CINXE.COM

<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <title>Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster</title> <link rel="canonical" href="https://castbox.fm/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196" > <link rel="dns-prefetch" href="https//s3.castbox.fm"> <link rel="dns-prefetch" href="https//everest.castbox.fm"> <link rel="dns-prefetch" href="https//data.castbox.fm"> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"> <meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=no" > <link rel="icon" href="https://s3.castbox.fm/app/castbox/static/images/logo_120.png" type="image/x-icon"> <meta name="apple-mobile-web-app-title" content="Castbox"> <meta name="apple-mobile-web-app-capable" content="yes"> <meta name="twitter:site" content="@CastBox_FM" > <meta name="twitter:creator" content="@CastBox_FM"> <meta name="twitter:domain" content="castbox.fm"> <meta name="twitter:card" content="summary" > <meta name="twitter:card" content="player" > <meta name="twitter:player" content="https://castbox.fm/app/castbox/player/id3520819/id745504196?v=03" > <meta property="twitter:player:height" content="500"> <meta property="twitter:player:width" content="500"> <meta name="twitter:player:width" content="500" > <meta name="twitter:player:height" content="500" > <meta property="og:image:width" content="600" > <meta property="og:image:height" content="600" > <meta property="twitter:title" content="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" > <meta property="twitter:image" content="https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg" > <meta property="twitter:description" content="<p>When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GD..." > <meta property="al:ios:url" content="castbox://episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196" > <meta property="al:ios:app_store_id" content="1100218439" > <meta property="al:ios:app_name" content="Castbox" > <meta property="al:android:url" content="castbox://episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196" > <meta property="al:android:package" content="fm.castbox.audiobook.radio.podcast" > <meta property="al:android:app_name" content="Castbox" > <meta property="al:web:url" content="https://castbox.fm/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196" > <meta property="fb:app_id" content="1840752496197771" > <meta property="og:type" content="article" > <meta property="og:site_name" content="Castbox" /> <meta property="og:url" content="https://castbox.fm/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196" > <meta property="og:image" content="https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg" > <meta property="og:title" content="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" > <meta property="og:description" content="<p>When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GD..." > <meta property="twitter:app:id:iphone" content="1243410543"> <meta property="twitter:app:id:googleplay" content="fm.castbox.audiobook.radio.podcast"> <meta name="description" content="<p>When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GD..." > <meta name="keywords" content="Free iPhone Podcast App, Free Podcast App, Rachel Maddow, Bill Bur Podcast, NPR, WNYC, WBEZ, This American Life, In-audio Search, What is Podcasting, Serial Podcast, On Demand Podcast, Public Radio" > <meta name="theme-color" content="rgba(64, 64, 64, 0.9)" /> <link rel="search" type="application/opensearchdescription+xml" href="https://castbox.fm/opensearch.xml" title="Castbox"> <link href="https://fonts.googleapis.com/css?family=Hind+Siliguri:300,400,500,600" rel="stylesheet"><link rel="stylesheet" type="text/css" href="https://s3.castbox.fm/app/castbox/static/css/slick.min.css" > <script type="application/ld+json"> {"@context":"http://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https://castbox.fm/home","name":"Channels","image":"https://s3.castbox.fm/app/castbox/static/images/logo.png"}},{"@type":"ListItem","position":2,"item":{"@id":"https://castbox.fm/channel/GeriPal---A-Geriatrics-and-Palliative-Care-Podcast-id3520819","name":"GeriPal%20-%20A%20Geriatrics%20and%20Palliative%20Care%20Podcast","image":"https://is1-ssl.mzstatic.com/image/thumb/Podcasts115/v4/35/08/6f/35086f93-1641-5c4d-6f7c-cdc91d69b27d/mza_8919546856187092189.jpg/200x200bb.jpg"}},{"@type":"ListItem","position":3,"item":{"@id":"https://castbox.fm/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196","name":"Guidelines%20or%20Goals%20in%20Heart%20Failure%3A%20Parag%20Goyal%2C%20Nicole%20Superville%2C%20and%20Matthew%20Shuster","image":"https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg"}}]} </script> <link rel="manifest" id="pwaLink" href="/api/pwa/manifest.json"> <script type='text/javascript'> if (document.documentElement.clientWidth <= 720) { document.documentElement.style.fontSize = document.documentElement.clientWidth / 7.2 + 'px' } else { document.documentElement.style.fontSize = '100px' } window.onloadcallback=function(){} </script> <link data-chunk="global" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/vendors~global.96c36ed4.chunk.css"> <link data-chunk="global" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/global.c7478bb9.chunk.css"> <link data-chunk="castbox.main" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/castbox.main.ed6e5c24.chunk.css"> <link data-chunk="ch" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/ch.5b8889a4.chunk.css"> <link data-chunk="ep" rel="stylesheet" href="https://s3.castbox.fm/webstatic/css/ep.fe499db8.chunk.css"> </head> <body> <div id="root"><div class="castboxGlobal"><div style="width:0;height:0"><audio style="width:100%;height:100%" preload="auto"><source src="https://traffic.libsyn.com/secure/geripal/GeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3?dest-id=2390675"/></audio></div><div class="castboxMain"><div class="mainBox"><div id="castboxHeader"><div class="castboxHeaderContainer"><div class="nav-item left navLogo"><a href="/"><img class="logoTextCover" src="https://s3.castbox.fm/webstatic/images/navLogo.c3d5a81b.png"/></a><a class="nav-item link" href="/home">Listen</a><a class="nav-item link" href="/categories/0">Top Shows</a><a class="nav-item link" href="/blog">Blog</a></div><div><div class="nav-item right topUserNav"><div class="userNav right"><div class="userNav-icon"><img class="userNav-img" src="https://s3.castbox.fm/webstatic/images/userIcon.06c408dc.png"/></div></div></div><div class="nav-item right upload"><a href="/creator/upload"><img class="img" src="https://s3.castbox.fm/webstatic/images/upload_icon.521c956a.png"/></a></div><div class="nav-item right search"><img class="img" src="https://s3.castbox.fm/webstatic/images/search_icon.3958760d.png"/></div></div></div></div><div