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GeriPal - A Geriatrics and Palliative Care Podcast Podcast - Apple Podcasts
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It feels like I’m part of a loving club of nerdy-smart clinicians. Thank you for keeping me in the loop!","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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Definitely recommend.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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One of the best in the field.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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How about including one on interventional pain management?","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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Geripal is a joyful reminder of everything that I love about our field.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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Thanks guys!","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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Highly recommend for anyone working with older adults.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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dir="auto">GeriPal - A Geriatrics and Palliative Care Podcast</span></h1> <div class="headings__subtitles svelte-10chojv" data-testid="product-subtitles"><span class="provider svelte-123qhuj">Alex Smith, Eric Widera</span></div> <div class="headings__metadata-bottom svelte-10chojv"><ul class="metadata svelte-123qhuj"><li aria-label="4.9 out of 5, 273 ratings" class="svelte-123qhuj"><span class="star svelte-123qhuj" aria-hidden="true"><svg class="icon" viewBox="0 0 64 64" title=""><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span> 4.9 (273) </li><li class="svelte-123qhuj">MEDICINE</li><li class="svelte-123qhuj">UPDATED WEEKLY</li></ul> </div></div> <div class="primary-actions svelte-10chojv"><div class="primary-actions__button primary-actions__button--play svelte-10chojv"><div class="button-action svelte-1dchn99 primary" data-testid="button-action"> <div class="button svelte-1e2eleo primary" data-testid="button-base-wrapper"><button data-testid="button-base" type="button" class="svelte-1e2eleo"> <span data-testid="button-icon-play" class="icon svelte-1dchn99"><svg height="16" viewBox="0 0 16 16" width="16"><path d="m4.4 15.14 10.386-6.096c.842-.459.794-1.64 0-2.097L4.401.85c-.87-.53-2-.12-2 .82v12.625c0 .966 1.06 1.4 2 .844z"></path></svg></span> Latest Episode </button> </div> </div> </div> <div class="primary-actions__button primary-actions__button--shuffle svelte-10chojv"> </div></div> <div class="show-artwork svelte-123qhuj" slot="artwork" style="--background-color:#ffffff; --joe-color:#ffffff;"><div 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Palliative Care Podcast" class="artwork-component__contents artwork-component__image svelte-gjhgd3" src="/assets/artwork/1x1.gif" decoding="async" width="300" height="300" style="opacity: 1;"></picture> </div> </div> <div class="description svelte-10chojv" data-testid="description"> <div class="truncate-wrapper svelte-ckpse8"><p data-testid="truncate-text" dir="auto" class="content svelte-ckpse8" style="--lines: 3; --line-height: var(--lineHeight, 16); --link-length: 4;"><!-- HTML_TAG_START -->A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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--aspect-ratio: 1; --placeholder-bg-color: #19140e; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/db/e6/82/dbe682f7-ebf0-dc0d-3cea-2196c9247700/mza_17031597766894450347.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/db/e6/82/dbe682f7-ebf0-dc0d-3cea-2196c9247700/mza_17031597766894450347.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/db/e6/82/dbe682f7-ebf0-dc0d-3cea-2196c9247700/mza_17031597766894450347.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/db/e6/82/dbe682f7-ebf0-dc0d-3cea-2196c9247700/mza_17031597766894450347.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="Trauma-Informed Care: A Podcast with Mariah Robertson, Kate Duchowny, and Ashwin Kotwal" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">36 MIN. AGO</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">Trauma-Informed Care: A Podcast with Mariah Robertson, Kate Duchowny, and Ashwin Kotwal</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. That’s my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. With that said, there is so much more that I learned from our guests for this trauma-informed care podcast. Our guests include Mariah Robertson, Kate Duchowny, and Ashwin Kotwal. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. If you want a deeper dive, check out the following resources: Our “Nature of Suffering” podcast with BJ Miller and Naomi Saks Dani Chammas’ Annals paper on countertransference and why we shouldn’t say “that the patient was difficult rather than that I felt frustrated.” A great Curbsiders podcast episode on Trauma-informed care with Megan Gerber CAPC’s Trauma-informed care toolkit Mariah’s article on Home-Based Care for LGBTQ or another diverse gender identity Older Adults<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">47 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/plenary-abstracts-at-aahpm-hpna-yael-schenker-na-ouyang/id1164272877?i=1000691757167" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout has-artwork has-episode-artwork"><div class="artwork svelte-1douxfx" data-testid="episode-wrapper__artwork"><div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #cecece; --aspect-ratio: 1; --placeholder-bg-color: #cecece; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/63/ee/4d/63ee4d85-1100-2fe8-5e5f-e4b69afa3624/mza_3606136296127240530.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/63/ee/4d/63ee4d85-1100-2fe8-5e5f-e4b69afa3624/mza_3606136296127240530.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/63/ee/4d/63ee4d85-1100-2fe8-5e5f-e4b69afa3624/mza_3606136296127240530.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/63/ee/4d/63ee4d85-1100-2fe8-5e5f-e4b69afa3624/mza_3606136296127240530.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">FEB 13</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->In today’s podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine (AAHPM) and the Hospice and Palliative Medicine Nurses Association (HPNA). Eric and I interviewed these presenters at the meeting on Thursday (before the pub crawl, thankfully). On Saturday, they formally presented their abstracts during the plenary session, followed by a wonderful question and answer session with Hillary Lum doing a terrific job in the role of moderator. Our three guests were Marie Bakitas, who conducted a trial of tele/video palliative care for Black and White inpatients with serious illness hospitalized in the rural south; Yael Shenker, for a trial of patient-directed Prepare-for-your-care vs. facilitated Respecting Choices style advance care planning interventions; and, Na Ouyang, who studied the relationship between prognostic communication and prolonged grief among the parents of children who died from cancer. From just the abstracts we had so many questions. We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Marie’s tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Does every institution need to get a community advisory board to tailor their rural tele-palliative care initiative (or geriatrics intervention) to the local communities served? Who would/should be on that board? How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? Advance care planning has taken a beating. For the purposes of a thought exercise, no matter what you believe, let’s assume that there are clear important benefits. Based on the results of Yael’s study, should resources be allocated to resource intensive nurse facilitated sessions (Respecting Choices), which had significantly better engagement, or to low resource intensive patient-facing materials (Prepare), which had significantly less engagement but still plenty of engagement (e.g. 75% vs 61% advance directive completion)? One interpretation of Na’s study is that clinicians can lean on the high levels of trust and high ratings of communication to engage with parents of children with cancer about prognosis. Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? Bonus: Simon says he composed the song Sounds of Silence in a dark echoing bathroom about his concerns that people had stopped listening to each other in the 1960s (still resonates, right?). Garfunkel says Simon was writing about Garfunklel’s friend and college roomate Sandy, who was blind. Who’s got the right of it? Enjoy! -Alex Smith<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">47 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/how-to-make-an-alzheimers-diagnosis-in-primary-care/id1164272877?i=1000689569444" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout"> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">FEB 6</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->Things are changing quickly in the Alzheimer’s space. We now have biomarkers that can reasonably approximate the degree of amyloid build-up in the brain with a simple blood test. We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On today’s podcast, we’ve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimer’s disease effectively. Nate is a geriatrician and clinician-scientist at the University of Wisconsin, as well as the host of the Wisconsin ADRC's podcast, "Dementia Matters." In each bi-weekly episode, he interviews Alzheimer's disease experts about research advances and caregiver strategies. Nate also wrote a NEJM piece last year on “Alzheimer’s Disease, Biomarkers, and mAbs — What Does Primary Care Need?” We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimer’s? How should we screen for cognitive impairment? Does a good history matter anymore? What’s the role of assessing function? What do we do with those who have only subjective cognitive complaints? Can’t we skip all this and just send some blood-based biomarkers? What is the role of the amyloid antibody treatments? Lastly, take a look at the following if you want to take a deeper dive into some of the other articles and podcasts we discuss: First, two competing definitions of what is Alzheimer’s: Alzheimer Disease as a Clinical-Biological Construct—An International Working Group (IWG) Recommendation Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup Alzheimer's Association clinical practice guideline for the Diagnostic Evaluation, Testing, Counseling, and Disclosure of Suspected Alzheimer's Disease and Related Disorders (DETeCD-ADRD): Executive summary of recommendations for primary care Podcasts we mentioned Prevention of Dementia: A Podcast with Kristine Yaffe Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">48 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/telehealth-vs-in-person-palliative-care-guests-joseph/id1164272877?i=1000687047813" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout has-artwork has-episode-artwork"><div class="artwork svelte-1douxfx" data-testid="episode-wrapper__artwork"><div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #cecece; --aspect-ratio: 1; --placeholder-bg-color: #cecece; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/c3/6c/c1/c36cc10b-640e-d8ee-d39c-cc30e4554802/mza_16998667603910717937.