%20of%20a%20journey%20away%20from%20burnout%2C%20moral%20distress%2C%20shame%2C%20and%20loneliness%20toward%20healing%2C%20wholeness%2C%20gratitude%2C%20and%20belonging.%C2%A0%20A%20journey%20taken%20one%20story%20at%20a%20time.%20One%20final%20note%20on%20the%20song%20request%3A%20About%2020%20years%20ago%20I%20took%20an%20epidemiology%20course%20as%20part%20of%20a%20Masters%20program.%20The%20instructor%2C%C2%A0Fran%20Cook%2C%20gave%20all%20the%20students%20a%20survey%20without%20explanation.%C2%A0%20We%20answered%20the%20survey%20and%20handed%20it%20in.%20One%20of%20the%20questions%20was%2C%20%E2%80%9CCan%20you%20name%20a%20song%20by%20the%20Tragically%20Hip%3F%E2%80%9D%C2%A0%20It%20later%20turned%20out%20the%20survey%20was%20a%20prognostic%20index%20designed%20to%20determine%20if%20the%20respondent%20was%20Canadian.%C2%A0%C2%A0%20-%40AlexSmithMD%20%20Here%E2%80%99s%20a%20link%20to%20an%C2%A0article%20about%20the%20Palliative%20Story%20Exchange.%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D759438004%22%2C%22internal_product_id%22%3A%22cb.ep.759438004%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-1d7970b906af9cec8de3db1fa63794df2bd1b508%22%2C%22play_count%22%3A50%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F8%2F9%2Fe%2F589eac7337b398fd16c3140a3186d450%2FGeriPal_EP336_forLibsyn.jpg%22%2C%22duration%22%3A2914000%2C%22download_count%22%3A41%2C%22size%22%3A69943040%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F8%2F9%2Fe%2F589eac7337b398fd16c3140a3186d450%2FGeriPal_EP336_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F8%2F9%2Fe%2F589eac7337b398fd16c3140a3186d450%2FGeriPal_EP336_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP336_Stories_we_tell_each_other_to_heal.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-12-05T07%3A45%3A00Z%22%2C%22title%22%3A%22Stories%20We%20Tell%20Each%20Other%20to%20Heal%3A%20Ricky%20Leiter%2C%20Alexis%20Drutchas%2C%20%26%20Emily%20Silverman%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A759438004%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP336_Stories_we_tell_each_other_to_heal.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fcoping-with-serious-illness-danielle-chammas-and-amanda-moment%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Denial.%20Substance%20use.%20Venting.%20Positive%20reframing.%20Humor.%20Acceptance.%20All%20of%20these%20are%20ways%20we%20cope%20with%20stressful%20situations.%20Some%20we%20may%20consider%20healthy%20or%20unhealthy%20coping%20strategies%2C%20but%20are%20they%20really%20that%20easy%20to%20categorize%3F%20Isn%E2%80%99t%20it%20more%20important%20to%20ask%20whether%20a%20particular%20coping%20behavior%20is%20adaptive%20or%20not%20for%20a%20particular%20person%2Cin%20a%20particular%20time%20or%20situation%3F%20We%20are%20going%20to%20tackle%20this%20question%20and%20so%20many%20more%20about%20coping%20on%20this%20week's%20podcast%20with%20Dani%20Chammas%2C%20a%20recurring%20GeriPal%20guest%2C%20psychiatrist%2C%20and%20palliative%20care%20doc%20at%20UCSF%2C%20and%20Amanda%20Moment%2C%20a%20Palliative%20Care%20Social%20Worker%20at%20Brigham%20and%20Women's%20Cancer%20Center.%20There%20are%20so%20many%20take-home%20points%20for%20me%20on%20this%20podcast%2C%20including%20this%20one%20on%20a%20framework%20for%20assessing%20coping%20in%20serious%20illness%3A%20%20%20nonjudgmentally%20observe%20their%20coping%20%20%20wonder%20about%20the%20impacts%20of%20their%20coping%20%20%20prioritize%20helping%20patients%20maintain%20their%20psychological%20integrity%20%20%20mindfully%20think%20through%20how%20we%20can%20serve%20their%20coping%20in%20ways%20that%20they%20can%20tolerate%2C%20always%20calibrating%20based%20on%20the%20person%2C%20the%20moment%2C%20and%20the%20setting%20in%20front%20of%20us.%20%20%20%20Here%20are%20some%20more%20resources%20we%E2%80%99ve%20discussed%20in%20the%20podcast%20%20%20Dani%E2%80%99s%20NEJM%20article%20on%20coping%3A%20%E2%80%9CShould%20I%20Laugh%20at%20That%3F%20Coping%20in%20the%20Setting%20of%20Serious%20Illness%E2%80%9D%20%20%20Dani%E2%80%99s%20GeriPal%20podcast%20with%20us%20on%20%E2%80%9CImproving%20Serious%20Illness%20Communication%20By%20Developing%20Formulations%E2%80%9D%20%20%20A%20great%20journal%20article%20on%20%E2%80%9CFormulation%20in%20Palliative%20Care%3A%20Elevating%20Our%20Potential%20for%20Therapeutic%20Communication%E2%80%9D%20%20%20A%20study%20on%20how%20palliative%20care%20may%20work%20by%20enhancing%20patients%E2%80%99%20ability%20to%20access%20adaptive%20coping%20-%20%E2%80%9CRole%20of%20Patient%20Coping%20Strategies%20in%20Understanding%20the%20Effects%20of%20Early%20Palliative%20Care%20on%20Quality%20of%20Life%20and%20Mood%20%20%20%20%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%C2%A0click%20here%20**%20%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D755287330%22%2C%22internal_product_id%22%3A%22cb.ep.755287330%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-6277031448248b4fd492e9edcbc109f8529e80e0%22%2C%22play_count%22%3A62%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22duration%22%3A3024000%2C%22download_count%22%3A45%2C%22size%22%3A72573056%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP335_Coping_with_Serious_Illness.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-21T07%3A45%3A00Z%22%2C%22title%22%3A%22Coping%20with%20Serious%20Illness%3A%20Danielle%20Chammas%20and%20Amanda%20Moment%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A755287330%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP335_Coping_with_Serious_Illness.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Ffalls-and-fractures-a-podcast-with-sarah-berry%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Falls%20are%20very%20common%20among%20older%20adults%20but%20often%20go%20unreported%20or%20untreated%20by%20healthcare%20providers.%20There%20may%20be%20lots%20of%20reasons%20behind%20this.%20Patients%20may%20feel%20like%20falls%20are%20just%20part%20of%20normal%20aging.%20Providers%20may%20feel%20a%20sense%20of%20nihilism%2C%20that%20there%20just%20isn't%20anything%20they%20can%20do%20to%20decrease%20the%20risk%20of%20falling.%20On%20this%20week's%20podcast%2C%20we%20try%20to%20blow%20up%20this%20nihilism%20with%20our%20guest%20Sarah%20Berry.%20Sarah%20is%20a%20geriatrician%20at%20Hebrew%20SeniorLife%20in%20Boston%20where%20she%20does%20research%20on%20falls%2C%20fractures%2C%20and%20osteoporosis%20in%20older%20adults.%C2%A0%20We%20pepper%20Sarah%20with%20questions%20ranging%20from%3A%20%20%20Why%20should%20we%20care%20about%20falls%3F%20%20%20What%20are%20ways%20we%20should%20screen%20for%20falls%3F%20%20%20What%20are%20evidence%20based%20interventions%20to%20decrease%20the%20risk%20of%20falls%3F%20%20%20What%20about%20Vitamin%20D%20and%20falls%3F%3F%3F%20%20%20How%20should%20we%20assess%20for%20fracture%20risk%3F%20%20%20What%20are%20some%20evidence-based%20ways%20to%20decrease%20fracture%20risk%3F%20%20%20When%20should%20we%20prescribe%20vs%20deprescribe%20bisphosphonate%20therapy%3F%C2%A0%20How%20does%20life%20expectancy%20fit%20in%20with%20all%20of%20this%3F%20%20%20%20If%20you%20want%20to%20do%20a%20deeper%20dive%20into%20some%20of%20the%20articles%20we%20discuss%2C%20take%20a%20look%20at%20the%20following%3A%20%20%20An%20awesome%20JAMA%20review%20by%20Sarah%20on%20fall%20risk%20assessment%20and%20prevention%20in%20community-dwelling%20adults.