style="padding-bottom:56px;min-height:100vh" id="childrenBox" class="childrenBox"><div class="topCon"></div><div class="topLeftCon"></div><div class="topRightCon"></div><div class="trackPlay clearfix childContent"><div style="text-align:left" class="guru-breadcrumb"><span class="guru-breadcrumb-item"><span style="max-width:40%" class="breadcrumb-text"><a href="/home">Discover</a></span><img class="breadcrumbImage" src="data:image/svg+xml;base64,PHN2ZyB3aWR0aD0iNyIgaGVpZ2h0PSIxMCIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj48cGF0aCBkPSJNMCA4Ljg1M2MwIDEuMTA0LjcxNyAxLjQ2OSAxLjYwMi44MTRsNC43MTMtMy40ODNjLjg4NS0uNjU0Ljg4Ni0xLjcxNCAwLTIuMzY4TDEuNjAyLjMzMkMuNzE3LS4zMjIgMCAuMDQ3IDAgMS4xNDd2Ny43MDZ6IiBmaWxsPSIjQkNCQ0JDIiBmaWxsLXJ1bGU9ImV2ZW5vZGQiLz48L3N2Zz4="/></span><span class="guru-breadcrumb-item"><span style="max-width:40%" class="breadcrumb-text"><a href="/channel/GeriPal---A-Geriatrics-and-Palliative-Care-Podcast-id3520819">GeriPal - A Geriatrics and Palliative Care Podcast</a></span><img class="breadcrumbImage" src="data:image/svg+xml;base64,PHN2ZyB3aWR0aD0iNyIgaGVpZ2h0PSIxMCIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj48cGF0aCBkPSJNMCA4Ljg1M2MwIDEuMTA0LjcxNyAxLjQ2OSAxLjYwMi44MTRsNC43MTMtMy40ODNjLjg4NS0uNjU0Ljg4Ni0xLjcxNCAwLTIuMzY4TDEuNjAyLjMzMkMuNzE3LS4zMjIgMCAuMDQ3IDAgMS4xNDd2Ny43MDZ6IiBmaWxsPSIjQkNCQ0JDIiBmaWxsLXJ1bGU9ImV2ZW5vZGQiLz48L3N2Zz4="/></span><span class="guru-breadcrumb-item active"><span style="max-width:40%" class="breadcrumb-text">Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster</span></span></div><div class="leftContainer"><div class="trackinfo"><div class="trackinfo-cover" data-episode_id="57f7e1f80e28804500fb24eb7df71bf4c602eedc-605f29768780ee19f9fa68cae021636ba37a16a6"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg" class="cover" alt="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster"/></div></div><div class="trackinfo-titleBox"><h1 title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" class="trackinfo-title"><div id="box-pro-ellipsis-173239798192459" class="box-ellipsis box-ellipsis-lineClamp"><style>#box-pro-ellipsis-173239798192459{-webkit-line-clamp:2;}</style><span>Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster</span></div></h1><div class="trackinfo-con-des"><span class="item">Update: 2024-10-17</span><span class="item"></span></div><div class="trackinfo-ctrls"><div class="player_play_btn pause loading " style="display:inline-block;cursor:pointer;margin-right:20px"></div><span><div class="sharePageBtn">Share</div></span></div></div><div class="trackinfo-des-title-wrapper"><p class="trackinfo-des-title ">Description</p></div><div class="trackinfo-des"><span class="box-ellipsis"><div><p>When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? In this week’s podcast, we’ll tackle this crucial question, thanks to a fantastic suggestion from GeriPal listener Matthew Shuster, who will join us as a guest host.</p> <p>We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications.</p> <p>I’d also like to give a shout out to a recent <a rel="nofollow"href="https://www.acpjournals.org/doi/10.7326/M23-2384">ACP article on HFpEF</a> with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a <a rel="nofollow"href="https://geripal.org/electronic-frailty-indexes-kate-callahan-ariela-orkaby-dae-kim/"> podcast with her on frailty</a>).</p> <p> </p></div></span></div><div class="seeMorebtn seeMorebtn_up"><img class="img" src="data:image/png;base64,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"/></div></div><div class="trackPlay-comment"><div id="comments" class="commentList"><div class="commentList-title"><span>Comments </span></div><div class="addComment clearfix"><form class="addCommentForm"><div class="commentInputBox"><input type="text" value="" class="commentInputBox-input" placeholder="Sign in to Comment"/><input type="submit" style="display:none"/></div><div class="userCover"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="data:image/svg+xml;base64,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" class="userCover-img"/></div></div></form></div><div class="commentList-box"><div class="commentListCon"><div></div></div></div></div></div><div class="inner-links"><div class="title">Top Podcasts</div><div class="links"><a href="https://castbox.fm/blog/the-best-new-comedy-podcast-right-now-june-2024/" target="_blank">The Best New Comedy Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-news-podcast-right-now-june-2024/" target="_blank">The Best News Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-business-podcast-right-now-june-2024/" target="_blank">The Best New Business Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-sports-podcast-right-now-june-2024/" target="_blank">The Best New Sports Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-true-crime-podcast-right-now-june-2024/" target="_blank">The Best New True Crime Podcast Right Now – June 2024</a><a href="https://castbox.fm/blog/the-best-new-joe-rogan-experience-podcast-right-now-june-2024/" target="_blank">The Best New Joe Rogan Experience Podcast Right Now – June 20</a><a href="https://castbox.fm/blog/the-best-new-dan-bongino-show-podcast-right-now-june-2024/" target="_blank">The Best New Dan Bongino Show Podcast Right Now – June 20</a><a href="https://castbox.fm/blog/the-best-new-mark-levin-podcast-podcast-right-now-june-2024/" target="_blank">The Best New Mark Levin Podcast – June 2024</a></div></div></div><div class="rightContainer"><div class="rightContainer-item"><div class="TrackList"><div class="trackListCon"><div class="clearfix"><div class="trackListCon_title">In Channel</div></div><div class="trackListCon_list" style="height:600px"><div><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/6/4/6/6/64662bd1fa85340f40be95ea3302a6a1/GeriPal_EP335_forLibsyn.jpg" class="image" alt="Coping with Serious Illness: Danielle Chammas and Amanda Moment" title="Coping with Serious Illness: Danielle Chammas and Amanda Moment"/></div></a></div><div class="ep-item-con"><a href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"><p title="Coping with Serious Illness: Danielle Chammas and Amanda Moment" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Coping with Serious Illness: Danielle Chammas and Amanda Moment</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-11-21</span><span class="item icon time">50:24</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Coping-with-Serious-Illness%3A-Danielle-Chammas-and-Amanda-Moment-id3520819-id755287330"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Falls-and-Fractures%3A-A-Podcast-with-Sarah-Berry-id3520819-id753236627"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/f1/97/8d/18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_400.jpg" class="image" alt="Falls