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/c3/6c/c1/c36cc10b-640e-d8ee-d39c-cc30e4554802/mza_16998667603910717937.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/c3/6c/c1/c36cc10b-640e-d8ee-d39c-cc30e4554802/mza_16998667603910717937.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/c3/6c/c1/c36cc10b-640e-d8ee-d39c-cc30e4554802/mza_16998667603910717937.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">JAN 30</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->It is a battle royale on this week’s GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows. In the other corner, we have the young upstart, able to reach patients across vast distances when delivering palliative care, all in the comfort of wearing pajamas, we have telehealth delivered palliative care. However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. Who will emerge victorious? Will in-person palliative care use its experience and bedside manner to overwhelm telehealth palliative care, or will telehealth deliver the knockout blow of efficiency and accessibility? Find out on this week’s podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on “Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer - A Multisite Randomized Clinical Trial.” Additionally, here are some of the resources we talked about during the podcast: Eduardo Bruera’s editorial that accompanies the JAMA paper titled “Improving Palliative Care Access for Patients With Cancer” Our podcast on Stepped Palliative Care with Jennifer Temel, Chris Jones, and Pallavi Kumar The book “What's in the Syringe? Principles of Early Integrated Palliative Care” by Juliet Jacobsen, Vicki Jackson, Joseph Greer, and Jennifer Temel Lastly, don’t forget about attending some of the sessions Vicki mentioned at the end of the podcast during the HPNA/AAHPM annual meeting in Denver, as well as the GeriPal #HPMParty Pub Crawl!<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">51 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/deprescribing-super-special-iii-constance-fung-emily/id1164272877?i=1000685126322" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout has-artwork has-episode-artwork"><div class="artwork svelte-1douxfx" data-testid="episode-wrapper__artwork"><div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #cecece; --aspect-ratio: 1; --placeholder-bg-color: #cecece; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/be/a3/66/bea3669f-2904-2bc3-b044-4c98f28f18c5/mza_10765494257206416432.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/be/a3/66/bea3669f-2904-2bc3-b044-4c98f28f18c5/mza_10765494257206416432.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/be/a3/66/bea3669f-2904-2bc3-b044-4c98f28f18c5/mza_10765494257206416432.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/be/a3/66/bea3669f-2904-2bc3-b044-4c98f28f18c5/mza_10765494257206416432.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">JAN 23</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->It’s another deprescribing super special on today's GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. In our first segment, we discuss a study led by Constance Fung and her team, which investigated the use of a masked tapering method combined with augmented cognitive behavioral therapy for insomnia (CBTI) to help patients discontinue benzodiazepines. The study involved 188 middle-aged and older adults who had been using medications like lorazepam, alprazolam, clonazepam, temazepam, and zolpidem for insomnia. The results were impressive: 73% of participants in the masked tapering plus augmented CBTI group successfully discontinued their medication, compared to 59% in the open taper plus standard CBTI group. This significant difference highlights the potential of targeting placebo effect mechanisms to enhance deprescribing efforts. Next, we turn to Emily McDonald, the director of the Canadian Medication Appropriateness and Deprescribing Network, to discuss her study on the impact of direct-to-consumer educational brochures on gabapentin deprescribing. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure). Additionally, clinicians participated in monthly educational sessions. The intervention group saw a deprescribing rate of 21.1%, compared to 9.9% in the usual care group. This study underscores the power of patient education in promoting safer medication use. In our third segment, we explore Amy Linsky’s study that examined the effect of patient-directed educational materials on clinician deprescribing of potentially low-benefit or high-risk medications, such as proton pump inhibitors, high-dose gabapentin, or risky diabetes medications. The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure). The results showed a modest but significant increase in deprescribing rates among the intervention group. This approach demonstrates the potential of simple, low-cost interventions to improve medication safety. Finally, we discuss Michelle Odden’s study, which used a target trial emulation approach to investigate the effects of deprescribing antihypertensive medications on cognitive function in nursing home residents. The study included 12,644 residents and found that deprescribing was associated with less cognitive decline, particularly among those with dementia4. These findings and the two studies Michelle mentions in the podcast (DANTE and OPTIMIZE) suggest that carefully reducing medication use in older adults may help preserve cognitive function. However, the DANTON study adds more questions to that conclusion. Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. Don’t miss this episode if you’re interested in the latest advancements in deprescribing research!<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">50 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/caring-for-the-unrepresented-a-podcast-with/id1164272877?i=1000684202830" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout has-artwork has-episode-artwork"><div class="artwork svelte-1douxfx" data-testid="episode-wrapper__artwork"><div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #181a17; --aspect-ratio: 1; --placeholder-bg-color: #181a17; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/2a/76/43/2a76432b-fdd1-299e-5bbb-e9c0988f43f2/mza_11514517907767039052.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/2a/76/43/2a76432b-fdd1-299e-5bbb-e9c0988f43f2/mza_11514517907767039052.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/2a/76/43/2a76432b-fdd1-299e-5bbb-e9c0988f43f2/mza_11514517907767039052.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/2a/76/43/2a76432b-fdd1-299e-5bbb-e9c0988f43f2/mza_11514517907767039052.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">JAN 16</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. These individuals may become “unrepresented,” meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. In today’s podcast, we talk with Joe Dixon, Timothy Farrell, and Yael Zweig, authors of the AGS position statement on making medical treatment decisions for unrepresented older adults. We define “unrepresented” and address the following questions: What is the scope of the unrepresented problem? Why not use the older term “unbefriended”? How should we care for unrepresented individuals in inpatient and outpatient settings? What can we do to prevent someone from becoming unrepresented? Find answers to these questions and more in this week’s podcast. Listen in, and if you’re interested, explore the topic further with the following resources: AGS Position statement on making medical treatment decisions for unrepresented older adults VA Policy on Advance Care Planning and on Informed Consent<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">47 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/palliative-care-for-mental-illness-a-podcast-with/id1164272877?i=1000680938846" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout has-artwork has-episode-artwork"><div class="artwork svelte-1douxfx" data-testid="episode-wrapper__artwork"><div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #fffefa; --aspect-ratio: 1; --placeholder-bg-color: #fffefa; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/86/67/52/866752ed-1431-4b66-8b09-fc3c11548378/mza_1544398579864257582.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/86/67/52/866752ed-1431-4b66-8b09-fc3c11548378/mza_1544398579864257582.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/86/67/52/866752ed-1431-4b66-8b09-fc3c11548378/mza_1544398579864257582.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/86/67/52/866752ed-1431-4b66-8b09-fc3c11548378/mza_1544398579864257582.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">12/19/2024</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->We’ve talked a lot before about integrating psychiatry into palliative care (see here and here for two examples). Still, we haven’t talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. On this week’s podcast, we talk with two experts about palliative psychiatry. We invited Dani Chammas, a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious, a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. We discuss the following: What is Palliative Psychiatry (and how is it different from Palliative Care Psychiatry)? What does it look like to take a palliative approach to severe mental illness? Is "terminal" mental illness a thing? Is hospice appropriate for people with serious mental illness (and does hospice have the skills to meet their needs?) Controversy over Medical Aid in Dying for primary psychiatric illness (and for those with serious medical illness who have a comorbid psychiatric illness) The level of provider moral distress that can be created in a system not designed to meet the needs of specific populations... and when we are asked to meet a need we don't feel equipped to meet. Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on “Psychiatry and Palliative Care: Growing the Interface Through Education.” Dani and colleagues article on “Palliative Care Psychiatry: Building Synergy Across the Spectrum.” Brent’s article on “Physician Aid-in-Dying and Suicide Prevention in Psychiatry: A Moral Crisis?” A NY Times article titled “Should Patients Be Allowed to Die From Anorexia?”