%20%20%20The%20Fracture%20Risk%20Assessment%20in%20Long%20term%20care%20(FRAiL)%20website%20%20%20James%20Deardorff%E2%80%99s%20JAMA%20IM%20article%20on%20%E2%80%9CTime%20to%20Benefit%20of%20Bisphosphonate%20Therapy%20for%20the%20Prevention%20of%20Fractures%20Among%20Postmenopausal%20Women%20With%20Osteoporosis%20%20%20Sarah%E2%80%99s%20article%20on%20%E2%80%9CControversies%20in%20Osteoporosis%20Treatment%20of%20Nursing%20Home%20Residents%E2%80%9D%2C%20which%20includes%20this%20helpful%20flow%20chart%20on%20starting%2Fstopping%20osteoporosis%20drugs%20in%20nursing%20homes%20%20%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D753236627%22%2C%22internal_product_id%22%3A%22cb.ep.753236627%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-42167f4ec89e2264f36792660d36bdf30e84a179%22%2C%22play_count%22%3A50%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff1%2F97%2F8d%2F18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_400.jpg%22%2C%22duration%22%3A2806000%2C%22download_count%22%3A39%2C%22size%22%3A67351040%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff1%2F97%2F8d%2F18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff1%2F97%2F8d%2F18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_600.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP334_Falls_and_Fractures.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-14T07%3A45%3A00Z%22%2C%22title%22%3A%22Falls%20and%20Fractures%3A%20A%20Podcast%20with%20Sarah%20Berry%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A753236627%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP334_Falls_and_Fractures.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fdialysis-vs-conservative-management-for-older-adults-manju-kurella-tamura-susan-wong-maria-montez-rath%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22We%20recently%20published%20a%20podcast%20on%20palliative%20care%20for%20kidney%20failure%2C%20focusing%20on%20conservative%20kidney%20management.%20Today%20we%E2%80%99re%20going%20to%20focus%20upstream%20on%20the%20decision%20to%20initiate%20dialysis%20vs%20conservative%20kidney%20management.%20As%20background%2C%20we%20discuss%20Manju%20Kurella%20Tamura%E2%80%99s%20landmark%20NEJM%20paper%20that%20found%2C%20contrary%20to%20expectations%2C%20that%20function%20declines%20precipitously%20for%20nursing%20home%20residents%20who%20initiate%20dialysis.%C2%A0%20If%20the%20purpose%20of%20initiating%20dialysis%20is%20improving%20function%20-%20our%20complex%2C%20frail%2C%20older%20patients%20are%20likely%20to%20be%20disappointed.%20We%20also%20briefly%20mention%20Susan%20Wong%E2%80%99s%20terrific%20studies%20that%20found%20a%20%20disconnect%20between%20older%20adults%20with%20renal%20failure%E2%80%99s%20expressed%20values%2C%20focused%20on%20comfort%2C%20and%20their%20advance%20care%20planning%20and%20end-of-life%20care%20received%2C%20which%20focused%20on%20life%20extension%3B%20and%20another%20study%20that%20found%20quality%20of%20life%20was%20%20sustained%20until%20late%20in%20the%20illness%20course.%20One%20final%20briefly%20mentioned%20piece%20of%20background%3A%20John%20Oliver%E2%80%99s%20hilarious%20and%20disturbing%20takedown%20of%20the%20for%20profit%20dialysis%20industry%2C%20focused%20on%20DaVita.%20And%20the%20main%20topic%20of%20today%20is%20a%20paper%20in%20%20Annals%20of%20Internal%20Medicine%2C%20Maria%20first%20author%2C%20that%20addressed%20the%20tradeoffs%20between%20initiating%20dialysis%20vs%20continued%20medical%2Fsupportive%20management.%20%C2%A0%20Turns%20out%2C%20in%20summary%20people%20who%20initiate%20dialysis%20have%20mildly%20longer%20lives%2C%20but%20spend%20more%20time%20in%20facilities%2C%20away%20from%20home.%C2%A0%20We%20also%20discuss%20(without%20trying%20to%20get%20too%20wonky!)%20immortal%20time%20bias%20and%20target%20emulation%20trials.%20Do%20target%20trials%20differ%20from%20randomized%20trials%20and%20%E2%80%9Cordinary%E2%80%9D%20observational%20studies%2C%20or%20do%20they%20differ%3F!%3F%20Eric%20is%20skeptical.%20Bottom%20line%3A%20if%20faced%20with%20the%20decision%20to%20initiate%20dialysis%2C%20waiting%20is%20generally%20better.%C2%A0%20Let%20it%20be%20(hint%20hint).%20-Additional%20link%20to%20study%20with%20heatmaps%20of%20specific%20locations%20(hospital%2C%20nursing%20home%2C%20home)%20after%20initiating%20dialysis.%20-%40AlexSmithMD%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D751223931%22%2C%22internal_product_id%22%3A%22cb.ep.751223931%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-1713314ff66cd83c82ee9b6b85951c622628b35f%22%2C%22play_count%22%3A55%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2Fd%2F8%2F34d8a78149ab1a8e88c4a68c3ddbc4f2%2FGeriPal_EP333_forLibsyn.jpg%22%2C%22duration%22%3A2827000%2C%22download_count%22%3A43%2C%22size%22%3A67841216%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2Fd%2F8%2F34d8a78149ab1a8e88c4a68c3ddbc4f2%2FGeriPal_EP333_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2Fd%2F8%2F34d8a78149ab1a8e88c4a68c3ddbc4f2%2FGeriPal_EP333_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP333_Dialysis_vs_Conservative_Management.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-07T07%3A45%3A00Z%22%2C%22title%22%3A%22Dialysis%20vs%20Conservative%20Management%20for%20Older%20Adults%3A%20Manju%20Kurella%20Tamura%2C%20Susan%20Wong%2C%20%26%20Maria%20Montez-Rath%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A751223931%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP333_Dialysis_vs_Conservative_Management.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fcovid-updates-a-podcast-with-peter-chin-hong-and-lona-mody%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20March%202020%2C%20we%20launched%20our%20first%20podcast%20on%20COVID-19.%20Over%20the%20past%20four%20years%2C%20we%E2%80%99ve%20seen%20many%20changes%E2%80%94some%20positive%2C%20some%20negative.%20While%20many%20of%20us%20are%20eager%20to%20move%20past%20COVID%20(myself%20included)%2C%20it%E2%80%99s%20clear%20that%20COVID%20is%20here%20to%20stay.%20This%20week%2C%20we%20sit%20down%20with%20infectious%20disease%20experts%20Peter%20Chin-Hong%20and%20Lona%20Mody%20to%20discuss%20living%20with%20COVID-19.%20Our%20conversation%20covers%3A%20%20%20The%20current%20state%20of%20COVID%20%20%20Evidence%20for%20COVID%20boosters%2C%20who%20should%20get%20them%2C%20and%20preferences%20between%20Novavax%20and%20mRNA%20vaccines%20%20%20COVID%20treatments%20like%20Molnupiravir%20and%20Paxlovid%20%20%20Differences%20in%20COVID%20impact%20on%20nursing%20home%20residents%20and%20those%20with%20serious%20illnesses%20%20%20We%20wrap%20up%20with%20a%20%E2%80%9Cmagic%20wand%E2%80%9D%20question.%20My%20wish%20was%20for%20better%20randomized%20evidence%20for%20vaccines%20and%20treatments%2C%20though%20I%20worry%20this%20might%20not%20be%20feasible.%20In%20the%20meantime%2C%20there%E2%80%99s%20significant%20room%20to%20improve%20vaccine%20uptake%20among%20high-risk%20groups%2C%20particularly%20nursing%20home%20residents.%20Currently%2C%20only%201%20in%205%20nursing%20home%20residents%20in%20the%20US%20have%20received%20the%20COVID%20booster%2C%20compared%20to%20over%2050%25%20in%20the%20UK.