and Fractures: A Podcast with Sarah Berry" title="Falls and Fractures: A Podcast with Sarah Berry"/></div></a></div><div class="ep-item-con"><a href="/episode/Falls-and-Fractures%3A-A-Podcast-with-Sarah-Berry-id3520819-id753236627"><p title="Falls and Fractures: A Podcast with Sarah Berry" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Falls and Fractures: A Podcast with Sarah Berry</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-11-14</span><span class="item icon time">46:46</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Falls-and-Fractures%3A-A-Podcast-with-Sarah-Berry-id3520819-id753236627"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Dialysis-vs-Conservative-Management-for-Older-Adults%3A-Manju-Kurella-Tamura%2C-Susan-Wong%2C-%26-Maria-Montez-Rath-id3520819-id751223931"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/3/4/d/8/34d8a78149ab1a8e88c4a68c3ddbc4f2/GeriPal_EP333_forLibsyn.jpg" class="image" alt="Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath" title="Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath"/></div></a></div><div class="ep-item-con"><a href="/episode/Dialysis-vs-Conservative-Management-for-Older-Adults%3A-Manju-Kurella-Tamura%2C-Susan-Wong%2C-%26-Maria-Montez-Rath-id3520819-id751223931"><p title="Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-11-07</span><span class="item icon time">47:07</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Dialysis-vs-Conservative-Management-for-Older-Adults%3A-Manju-Kurella-Tamura%2C-Susan-Wong%2C-%26-Maria-Montez-Rath-id3520819-id751223931"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/COVID-Updates%3A-A-Podcast-with-Peter-Chin-Hong-and-Lona-Mody-id3520819-id749229129"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/2/5/4/6/2546db89713497b1e55e3c100dce7605/GeriPal_EP332_forLibsybn.jpg" class="image" alt="COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody" title="COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody"/></div></a></div><div class="ep-item-con"><a href="/episode/COVID-Updates%3A-A-Podcast-with-Peter-Chin-Hong-and-Lona-Mody-id3520819-id749229129"><p title="COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-31</span><span class="item icon time">43:56</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/COVID-Updates%3A-A-Podcast-with-Peter-Chin-Hong-and-Lona-Mody-id3520819-id749229129"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Medical-Cannabis-Revisited%3A-A-Podcast-with-David-Casarett-and-Eloise-Theisen-id3520819-id747350331"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/1/c/3/1/1c31c273d8f9c859e55e3c100dce7605/GeriPal_EP331_forLibsyn.jpg" class="image" alt="Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen" title="Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen"/></div></a></div><div class="ep-item-con"><a href="/episode/Medical-Cannabis-Revisited%3A-A-Podcast-with-David-Casarett-and-Eloise-Theisen-id3520819-id747350331"><p title="Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-24</span><span class="item icon time">52:07</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Medical-Cannabis-Revisited%3A-A-Podcast-with-David-Casarett-and-Eloise-Theisen-id3520819-id747350331"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg" class="image" alt="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster"/></div></a></div><div class="ep-item-con"><a href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"><p title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-17</span><span class="item icon time">48:28</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Intentionally-Interprofessional-Care%3A-DorAnne-Donesky%2C-Michelle-Milic%2C-Naomi-Saks%2C-%26-Cara-Wallace-id3520819-id743368153"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/b/3/8/6/b386b50a8e734df7e55e3c100dce7605/GeriPal_EP329_forLibsyn.jpg" class="image" alt="Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace" title="Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace"/></div></a></div><div class="ep-item-con"><a href="/episode/Intentionally-Interprofessional-Care%3A-DorAnne-Donesky%2C-Michelle-Milic%2C-Naomi-Saks%2C-%26-Cara-Wallace-id3520819-id743368153"><p title="Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-10</span><span class="item icon time">47:56</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Intentionally-Interprofessional-Care%3A-DorAnne-Donesky%2C-Michelle-Milic%2C-Naomi-Saks%2C-%26-Cara-Wallace-id3520819-id743368153"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Images-of-the-Dying%3A-A-Podcast-with-Wendy-MacNaughton%2C-Lingsheng-Li%2C-and-Frank-Ostaseski-id3520819-id741630010"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/4/9/e/b/49eb67ffbcb18a0a27a2322813b393ee/GeriPal_EP328_forLibsyn.jpg" class="image" alt="Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski" title="Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski"/></div></a></div><div class="ep-item-con"><a href="/episode/Images-of-the-Dying%3A-A-Podcast-with-Wendy-MacNaughton%2C-Lingsheng-Li%2C-and-Frank-Ostaseski-id3520819-id741630010"><p title="Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Images of the Dying: A Podcast with Wendy MacNaughton, Lingsheng Li, and Frank Ostaseski</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-10-03</span><span class="item icon time">49:50</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Images-of-the-Dying%3A-A-Podcast-with-Wendy-MacNaughton%2C-Lingsheng-Li%2C-and-Frank-Ostaseski-id3520819-id741630010"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Stepped-Palliative-Care%3A-A-Podcast-with-Jennifer-Temel%2C-Chris-Jones%2C-and-Pallavi-Kumar-id3520819-id738168585"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/3/4/7/f/347f5b6a31e691e1e55e3c100dce7605/GeriPal_EP327_forLibsyn.jpg" class="image" alt="Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar" title="Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar"/></div></a></div><div class="ep-item-con"><a href="/episode/Stepped-Palliative-Care%3A-A-Podcast-with-Jennifer-Temel%2C-Chris-Jones%2C-and-Pallavi-Kumar-id3520819-id738168585"><p title="Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-09-19</span><span class="item icon time">50:17</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Stepped-Palliative-Care%3A-A-Podcast-with-Jennifer-Temel%2C-Chris-Jones%2C-and-Pallavi-Kumar-id3520819-id738168585"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Well-being-and-Resilience%3A-a-Podcast-with-Jane-Thomas%2C-Naomi-Saks%2C-Ishwaria-Subbiah-id3520819-id736361408"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/5/9/1/a/591aa8ade6d8ebfa27a2322813b393ee/GeriPal_EP326_forLibsyn.jpg" class="image" alt="Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah" title="Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah"/></div></a></div><div