<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">50 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button> </div></div></div></section></div></div></a> </div> </li><li class="svelte-8rlk6b"><div class="episode svelte-1douxfx"> <a data-testid="click-action" href="https://podcasts.apple.com/us/podcast/ai-for-surrogate-decision-making-dave-wendler-jenny/id1164272877?i=1000680111368" class="link-action svelte-s28qt1"> <div data-testid="episode-wrapper" class="episode-wrapper svelte-1douxfx uses-wide-layout has-artwork has-episode-artwork"><div class="artwork svelte-1douxfx" data-testid="episode-wrapper__artwork"><div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #cecece; --aspect-ratio: 1; --placeholder-bg-color: #cecece; "> <picture class="svelte-gjhgd3"><source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/a6/09/f9/a609f917-b6b7-1b39-c179-746005751383/mza_6670256565567369719.jpg/188x188bb.webp 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/a6/09/f9/a609f917-b6b7-1b39-c179-746005751383/mza_6670256565567369719.jpg/376x376bb.webp 376w" type="image/webp"> <source sizes="188px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/a6/09/f9/a609f917-b6b7-1b39-c179-746005751383/mza_6670256565567369719.jpg/188x188bb-60.jpg 188w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/a6/09/f9/a609f917-b6b7-1b39-c179-746005751383/mza_6670256565567369719.jpg/376x376bb-60.jpg 376w" type="image/jpeg"> <img alt="AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="188" height="188" style="opacity: 1;"></picture> </div> </div> <div class="episode-details-container svelte-1douxfx"><section class="episode-details-container svelte-5dvoy6 episode-details-container--wide-layout episode-details-container--has-episode-artwork" data-testid="episode-content"><div class="episode-details svelte-5dvoy6"><div class="episode-details__eyebrow svelte-5dvoy6"> <p class="episode-details__published-date svelte-5dvoy6" data-testid="episode-details__published-date">12/12/2024</p> </div> <div class="episode-details__title svelte-5dvoy6"> <h3 class="episode-details__title-wrapper svelte-5dvoy6" dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 3;"> <span class="multiline-clamp__text svelte-73d2pa"><span class="episode-details__title-text" data-testid="episode-lockup-title">AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender</span></span> </div></h3> </div> <div class="episode-details__summary svelte-5dvoy6" data-testid="episode-content__summary"><p dir="auto"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"><!-- HTML_TAG_START -->Surrogate decision making has some issues. Surrogates often either don’t know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms. Can we do better? Or, to phrase the question for 2024, “Can AI do better?” Follow that path and you arrive at a potentially terrifying scenario: using AI for surrogate decision making. What?!? When Teva Brender and Brian Block first approached me about writing a thought piece about this idea, my initial response was, “Hell no.” You may be thinking the same. But…stay with us here…might AI help to address some of the major issues present in surrogate decision making? Or does it raise more issues than it solves? Today we talk with Teva, Dave Wendler, and Jenny Blumenthal-Barby about: Current clinical and ethical issues with surrogate decision making The Patient Preferences Predictor (developed by Dave Wendler) or Personalized Patient Preferences Predictor (updated idea by Brian Earp) and commentary by Jenny Using AI to comb through prior recorded clinical conversations with patients to play back pertinent discussions; to predict functional outcomes; and to predict patient preferences based on prior spending patterns, emails, and social media posts (Teva’s thought piece) A whole host of ethical issues raised by these ideas including the black box nature, the motivations of private AI algorithms run by for profit healthcare systems, turning an “is” into an “ought”, defaults and nudges, and privacy. I’ll end this intro with a quote from Deb Grady in an editor’s commentary to our thought piece in JAMA Internal Medicine about this topic: “Voice technology that creates a searchable database of patients’ every encounter with a health care professional? Using data from wearable devices, internet searches, and purchasing history? Algorithms using millions of direct observations of a person’s behavior to provide an authentic portrait of the way a person lived? Yikes! The authors discuss the practical, ethical, and accuracy issues related to this scenario. We published this Viewpoint because it is very interesting, somewhat scary, and probably inevitable.” -@alexsmithmd.bsky.social<!-- HTML_TAG_END --></span> </div></p></div> <div class="episode-details__meta svelte-5dvoy6"><div class="play-button-wrapper play-button-wrapper--meta svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div></div></div> </section> <section class="sub-container svelte-mm28iu lockup-has-artwork uses-wide-layout"><div class="episode-block svelte-mm28iu"><div class="play-button-wrapper play-button-wrapper--duration svelte-mm28iu"> <div class="interactive-play-button svelte-ru2n8h" data-testid="interactive-play-button"><button aria-label="Play" class="play-button svelte-1fx4rnm play-button--platter is-stand-alone" data-testid="play-button"><svg aria-hidden="true" class="icon play-svg" data-testid="play-icon" iconState="play"><use href="#play-circle-fill"></use></svg> </button> </div></div> <div class="episode-duration-container svelte-mm28iu"><div class="duration svelte-rzxh9h duration--alt" data-testid="episode-duration"><div class="progress-bar svelte-rzxh9h"></div> <div class="progress-time svelte-rzxh9h">48 min</div> </div></div> <div class="cloud-buttons-wrapper svelte-mm28iu"><div class="cloud-buttons svelte-u8ll6d" data-testid="cloud-buttons"><div class="cloud-buttons__save svelte-u8ll6d"><div slot="override-save-button" class="cloud-buttons__save svelte-mm28iu"></div></div> <amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--non-platter" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 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data-testid="star-row-1"></div></div> </div></div> <div class="numbers__count svelte-1rwyjxh" data-testid="amp-rating__rating-count-text">273 Ratings</div></div> </div> </div></div></div> <div class="section section--reviews svelte-1jzcdlo" data-testid="section-container" aria-hidden="false"> <div class="shelf-content" data-testid="shelf-content"> <div class="shelf"><section data-testid="shelf-component" class="shelf-grid shelf-grid--onhover svelte-ygnzwc" style=" --grid-max-content-xsmall: 298px; --grid-column-gap-xsmall: 10px; --grid-row-gap-xsmall: 24px; --grid-small: 2; --grid-column-gap-small: 20px; --grid-row-gap-small: 24px; --grid-medium: 2; --grid-column-gap-medium: 20px; --grid-row-gap-medium: 24px; --grid-large: 3; --grid-column-gap-large: 20px; --grid-row-gap-large: 24px; --grid-xlarge: 3; --grid-column-gap-xlarge: 20px; --grid-row-gap-xlarge: 24px; --grid-type: A; --grid-rows: 1; --standard-lockup-shadow-offset: 15px; "> <div class="shelf-grid__body svelte-ygnzwc" data-testid="shelf-body"> <ul class="shelf-grid__list shelf-grid__list--grid-type-A svelte-ygnzwc" role="list" tabindex="-1" data-testid="shelf-item-list"> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="0"><div slot="item"> <div class="review svelte-1x6mw5s" aria-labelledby="review-11689408644-title" role="comment" data-testid="amp-review__review"><div class="header svelte-1x6mw5s"><div class="header-primary svelte-1x6mw5s"><h3 id="review-11689408644-title" class="title svelte-1x6mw5s" data-testid="amp-review__title" dir="auto">Very important topics, fantastic questions and guests</h3> <div class="stars svelte-1x6mw5s" aria-label="5 Stars" data-testid="amp-review__rating-stars"><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span> </div></div> <div class="header-secondary svelte-1x6mw5s"><p class="date svelte-1x6mw5s" data-testid="amp-review__published-at">09/04/2024</p> <p class="author svelte-1x6mw5s" data-testid="amp-review__author">Ying2z</p></div></div> <div class="content svelte-1x6mw5s" data-testid="amp-review__text"> <div class="truncate-wrapper svelte-ckpse8"><p data-testid="truncate-text" dir="auto" class="content svelte-ckpse8 body" style="--lines: 4; --line-height: var(--lineHeight, 16); --link-length: 4;"><!-- HTML_TAG_START -->Just listened to the Anti-Asian Hate episode and highly recommend! As a public health professional, I found the host did a great job balancing the complexities of the important topic by asking great questions to each of the expert guests, blending scientific data, heart, and health/wellbeing with a side of musical talent. It was ✨dynamite✨.<!-- HTML_TAG_END --></p> </div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="1"><div slot="item"> <div class="review svelte-1x6mw5s" aria-labelledby="review-11135896746-title" role="comment" data-testid="amp-review__review"><div class="header svelte-1x6mw5s"><div class="header-primary svelte-1x6mw5s"><h3 id="review-11135896746-title" class="title svelte-1x6mw5s" data-testid="amp-review__title" dir="auto">Staying in the loop</h3> <div class="stars svelte-1x6mw5s" aria-label="5 Stars" data-testid="amp-review__rating-stars"><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span> </div></div> <div class="header-secondary svelte-1x6mw5s"><p class="date svelte-1x6mw5s" data-testid="amp-review__published-at">04/08/2024</p> <p class="author svelte-1x6mw5s" data-testid="amp-review__author">Nellyda A.</p></div></div> <div class="content svelte-1x6mw5s" data-testid="amp-review__text"> <div class="truncate-wrapper svelte-ckpse8"><p data-testid="truncate-text" dir="auto" class="content svelte-ckpse8 body" style="--lines: 4; --line-height: var(--lineHeight, 16); --link-length: 4;"><!-- HTML_TAG_START -->I’m a UCSF alumnus, and now I live and work in rural Oregon. Providing up to date geriatric and palliative care can present challenges in my community due to a lack of understanding about the “mission” of these specialty areas. Listening to this podcast helps me feel connected to experts and innovators in this field, and helps me stay focused on what matters. I love the conversational yet scientific reporting style. It feels like I’m part of a loving club of nerdy-smart clinicians. Thank you for keeping me in the loop!<!-- HTML_TAG_END --></p> </div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="2"><div slot="item"> <div class="review svelte-1x6mw5s" aria-labelledby="review-10934501978-title" role="comment" data-testid="amp-review__review"><div class="header svelte-1x6mw5s"><div class="header-primary svelte-1x6mw5s"><h3 id="review-10934501978-title" class="title svelte-1x6mw5s" data-testid="amp-review__title" dir="auto">Great info, fun to listen</h3> <div class="stars svelte-1x6mw5s" aria-label="5 Stars" data-testid="amp-review__rating-stars"><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span> </div></div> <div class="header-secondary svelte-1x6mw5s"><p class="date svelte-1x6mw5s" data-testid="amp-review__published-at">02/13/2024</p> <p class="author svelte-1x6mw5s" data-testid="amp-review__author">The OGG</p></div></div> <div class="content svelte-1x6mw5s" data-testid="amp-review__text"> <div class="truncate-wrapper svelte-ckpse8"><p data-testid="truncate-text" dir="auto" class="content svelte-ckpse8 body" style="--lines: 4; --line-height: var(--lineHeight, 16); --link-length: 4;"><!-- HTML_TAG_START -->I love this podcast. Eric and Alex (and frequent guest cohosts) offer up-to-date and engaging information about hot topics in geriatrics and palliative care in a way that is fun to listen to. They have a really diverse group of guests and do a nice job with the interview. This is a great, easy way to stay informed! Definitely recommend.<!