%20By%3A%20Eric%20Widera%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D749229129%22%2C%22internal_product_id%22%3A%22cb.ep.749229129%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-ab2792babb335f04f856eef26d2505660a959a71%22%2C%22play_count%22%3A42%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F2%2F5%2F4%2F6%2F2546db89713497b1e55e3c100dce7605%2FGeriPal_EP332_forLibsybn.jpg%22%2C%22duration%22%3A2636000%2C%22download_count%22%3A39%2C%22size%22%3A63247363%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F2%2F5%2F4%2F6%2F2546db89713497b1e55e3c100dce7605%2FGeriPal_EP332_forLibsybn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F2%2F5%2F4%2F6%2F2546db89713497b1e55e3c100dce7605%2FGeriPal_EP332_forLibsybn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP332_COVID_Updates.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-31T06%3A45%3A00Z%22%2C%22title%22%3A%22COVID%20Updates%3A%20A%20Podcast%20with%20Peter%20Chin-Hong%20and%20Lona%20Mody%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A749229129%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP332_COVID_Updates.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fmedical-cannabis-revisted-a-podcast-with-david-casarett-and-eloise-theisen%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Cannabis%20is%20complicated.%20It%20can%20mean%20many%20things%2C%20including%20a%20specific%20type%20of%20plant%2C%20the%20chemicals%20in%20the%20plant%2C%20synthetic%20analogs%2C%20or%20products%20that%20have%20these%20components.%20The%20doses%20of%20the%20most%20widely%20discussed%20pharmacologically%20active%20ingredients%2C%20THC%20and%20CBD%2C%20vary%20by%20product%2C%20and%20the%20onset%20and%20bioavailability%20vary%20by%20how%20it%20is%20delivered.%20If%20you%20believe%20the%20evidence%20for%20efficacy%20to%20manage%20symptoms%20like%20neuropathic%20pain%2C%20how%20do%20you%20even%20start%20to%20think%20about%20recommending%20these%20products%20to%20patients%3F%20On%20today%E2%80%99s%20podcast%2C%20we%20answer%20that%20question%20with%20our%20guests%2C%20David%20Casarett%20and%20Eloise%20Theisen.%20David%20is%20a%20physician%20who%20wrote%20the%20book%20%E2%80%9CStoned%3A%20A%20Doctor's%20Case%20for%20Medical%20Marijuana%E2%80%9D%20and%20gave%20a%20TED%20talk%20on%20%E2%80%9CA%20Doctor's%20Case%20for%20Medical%20Marijuana%E2%80%9D%20that%20was%20watched%20over%203%20million%20times.%20Eloise%20is%20a%20palliative%20care%20NP%20at%20Stanford%20and%20co-founder%20of%20The%20Radicle%20Health%20Clinician%20Network.%20So%2C%20take%20a%20listen%20and%20check%20out%20the%20following%20resources%20to%20learn%20more%20about%20medical%20cannabis%3A%20%20%20Radicle%20Health%E2%80%99s%20curriculum%20and%20modules%20for%20healthcare%20professionals%20on%20cannabis%20%20%20NEJM%20Catalyst%20article%20on%20integrating%20medical%20cannabis%20into%20clinical%20care%20%20%20David%E2%80%99s%20TED%20talk%20on%20%E2%80%9CA%20Doctor's%20Case%20for%20Medical%20Marijuana%E2%80%9D%20%20%20A%20%20JPSM%20systematic%20review%20of%20current%20evidence%20for%20cannabis%20in%20palliative%20care%20%20%20Our%20past%20%20GeriPal%20episode%20with%20Bree%20Johnston%20and%20Ben%20Han%20on%20cannabis%20in%20older%20adults%20%20%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D747350331%22%2C%22internal_product_id%22%3A%22cb.ep.747350331%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-52b958848fa2b58034a672b074f576616079250c%22%2C%22play_count%22%3A64%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F1%2Fc%2F3%2F1%2F1c31c273d8f9c859e55e3c100dce7605%2FGeriPal_EP331_forLibsyn.jpg%22%2C%22duration%22%3A3127000%2C%22download_count%22%3A43%2C%22size%22%3A75052736%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F1%2Fc%2F3%2F1%2F1c31c273d8f9c859e55e3c100dce7605%2FGeriPal_EP331_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F1%2Fc%2F3%2F1%2F1c31c273d8f9c859e55e3c100dce7605%2FGeriPal_EP331_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP331_Cannabis_Revisited.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-24T06%3A45%3A00Z%22%2C%22title%22%3A%22Medical%20Cannabis%20Revisited%3A%20A%20Podcast%20with%20David%20Casarett%20and%20Eloise%20Theisen%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A747350331%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP331_Cannabis_Revisited.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fguidelines-or-goals-in-heart-failure-parag-goyal-nicole-superville-and-matthew-shuster%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22When%20treating%20heart%20failure%2C%20how%20do%20we%20distinguish%20between%20the%20expanding%20list%20of%20medications%20recommended%20for%20%E2%80%9CGuideline%20Directed%20Medical%20Therapy%E2%80%9D%20(GDMT)%20and%20what%20might%20be%20considered%20runaway%20polypharmacy%3F%20In%20this%20week%E2%80%99s%20podcast%2C%20we%E2%80%99ll%20tackle%20this%20crucial%20question%2C%20thanks%20to%20a%20fantastic%20suggestion%20from%20GeriPal%20listener%20Matthew%20Shuster%2C%20who%20will%20join%20us%20as%20a%20guest%20host.%20We%E2%80%99ve%20also%20invited%20two%20amazing%20cardiologists%2C%20Parag%20Goyal%20and%20Nicole%20Superville%2C%20to%20join%20us%20about%20GDMT%20in%20heart%20failure%20with%20reduced%20ejection%20fraction%20(HFrEF)%20and%20in%20Heart%20Failure%20with%20preserved%20EF%20(HFpEF).%C2%A0%20We%20talk%20about%20what%20is%20heart%20failure%2C%20particularly%20HFpEF%2C%20how%20we%20treat%20it%20(including%20the%20use%20of%20sodium%E2%80%93glucose%20cotransporter-2%20inhibitors%20(SGLT2%E2%80%99s)%2C%20and%20how%20we%20should%20apply%20guidelines%20to%20individual%20patients%2C%20especially%20those%20with%20multimorbidity%20who%20are%20taking%20a%20lot%20of%20other%20medications.%20I%E2%80%99d%20also%20like%20to%20give%20a%20shout%20out%20to%20a%20recent%20ACP%20article%20on%20HFpEF%20with%20an%20outstanding%20contribution%20from%20Ariela%20Orkaby%2C%20geriatrician%20extraordinaire%20(we%20also%20just%20did%20a%20%20podcast%20with%20her%20on%20frailty).%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D745504196%22%2C%22internal_product_id%22%3A%22cb.ep.745504196%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-605f29768780ee19f9fa68cae021636ba37a16a6%22%2C%22play_count%22%3A55%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22duration%22%3A2908000%2C%22download_count%22%3A42%2C%22size%22%3A69798874%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-17T06%3A45%3A00Z%22%2C%22title%22%3A%22Guidelines%20or%20Goals%20in%20Heart%20Failure%3A%20Parag%20Goyal%2C%20Nicole%20Superville%2C%20and%20Matthew%20Shuster%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A745504196%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fintentionally-interprofessional-care-doranne-donesky-michelle-milic-naomi-saks-cara-wallace%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20fellowship%2C%20one%20of%20the%20leaders%20at%20MGH%20used%20to%20quote%20Balfour%20Mount%20as%20saying%2C%20%E2%80%9CYou%20say%20you%E2%80%99ve%20worked%20on%20teams%3F%20Show%20me%20your%20scars.%E2%80%9D%C2%A0%20Scars%2C%20really%3F%C2%A0%20Yes.%20I%E2%80%99ve%20been%20there.%20You%20probably%20have%20too.%20On%20the%20one%20hand%2C%20I%20don%E2%80%99t%20think%20interprofessional%20teamwork%20needs%20to%20be%20scarring.%20On%20the%20other%20hand%2C%20though%20it%20goes%20against%20my%20middle-child%20%E2%80%9Ccan%E2%80%99t%20we%20all%20get%20along%E2%80%9D%20nature%2C%20disagreement%20is%20a%20key%20aspect%20of%20high%20functioning%20teams.