class="ep-item-con"><a href="/episode/Well-being-and-Resilience%3A-a-Podcast-with-Jane-Thomas%2C-Naomi-Saks%2C-Ishwaria-Subbiah-id3520819-id736361408"><p title="Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-09-12</span><span class="item icon time">50:50</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Well-being-and-Resilience%3A-a-Podcast-with-Jane-Thomas%2C-Naomi-Saks%2C-Ishwaria-Subbiah-id3520819-id736361408"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Allowing-Patients-to-Die%3A-Louise-Aronson-and-Bill-Andereck-id3520819-id734439460"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/e/a/5/f/ea5f7516fa79a54427a2322813b393ee/GeriPal_EP325_forLibsyn.jpg" class="image" alt="Allowing Patients to Die: Louise Aronson and Bill Andereck" title="Allowing Patients to Die: Louise Aronson and Bill Andereck"/></div></a></div><div class="ep-item-con"><a href="/episode/Allowing-Patients-to-Die%3A-Louise-Aronson-and-Bill-Andereck-id3520819-id734439460"><p title="Allowing Patients to Die: Louise Aronson and Bill Andereck" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Allowing Patients to Die: Louise Aronson and Bill Andereck</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-09-05</span><span class="item icon time">49:03</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Allowing-Patients-to-Die%3A-Louise-Aronson-and-Bill-Andereck-id3520819-id734439460"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Stump-the-VitalTalk-Communication-Experts%3A-A-Podcast-with-Gordon-Wood%2C-Holly-Yang%2C-Elise-Carey-id3520819-id731911402"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/d/d/0/4/dd044008772c03b9e55e3c100dce7605/GeriPal_EP324_forLibsyn.jpg" class="image" alt="Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey" title="Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey"/></div></a></div><div class="ep-item-con"><a href="/episode/Stump-the-VitalTalk-Communication-Experts%3A-A-Podcast-with-Gordon-Wood%2C-Holly-Yang%2C-Elise-Carey-id3520819-id731911402"><p title="Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Stump the VitalTalk Communication Experts: A Podcast with Gordon Wood, Holly Yang, Elise Carey</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-08-29</span><span class="item icon time">48:06</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Stump-the-VitalTalk-Communication-Experts%3A-A-Podcast-with-Gordon-Wood%2C-Holly-Yang%2C-Elise-Carey-id3520819-id731911402"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/What-is-Death--Winston-Chiong-and-Sean-Aas-id3520819-id729995771"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/5/5/c/5/55c54fa8c363cad8e55e3c100dce7605/GeriPal_EP323_forLibsyn.jpg" class="image" alt="What is Death? Winston Chiong and Sean Aas" title="What is Death? Winston Chiong and Sean Aas"/></div></a></div><div class="ep-item-con"><a href="/episode/What-is-Death--Winston-Chiong-and-Sean-Aas-id3520819-id729995771"><p title="What is Death? Winston Chiong and Sean Aas" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">What is Death? Winston Chiong and Sean Aas</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-08-22</span><span class="item icon time">48:15</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/What-is-Death--Winston-Chiong-and-Sean-Aas-id3520819-id729995771"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Anti-Asian-Hate%3A-Russell-Jeung%2C-Lingsheng-Li%2C--%26-Jessica-Eng-id3520819-id727926305"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/f/e/8/a/fe8ac1e741640c9127a2322813b393ee/GeriPal_EP322_forLibsyn.jpg" class="image" alt="Anti-Asian Hate: Russell Jeung, Lingsheng Li, & Jessica Eng" title="Anti-Asian Hate: Russell Jeung, Lingsheng Li, & Jessica Eng"/></div></a></div><div class="ep-item-con"><a href="/episode/Anti-Asian-Hate%3A-Russell-Jeung%2C-Lingsheng-Li%2C--%26-Jessica-Eng-id3520819-id727926305"><p title="Anti-Asian Hate: Russell Jeung, Lingsheng Li, & Jessica Eng" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Anti-Asian Hate: Russell Jeung, Lingsheng Li, & Jessica Eng</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-08-15</span><span class="item icon time">46:00</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Anti-Asian-Hate%3A-Russell-Jeung%2C-Lingsheng-Li%2C--%26-Jessica-Eng-id3520819-id727926305"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Between-Two-Urns%3A-Undertaker-Thomas-Lynch-id3520819-id726005802"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/6/f/7/4/6f74d5565e835e0ce55e3c100dce7605/GeriPal_EP321_forLibsyn.jpg" class="image" alt="Between Two Urns: Undertaker Thomas Lynch" title="Between Two Urns: Undertaker Thomas Lynch"/></div></a></div><div class="ep-item-con"><a href="/episode/Between-Two-Urns%3A-Undertaker-Thomas-Lynch-id3520819-id726005802"><p title="Between Two Urns: Undertaker Thomas Lynch" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Between Two Urns: Undertaker Thomas Lynch</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-08-08</span><span class="item icon time">47:34</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Between-Two-Urns%3A-Undertaker-Thomas-Lynch-id3520819-id726005802"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Optimizing-Nutrition-in-Aging%3A-A-Podcast-with-Anna-Pleet%2C-Elizabeth-Eckstrom%2C-and-Emily-Johnston-id3520819-id724100393"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/9/2/b/d/92bd0aacdf69c0bb27a2322813b393ee/GeriPal_EP320_forLibsyn.jpg" class="image" alt="Optimizing Nutrition in Aging: A Podcast with Anna Pleet, Elizabeth Eckstrom, and Emily Johnston" title="Optimizing Nutrition in Aging: A Podcast with Anna Pleet, Elizabeth Eckstrom, and Emily Johnston"/></div></a></div><div class="ep-item-con"><a href="/episode/Optimizing-Nutrition-in-Aging%3A-A-Podcast-with-Anna-Pleet%2C-Elizabeth-Eckstrom%2C-and-Emily-Johnston-id3520819-id724100393"><p title="Optimizing Nutrition in Aging: A Podcast with Anna Pleet, Elizabeth Eckstrom, and Emily Johnston" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Optimizing Nutrition in Aging: A Podcast with Anna Pleet, Elizabeth Eckstrom, and Emily Johnston</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-08-01</span><span class="item icon