-- HTML_TAG_END --></p> </div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="3"><div slot="item"> <div class="review svelte-1x6mw5s" aria-labelledby="review-10492815553-title" role="comment" data-testid="amp-review__review"><div class="header svelte-1x6mw5s"><div class="header-primary svelte-1x6mw5s"><h3 id="review-10492815553-title" class="title svelte-1x6mw5s" data-testid="amp-review__title" dir="auto">Geripal</h3> <div class="stars svelte-1x6mw5s" aria-label="5 Stars" data-testid="amp-review__rating-stars"><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span><span data-testid="star-filled" class="star svelte-1x6mw5s"><svg class="star-icon" viewBox="0 0 64 64" aria-hidden="true"><path d="M13.559 60.051c1.102.86 2.5.565 4.166-.645l14.218-10.455L46.19 59.406c1.666 1.21 3.037 1.505 4.166.645 1.102-.833 1.344-2.204.672-4.166l-5.618-16.718 14.353-10.32c1.666-1.183 2.338-2.42 1.908-3.764-.43-1.29-1.693-1.935-3.763-1.908l-17.605.108-5.348-16.8C34.308 4.496 33.34 3.5 31.944 3.5c-1.372 0-2.34.995-2.984 2.984L23.61 23.283l-17.605-.108c-2.07-.027-3.333.618-3.763 1.908-.457 1.344.242 2.58 1.909 3.763l14.352 10.321-5.617 16.718c-.672 1.962-.43 3.333.672 4.166Z"></path></svg></span> </div></div> <div class="header-secondary svelte-1x6mw5s"><p class="date svelte-1x6mw5s" data-testid="amp-review__published-at">10/19/2023</p> <p class="author svelte-1x6mw5s" data-testid="amp-review__author">indiaphile</p></div></div> <div class="content svelte-1x6mw5s" data-testid="amp-review__text"> <div class="truncate-wrapper svelte-ckpse8"><p data-testid="truncate-text" dir="auto" class="content svelte-ckpse8 body" style="--lines: 4; --line-height: var(--lineHeight, 16); --link-length: 4;"><!-- HTML_TAG_START -->As a Geriatrician working in LTC I find Geripal a useful and enjoyable podcast. One of the best in the field.<!-- HTML_TAG_END --></p> </div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc placeholder" data-index="4"></li> <li class="shelf-grid__list-item svelte-ygnzwc placeholder" data-index="5"></li> <li class="shelf-grid__list-item svelte-ygnzwc placeholder" data-index="6"></li> <li class="shelf-grid__list-item svelte-ygnzwc placeholder" data-index="7"></li> <li class="shelf-grid__list-item svelte-ygnzwc placeholder" data-index="8"></li> <li class="shelf-grid__list-item svelte-ygnzwc placeholder" data-index="9"></li> </ul></div> <div class="shelf-grid-nav svelte-1gsl0lk" data-testid="shelf-grid__nav" aria-hidden="true"><ul class="svelte-1gsl0lk"><li><button aria-label="Next Page" type="button" class="shelf-grid-nav__arrow shelf-grid-nav__arrow--right svelte-1gsl0lk" data-testid="shelf-button-right" style=""></button></li> <li><button disabled aria-label="Previous Page" type="button" class="shelf-grid-nav__arrow shelf-grid-nav__arrow--left svelte-1gsl0lk" data-testid="shelf-button-left" style=""></button></li></ul></div> </section></div></div></div> <div class="section section--paragraph svelte-1jzcdlo" data-testid="section-container" aria-label="About" aria-hidden="false"><div class="header svelte-kxxurt"> <div class="header-title-wrapper svelte-kxxurt"> <h2 class="title svelte-kxxurt" data-testid="header-title"><span class="dir-wrapper" dir="auto">About</span></h2> </div> <div slot="buttons" class="section-header-buttons svelte-1jzcdlo"></div> </div> <div class="shelf-content" data-testid="shelf-content"> <div data-testid="paragraphs" class="paragraph-wrapper svelte-al4qc4" dir="auto"><!-- HTML_TAG_START -->A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!<!-- HTML_TAG_END --> </div></div></div> <div class="section section--information svelte-1jzcdlo" data-testid="section-container" aria-label="Information" aria-hidden="false"><div class="header svelte-kxxurt"> <div class="header-title-wrapper svelte-kxxurt"> <h2 class="title svelte-kxxurt" data-testid="header-title"><span class="dir-wrapper" dir="auto">Information</span></h2> </div> <div slot="buttons" class="section-header-buttons svelte-1jzcdlo"></div> </div> <div class="shelf-content" data-testid="shelf-content"><ul class="information svelte-677c46" data-testid="information"> <li><div class="title svelte-677c46">Creator</div> <div class="content svelte-677c46" dir="auto">Alex Smith, Eric Widera </div> </li> <li><div class="title svelte-677c46">Years Active</div> <div class="content svelte-677c46" dir="auto">2016 - 2025 </div> </li> <li><div class="title svelte-677c46">Episodes</div> <div class="content svelte-677c46" dir="auto">344 </div> </li> <li><div class="title svelte-677c46">Rating</div> <div class="content svelte-677c46" dir="auto">Clean </div> </li> <li><div class="title svelte-677c46">Copyright</div> <div class="content svelte-677c46" dir="auto">© 2021 GeriPal. All rights reserved. </div> </li> <li><div class="title svelte-677c46">Show Website</div> <div class="content svelte-677c46" style="--linkColor: var(--keyColor)" data-testid="information-content-with-action"> <a data-testid="click-action" href="http://www.geripal.org" class="link-action link-action--external svelte-s28qt1" target="_blank" rel="noopener noreferrer" dir="auto"><span class="link-action__text svelte-s28qt1"> GeriPal - A Geriatrics and Palliative Care Podcast </span><svg xmlns="http://www.w3.org/2000/svg" viewBox="11.914 4.592 12 12" width="12" height="12" style="fill: currentColor;" class="external-link-icon"><path d="M23.207 5.363c-.673-.664-1.613-.771-2.724-.771h-5.096c-1.095 0-2.038.109-2.708.773-.664.67-.765 1.596-.765 2.693v5.047c0 1.12.099 2.054.763 2.715.671.671 1.605.771 2.723.771h5.082c1.11 0 2.052-.1 2.724-.771.663-.67.763-1.595.763-2.715V8.079c0-1.12-.1-2.047-.763-2.715Zm-.289 2.534v5.388c0 .671-.087 1.371-.482 1.766-.395.396-1.103.489-1.773.489H15.22c-.67 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data-testid="context-button" class="product-lockup__context-button svelte-176l9mx"><div slot="context-button"><amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--platter more-button--material" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button></div></div></div></div> <div class="product-lockup__content svelte-176l9mx"> <div class="product-lockup__content-details svelte-176l9mx product-lockup__content-details--no-subtitle-link" dir="auto"><div class="product-lockup__title-link svelte-176l9mx product-lockup__title-link--multiline"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow multiline-clamp--with-badge" style="--mc-lineClamp: 2;"> <span class="multiline-clamp__text svelte-73d2pa"><span data-testid="product-lockup-title" class="product-lockup__title link svelte-176l9mx">Medicine</span></span><span class="multiline-clamp__badge svelte-73d2pa"></span> </div> </div> <p data-testid="product-lockup-subtitles" class="product-lockup__subtitle-links svelte-176l9mx product-lockup__subtitle-links--singlet"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"> <span data-testid="product-lockup-subtitle" class="product-lockup__subtitle svelte-176l9mx">Updated Biweekly</span></span> </div></p></div></div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="3"><div slot="item"><div class="show svelte-lvqbko"> <div class="product-lockup svelte-176l9mx" aria-label="Annals On Call Podcast" data-testid="product-lockup"><div class="product-lockup__artwork svelte-176l9mx has-controls" aria-hidden="false"> <div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square svelte-gjhgd3 container-style artwork-component--fullwidth artwork-component--has-borders" style=" --artwork-bg-color: #ffffff; --aspect-ratio: 1; --placeholder-bg-color: #ffffff; "> <picture class="svelte-gjhgd3"><source sizes=" (max-width:999px) 150px,(min-width:1000px) and (max-width:1319px) 220px,(min-width:1320px) and (max-width:1679px) 250px,250px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/150x150bb.webp 150w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/220x220bb.webp 220w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/250x250bb.webp 250w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/300x300bb.webp 300w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/440x440bb.webp 440w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/500x500bb.webp 500w" type="image/webp"> <source sizes=" (max-width:999px) 150px,(min-width:1000px) and (max-width:1319px) 220px,(min-width:1320px) and (max-width:1679px) 250px,250px" srcset="https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/150x150bb-60.jpg 150w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/220x220bb-60.jpg 220w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/250x250bb-60.jpg 250w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/300x300bb-60.jpg 300w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/440x440bb-60.jpg 440w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts113/v4/83/ad/40/83ad4073-3eba-4bb3-5ec3-d84d5483588d/mza_1682074559874982907.png/500x500bb-60.jpg 500w" type="image/jpeg"> <img alt="Annals On Call Podcast" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="250" height="250" style="opacity: 1;"></picture> </div> <div data-testid="lockup-control" class="product-lockup__controls svelte-176l9mx"><a class="product-lockup__link svelte-176l9mx" data-testid="product-lockup-link" aria-label="Annals On Call Podcast" href="https://podcasts.apple.com/us/podcast/annals-on-call-podcast/id1424411912">Medicine</a> <div data-testid="play-button" class="product-lockup__play-button svelte-176l9mx"></div> <div data-testid="context-button" class="product-lockup__context-button svelte-176l9mx"><div slot="context-button"><amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--platter more-button--material" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button></div></div></div></div> <div class="product-lockup__content svelte-176l9mx"> <div class="product-lockup__content-details svelte-176l9mx product-lockup__content-details--no-subtitle-link" dir="auto"><div class="product-lockup__title-link svelte-176l9mx product-lockup__title-link--multiline"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow multiline-clamp--with-badge" style="--mc-lineClamp: 2;"> <span class="multiline-clamp__text svelte-73d2pa"><span data-testid="product-lockup-title" class="product-lockup__title link svelte-176l9mx">Medicine</span></span><span class="multiline-clamp__badge svelte-73d2pa"></span> </div> </div> <p data-testid="product-lockup-subtitles" class="product-lockup__subtitle-links svelte-176l9mx product-lockup__subtitle-links--singlet"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"> <span data-testid="product-lockup-subtitle" class="product-lockup__subtitle svelte-176l9mx">Updated Semimonthly</span></span> </div></p></div></div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="4"><div slot="item"><div class="show svelte-lvqbko"> <div class="product-lockup svelte-176l9mx" aria-label="AFP: American Family Physician Podcast" data-testid="product-lockup"><div 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style="opacity: 1;"></picture> </div> <div data-testid="lockup-control" class="product-lockup__controls svelte-176l9mx"><a class="product-lockup__link svelte-176l9mx" data-testid="product-lockup-link" aria-label="AFP: American Family Physician Podcast" href="https://podcasts.apple.com/us/podcast/afp%3A-american-family-physician-podcast/id1064701549">Medicine</a> <div data-testid="play-button" class="product-lockup__play-button svelte-176l9mx"></div> <div data-testid="context-button" class="product-lockup__context-button svelte-176l9mx"><div slot="context-button"><amp-contextual-menu-button config="[object Object]" class="svelte-aofnlv"> <span aria-label="MORE" class="more-button svelte-aofnlv more-button--platter more-button--material" data-testid="more-button" slot="trigger-content"><svg width="28" height="28" viewBox="0 0 28 28" class="glyph" xmlns="http://www.w3.org/2000/svg"><circle fill="var(--iconCircleFill, transparent)" cx="14" cy="14" r="14"></circle><path fill="var(--iconEllipsisFill, white)" d="M10.105 14c0-.87-.687-1.55-1.564-1.55-.862 0-1.557.695-1.557 1.55 0 .848.695 1.55 1.557 1.55.855 0 1.564-.702 1.564-1.55zm5.437 0c0-.87-.68-1.55-1.542-1.55A1.55 1.55 0 0012.45 14c0 .848.695 1.55 1.55 1.55.848 0 1.542-.702 