%C2%A0%20The%20key%20is%20to%20foster%20an%20environment%20of%20curiosity%20and%20humility%20that%20welcomes%20and%20even%20encourages%20a%20diversity%20of%20perspectives%2C%20including%20direct%20disagreement.%20Today%20we%20talk%20with%20DorAnne%20Donesky%2C%20Michelle%20Milic%2C%20Naomi%20Saks%2C%20%26%20Cara%20Wallace%20about%20the%20notion%20that%20we%20should%20revolutionize%20our%20education%20programs%2C%20training%20programs%2C%20teams%2C%20incentive%20structures%2C%20and%20practice%20to%20be%20intentionally%20interprofessional%20in%20all%20phases.%C2%A0%20The%20many%20arguments%2C%20theories%2C%20%26%20approaches%20across%20settings%20and%20conditions%20are%20explored%20in%20detail%20in%20the%20book%20they%20edited%2C%20%E2%80%9CIntentionally%20Interprofessional%20Palliative%20Care%E2%80%9D%20(discount%20code%20AMPROMD9).%20Of%20note%3A%20these%20lessons%20apply%20to%20geriatrics%2C%20primary%20care%2C%20hospital%20medicine%2C%20critical%20care%2C%20cancer%20care%2C%20etc%2C%20etc.%20And%20they%20begin%20on%20today%E2%80%99s%20podcast%20with%20one%20clinical%20ask%3A%20everyone%20should%20be%20a%20generalist%20and%20a%20specialist.%20In%20other%20words%2C%20in%20addition%20to%20being%20a%20specialist%20(e.g.%20social%20worker%2C%20chaplain)%2C%20everyone%20should%20be%20able%20to%20ask%20a%20question%20or%20two%20about%20spiritual%20concerns%2C%20social%20concerns%2C%20or%20physical%20concerns.%20Many%20more%20approaches%20to%20being%20interprofessional%20on%20today%E2%80%99s%20podcast.%C2%A0%20But%20how%20about%20you!%20What%20will%20you%20commit%20to%20in%20order%20to%20be%20more%20intentionally%20interprofessional%3F%20If%20we%20build%20this%20dream%20together%2C%20standing%20strong%20forever%2C%20nothing%E2%80%99s%20gonna%20stop%20us%20now%E2%80%A6%20-%40AlexSmithMD%20%C2%A0%20%C2%A0Interprofessional%20organizations%20that%20are%20not%20specific%20to%20palliative%20care%20are%20doing%20excellent%20work%20%20%20National%20Center%20for%20Interprofessional%20Practice%20and%20Education%3A%20https%3A%2F%2Fnexusipe.org%2F%20%20%20National%20Collaborative%20for%20Improving%20the%20Clinical%20Learning%20Environment%20https%3A%2F%2Fncicle.org%2F%20%20%20Interprofessional%20Education%20Collaborative%20(home%20of%20the%20IPEC%20Competencies)%20https%3A%2F%2Fwww.ipecollaborative.org%2F%20%20%20American%20Interprofessional%20Health%20Collaborative%20(sponsor%20of%20the%20biennial%20meeting%20%5C%22Collaborating%20Across%20Borders%5C%22)%20https%3A%2F%2Faihc-us.org%2Findex.php%2F%20%20%20Health%20Professions%20Accreditors%20Collaborative%20https%3A%2F%2Fhealthprofessionsaccreditors.org%2F%20%20%20%C2%A0%20%20This%20episode%20of%20the%20GeriPal%20Podcast%20is%20sponsored%20by%C2%A0UCSF%E2%80%99s%20Division%20of%20Palliative%20Medicine%2C%20an%20amazing%20group%20doing%20world-class%20palliative%20care.%C2%A0%20They%20are%20looking%20to%20build%20on%20both%20their%20research%20and%20clinical%20programs%20and%20are%20interviewing%20candidates%20for%20the%C2%A0Associate%20Chief%20of%20Research%C2%A0and%20for%C2%A0full-time%20physician%20faculty%20to%20join%20them%20in%20the%20inpatient%20and%20outpatient%20setting.%20%C2%A0To%20learn%20more%20about%20job%20opportunities%2C%20please%20click%20here%3A%C2%A0https%3A%2F%2Fpalliativemedicine.ucsf.edu%2Fjob-openings%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20%20click%20here%20**%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D743368153%22%2C%22internal_product_id%22%3A%22cb.ep.743368153%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-a9fb4771c8f82ebcdb824cd72625989d86869c99%22%2C%22play_count%22%3A46%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fb%2F3%2F8%2F6%2Fb386b50a8e734df7e55e3c100dce7605%2FGeriPal_EP329_forLibsyn.jpg%22%2C%22duration%22%3A2876000%2C%22download_count%22%3A38%2C%22size%22%3A69027112%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fb%2F3%2F8%2F6%2Fb386b50a8e734df7e55e3c100dce7605%2FGeriPal_EP329_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fb%2F3%2F8%2F6%2Fb386b50a8e734df7e55e3c100dce7605%2FGeriPal_EP329_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP329_Intentionally_Interprofessional_Care-CME.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-10T06%3A45%3A00Z%22%2C%22title%22%3A%22Intentionally%20Interprofessional%20Care%3A%20DorAnne%20Donesky%2C%20Michelle%20Milic%2C%20Naomi%20Saks%2C%20%26%20Cara%20Wallace%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A743368153%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP329_Intentionally_Interprofessional_Care-CME.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fimages-of-the-dying-a-podcast-with-wendy-macnaughton-lingsheng-li-and-frank-ostaseski%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Can%20death%20be%20portrayed%20as%20beautiful%3F%20In%20this%20episode%2C%20we%20share%20the%20joy%20of%20talking%20with%20Wendy%20MacNaughton%20(artist%2C%20author%2C%20graphic%20journalist)%20and%20Frank%20Ostaseski%20(Buddhist%20teacher%2C%20author%2C%20founder%20of%20the%20Metta%20Institute%20and%20Zen%20Hospice%20Project)%20about%20using%20drawings%20and%20images%20as%20tools%20for%20creating%20human%20connections%20and%20processing%20death%20and%20dying.%20You%20may%20know%20Wendy%20as%20the%20talented%20artist%20behind%20%20Meanwhile%20in%20San%20Francisco%20or%20Salt%20Fat%20Acid%20Heat.%20Our%20focus%20today%2C%20however%2C%20was%20on%20her%20most%20recently%20published%20book%20titled%20%20How%20to%20Say%20Goodbye.%20This%20beautiful%20book%20began%20as%20a%20very%20personal%20project%20for%20Wendy%20while%20she%20was%20the%20artist-in-residence%20at%20Zen%20Hospice.%20As%20BJ%20MIller%20writes%20in%20the%20foreword%2C%20%E2%80%9CMay%20this%20book%20be%20a%20portal%20--%20a%20way%20for%20us%20to%20move%20beyond%20the%20unwise%20territory%20of%20trying%20to%20%E2%80%98do%20it%20right%E2%80%99%20and%20into%20the%20transcendent%20terrain%20of%20noticing%20what%20we%20can%20notice%2C%20loving%20who%20we%20love%2C%20and%20letting%20death%20--%20like%20life%20--surprise%20us%20with%20its%20ineffable%20beauty.%E2%80%9D%20Some%20highlights%20from%20our%20conversation%3A%C2%A0%C2%A0%20%20%20The%20role%20of%20art%20in%20humanizing%20the%20dying%20process.%C2%A0%20%20%20%20%20How%20the%20act%20of%20drawing%20can%20help%20us%20sloooow%20down%2C%20pay%20attention%20to%20the%20people%20and%20world%20around%20us%2C%20and%20ultimately%20let%20go%E2%80%A6%C2%A0%20%20%20The%20possibility%20of%20incorporating%20drawings%20in%20research%20and%20even%20clinical%20care.%C2%A0%20%20%20The%20wisdom%20and%20experiences%20of%20hospice%20caregivers%20(who%20are%20often%20underpaid%20and%20undervalued).%20%20%20How%20to%20use%20the%20%E2%80%9CFive%20Things%E2%80%9D%20as%20a%20framework%20for%20a%20%E2%80%9Cconversation%20of%20love%2C%20respect%2C%20and%20closure%E2%80%9D%20with%20someone%20who%20is%20dying.%20%20%20And%20finally%2C%20Wendy%20offers%20a%20drawing%20lesson%20and%20ONE-MINUTE%20drawing%20assignment%20to%20help%20us%20(and%20our%20listeners)%20be%20more%20present%20and%20connect%20with%20one%20another.%20You%20can%20read%20more%20about%20this%20blind%20contour%20exercise%20from%20Wendy%E2%80%99s%20DrawTogether%20Strangers%20project.%20The%20rules%20are%20really%20quite%20simple%3A%C2%A0%20%20%20Find%20another%20person.%20%20%20Sit%20down%20and%20draw%20each%20other%20for%20only%20one%20minute.