time">51:42</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Optimizing-Nutrition-in-Aging%3A-A-Podcast-with-Anna-Pleet%2C-Elizabeth-Eckstrom%2C-and-Emily-Johnston-id3520819-id724100393"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Prognosis-Superspecial%3A-A-Podcast-with-Kara-Bischoff%2C-James-Deardorff%2C-and-Elizabeth-Lilley-id3520819-id722165182"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/e/3/a/b/e3ab42112719ba4e27a2322813b393ee/GeriPal_EP319_v2_forLibsyn.jpg" class="image" alt="Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley" title="Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley"/></div></a></div><div class="ep-item-con"><a href="/episode/Prognosis-Superspecial%3A-A-Podcast-with-Kara-Bischoff%2C-James-Deardorff%2C-and-Elizabeth-Lilley-id3520819-id722165182"><p title="Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-07-25</span><span class="item icon time">49:09</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Prognosis-Superspecial%3A-A-Podcast-with-Kara-Bischoff%2C-James-Deardorff%2C-and-Elizabeth-Lilley-id3520819-id722165182"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Screening-for-Dementia%3A-A-Podcast-with-Anna-Chodos%2C-Joseph-Gaugler-and-Soo-Borson-id3520819-id720631022"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/9/1/9/d/919d6c0d26f08e3b27a2322813b393ee/GeriPal_EP318_forLibsyn.jpg" class="image" alt="Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson" title="Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson"/></div></a></div><div class="ep-item-con"><a href="/episode/Screening-for-Dementia%3A-A-Podcast-with-Anna-Chodos%2C-Joseph-Gaugler-and-Soo-Borson-id3520819-id720631022"><p title="Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-07-19</span><span class="item icon time">51:58</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Screening-for-Dementia%3A-A-Podcast-with-Anna-Chodos%2C-Joseph-Gaugler-and-Soo-Borson-id3520819-id720631022"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Ageism-and-Elections%3A-Louise-Aronson-and-Ken-Covinsky-id3520819-id719882962"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/76/16/ef/7c46008fed4c8da1316f2aeb16c908d9b8_scaled_v1_400.jpg" class="image" alt="Ageism and Elections: Louise Aronson and Ken Covinsky" title="Ageism and Elections: Louise Aronson and Ken Covinsky"/></div></a></div><div class="ep-item-con"><a href="/episode/Ageism-and-Elections%3A-Louise-Aronson-and-Ken-Covinsky-id3520819-id719882962"><p title="Ageism and Elections: Louise Aronson and Ken Covinsky" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Ageism and Elections: Louise Aronson and Ken Covinsky</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-07-16</span><span class="item icon time">47:39</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Ageism-and-Elections%3A-Louise-Aronson-and-Ken-Covinsky-id3520819-id719882962"></a></div></div><div class="audiobox"></div></section><section class="episodeRow opacityinAnimate"><div class="ep-item isSmall"><div class="ep-item-cover"><a href="/episode/Palliative-Care-in-Liver-Disease%3A-A-Podcast-with-Kirsten-Engel%2C-Sarah-Gillespie-Heyman%2C-Brittany-Waterman%2C-%26-Amy-Johnson-id3520819-id718422833"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://s3.castbox.fm/f6/ed/81/671c20564a29e5b140e0b2b6efdfab96ae_scaled_v1_400.jpg" class="image" alt="Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson" title="Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson"/></div></a></div><div class="ep-item-con"><a href="/episode/Palliative-Care-in-Liver-Disease%3A-A-Podcast-with-Kirsten-Engel%2C-Sarah-Gillespie-Heyman%2C-Brittany-Waterman%2C-%26-Amy-Johnson-id3520819-id718422833"><p title="Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson" class="ep-item-con-title"><span class="ellipsis" style="display:inline-block">Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson</span></p></a><p class="ep-item-con-des"><span class="item icon date">2024-07-11</span><span class="item icon time">51:23</span></p><div class="ep-item-con-btns"><p class="btn-item like"></p><span class="btn-item add-2epl"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn"></div></div></div></span><span class="btn-item add-2epl more-point"><div class="playlists-modal"><div class="playlists-modal-target"><div class="add-2epl-btn epl-more-action"></div></div></div></span></div></div><div class="ep-item-ctrls"><a class="ctrlItem play" href="/episode/Palliative-Care-in-Liver-Disease%3A-A-Podcast-with-Kirsten-Engel%2C-Sarah-Gillespie-Heyman%2C-Brittany-Waterman%2C-%26-Amy-Johnson-id3520819-id718422833"></a></div></div><div class="audiobox"></div></section><div style="text-align:center" id="LoadInline"><img style="width:.84rem;max-width:64px;height:.84rem;max-height:64px" src="data:image/svg+xml;base64,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" alt="loading"/></div></div></div></div></div></div><div class="rightContainer-item adBanner fadeInUp animated"><ins id="googleAdRightBanner" class="adsbygoogle" style="display:inline-block;margin:0 auto;text-align:center;height:250px;overflow:hidden;width:300px" data-ad-client="ca-pub-2774555922612370" data-ad-slot="7703469247"></ins></div><div class="footer-wrapper "><div class="rightContainer-item downloadPlay"><div class="downloadPlay-title-empty"></div><div class="downloadPlay-item clearfix google"><div class="link"><a target="_black" href="https://play.google.com/store/apps/details?id=fm.castbox.audiobook.radio.podcast&referrer=utm_source%3Dcastbox_web%26utm_medium%3Dlink%26utm_campaign%3Dweb_right_bar%26utm_content%3D"><img style="width:100%" class="store" src="https://s3.castbox.fm/fa/00/5a/19fd024f1fa0d92ce80cd72cfe.png" alt="Google Play" title="Google Play"/></a></div><div class="text">Download from Google Play</div></div><div class="downloadPlay-item clearfix google"><div class="link"><a target="_black" href="https://itunes.apple.com/app/castbox-radio/id1243410543?pt=118301901&mt=8&ct=web_right_bar"><img style="width:100%" class="store" src="https://s3.castbox.fm/8a/81/60/605a1c40698998c6ff2ba624ea.png" alt="Castbox" title="App Store"/></a></div><div class="text">Download from App Store</div></div></div><div class="rightFooter rightContainer-item clearfix"><ul class="footerLinks"><li class="footerLinks-item"><a href="https://helpcenter.castbox.fm/portal/kb">FAQs</a></li></ul><div class="footerCounrtySel"><div><div class="footer_select_country"><img class="countryCover" src="/app/castbox/static/images/flags/us.svg" alt="us"/><span class="countryName">United States</span></div></div></div></div></div></div></div></div><div class="mainBoxFooter"><div class="castboxFooterBar"><div class="footemain"><div class="PlayControl"><span class="back icon"></span><span class="playBtn icon pause loading"></span><span class="forward icon"></span></div><div class="sticker"><div class="player-stick"><div class="current-time">00:00</div><div class="player-stick-coat"><div class="PlayerStickBar"><div style="left:0%" class="circleBar"></div><div