1.542-1.55zm5.474 0c0-.87-.687-1.55-1.557-1.55-.87 0-1.564.695-1.564 1.55 0 .848.694 1.55 1.564 1.55.848 0 1.557-.702 1.557-1.55z"></path></svg></span> </amp-contextual-menu-button></div></div></div></div> <div class="product-lockup__content svelte-176l9mx"> <div class="product-lockup__content-details svelte-176l9mx product-lockup__content-details--no-subtitle-link" dir="auto"><div class="product-lockup__title-link svelte-176l9mx product-lockup__title-link--multiline"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow multiline-clamp--with-badge" style="--mc-lineClamp: 2;"> <span class="multiline-clamp__text svelte-73d2pa"><span data-testid="product-lockup-title" class="product-lockup__title link svelte-176l9mx">Medicine</span></span><span class="multiline-clamp__badge svelte-73d2pa"></span> </div> </div> <p data-testid="product-lockup-subtitles" class="product-lockup__subtitle-links svelte-176l9mx product-lockup__subtitle-links--singlet"><div class="multiline-clamp svelte-73d2pa multiline-clamp--overflow" style="--mc-lineClamp: 1;"> <span class="multiline-clamp__text svelte-73d2pa"> <span data-testid="product-lockup-subtitle" class="product-lockup__subtitle svelte-176l9mx">Updated Biweekly</span></span> </div></p></div></div> </div> </div></div></li> <li class="shelf-grid__list-item svelte-ygnzwc" data-index="5"><div slot="item"><div class="show svelte-lvqbko"> <div class="product-lockup svelte-176l9mx" aria-label="The Nocturnists" data-testid="product-lockup"><div class="product-lockup__artwork svelte-176l9mx has-controls" aria-hidden="false"> <div data-testid="artwork-component" class="artwork-component artwork-component--aspect-ratio artwork-component--orientation-square 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250w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/45/49/91/454991e2-eca7-2a5a-4d05-802913a67b89/mza_796530560614834902.jpg/300x300bb-60.jpg 300w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/45/49/91/454991e2-eca7-2a5a-4d05-802913a67b89/mza_796530560614834902.jpg/440x440bb-60.jpg 440w,https://is1-ssl.mzstatic.com/image/thumb/Podcasts221/v4/45/49/91/454991e2-eca7-2a5a-4d05-802913a67b89/mza_796530560614834902.jpg/500x500bb-60.jpg 500w" type="image/jpeg"> <img alt="The Nocturnists" class="artwork-component__contents artwork-component__image svelte-gjhgd3" loading="lazy" src="/assets/artwork/1x1.gif" decoding="async" width="250" height="250" style="opacity: 1;"></picture> </div> <div data-testid="lockup-control" class="product-lockup__controls svelte-176l9mx"><a class="product-lockup__link svelte-176l9mx" data-testid="product-lockup-link" aria-label="The Nocturnists" href="https://podcasts.apple.com/us/podcast/the-nocturnists/id1322741272">Medicine</a> <div 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class="svelte-1uxhjdt"><span>Libya</span></a> </li><li class="svelte-1uxhjdt"><a href="/mg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Madagascar</span></a> </li><li class="svelte-1uxhjdt"><a href="/mw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Malawi</span></a> </li><li class="svelte-1uxhjdt"><a href="/ml/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Mali</span></a> </li><li class="svelte-1uxhjdt"><a href="/mr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Mauritania</span></a> </li><li class="svelte-1uxhjdt"><a href="/mu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Mauritius</span></a> </li><li class="svelte-1uxhjdt"><a href="/ma/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Morocco</span></a> </li><li class="svelte-1uxhjdt"><a href="/mz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Mozambique</span></a> </li><li class="svelte-1uxhjdt"><a href="/na/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Namibia</span></a> </li><li class="svelte-1uxhjdt"><a href="/ne/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Niger (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ng/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Nigeria</span></a> </li><li class="svelte-1uxhjdt"><a href="/om/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Oman</span></a> </li><li class="svelte-1uxhjdt"><a href="/qa/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Qatar</span></a> </li><li class="svelte-1uxhjdt"><a href="/cg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Congo, Republic of</span></a> </li><li class="svelte-1uxhjdt"><a href="/rw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Rwanda</span></a> </li><li class="svelte-1uxhjdt"><a href="/sa/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Saudi Arabia</span></a> </li><li class="svelte-1uxhjdt"><a href="/sn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Senegal</span></a> </li><li class="svelte-1uxhjdt"><a href="/sc/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Seychelles</span></a> </li><li class="svelte-1uxhjdt"><a href="/sl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Sierra Leone</span></a> </li><li class="svelte-1uxhjdt"><a href="/za/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>South Africa</span></a> </li><li class="svelte-1uxhjdt"><a href="/lk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Sri Lanka</span></a> </li><li class="svelte-1uxhjdt"><a href="/tj/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tajikistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/tz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tanzania, United Republic Of</span></a> </li><li class="svelte-1uxhjdt"><a href="/tn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tunisia</span></a> </li><li class="svelte-1uxhjdt"><a href="/tm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Turkmenistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/ae/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>United Arab Emirates</span></a> </li><li class="svelte-1uxhjdt"><a href="/ug/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Uganda</span></a> </li><li class="svelte-1uxhjdt"><a href="/ye/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Yemen</span></a> </li><li class="svelte-1uxhjdt"><a href="/zm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Zambia</span></a> </li><li class="svelte-1uxhjdt"><a href="/zw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Zimbabwe</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">Asia Pacific</h2> <button slot="button" class="see-all-button svelte-1gg2msz">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/au/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Australia</span></a> </li><li class="svelte-1uxhjdt"><a href="/bt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bhutan</span></a> </li><li class="svelte-1uxhjdt"><a href="/kh/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Cambodia</span></a> </li><li class="svelte-1uxhjdt"><a href="/cn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>中国大陆</span></a> </li><li class="svelte-1uxhjdt"><a href="/fj/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Fiji</span></a> </li><li class="svelte-1uxhjdt"><a href="/hk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>香港</span></a> </li><li class="svelte-1uxhjdt"><a href="/id/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Indonesia (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/jp/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>日本</span></a> </li><li class="svelte-1uxhjdt"><a href="/kz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Kazakhstan</span></a> </li><li class="svelte-1uxhjdt"><a href="/kr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>대한민국</span></a> </li><li class="svelte-1uxhjdt"><a href="/kg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Kyrgyzstan</span></a> </li><li class="svelte-1uxhjdt"><a href="/la/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Lao People's Democratic Republic</span></a> </li><li class="svelte-1uxhjdt"><a href="/mo/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>澳門</span></a> </li><li class="svelte-1uxhjdt"><a href="/my/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Malaysia (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/mv/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Maldives</span></a> </li><li class="svelte-1uxhjdt"><a href="/fm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Micronesia, Federated States of</span></a> </li><li class="svelte-1uxhjdt"><a href="/mn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Mongolia</span></a> </li><li class="svelte-1uxhjdt"><a href="/mm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Myanmar</span></a> </li><li class="svelte-1uxhjdt"><a href="/np/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Nepal</span></a> </li><li class="svelte-1uxhjdt"><a href="/nz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>New Zealand</span></a> </li><li class="svelte-1uxhjdt"><a href="/pg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Papua New Guinea</span></a> </li><li class="svelte-1uxhjdt"><a href="/ph/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Philippines</span></a> </li><li class="svelte-1uxhjdt"><a href="/sg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Singapore</span></a> </li><li class="svelte-1uxhjdt"><a href="/sb/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Solomon Islands</span></a> </li><li class="svelte-1uxhjdt"><a href="/tw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>台灣</span></a> </li><li class="svelte-1uxhjdt"><a href="/th/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Thailand</span></a> </li><li class="svelte-1uxhjdt"><a href="/to/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tonga</span></a> </li><li class="svelte-1uxhjdt"><a href="/tm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Turkmenistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/uz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Uzbekistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/vu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Vanuatu</span></a> </li><li class="svelte-1uxhjdt"><a href="/vn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Vietnam</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">Europe</h2> <button slot="button" class="see-all-button svelte-1gg2msz">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/am/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Armenia</span></a> </li><li class="svelte-1uxhjdt"><a href="/at/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Österreich</span></a> </li><li class="svelte-1uxhjdt"><a href="/by/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Belarus</span></a> </li><li class="svelte-1uxhjdt"><a href="/be/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Belgium</span></a> </li><li class="svelte-1uxhjdt"><a href="/ba/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bosnia and Herzegovina</span></a> </li><li class="svelte-1uxhjdt"><a href="/bg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bulgaria</span></a> </li><li class="svelte-1uxhjdt"><a href="/hr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Croatia</span></a> </li><li class="svelte-1uxhjdt"><a href="/cy/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Cyprus</span></a> </li><li class="svelte-1uxhjdt"><a href="/cz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Czechia</span></a> </li><li class="svelte-1uxhjdt"><a href="/dk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Denmark</span></a> </li><li class="svelte-1uxhjdt"><a