%20%20%20%20NEVER%20lift%20up%20your%20pen%2Fpencil%20(draw%20with%20a%20continuous%20line)%C2%A0%20%20%20NEVER%20look%20down%20at%20your%20paper%20%20%20%20That%E2%80%99s%20it!%20While%20the%20creative%20process%20is%20what%20truly%20matters%2C%20we%20think%20that%20the%20outcome%20is%20guaranteed%20to%20be%20awesome%20and%20definitely%20worth%20sharing.%20We%20invite%20you%20to%20post%20your%20drawings%20on%20twitter%20and%20tag%20us%20%40GeriPalBlog!%20Happy%20listening%20and%20drawing%2C%20Lingsheng%20%40lingshengli%C2%A0%20%20Additional%20info%3A%C2%A0%20%20%20For%20weekly%20lessons%20on%20drawing%20and%20the%20art%20of%20paying%20attention%20from%20Wendy%2C%20you%20can%20subscribe%20to%20her%20Substack%20DrawTogether%20with%20WendyMac%20and%20join%20the%20Grown-Ups%20Table%20(GUT)!%C2%A0%20%20%20To%20learn%20more%20about%20Frank%E2%80%99s%20teaching%20and%20philosophy%20on%20end-of-life%20care%2C%20read%20his%20book%20The%20Five%20Invitations%C2%A0%20%20%20%C2%A0%20%20This%20episode%20of%20the%20GeriPal%20Podcast%20is%20sponsored%20by%C2%A0UCSF%E2%80%99s%20Division%20of%20Palliative%20Medicine%2C%20an%20amazing%20group%20doing%20world-class%20palliative%20care.%C2%A0%20They%20are%20looking%20to%20build%20on%20both%20their%20research%20and%20clinical%20programs%20and%20are%20interviewing%20candidates%20for%20the%C2%A0Associate%20Chief%20of%20Research%C2%A0and%20for%C2%A0full-time%20physician%20faculty%20to%20join%20them%20in%20the%20inpatient%20and%20outpatient%20setting.%20%C2%A0To%20learn%20more%20about%20job%20opportunities%2C%20please%20click%20here%3A%C2%A0https%3A%2F%2Fpalliativemedicine.ucsf.edu%2Fjob-openings%20%C2%A0%20**%20This%20podcast%20is%20not%20CME%20eligible.%20To%20learn%20more%20about%20CME%20for%20other%20GeriPal%20episodes%2C%20click%20here.%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D741630010%22%2C%22internal_product_id%22%3A%22cb.ep.741630010%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-3ac73965f236be463561adfcb836ae8b2fad794d%22%2C%22play_count%22%3A48%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F9%2Fe%2Fb%2F49eb67ffbcb18a0a27a2322813b393ee%2FGeriPal_EP328_forLibsyn.jpg%22%2C%22duration%22%3A2990000%2C%22download_count%22%3A42%2C%22size%22%3A71750528%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F9%2Fe%2Fb%2F49eb67ffbcb18a0a27a2322813b393ee%2FGeriPal_EP328_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F9%2Fe%2Fb%2F49eb67ffbcb18a0a27a2322813b393ee%2FGeriPal_EP328_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP328__Images_of_the_Dying.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-03T06%3A45%3A00Z%22%2C%22title%22%3A%22Images%20of%20the%20Dying%3A%20A%20Podcast%20with%20Wendy%20MacNaughton%2C%20Lingsheng%20Li%2C%20and%20Frank%20Ostaseski%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A741630010%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP328__Images_of_the_Dying.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fstepped-palliative-care-a-podcast-with-jennifer-temel-chris-jones-and-pallavi-kumar%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22If%20palliative%20care%20was%20a%20drug%2C%20one%20question%20we%20would%20want%20to%20know%20before%20prescribing%20it%20is%20what%20dose%20we%20should%20give.%C2%A0%20Give%20too%20little%20-%20it%20may%20not%20work.%C2%A0%20Give%20too%20much%2C%20it%20may%20cause%20harm%20(even%20if%20the%20higher%20dose%20had%20no%20significant%20side%20effects%2C%20it%20would%20require%20patients%20to%20take%20a%20lot%20of%20unnecessary%20additional%20pills%20as%20well%20as%20increase%20the%20cost.)%20So%2C%20what%20is%20the%20effective%20dose%20of%20palliative%20care%3F%20On%20today%E2%80%99s%20podcast%2C%20we%20talk%20about%20finding%20an%20evidence-based%20answer%20to%20this%20dosing%20question%20with%20three%20leaders%20in%20palliative%20care%3A%20%20Jennifer%20Temel%2C%20Chris%20Jones%2C%20and%20Pallavi%20Kumar.%C2%A0%20All%20three%20of%20our%20guests%20were%20co-authors%20of%20a%20randomized%20control%20trial%20on%20%E2%80%9CStepped%20Palliative%20Care%E2%80%9D%20published%20in%20JAMA%20this%20year.%20We%20talk%20about%20what%20stepped%20palliative%20care%20is%2C%20how%20it%20is%20different%20from%20usual%20care%20or%20intensive%20palliative%20care%2C%20why%20these%20palliative%20care%20dosing%20questions%20are%20important%2C%20and%20dive%20deep%20into%20the%20results%20of%20their%20trial.%C2%A0%20We%20also%20discuss%20some%20of%20the%20other%20important%20trials%20in%20palliative%20care%2C%20including%20%20Jennifer%20Temel%E2%80%99s%20landmark%20NEJM%20study%20on%20outpatient%20palliative%20care%20and%20another%20study%20that%20gave%20an%20intervention%20we%20dubbed%20%E2%80%9Cfast-food%20palliative%20care%E2%80%9D%20in%20an%20older%20GeriPal%20blog%20post.%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20click%20here%20**%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D738168585%22%2C%22internal_product_id%22%3A%22cb.ep.738168585%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-f87d9db6072d65189468550a2e48b0c175fc77b1%22%2C%22play_count%22%3A53%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2F7%2Ff%2F347f5b6a31e691e1e55e3c100dce7605%2FGeriPal_EP327_forLibsyn.jpg%22%2C%22duration%22%3A3017000%2C%22download_count%22%3A44%2C%22size%22%3A72396800%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2F7%2Ff%2F347f5b6a31e691e1e55e3c100dce7605%2FGeriPal_EP327_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2F7%2Ff%2F347f5b6a31e691e1e55e3c100dce7605%2FGeriPal_EP327_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP327_Stepped_Paliative_Care.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-09-19T06%3A45%3A00Z%22%2C%22title%22%3A%22Stepped%20Palliative%20Care%3A%20A%20Podcast%20with%20Jennifer%20Temel%2C%20Chris%20Jones%2C%20and%20Pallavi%20Kumar%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A738168585%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP327_Stepped_Paliative_Care.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fwell-being-and-resilience-a-podcast-with-jane-thomas-naomi-saks-ishwaria-subbiah%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Well-being%20and%20resilience%20are%20so%20hot%20right%20now.%20We%20have%20an%20endless%20supply%20of%20CME%20courses%20on%20decreasing%20burnout%20through%20self-care%20strategies.%20Well-being%20committees%20are%20popping%20up%20at%20every%20level%20of%20an%20organization.%20And%20C-suites%20now%20have%20chief%20wellness%20officers%20sitting%20at%20the%20table.%20I%20must%20admit%2C%20though%2C%20sometimes%20it%20just%20feels%20off%E2%80%A6%20inauthentic%2C%20as%20if%20it's%20not%20a%20genuine%20desire%20to%20improve%20our%20lives%20as%20health%20care%20providers%2C%20but%20rather%20a%20metric%20to%20check%20off%20or%20a%20desire%20to%20improve%20productivity%20and%20billing%20by%20making%20the%20plight%20of%20workers%20a%20little%20less%20miserable.%20On%20today%E2%80%99s%20podcast%2C%20we%20talk%20with%20Jane%20Thomas%2C%20Naomi%20Saks%2C%20and%20%20Ishwaria%20Subbiah%20about%20the%20concepts%20of%20wellness%2C%20well-being%2C%20resilience%2C%20and%20burnout%2C%20as%20well%20as%20what%20can%20be%20done%20to%20truly%20improve%20the%20lives%20of%20healthcare%20providers%20and%20bring%2C%20I%20dare%20say%20it%2C%20joy%20into%20our%20work.