style="width:0%" class="playerStick"></div></div></div><div class="duration">00:00</div></div></div><div class="playbackRate"><div class="playbackRate-value">x</div><div class="playbackRate-list hide"><p class="playbackRate-list-item">0.5x</p><p class="playbackRate-list-item">0.8x</p><p class="playbackRate-list-item">1.0x</p><p class="playbackRate-list-item">1.25x</p><p class="playbackRate-list-item">1.5x</p><p class="playbackRate-list-item">2.0x</p><p class="playbackRate-list-item">3.0x</p></div></div><div class="playbackRate timing icon"><div class="playbackRate-value"><img src="data:image/svg+xml;base64,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"/></div><div class="playbackRate-list hide"><p class="playbackRate-list-title">Sleep Timer</p><p class="playbackRate-list-item">Off</p><p class="playbackRate-list-item">End of Episode</p><p class="playbackRate-list-item">5 Minutes</p><p class="playbackRate-list-item">10 Minutes</p><p class="playbackRate-list-item">15 Minutes</p><p class="playbackRate-list-item">30 Minutes</p><p class="playbackRate-list-item">45 Minutes</p><p class="playbackRate-list-item">60 Minutes</p><p class="playbackRate-list-item">120 Minutes</p></div></div><div class="volumeCtrl"><img class="volumeCtrl-img" src="https://s3.castbox.fm/webstatic/images/volume.86474be8.png"/><div style="height:0;padding:0;border:0;overflow:hidden" class="volumeCtrl-sliderCon"></div></div><div class="footerFeed"><div class="leftImg"><a href="/episode/Guidelines-or-Goals-in-Heart-Failure%3A-Parag-Goyal%2C-Nicole-Superville%2C-and-Matthew-Shuster-id3520819-id745504196"><div style="display:inline-block;height:100%;width:100%;overflow:hidden;border-radius:4px;background-color:#A9B8AD" class="coverImgContainer"><img style="display:inline-block;opacity:1;width:100%;height:100%" src="https://static.libsyn.com/p/assets/4/1/9/5/4195ee19eb32c0ece55e3c100dce7605/GeriPal_EP330_forLibsyn.jpg" alt="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster" title="Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster"/></div></a></div><div class="rightText"><h1 class="title ellipsis">Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster</h1><h1 class="author ellipsis">Drs. Eric Widera and Alex Smith</h1></div></div></div></div></div></div></div><div class="Toastify"></div></div></div> <script> window.__INITIAL_STATE__ = "%7B%22ch%22%3A%7B%22chInfo%22%3A%7B%22uid%22%3A%220ba2239677254759aa4cd4df3a36e272%22%2C%22episode_count%22%3A335%2C%22x_play_base%22%3A0%2C%22stat_cover_ext_color%22%3Atrue%2C%22keywords%22%3A%5B%22disability%22%2C%22clinicalpractice%22%2C%22Science%22%2C%22dialysis%22%2C%22eom%22%2C%22intensivecare%22%2C%22FOAMED%22%2C%22PalliativeCare%22%2C%22HeartDisease%22%2C%22aging%22%2C%22Nursing%22%2C%22ICU%22%2C%22medicalresearch%22%2C%22olderadults%22%2C%22Elderly%22%2C%22geriatricians%22%2C%22physicians%22%2C%22ACP%22%2C%22Dementia%22%2C%22nursinghome%22%2C%22palliative%22%2C%22medical%22%2C%22gerontology%22%2C%22Health%20%26%20Fitness%22%2C%22endoflife%22%2C%22nurses%22%2C%22medicine%22%2C%22Life%20Sciences%22%2C%22hospital%22%2C%22seniors%22%2C%22surgery%22%2C%22Caregiving%22%2C%22COPD%22%2C%22caregiver%22%2C%22heartfailure%22%2C%22Doctors%22%2C%22hospice%22%2C%22geriatrics%22%2C%22hospitalist%22%2C%22Medicine%22%2C%22cancer%22%2C%22advancecareplanning%22%2C%22MedEd%22%5D%2C%22cover_ext_color%22%3A%22-16352598%22%2C%22mongo_id%22%3A%225faed65ebe48032ae239942c%22%2C%22show_id%22%3A%2257fee30bd58830736da1bb8b%22%2C%22copyright%22%3A%222021%20GeriPal.%20All%20rights%20reserved.%22%2C%22author%22%3A%22GeriPal%22%2C%22is_key_channel%22%3Atrue%2C%22audiobook_categories%22%3A%5B%5D%2C%22user_info%22%3A%7B%22suid%22%3A20361655%2C%22picture_url%22%3A%22https%3A%2F%2Flh3.googleusercontent.com%2Fa-%2FAOh14GioJzBMLGGF-6-eP8xUf4s1cSQ-IsXHyUmpER22Bg%3Ds96-c%22%2C%22email%22%3A%22eric.widera%40gmail.com%22%2C%22name%22%3A%22Eric%20Widera%22%2C%22uid%22%3A%220ba2239677254759aa4cd4df3a36e272%22%7D%2C%22comment_count%22%3A0%2C%22website%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22rss_url%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Frss%22%2C%22description%22%3A%22A%20geriatrics%20and%20palliative%20care%20podcast%20for%20every%20health%20care%20professional.%20%5Cn%5CnWe%20invite%20the%20brightest%20minds%20in%20geriatrics%2C%20hospice%2C%20and%20palliative%20care%20to%20talk%20about%20the%20topics%20that%20you%20care%20most%20about%2C%20ranging%20from%20recently%20published%20research%20in%20the%20field%20to%20controversies%20that%20keep%20us%20up%20at%20night.%20%20%20You'll%20laugh%2C%20learn%20and%20maybe%20sing%20along.%20%20Hosted%20by%20Eric%20Widera%20and%20Alex%20Smith.%20CME%20available!%22%2C%22tags%22%3A%5B%22from-itunes%22%2C%22evst-review-passed%22%2C%22from-google%22%5D%2C%22editable%22%3Atrue%2C%22play_count%22%3A28217%2C%22link%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22twitter_names%22%3A%5B%22GeriPalBlog%22%5D%2C%22categories%22%3A%5B10059%2C10091%2C10062%2C10095%2C10012%5D%2C%22x_subs_base%22%3A24%2C%22small_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F200x200bb.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F600x600bb.jpg%22%2C%22language%22%3A%22en%22%2C%22cid%22%3A3520819%2C%22latest_eid%22%3A755287330%2C%22release_date%22%3A%222024-11-21T07%3A45%3A00Z%22%2C%22title%22%3A%22GeriPal%20-%20A%20Geriatrics%20and%20Palliative%20Care%20Podcast%22%2C%22uri%22%3A%22%2Fch%2F3520819%22%2C%22https_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F400x400bb.jpg%22%2C%22channel_type%22%3A%22private%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22sub_count%22%3A733%2C%22internal_product_id%22%3A%22cb.ch.3520819%22%2C%22social%22%3A%7B%22website%22%3A%22https%3A%2F%2Fwww.geripal.org%22%2C%22youtube%22%3A%5B%7B%22name%22%3A%22channel%2FUCuqH32jtgFwqJ8jYoQbQgdQ%22%7D%5D%2C%22twitter%22%3A%5B%7B%22name%22%3A%22GeriPalBlog%22%7D%5D%2C%22facebook%22%3A%5B%7B%22name%22%3A%22GeriPal%22%7D%5D%2C%22instagram%22%3A%5B%7B%22name%22%3A%22geripal_podcast%2F%22%7D%5D%7D%7D%2C%22overview%22%3A%7B%22latest_eid%22%3A755287330%2C%22sort_by%22%3A%22default%22%2C%22sort_order%22%3A0%2C%22cid%22%3A3520819%2C%22eids%22%3A%5B755287330%2C753236627%2C751223931%2C749229129%2C747350331%2C745504196%2C743368153%2C741630010%2C738168585%2C736361408%2C734439460%2C731911402%2C729995771%2C727926305%2C726005802%2C724100393%2C722165182%2C720631022%2C719882962%2C718422833%2C714113418%2C711916914%2C709984037%2C708033619%2C705980082%2C701968400%2C700053302%2C695973479%2C693394075%2C691522180%2C689005916%2C686521334%2C684267800%2C682350866%2C680441627%2C678304032%2C675236574%2C673252313%2C671200166%2C669625461%2C667554877%2C665586573%2C663862826%2C658814383%2C656402169%2C654456325%2C652990278%2C647269820%2C645445093%2C643625413%