href="/ee/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Estonia</span></a> </li><li class="svelte-1uxhjdt"><a href="/fi/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Finland</span></a> </li><li class="svelte-1uxhjdt"><a href="/fr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>France (Français)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ge/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Georgia</span></a> </li><li class="svelte-1uxhjdt"><a href="/de/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Deutschland</span></a> </li><li class="svelte-1uxhjdt"><a href="/gr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Greece</span></a> </li><li class="svelte-1uxhjdt"><a href="/hu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Hungary</span></a> </li><li class="svelte-1uxhjdt"><a href="/is/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Iceland</span></a> </li><li class="svelte-1uxhjdt"><a href="/ie/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Ireland</span></a> </li><li class="svelte-1uxhjdt"><a href="/it/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Italia</span></a> </li><li class="svelte-1uxhjdt"><a href="/xk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Kosovo</span></a> </li><li class="svelte-1uxhjdt"><a href="/lv/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Latvia</span></a> </li><li class="svelte-1uxhjdt"><a href="/lt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Lithuania</span></a> </li><li class="svelte-1uxhjdt"><a href="/lu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Luxembourg (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/mt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Malta</span></a> </li><li class="svelte-1uxhjdt"><a href="/md/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Moldova, Republic Of</span></a> </li><li class="svelte-1uxhjdt"><a href="/me/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Montenegro</span></a> </li><li class="svelte-1uxhjdt"><a href="/nl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Nederland</span></a> </li><li class="svelte-1uxhjdt"><a href="/mk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>North Macedonia</span></a> </li><li class="svelte-1uxhjdt"><a href="/no/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Norway</span></a> </li><li class="svelte-1uxhjdt"><a href="/pl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Poland</span></a> </li><li class="svelte-1uxhjdt"><a href="/pt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Portugal (Português)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ro/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Romania</span></a> </li><li class="svelte-1uxhjdt"><a href="/ru/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Россия</span></a> </li><li class="svelte-1uxhjdt"><a href="/rs/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Serbia</span></a> </li><li class="svelte-1uxhjdt"><a href="/sk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Slovakia</span></a> </li><li class="svelte-1uxhjdt"><a href="/si/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Slovenia</span></a> </li><li class="svelte-1uxhjdt"><a href="/es/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>España</span></a> </li><li class="svelte-1uxhjdt"><a href="/se/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Sverige</span></a> </li><li class="svelte-1uxhjdt"><a href="/ch/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Schweiz</span></a> </li><li class="svelte-1uxhjdt"><a href="/tr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Türkiye (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ua/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Ukraine</span></a> </li><li class="svelte-1uxhjdt"><a href="/gb/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>United Kingdom</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">Latin America and the Caribbean</h2> <button slot="button" class="see-all-button svelte-1gg2msz">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/ai/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Anguilla</span></a> </li><li class="svelte-1uxhjdt"><a href="/ag/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Antigua and Barbuda</span></a> </li><li class="svelte-1uxhjdt"><a href="/ar/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Argentina (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/bs/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bahamas</span></a> </li><li class="svelte-1uxhjdt"><a href="/bb/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Barbados</span></a> </li><li class="svelte-1uxhjdt"><a href="/bz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Belize</span></a> </li><li class="svelte-1uxhjdt"><a href="/bm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bermuda</span></a> </li><li class="svelte-1uxhjdt"><a href="/bo/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bolivia (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/br/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Brasil</span></a> </li><li class="svelte-1uxhjdt"><a href="/vg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Virgin Islands, British</span></a> </li><li class="svelte-1uxhjdt"><a href="/ky/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Cayman Islands</span></a> </li><li class="svelte-1uxhjdt"><a href="/cl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Chile (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/co/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Colombia (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/cr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Costa Rica (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/dm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Dominica</span></a> </li><li class="svelte-1uxhjdt"><a href="/do/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>República Dominicana</span></a> </li><li class="svelte-1uxhjdt"><a href="/ec/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Ecuador (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/sv/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>El Salvador (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/gd/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Grenada</span></a> </li><li class="svelte-1uxhjdt"><a href="/gt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Guatemala (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/gy/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Guyana</span></a> </li><li class="svelte-1uxhjdt"><a href="/hn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Honduras (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/jm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Jamaica</span></a> </li><li class="svelte-1uxhjdt"><a href="/mx/browse" data-testid="region-list-link" 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Republic of</span></a> </li><li class="svelte-1uxhjdt"><a href="/rw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Rwanda</span></a> </li><li class="svelte-1uxhjdt"><a href="/sa/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Saudi Arabia</span></a> </li><li class="svelte-1uxhjdt"><a href="/sn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Senegal</span></a> </li><li class="svelte-1uxhjdt"><a href="/sc/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Seychelles</span></a> </li><li class="svelte-1uxhjdt"><a href="/sl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Sierra Leone</span></a> </li><li class="svelte-1uxhjdt"><a href="/za/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>South Africa</span></a> </li><li class="svelte-1uxhjdt"><a href="/lk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Sri Lanka</span></a> </li><li class="svelte-1uxhjdt"><a href="/tj/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tajikistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/tz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tanzania, United Republic Of</span></a> </li><li class="svelte-1uxhjdt"><a href="/tn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tunisia</span></a> </li><li class="svelte-1uxhjdt"><a href="/tm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Turkmenistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/ae/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>United Arab Emirates</span></a> </li><li class="svelte-1uxhjdt"><a href="/ug/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Uganda</span></a> </li><li class="svelte-1uxhjdt"><a href="/ye/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Yemen</span></a> </li><li class="svelte-1uxhjdt"><a href="/zm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Zambia</span></a> </li><li class="svelte-1uxhjdt"><a href="/zw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Zimbabwe</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">Asia Pacific</h2> <button slot="button" class="see-all-button svelte-1gg2msz">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/au/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Australia</span></a> </li><li class="svelte-1uxhjdt"><a href="/bt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bhutan</span></a> </li><li class="svelte-1uxhjdt"><a href="/kh/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Cambodia</span></a> </li><li class="svelte-1uxhjdt"><a href="/cn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>中国大陆</span></a> </li><li class="svelte-1uxhjdt"><a href="/fj/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Fiji</span></a> </li><li class="svelte-1uxhjdt"><a href="/hk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>香港</span></a> </li><li class="svelte-1uxhjdt"><a href="/id/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Indonesia (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/jp/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>日本</span></a> </li><li class="svelte-1uxhjdt"><a href="/kz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Kazakhstan</span></a> </li><li class="svelte-1uxhjdt"><a href="/kr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>대한민국</span></a> </li><li class="svelte-1uxhjdt"><a href="/kg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Kyrgyzstan</span></a> </li><li class="svelte-1uxhjdt"><a href="/la/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Lao People's Democratic Republic</span></a> </li><li class="svelte-1uxhjdt"><a href="/mo/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>澳門</span></a> </li><li class="svelte-1uxhjdt"><a href="/my/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Malaysia (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/mv/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Maldives</span></a> </li><li class="svelte-1uxhjdt"><a href="/fm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Micronesia, Federated States of</span></a> </li><li class="svelte-1uxhjdt"><a href="/mn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Mongolia</span></a> </li><li class="svelte-1uxhjdt"><a href="/mm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Myanmar</span></a> </li><li class="svelte-1uxhjdt"><a href="/np/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Nepal</span></a> </li><li class="svelte-1uxhjdt"><a href="/nz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>New Zealand</span></a> </li><li class="svelte-1uxhjdt"><a href="/pg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Papua New Guinea</span></a> </li><li