%20For%20more%20on%20resources%20for%20well-being%2C%20check%20out%20the%20following%3A%20%C2%A0%20%20%20Cynda%20Rushton%2C%20PHD%2C%20MSN%2C%20RN%20%E2%80%94%20Transforming%20Moral%20Distress%20into%20Moral%20Resilience%20https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DL1gE5G8WnTU%20%20%20%20%20Tricia%20Hersey%3A%20Rest%20%26%20Collective%20Care%20as%20Tools%20for%20Liberation%20https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D7OuXnLrKyi0%20%20%20%20%20Beyond%20resiliency%3A%20shifting%20the%20narrative%20of%20medical%20student%20wellness%20https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC10500407%2F%20%20%20%20%20Fostering%20resilience%20in%20healthcare%20professionals%20during%20and%20in%20the%20aftermath%20of%20the%20COVID-19%20pandemic%20%20https%3A%2F%2Fwww.cambridge.org%2Fcore%2Fjournals%2Fbjpsych-advances%2Farticle%2Ffostering-resilience-in-healthcare-professionals-during-and-in-the-aftermath-of-the-covid19-pandemic%2F0ADCA3737D12CAF308567A7F59EFC267%20%20%20%20%20The%20Greater%20Good%20Science%20Center%20studies%20the%20psychology%2C%20sociology%2C%20and%20neuroscience%20of%20well-being%20and%20teaches%20skills%20that%20foster%20a%20thriving%2C%20resilient%2C%20and%20compassionate%20society.%20%20https%3A%2F%2Fggsc.berkeley.edu%2F%3F_ga%3D2.230263642.712840261.1724681290-1268886183.1680535323%20%20%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20click%20here%20**%20%C2%A0%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D736361408%22%2C%22internal_product_id%22%3A%22cb.ep.736361408%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-27a7e5d1990e4395b786e8a63855a5f0a2ba30be%22%2C%22play_count%22%3A48%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F9%2F1%2Fa%2F591aa8ade6d8ebfa27a2322813b393ee%2FGeriPal_EP326_forLibsyn.jpg%22%2C%22duration%22%3A3050000%2C%22download_count%22%3A38%2C%22size%22%3A73195628%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F9%2F1%2Fa%2F591aa8ade6d8ebfa27a2322813b393ee%2FGeriPal_EP326_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F9%2F1%2Fa%2F591aa8ade6d8ebfa27a2322813b393ee%2FGeriPal_EP326_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP326_Well-being_and_Resilience.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-09-12T06%3A45%3A00Z%22%2C%22title%22%3A%22Well-being%20and%20Resilience%3A%20a%20Podcast%20with%20Jane%20Thomas%2C%20Naomi%20Saks%2C%20Ishwaria%20Subbiah%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A736361408%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP326_Well-being_and_Resilience.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fallowing-patients-to-die-louise-aronson-and-bill-andereck%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20today%E2%80%99s%20podcast%20we%20set%20the%20stage%20with%20the%20story%20of%20Dax%20Cowart%2C%20who%20in%201973%20was%20a%2025%20year%20old%20man%20horribly%20burned%20in%20a%20freak%20accident.%20Two%20thirds%20of%20his%20body%20was%20burned%2C%20most%20of%20his%20fingers%20were%20amputated%2C%20and%20he%20lost%20vision%20in%20both%20eyes.%C2%A0%20During%20his%2014%20month%20recovery%20Dax%20repeatedly%20demanded%20that%20he%20be%20allowed%20to%20die.%20The%20requests%20were%20ignored.%20After%2C%20he%20said%20he%20was%20both%20glad%20to%20be%20alive%2C%20and%20that%20the%20doctors%20should%20have%20respected%20his%20wish%20to%20be%20allowed%20to%20die.%20But%20that%20was%201973%2C%20you%20might%20say.%20We%20don%E2%80%99t%20have%20such%20issues%20today%2C%20do%20we%3F%C2%A0%20Louise%20Aronson%E2%80%99s%20recent%20perspective%20about%20her%20mother%20in%20the%20NEJM%2C%20titled%2C%20%E2%80%9CBeyond%20Code%20Status%E2%80%9D%20suggests%20no%2C%20we%20still%20struggle%20with%20this%20issue.%20And%20Bill%20Andereck%20is%20still%20haunted%20by%20the%20decision%20he%20made%20to%20have%20the%20police%20break%20down%20the%20door%20to%20rescue%20his%20patient%20who%20attempted%20suicide%20in%20the%201980s%2C%20as%20detailed%20in%20%20this%20essay%20in%20the%20Cambridge%20Quarterly%20of%20HealthCare%20Ethics.%C2%A0%20The%20issues%20that%20are%20raised%20by%20these%20situations%20are%20really%20hard%2C%20as%20they%20involve%20complex%20and%20sometimes%20competing%20ethical%20values%2C%20including%3A%20%20%20The%20duty%20to%20rescue%2C%20to%20save%20life%2C%20to%20be%20a%20%E2%80%9Clifeguard%E2%80%9D%20%20%20Judgements%20about%20quality%20of%20life%2C%20made%20on%20the%20part%20of%20patients%20about%20their%20future%20selves%2C%20and%20by%20clinicians%20(and%20surrogate%20decision%20makers)%20about%20patients%20%20%20Age%20realism%20vs%20agism%C2%A0%20%20%20The%20ethics%20of%20rationale%20suicide%2C%20subject%20of%20a%20prior%20GeriPal%20episode%20%20%20Changes%20in%20medical%20practice%20and%20training%2C%20a%20disconnect%20between%20longitudinal%20care%20and%20acute%20care%2C%20and%20frequent%20handoffs%20%20%20The%20limitations%20of%20advance%20directives%2C%20POLST%2C%20and%20code%20status%20orders%20in%20the%20electronic%20health%20record%20%20%20The%20complexities%20of%20patient%20preferences%2C%20which%20extend%20far%20beyond%20code%20status%20%20%20The%20tension%20between%20list%20vs%20goals%20based%20approaches%20to%20documentation%20in%20the%20EHR%20%20%20And%20a%20great%20song%20request%2C%20%E2%80%9CThe%20Cape%E2%80%9D%20by%20Guy%20Clark%20to%20start%20and%20end.%20Enjoy!%20-%40AlexSmithMD%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20click%20here%20**%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D734439460%22%2C%22internal_product_id%22%3A%22cb.ep.734439460%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-363b8e689a0bc1630e294825c8e2a3e645c8248e%22%2C%22play_count%22%3A64%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2Fa%2F5%2Ff%2Fea5f7516fa79a54427a2322813b393ee%2FGeriPal_EP325_forLibsyn.jpg%22%2C%22duration%22%3A2943000%2C%22download_count%22%3A42%2C%22size%22%3A70626176%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2Fa%2F5%2Ff%2Fea5f7516fa79a54427a2322813b393ee%2FGeriPal_EP325_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2Fa%2F5%2Ff%2Fea5f7516fa79a54427a2322813b393ee%2FGeriPal_EP325_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP325_Allowing_Patients_to_Die.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-09-05T06%3A45%3A00Z%22%2C%22title%22%3A%22Allowing%20Patients%20to%20Die%3A%20Louise%20Aronson%20and%20Bill%20Andereck%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A734439460%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP325_Allowing_Patients_to_Die.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fstump-the-vitaltalk-communication-experts-a-podcast-with-gordon-wood-holly-yang-elise-carey%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Serious%20illness%20communication%20is%20hard.%20We%20must%20often%20deliver%20complex%20medical%20information%20that%20carries%20heavy%20emotional%20weight%20in%20pressured%20settings%20to%20individuals%20with%20varying%20cultural%20backgrounds%2C%20values%2C%20and%20beliefs.%20That%E2%80%99s%20a%20hard%20enough%20task%2C%20given%20that%20most%20of%20us%20have%20never%20had%20any%20communication%20skills%20training.%20It%20feels%20nearly%20impossible%20if%20you%20add%20another%20degree%20of%20difficulty%2C%20whether%20it%20be%20a%20crying%20interpreter%20or%20a%20grandchild%20from%20another%20state%20who%20shows%20up%20at%20the%20end%20of%20a%20family%20meeting%20yelling%20how%20you%20are%20killing%20grandma.