2C641664759%2C639897002%2C637896747%2C635850862%2C633782894%2C631942881%2C630267640%2C628442592%2C626829997%2C625264966%2C620053192%2C618183246%2C616479895%2C609727479%2C607859715%2C606031290%2C604213613%2C602333754%2C598604672%2C596714039%2C594847833%2C593035670%2C591231288%2C589325217%2C587346345%2C585451432%2C583421614%2C581826080%2C579299860%2C577267122%2C575333200%2C573437613%2C571684993%2C569838882%2C567743209%2C565857689%2C564265658%2C562250727%2C560449436%2C558968381%2C555874461%2C554054212%2C552528213%2C548662111%2C545250619%2C543330782%2C541765185%2C540089372%2C538367883%2C536055534%2C532091335%2C530134171%2C528535547%2C526645311%2C524976404%2C521258672%2C519382729%2C517237559%2C515310167%2C513190128%2C511201545%2C509201563%2C507221867%2C505194736%2C503194807%2C501038755%2C498766507%2C496435322%2C494317411%2C492421202%2C490017186%2C488234005%2C486065601%2C481383902%2C479469573%2C474920389%2C472867789%2C470890099%2C468923021%2C466826936%2C464816435%2C462720441%2C460660985%2C458609875%2C456626753%2C454905677%2C451267502%2C449558827%2C447218993%2C444916472%2C443183035%2C440901546%2C439144063%2C436669632%2C434712359%2C432488580%2C430432433%2C428212850%2C423985360%2C421814475%2C419713872%2C417659605%2C415583457%2C409129220%2C406954432%2C404819107%2C402528483%2C400113368%2C396029386%2C392670159%2C390484747%2C388390041%2C385989675%2C384164755%2C382124772%2C380001656%2C377503059%2C375521886%2C373580215%2C371499249%2C367440701%2C365352252%2C361267087%2C359015926%2C356721816%2C354272954%2C349584167%2C347120394%2C344928031%2C342991399%2C337423754%2C335212445%2C333377764%2C329192234%2C326769647%2C326769645%2C326769643%2C326769642%2C326769597%2C326769593%2C326769590%2C326769586%2C326769585%2C326769582%2C326769571%2C326769567%2C326769566%2C326769565%2C326769564%2C326769563%2C326769562%2C326769561%2C326769560%2C326769558%2C326769557%2C326769556%2C326769554%2C326769549%2C326769545%2C326769541%2C326769534%2C326769533%2C326769531%2C326769530%2C326769526%2C326769524%2C326769522%2C326769508%2C326769507%2C326769506%2C326769504%2C326769501%2C326769499%2C326769496%2C326769494%2C326769493%2C326769492%2C326769488%2C326769484%2C326769482%2C326769479%2C326769478%2C326769476%2C326769475%2C326769473%2C326769471%2C326769468%2C326769467%2C326769466%2C326769465%2C326769464%2C326769462%2C326769461%2C326769459%2C326769458%2C326769457%2C326769456%2C326769455%2C326769454%2C326769453%2C326769452%2C326769451%2C326769450%2C326769449%2C326769447%2C326769446%2C326769445%2C326769444%2C326769443%2C326769440%2C326769439%2C326769438%2C326769436%2C326769434%2C326769430%2C326769427%2C326769424%2C326769419%2C326769414%2C326769401%2C326769400%2C326769399%2C326769398%2C326769397%2C326769396%2C326769395%2C326769394%2C326769389%2C326769387%2C326769386%2C326769383%2C326769377%2C326769376%2C326769375%2C326769374%2C326769373%2C326769372%2C326769371%2C326769369%2C326769363%2C326769360%2C326769358%2C326769355%2C326769347%2C326769346%2C326769345%2C326769344%2C326769343%2C326769342%2C326769341%2C326769340%2C326769339%2C326769338%2C326769337%2C326769336%2C326769335%2C326769334%2C326769333%2C326769332%2C326769331%2C326769330%2C326769328%2C326769327%2C326769326%2C326769324%2C326769320%2C326769319%2C326769318%2C326769317%2C326769316%2C326769315%2C326769314%2C326769313%2C326769312%2C326769311%2C326769309%2C326769308%2C326769306%2C326769305%2C326769304%2C326769302%2C326769301%2C326769300%2C326769299%2C326769297%5D%7D%2C%22eps%22%3A%5B%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fcoping-with-serious-illness-danielle-chammas-and-amanda-moment%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Denial.%20Substance%20use.%20Venting.%20Positive%20reframing.%20Humor.%20Acceptance.%20All%20of%20these%20are%20ways%20we%20cope%20with%20stressful%20situations.%20Some%20we%20may%20consider%20healthy%20or%20unhealthy%20coping%20strategies%2C%20but%20are%20they%20really%20that%20easy%20to%20categorize%3F%20Isn%E2%80%99t%20it%20more%20important%20to%20ask%20whether%20a%20particular%20coping%20behavior%20is%20adaptive%20or%20not%20for%20a%20particular%20person%2Cin%20a%20particular%20time%20or%20situation%3F%20We%20are%20going%20to%20tackle%20this%20question%20and%20so%20many%20more%20about%20coping%20on%20this%20week's%20podcast%20with%20Dani%20Chammas%2C%20a%20recurring%20GeriPal%20guest%2C%20psychiatrist%2C%20and%20palliative%20care%20doc%20at%20UCSF%2C%20and%20Amanda%20Moment%2C%20a%20Palliative%20Care%20Social%20Worker%20at%20Brigham%20and%20Women's%20Cancer%20Center.%20There%20are%20so%20many%20take-home%20points%20for%20me%20on%20this%20podcast%2C%20including%20this%20one%20on%20a%20framework%20for%20assessing%20coping%20in%20serious%20illness%3A%20%20%20nonjudgmentally%20observe%20their%20coping%20%20%20wonder%20about%20the%20impacts%20of%20their%20coping%20%20%20prioritize%20helping%20patients%20maintain%20their%20psychological%20integrity%20%20%20mindfully%20think%20through%20how%20we%20can%20serve%20their%20coping%20in%20ways%20that%20they%20can%20tolerate%2C%20always%20calibrating%20based%20on%20the%20person%2C%20the%20moment%2C%20and%20the%20setting%20in%20front%20of%20us.%20%20%20%20Here%20are%20some%20more%20resources%20we%E2%80%99ve%20discussed%20in%20the%20podcast%20%20%20Dani%E2%80%99s%20NEJM%20article%20on%20coping%3A%20%E2%80%9CShould%20I%20Laugh%20at%20That%3F%20Coping%20in%20the%20Setting%20of%20Serious%20Illness%E2%80%9D%20%20%20Dani%E2%80%99s%20GeriPal%20podcast%20with%20us%20on%20%E2%80%9CImproving%20Serious%20Illness%20Communication%20By%20Developing%20Formulations%E2%80%9D%20%20%20A%20great%20journal%20article%20on%20%E2%80%9CFormulation%20in%20Palliative%20Care%3A%20Elevating%20Our%20Potential%20for%20Therapeutic%20Communication%E2%80%9D%20%20%20A%20study%20on%20how%20palliative%20care%20may%20work%20by%20enhancing%20patients%E2%80%99%20ability%20to%20access%20adaptive%20coping%20-%20%E2%80%9CRole%20of%20Patient%20Coping%20Strategies%20in%20Understanding%20the%20Effects%20of%20Early%20Palliative%20Care%20on%20Quality%20of%20Life%20and%20Mood%20%20%20%20%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%C2%A0click%20here%20**%20%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D755287330%22%2C%22internal_product_id%22%3A%22cb.ep.755287330%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-6277031448248b4fd492e9edcbc109f8529e80e0%22%2C%22play_count%22%3A38%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22duration%22%3A3024000%2C%22download_count%22%3A28%2C%22size%22%3A72573056%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2F4%2F6%2F6%2F64662bd1fa85340f40be95ea3302a6a1%2FGeriPal_EP335_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP335_Coping_with_Serious_Illness.