class="svelte-1uxhjdt"><a href="/ph/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Philippines</span></a> </li><li class="svelte-1uxhjdt"><a href="/sg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Singapore</span></a> </li><li class="svelte-1uxhjdt"><a href="/sb/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Solomon Islands</span></a> </li><li class="svelte-1uxhjdt"><a href="/tw/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>台灣</span></a> </li><li class="svelte-1uxhjdt"><a href="/th/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Thailand</span></a> </li><li class="svelte-1uxhjdt"><a href="/to/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Tonga</span></a> </li><li class="svelte-1uxhjdt"><a href="/tm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Turkmenistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/uz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Uzbekistan</span></a> </li><li class="svelte-1uxhjdt"><a href="/vu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Vanuatu</span></a> </li><li class="svelte-1uxhjdt"><a href="/vn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Vietnam</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">Europe</h2> <button slot="button" class="see-all-button svelte-1gg2msz">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/am/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Armenia</span></a> </li><li class="svelte-1uxhjdt"><a href="/at/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Österreich</span></a> </li><li class="svelte-1uxhjdt"><a href="/by/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Belarus</span></a> </li><li class="svelte-1uxhjdt"><a href="/be/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Belgium</span></a> </li><li class="svelte-1uxhjdt"><a href="/ba/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bosnia and Herzegovina</span></a> </li><li class="svelte-1uxhjdt"><a href="/bg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bulgaria</span></a> </li><li class="svelte-1uxhjdt"><a href="/hr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Croatia</span></a> </li><li class="svelte-1uxhjdt"><a href="/cy/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Cyprus</span></a> </li><li class="svelte-1uxhjdt"><a href="/cz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Czechia</span></a> </li><li class="svelte-1uxhjdt"><a href="/dk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Denmark</span></a> </li><li class="svelte-1uxhjdt"><a href="/ee/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Estonia</span></a> </li><li class="svelte-1uxhjdt"><a href="/fi/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Finland</span></a> </li><li class="svelte-1uxhjdt"><a href="/fr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>France (Français)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ge/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Georgia</span></a> </li><li class="svelte-1uxhjdt"><a href="/de/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Deutschland</span></a> </li><li class="svelte-1uxhjdt"><a href="/gr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Greece</span></a> </li><li class="svelte-1uxhjdt"><a href="/hu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Hungary</span></a> </li><li class="svelte-1uxhjdt"><a href="/is/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Iceland</span></a> </li><li class="svelte-1uxhjdt"><a href="/ie/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Ireland</span></a> </li><li class="svelte-1uxhjdt"><a href="/it/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Italia</span></a> </li><li class="svelte-1uxhjdt"><a href="/xk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Kosovo</span></a> </li><li class="svelte-1uxhjdt"><a href="/lv/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Latvia</span></a> </li><li class="svelte-1uxhjdt"><a href="/lt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Lithuania</span></a> </li><li class="svelte-1uxhjdt"><a href="/lu/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Luxembourg (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/mt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Malta</span></a> </li><li class="svelte-1uxhjdt"><a href="/md/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Moldova, Republic Of</span></a> </li><li class="svelte-1uxhjdt"><a href="/me/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Montenegro</span></a> </li><li class="svelte-1uxhjdt"><a href="/nl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Nederland</span></a> </li><li class="svelte-1uxhjdt"><a href="/mk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>North Macedonia</span></a> </li><li class="svelte-1uxhjdt"><a href="/no/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Norway</span></a> </li><li class="svelte-1uxhjdt"><a href="/pl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Poland</span></a> </li><li class="svelte-1uxhjdt"><a href="/pt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Portugal (Português)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ro/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Romania</span></a> </li><li class="svelte-1uxhjdt"><a href="/ru/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Россия</span></a> </li><li class="svelte-1uxhjdt"><a href="/rs/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Serbia</span></a> </li><li class="svelte-1uxhjdt"><a href="/sk/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Slovakia</span></a> </li><li class="svelte-1uxhjdt"><a href="/si/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Slovenia</span></a> </li><li class="svelte-1uxhjdt"><a href="/es/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>España</span></a> </li><li class="svelte-1uxhjdt"><a href="/se/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Sverige</span></a> </li><li class="svelte-1uxhjdt"><a href="/ch/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Schweiz</span></a> </li><li class="svelte-1uxhjdt"><a href="/tr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Türkiye (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ua/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Ukraine</span></a> </li><li class="svelte-1uxhjdt"><a href="/gb/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>United Kingdom</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">Latin America and the Caribbean</h2> <button slot="button" class="see-all-button svelte-1gg2msz">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/ai/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Anguilla</span></a> </li><li class="svelte-1uxhjdt"><a href="/ag/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Antigua and Barbuda</span></a> </li><li class="svelte-1uxhjdt"><a href="/ar/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Argentina (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/bs/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bahamas</span></a> </li><li class="svelte-1uxhjdt"><a href="/bb/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Barbados</span></a> </li><li class="svelte-1uxhjdt"><a href="/bz/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Belize</span></a> </li><li class="svelte-1uxhjdt"><a href="/bm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bermuda</span></a> </li><li class="svelte-1uxhjdt"><a href="/bo/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Bolivia (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/br/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Brasil</span></a> </li><li class="svelte-1uxhjdt"><a href="/vg/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Virgin Islands, British</span></a> </li><li class="svelte-1uxhjdt"><a href="/ky/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Cayman Islands</span></a> </li><li class="svelte-1uxhjdt"><a href="/cl/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Chile (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/co/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Colombia (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/cr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Costa Rica (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/dm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Dominica</span></a> </li><li class="svelte-1uxhjdt"><a href="/do/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>República Dominicana</span></a> </li><li class="svelte-1uxhjdt"><a href="/ec/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Ecuador (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/sv/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>El Salvador (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/gd/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Grenada</span></a> </li><li class="svelte-1uxhjdt"><a href="/gt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Guatemala (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/gy/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Guyana</span></a> </li><li class="svelte-1uxhjdt"><a href="/hn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Honduras (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/jm/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Jamaica</span></a> </li><li class="svelte-1uxhjdt"><a href="/mx/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>México</span></a> </li><li class="svelte-1uxhjdt"><a href="/ms/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Montserrat</span></a> </li><li class="svelte-1uxhjdt"><a href="/ni/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Nicaragua (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/pa/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Panamá</span></a> </li><li class="svelte-1uxhjdt"><a href="/py/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Paraguay (Español)</span></a> </li><li class="svelte-1uxhjdt"><a href="/pe/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Perú</span></a> </li><li class="svelte-1uxhjdt"><a href="/kn/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>St. Kitts and Nevis</span></a> </li><li class="svelte-1uxhjdt"><a href="/lc/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Saint Lucia</span></a> </li><li class="svelte-1uxhjdt"><a href="/vc/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>St. Vincent and The Grenadines</span></a> </li><li class="svelte-1uxhjdt"><a href="/sr/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Suriname</span></a> </li><li class="svelte-1uxhjdt"><a href="/tt/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Trinidad and Tobago</span></a> </li><li class="svelte-1uxhjdt"><a href="/tc/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Turks and Caicos</span></a> </li><li class="svelte-1uxhjdt"><a href="/uy/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Uruguay (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ve/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Venezuela (Español)</span></a> </li> </ul><div class="region-header svelte-vqg5px"><h2 class="svelte-vqg5px">The United States and Canada</h2> <button slot="button" class="see-all-button svelte-1gg2msz see-all-button-hidden">See All </button></div> <ul class="svelte-1uxhjdt"><li class="svelte-1uxhjdt"><a href="/ca/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Canada (English)</span></a> </li><li class="svelte-1uxhjdt"><a