%20On%20today%E2%80%99s%20podcast%2C%20we%20try%20to%20stump%20three%20VitalTalk%20expert%20faculty%2C%20Gordon%20Wood%2C%20Holly%20Yang%2C%20Elise%20Carey%2C%20with%20some%20of%20the%20most%20challenging%20communication%20scenarios%20that%20we%20(and%20some%20of%20our%20listeners)%20could%20think%20up.%20During%20the%20podcast%2C%20we%20reference%20a%20newly%20released%20second-edition%20book%20that%20our%20guests%20published%20titled%20%E2%80%9CNavigating%20Communication%20with%20Seriously%20Ill%20Patients%3A%20Balancing%20Honesty%20with%20Empathy%20and%20Hope.%E2%80%9D%C2%A0%20I%E2%80%99d%20add%20this%20to%20your%20%E2%80%9Cmust%20read%E2%80%9D%20list%20of%20books%2C%20as%20it%20takes%20readers%20through%20the%20VitalTalk%20method%20that%20our%20guests%20use%20so%20effectively%20when%20addressing%20these%20challenging%20scenarios.%20If%20you%20are%20interested%20in%20learning%20more%20about%20VitalTalk%2C%20check%20out%20their%20and%20some%20of%20these%20other%20podcasts%20we%E2%80%99ve%20done%20with%20three%20of%20the%20other%20authors%20of%20this%20book%20(and%20VitalTalk%20co-founders)%3A%20%20%20Our%20podcast%20with%20Tony%20Back%20as%20well%20as%20Wendy%20Anderson%20on%20%E2%80%9CCommunication%20Skills%20in%20a%20Time%20of%20Crises%E2%80%9D%20%20%20Our%20podcast%20with%20James%20Tulsky%20on%20%E2%80%9CThe%20Messiness%20of%20Medical%20Decision-Making%20in%20Advanced%20Illness.%E2%80%9D%20%20%20Any%20one%20of%20our%20podcasts%20with%20Bob%20Arnold%2C%20including%20this%20one%20on%20the%20%20language%20of%20serious%20illness%20or%20this%20one%20on%20%20books%2C%20to%20become%20a%20better%20mentor.%20%20%20%20Lastly%2C%20I%20reference%20Alex%E2%80%99s%20Take%20Out%20the%20Trash%20video%2C%20where%20he%20uses%20communication%20skills%20learned%20in%20his%20palliative%20care%20training%20at%20home%20with%20his%20wife.%C2%A0%20The%20results%20are%E2%80%A6%20well%E2%80%A6%20let%E2%80%99s%20just%20say%20less%20than%20perfect.%C2%A0%20By%3A%20Eric%20Widera%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D731911402%22%2C%22internal_product_id%22%3A%22cb.ep.731911402%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-3b9eed7fc935edd7ecf46fe756960a8ac7c935ae%22%2C%22play_count%22%3A48%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2Fd%2F0%2F4%2Fdd044008772c03b9e55e3c100dce7605%2FGeriPal_EP324_forLibsyn.jpg%22%2C%22duration%22%3A2886000%2C%22download_count%22%3A40%2C%22size%22%3A69256448%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2Fd%2F0%2F4%2Fdd044008772c03b9e55e3c100dce7605%2FGeriPal_EP324_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2Fd%2F0%2F4%2Fdd044008772c03b9e55e3c100dce7605%2FGeriPal_EP324_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP324_Stump_the_VitalTalkers.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-08-29T06%3A45%3A00Z%22%2C%22title%22%3A%22Stump%20the%20VitalTalk%20Communication%20Experts%3A%20A%20Podcast%20with%20Gordon%20Wood%2C%20Holly%20Yang%2C%20Elise%20Carey%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A731911402%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP324_Stump_the_VitalTalkers.mp3%3Fdest-id%3D2390675%22%5D%7D%5D%2C%22epStatusCid%22%3A-1%2C%22epStatus%22%3A%7B%7D%2C%22skip%22%3A0%2C%22limit%22%3A20%2C%22isFetching%22%3Afalse%2C%22fetchingList%22%3Afalse%2C%22fetchOver%22%3Atrue%7D%2C%22trackPlayItem%22%3A%7B%22playItem%22%3A%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fcoping-with-serious-illness-danielle-chammas-and-amanda-moment%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22%3Cp%20dir%3D%5C%22ltr%5C%22%3EDenial.%20Substance%20use.%20Venting.%20Positive%20reframing.%20Humor.%20Acceptance.%20All%20of%20these%20are%20ways%20we%20cope%20with%20stressful%20situations.%20Some%20we%20may%20consider%20healthy%20or%20unhealthy%20coping%20strategies%2C%20but%20are%20they%20really%20that%20easy%20to%20categorize%3F%20Isn%E2%80%99t%20it%20more%20important%20to%20ask%20whether%20a%20particular%20coping%20behavior%20is%20adaptive%20or%20not%20for%20a%20particular%20person%2Cin%20a%20particular%20time%20or%20situation%3F%3C%2Fp%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%3EWe%20are%20going%20to%20tackle%20this%20question%20and%20so%20many%20more%20about%20coping%20on%20this%20week's%20podcast%20with%20%3Ca%20href%3D%20%5C%22https%3A%2F%2Fwww.ucsfhealth.org%2Fproviders%2Fdr-danielle-chammas%5C%22%3EDani%20Chammas%3C%2Fa%3E%2C%20a%20recurring%20GeriPal%20guest%2C%20psychiatrist%2C%20and%20palliative%20care%20doc%20at%20UCSF%2C%20and%20%3Ca%20href%3D%20%5C%22https%3A%2F%2Fpallcare.hms.harvard.edu%2Ffaculty%2Fnode%2F74%5C%22%3EAmanda%20Moment%3C%2Fa%3E%2C%20a%20Palliative%20Care%20Social%20Worker%20at%20Brigham%20and%20Women's%20Cancer%20Center.%20There%20are%20so%20many%20take-home%20points%20for%20me%20on%20this%20podcast%2C%20including%20this%20one%20on%20a%20framework%20for%20assessing%20coping%20in%20serious%20illness%3A%3C%2Fp%3E%20%3Col%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3Enonjudgmentally%20observe%20their%20coping%3C%2Fp%3E%20%3C%2Fli%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3Ewonder%20about%20the%20impacts%20of%20their%20coping%3C%2Fp%3E%20%3C%2Fli%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3Eprioritize%20helping%20patients%20maintain%20their%20psychological%20integrity%3C%2Fp%3E%20%3C%2Fli%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3Emindfully%20think%20through%20how%20we%20can%20serve%20their%20coping%20in%20ways%20that%20they%20can%20tolerate%2C%20always%20calibrating%20based%20on%20the%20person%2C%20the%20moment%2C%20and%20the%20setting%20in%20front%20of%20us.%3C%2Fp%3E%20%3C%2Fli%3E%20%3C%2Fol%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%3E%3Cbr%20%2F%3E%20%3Cstrong%3EHere%20are%20some%20more%20resources%20we%E2%80%99ve%20discussed%20in%20the%20podcast%3C%2Fstrong%3E%3C%2Fp%3E%20%3Cul%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3EDani%E2%80%99s%20NEJM%20article%20on%20coping%3A%20%E2%80%9C%3Ca%20href%3D%5C%22https%3A%2F%2Fwww.nejm.org%2Fdoi%2Fabs%2F10.1056%2FNEJMp2402142%5C%22%3EShould%20I%20Laugh%20at%20That%3F%20Coping%20in%20the%20Setting%20of%20Serious%20Illness%3C%2Fa%3E%E2%80%9D%3C%2Fp%3E%20%3C%2Fli%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3EDani%E2%80%99s%20GeriPal%20podcast%20with%20us%20on%20%E2%80%9C%3Ca%20href%3D%20%5C%22https%3A%2F%2Fgeripal.org%2Fimproving-serious-illness-communication-by-formulations%2F%5C%22%3EImproving%20Serious%20Illness%20Communication%20By%20Developing%20Formulations%3C%2Fa%3E%E2%80%9D%3C%2Fp%3E%20%3C%2Fli%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3EA%20great%20journal%20article%20on%20%E2%80%9C%3Ca%20href%3D%20%5C%22https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2F10.1177%2F10499091241300614%5C%22%3EFormulation%20in%20Palliative%20Care%3A%20Elevating%20Our%20Potential%20for%20Therapeutic%20Communication%3C%2Fa%3E%E2%80%9D%3C%2Fp%3E%20%3C%2Fli%3E%20%3Cli%20dir%3D%5C%22ltr%5C%22%20aria-level%3D%5C%221%5C%22%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%20role%3D%5C%22presentation%5C%22%3EA%20study%20on%20how%20palliative%20care%20may%20work%20by%20enhancing%20patients%E2%80%99%20ability%20to%20access%20adaptive%20coping%20-%20%E2%80%9C%3Ca%20href%3D%5C%22https%3A%2F%2Fascopubs.org%2Fdoi%2F10.1200%2FJCO.2017.73.7221%5C%22%3ERole%20of%20Patient%20Coping%20Strategies%20in%20Understanding%20the%20Effects%20of%20Early%20Palliative%20Care%20on%20Quality%20of%20Life%20and%20Mood%3C%2Fa%3E%3C%2Fp%3E%20%3C%2Fli%3E%20%3C%2Ful%3E%20%3Cp%3E%3Cstrong%3E%3Cbr%20%2F%3E%20%3Cbr%20%2F%3E%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%C2%A0%3Ca%20href%3D%20%5C%22https%3A%2F%2Fgeripal.org%2Fcoping-with-serious-illness-danielle-chammas-and-amanda-moment%2F%23cme%5C%22%3Eclick%20here%3C%2Fa%3E%20**%3Cbr%20%2F%3E%20%3Cbr%20%2F%3E%3C%2Fstrong%3E%3C%2Fp%3E%20%3Cp%3E%C2%A0%3C%2Fp%3E%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D755287330%22%2C%22internal_product_id%22%3A%22cb.ep.755287330%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-6277031448248b4fd492e9edcbc109f8529e80e0%22%2C%22play_count%22%3A62%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22duration%22%3A3024000%2C%22download_count%22%3A45%2C%22size%22%3A72573056%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP335_Coping_with_Serious_Illness.