href="/ca/browse?l=fr-CA" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Canada (Français)</span></a> </li><li class="svelte-1uxhjdt"><a href="/us/browse" data-testid="region-list-link" class="svelte-1uxhjdt"><span>United States</span></a> </li><li class="svelte-1uxhjdt"><a href="/us/browse?l=es-MX" data-testid="region-list-link" class="svelte-1uxhjdt"><span>Estados Unidos (Español México)</span></a> </li><li class="svelte-1uxhjdt"><a href="/us/browse?l=ar" 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Eric and I interviewed these presenters at the meeting on Thursday (before the pub crawl, thankfully). On Saturday, they formally presented their abstracts during the plenary session, followed by a wonderful question and answer session with Hillary Lum doing a terrific job in the role of moderator. Our three guests were Marie Bakitas, who conducted a trial of tele/video palliative care for Black and White inpatients with serious illness hospitalized in the rural south; Yael Shenker, for a trial of patient-directed Prepare-for-your-care vs. facilitated Respecting Choices style advance care planning interventions; and, Na Ouyang, who studied the relationship between prognostic communication and prolonged grief among the parents of children who died from cancer. From just the abstracts we had so many questions. We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Marie’s tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Does every institution need to get a community advisory board to tailor their rural tele-palliative care initiative (or geriatrics intervention) to the local communities served? Who would/should be on that board? How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? Advance care planning has taken a beating. For the purposes of a thought exercise, no matter what you believe, let’s assume that there are clear important benefits. Based on the results of Yael’s study, should resources be allocated to resource intensive nurse facilitated sessions (Respecting Choices), which had significantly better engagement, or to low resource intensive patient-facing materials (Prepare), which had significantly less engagement but still plenty of engagement (e.g. 75% vs 61% advance directive completion)? One interpretation of Na’s study is that clinicians can lean on the high levels of trust and high ratings of communication to engage with parents of children with cancer about prognosis. Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? Bonus: Simon says he composed the song Sounds of Silence in a dark echoing bathroom about his concerns that people had stopped listening to each other in the 1960s (still resonates, right?). Garfunkel says Simon was writing about Garfunklel’s friend and college roomate Sandy, who was blind. Who’s got the right of it? Enjoy! -Alex Smith","playAction":{"contentId":"1000691757167","episodeOffer":{"artwork":{"template":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/{w}x{h}bb.{f}","width":1400,"height":1400,"backgroundColor":"ffffff","textColors":{"primary":"000104","secondary":"012841","tertiary":"333436","quaternary":"345367"},"crop":"bb","style":"roundedRect"},"contentId":"1000691757167","contentRating":"clean","duration":2839,"episodeArtwork":{"template":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts211/v4/63/ee/4d/63ee4d85-1100-2fe8-5e5f-e4b69afa3624/mza_3606136296127240530.jpg/{w}x{h}bb.{f}","width":1400,"height":1400,"backgroundColor":"cecece","textColors":{"primary":"0a0703","secondary":"3a2c24","tertiary":"312e2c","quaternary":"584c46"},"crop":"bb","style":"roundedRect"},"isEntitledOffer":true,"seasonNumber":null,"episodeNumber":343,"episodeType":"full","guid":"0708db8c-1476-4f6e-a62b-627b867b8553","storeUrl":"https://podcasts.apple.com/us/podcast/plenary-abstracts-at-aahpm-hpna-yael-schenker-na-ouyang/id1164272877?i=1000691757167","streamUrl":"https://traffic.libsyn.com/secure/geripal/GeriPal_EP343_AAHPM.mp3?dest-id=2390675","releaseDate":"2025-02-13T07:45:00Z","priceType":"STDQ","playbackPosition":null,"title":"Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas","mediaType":"audio","showOffer":{"title":"GeriPal - 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Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. In our first segment, we discuss a study led by Constance Fung and her team, which investigated the use of a masked tapering method combined with augmented cognitive behavioral therapy for insomnia (CBTI) to help patients discontinue benzodiazepines. The study involved 188 middle-aged and older adults who had been using medications like lorazepam, alprazolam, clonazepam, temazepam, and zolpidem for insomnia. The results were impressive: 73% of participants in the masked tapering plus augmented CBTI group successfully discontinued their medication, compared to 59% in the open taper plus standard CBTI group. This significant difference highlights the potential of targeting placebo effect mechanisms to enhance deprescribing efforts. Next, we turn to Emily McDonald, the director of the Canadian Medication Appropriateness and Deprescribing Network, to discuss her study on the impact of direct-to-consumer educational brochures on gabapentin deprescribing. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure). Additionally, clinicians participated in monthly educational sessions. The intervention group saw a deprescribing rate of 21.1%, compared to 9.9% in the usual care group. This study underscores the power of patient education in promoting safer medication use. In our third segment, we explore Amy Linsky’s study that examined the effect of patient-directed educational materials on clinician deprescribing of potentially low-benefit or high-risk medications, such as proton pump inhibitors, high-dose gabapentin, or risky diabetes medications. The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure). The results showed a modest but significant increase in deprescribing rates among the intervention group. This approach demonstrates the potential of simple, low-cost interventions to improve medication safety. Finally, we discuss Michelle Odden’s study, which used a target trial emulation approach to investigate the effects of deprescribing antihypertensive medications on cognitive function in nursing home residents. The study included 12,644 residents and found that deprescribing was associated with less cognitive decline, particularly among those with dementia4. These findings and the two studies Michelle mentions in the podcast (DANTE and OPTIMIZE) suggest that carefully reducing medication use in older adults may help preserve cognitive function. However, the DANTON study adds more questions to that conclusion. Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. 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Surrogates often either don’t know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms. Can we do better? Or, to phrase the question for 2024, “Can AI do better?” Follow that path and you arrive at a potentially terrifying scenario: using AI for surrogate decision making. What?!? When Teva Brender and Brian Block first approached me about writing a thought piece about this idea, my initial response was, “Hell no.” You may be thinking the same. But…stay with us here…might AI help to address some of the major issues present in surrogate decision making? Or does it raise more issues than it solves? Today we talk with Teva, Dave Wendler, and Jenny Blumenthal-Barby about: Current clinical and ethical issues with surrogate decision making The Patient Preferences Predictor (developed by Dave Wendler) or Personalized Patient Preferences Predictor (updated idea by Brian Earp) and commentary by Jenny Using AI to comb through prior recorded clinical conversations with patients to play back pertinent discussions; to predict functional outcomes; and to predict patient preferences based on prior spending patterns, emails, and social media posts (Teva’s thought piece) A whole host of ethical issues raised by these ideas including the black box nature, the motivations of private AI algorithms run by for profit healthcare systems, turning an “is” into an “ought”, defaults and nudges, and privacy. 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CME available!","genre":["Medicine","Podcasts","Health & Fitness","Science","Life Sciences"],"url":"https://podcasts.apple.com/us/podcast/geripal-a-geriatrics-and-palliative-care-podcast/id1164272877","offers":[{"@type":"Offer","category":"free","price":0}],"thumbnailUrl":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/1200x1200bf.webp"}},{"@type":"Review","author":"sdpatel07","datePublished":"2023-05-27","name":"Great Podcast!","reviewBody":"I’ve learned so much!!","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!","genre":["Medicine","Podcasts","Health & Fitness","Science","Life Sciences"],"url":"https://podcasts.apple.com/us/podcast/geripal-a-geriatrics-and-palliative-care-podcast/id1164272877","offers":[{"@type":"Offer","category":"free","price":0}],"thumbnailUrl":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/1200x1200bf.webp"}},{"@type":"Review","author":"Jenny Gargano","datePublished":"2022-10-22","name":"Review","reviewBody":"Love you podcast! How about including one on interventional pain management?","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!","genre":["Medicine","Podcasts","Health & Fitness","Science","Life Sciences"],"url":"https://podcasts.apple.com/us/podcast/geripal-a-geriatrics-and-palliative-care-podcast/id1164272877","offers":[{"@type":"Offer","category":"free","price":0}],"thumbnailUrl":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/1200x1200bf.webp"}},{"@type":"Review","author":"Yael Schenker","datePublished":"2022-10-19","name":"Outstanding palliative care podcast","reviewBody":"Geripal never fails to both inform and entertain. As a palliative care physician and researcher, I love the chance to hear from researchers about their own work. Interviewers are tough and respectful. Show notes consistently include helpful links. And the songs are not. to. be. missed. Geripal is a joyful reminder of everything that I love about our field.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!","genre":["Medicine","Podcasts","Health & Fitness","Science","Life Sciences"],"url":"https://podcasts.apple.com/us/podcast/geripal-a-geriatrics-and-palliative-care-podcast/id1164272877","offers":[{"@type":"Offer","category":"free","price":0}],"thumbnailUrl":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/1200x1200bf.webp"}},{"@type":"Review","author":"BRCMDLA","datePublished":"2022-05-14","name":"A must-listen for all physicians","reviewBody":"Excellent podcast with practical and insightful information for me as a doctor and medical director.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. 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Thanks guys!","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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Highly recommend for anyone working with older adults.","reviewRating":{"@type":"Rating","ratingValue":5,"bestRating":5,"worstRating":1},"itemReviewed":{"@type":"CreativeWorkSeries","name":"GeriPal - A Geriatrics and Palliative Care Podcast","description":"A geriatrics and palliative care podcast for every health care professional. \n\nWe invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. 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