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-21T07%3A45%3A00Z%22%2C%22title%22%3A%22Coping%20with%20Serious%20Illness%3A%20Danielle%20Chammas%20and%20Amanda%20Moment%22%2C%22comment_count%22%3A0%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22eid%22%3A755287330%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP335_Coping_with_Serious_Illness.mp3%3Fdest-id%3D2390675%22%5D%2C%22channel%22%3A%7B%22uid%22%3A%220ba2239677254759aa4cd4df3a36e272%22%2C%22episode_count%22%3A343%2C%22x_play_base%22%3A0%2C%22stat_cover_ext_color%22%3Atrue%2C%22keywords%22%3A%5B%22doctors%22%2C%22clinicalpractice%22%2C%22dialysis%22%2C%22elderly%22%2C%22intensivecare%22%2C%22surgery%22%2C%22eom%22%2C%22PalliativeCare%22%2C%22olderadults%22%2C%22dementia%22%2C%22advancecareplanning%22%2C%22nurses%22%2C%22hospice%22%2C%22Geriatrics%22%2C%22aging%22%2C%22cancer%22%2C%22Gerontology%22%2C%22disability%22%2C%22caregiver%22%2C%22caregiving%22%2C%22icu%22%2C%22endoflife%22%2C%22seniors%22%2C%22medicalresearch%22%2C%22nursing%22%2C%22COPD%22%2C%22nursinghome%22%2C%22hospital%22%2C%22Medicine%22%2C%22Life%20Sciences%22%2C%22palliative%22%2C%22heartdisease%22%2C%22ACP%22%2C%22Health%20%26%20Fitness%22%2C%22FOAMed%22%2C%22medical%22%2C%22Science%22%2C%22MedEd%22%2C%22heartfailure%22%2C%22physicians%22%2C%22medicine%22%2C%22hospitalist%22%2C%22geriatricians%22%5D%2C%22cover_ext_color%22%3A%22-16352598%22%2C%22mongo_id%22%3A%225faed65ebe48032ae239942c%22%2C%22show_id%22%3A%2257fee30bd58830736da1bb8b%22%2C%22copyright%22%3A%222021%20GeriPal.%20All%20rights%20reserved.%22%2C%22author%22%3A%22GeriPal%22%2C%22is_key_channel%22%3Atrue%2C%22audiobook_categories%22%3A%5B%5D%2C%22comment_count%22%3A0%2C%22website%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22rss_url%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Frss%22%2C%22description%22%3A%22A%20geriatrics%20and%20palliative%20care%20podcast%20for%20every%20health%20care%20professional.%20%5Cn%5CnWe%20invite%20the%20brightest%20minds%20in%20geriatrics%2C%20hospice%2C%20and%20palliative%20care%20to%20talk%20about%20the%20topics%20that%20you%20care%20most%20about%2C%20ranging%20from%20recently%20published%20research%20in%20the%20field%20to%20controversies%20that%20keep%20us%20up%20at%20night.%20%20%20You'll%20laugh%2C%20learn%20and%20maybe%20sing%20along.%20%20Hosted%20by%20Eric%20Widera%20and%20Alex%20Smith.%20CME%20available!%22%2C%22tags%22%3A%5B%22from-itunes%22%2C%22evst-review-passed%22%2C%22from-google%22%5D%2C%22editable%22%3Atrue%2C%22play_count%22%3A28908%2C%22link%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22twitter_names%22%3A%5B%22GeriPalBlog%22%5D%2C%22categories%22%3A%5B10091%2C10059%2C10062%2C10095%2C10012%5D%2C%22x_subs_base%22%3A24%2C%22small_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F200x200bb.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F600x600bb.jpg%22%2C%22language%22%3A%22en%22%2C%22cid%22%3A3520819%2C%22latest_eid%22%3A779187189%2C%22release_date%22%3A%222025-02-13T07%3A45%3A00Z%22%2C%22title%22%3A%22GeriPal%20-%20A%20Geriatrics%20and%20Palliative%20Care%20Podcast%22%2C%22uri%22%3A%22%2Fch%2F3520819%22%2C%22https_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F400x400bb.jpg%22%2C%22channel_type%22%3A%22private%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22itunes_explicit%22%3Afalse%2C%22sub_count%22%3A758%2C%22internal_product_id%22%3A%22cb.ch.3520819%22%2C%22social%22%3A%7B%22website%22%3A%22https%3A%2F%2Fwww.geripal.org%22%2C%22youtube%22%3A%5B%7B%22name%22%3A%22channel%2FUCuqH32jtgFwqJ8jYoQbQgdQ%22%7D%5D%2C%22twitter%22%3A%5B%7B%22name%22%3A%22GeriPalBlog%22%7D%5D%2C%22facebook%22%3A%5B%7B%22name%22%3A%22GeriPal%22%7D%5D%2C%22instagram%22%3A%5B%7B%22name%22%3A%22geripal_podcast%2F%22%7D%5D%7D%7D%2C%22count%22%3A0%7D%2C%22isPlay%22%3Afalse%2C%22timeupdate%22%3A0%2C%22playContent%22%3A%7B%7D%7D%2C%22comment%22%3A%7B%22loading%22%3Afalse%2C%22comment_list%22%3A%5B%5D%2C%22_cid%22%3A%22%22%2C%22_eid%22%3A%22755287330%22%2C%22comment_count%22%3A0%7D%2C%22platForm%22%3A%7B%22isPhone%22%3Afalse%2C%22isAndroid%22%3Afalse%2C%22isMac%22%3Afalse%2C%22from%22%3A%22%22%2C%22isBot%22%3Afalse%2C%22isWebView%22%3Afalse%2C%22isDev%22%3Afalse%2C%22isIos%22%3Afalse%2C%22isKaios%22%3Afalse%2C%22country%22%3A%22us%22%2C%22isTwitterWebView%22%3Afalse%7D%7D"; window.__ISINAPP__=false window.__NOT_ALLOWED_COOKIES__=true window._COOKIES_REJECTED = false </script> <script id="__LOADABLE_REQUIRED_CHUNKS__" type="application/json">[0,4,80,2,44,3,6,10,18,1,42]</script> <script async data-chunk="castbox" src="https://s3.castbox.fm/webstatic/js/manifest.0d73ceda.js"></script> <script async data-chunk="castbox" src="https://s3.castbox.fm/webstatic/js/page.vendor.e44e040b.js"></script> <script async data-chunk="castbox" src="https://s3.castbox.fm/webstatic/js/page.castbox.ca94781a.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~audiobooks.genre~castbox.main~categories~ch~channellist~claim~claim.failed~claim.~b62a876c.b05dccc0.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~ch~ep~global~home~login~m.about~m.app.index~m.contactus~m.cookie~m.download~m.hel~dc9febc7.ba580a6f.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.vendors~global.477d99c3.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.categories~channellist~claim~claim.failed~claim.link_claimed~claim.link_lost~claim.ok~global~login~m~430f1dc9.c099faab.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.global.decc24ca.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~castbox.main~ch~creator.analytics~creator.ch~creator.ch.des~creator.comments~crea~60d4e606.8cfae974.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.vendors~castbox.main~creator.analytics~creator.ch~creator.ch.des~creator.comments~creator.ep~creator~546696e9.f9d60409.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks.genre~castbox.main~genre.9c3cbd17.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.castbox.main.0f563c20.js"></script> <script async data-chunk="ep" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~audiobooks.genre~categories~ch~channellist~claim~claim.failed~claim.link_claimed~~48565954.55d81d64.js"></script> <script async data-chunk="ep" src="https://s3.castbox.fm/webstatic/js/page.ep.9482c326.js"></script> <script async src="/api/pwa/app.js"></script> </body> </html>