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-21T07%3A45%3A00Z%22%2C%22title%22%3A%22Coping%20with%20Serious%20Illness%3A%20Danielle%20Chammas%20and%20Amanda%20Moment%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A755287330%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP335_Coping_with_Serious_Illness.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Ffalls-and-fractures-a-podcast-with-sarah-berry%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Falls%20are%20very%20common%20among%20older%20adults%20but%20often%20go%20unreported%20or%20untreated%20by%20healthcare%20providers.%20There%20may%20be%20lots%20of%20reasons%20behind%20this.%20Patients%20may%20feel%20like%20falls%20are%20just%20part%20of%20normal%20aging.%20Providers%20may%20feel%20a%20sense%20of%20nihilism%2C%20that%20there%20just%20isn't%20anything%20they%20can%20do%20to%20decrease%20the%20risk%20of%20falling.%20On%20this%20week's%20podcast%2C%20we%20try%20to%20blow%20up%20this%20nihilism%20with%20our%20guest%20Sarah%20Berry.%20Sarah%20is%20a%20geriatrician%20at%20Hebrew%20SeniorLife%20in%20Boston%20where%20she%20does%20research%20on%20falls%2C%20fractures%2C%20and%20osteoporosis%20in%20older%20adults.%C2%A0%20We%20pepper%20Sarah%20with%20questions%20ranging%20from%3A%20%20%20Why%20should%20we%20care%20about%20falls%3F%20%20%20What%20are%20ways%20we%20should%20screen%20for%20falls%3F%20%20%20What%20are%20evidence%20based%20interventions%20to%20decrease%20the%20risk%20of%20falls%3F%20%20%20What%20about%20Vitamin%20D%20and%20falls%3F%3F%3F%20%20%20How%20should%20we%20assess%20for%20fracture%20risk%3F%20%20%20What%20are%20some%20evidence-based%20ways%20to%20decrease%20fracture%20risk%3F%20%20%20When%20should%20we%20prescribe%20vs%20deprescribe%20bisphosphonate%20therapy%3F%C2%A0%20How%20does%20life%20expectancy%20fit%20in%20with%20all%20of%20this%3F%20%20%20%20If%20you%20want%20to%20do%20a%20deeper%20dive%20into%20some%20of%20the%20articles%20we%20discuss%2C%20take%20a%20look%20at%20the%20following%3A%20%20%20An%20awesome%20JAMA%20review%20by%20Sarah%20on%20fall%20risk%20assessment%20and%20prevention%20in%20community-dwelling%20adults.%20%20%20The%20Fracture%20Risk%20Assessment%20in%20Long%20term%20care%20(FRAiL)%20website%20%20%20James%20Deardorff%E2%80%99s%20JAMA%20IM%20article%20on%20%E2%80%9CTime%20to%20Benefit%20of%20Bisphosphonate%20Therapy%20for%20the%20Prevention%20of%20Fractures%20Among%20Postmenopausal%20Women%20With%20Osteoporosis%20%20%20Sarah%E2%80%99s%20article%20on%20%E2%80%9CControversies%20in%20Osteoporosis%20Treatment%20of%20Nursing%20Home%20Residents%E2%80%9D%2C%20which%20includes%20this%20helpful%20flow%20chart%20on%20starting%2Fstopping%20osteoporosis%20drugs%20in%20nursing%20homes%20%20%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D753236627%22%2C%22internal_product_id%22%3A%22cb.ep.753236627%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-42167f4ec89e2264f36792660d36bdf30e84a179%22%2C%22play_count%22%3A38%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff1%2F97%2F8d%2F18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_400.jpg%22%2C%22duration%22%3A2806000%2C%22download_count%22%3A33%2C%22size%22%3A67351040%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff1%2F97%2F8d%2F18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff1%2F97%2F8d%2F18f8e35071a325d7d1c2f4319bf2020e62_scaled_v1_600.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP334_Falls_and_Fractures.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-14T07%3A45%3A00Z%22%2C%22title%22%3A%22Falls%20and%20Fractures%3A%20A%20Podcast%20with%20Sarah%20Berry%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A753236627%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP334_Falls_and_Fractures.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fdialysis-vs-conservative-management-for-older-adults-manju-kurella-tamura-susan-wong-maria-montez-rath%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22We%20recently%20published%20a%20podcast%20on%20palliative%20care%20for%20kidney%20failure%2C%20focusing%20on%20conservative%20kidney%20management.%20Today%20we%E2%80%99re%20going%20to%20focus%20upstream%20on%20the%20decision%20to%20initiate%20dialysis%20vs%20conservative%20kidney%20management.%20As%20background%2C%20we%20discuss%20Manju%20Kurella%20Tamura%E2%80%99s%20landmark%20NEJM%20paper%20that%20found%2C%20contrary%20to%20expectations%2C%20that%20function%20declines%20precipitously%20for%20nursing%20home%20residents%20who%20initiate%20dialysis.%C2%A0%20If%20the%20purpose%20of%20initiating%20dialysis%20is%20improving%20function%20-%20our%20complex%2C%20frail%2C%20older%20patients%20are%20likely%20to%20be%20disappointed.%20We%20also%20briefly%20mention%20Susan%20Wong%E2%80%99s%20terrific%20studies%20that%20found%20a%20%20disconnect%20between%20older%20adults%20with%20renal%20failure%E2%80%99s%20expressed%20values%2C%20focused%20on%20comfort%2C%20and%20their%20advance%20care%20planning%20and%20end-of-life%20care%20received%2C%20which%20focused%20on%20life%20extension%3B%20and%20another%20study%20that%20found%20quality%20of%20life%20was%20%20sustained%20until%20late%20in%20the%20illness%20course.%20One%20final%20briefly%20mentioned%20piece%20of%20background%3A%20John%20Oliver%E2%80%99s%20hilarious%20and%20disturbing%20takedown%20of%20the%20for%20profit%20dialysis%20industry%2C%20focused%20on%20DaVita.%20And%20the%20main%20topic%20of%20today%20is%20a%20paper%20in%20%20Annals%20of%20Internal%20Medicine%2C%20Maria%20first%20author%2C%20that%20addressed%20the%20tradeoffs%20between%20initiating%20dialysis%20vs%20continued%20medical%2Fsupportive%20management.%20%C2%A0%20Turns%20out%2C%20in%20summary%20people%20who%20initiate%20dialysis%20have%20mildly%20longer%20lives%2C%20but%20spend%20more%20time%20in%20facilities%2C%20away%20from%20home.%C2%A0%20We%20also%20discuss%20(without%20trying%20to%20get%20too%20wonky!)%20immortal%20time%20bias%20and%20target%20emulation%20trials.%20Do%20target%20trials%20differ%20from%20randomized%20trials%20and%20%E2%80%9Cordinary%E2%80%9D%20observational%20studies%2C%20or%20do%20they%20differ%3F!%3F%20Eric%20is%20skeptical.%20Bottom%20line%3A%20if%20faced%20with%20the%20decision%20to%20initiate%20dialysis%2C%20waiting%20is%20generally%20better.%C2%A0%20Let%20it%20be%20(hint%20hint).%20-Additional%20link%20to%20study%20with%20heatmaps%20of%20specific%20locations%20(hospital%2C%20nursing%20home%2C%20home)%20after%20initiating%20dialysis.%20-%40AlexSmithMD%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D751223931%22%2C%22internal_product_id%22%3A%22cb.ep.751223931%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-1713314ff66cd83c82ee9b6b85951c622628b35f%22%2C%22play_count%22%3A47%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2Fd%2F8%2F34d8a78149ab1a8e88c4a68c3ddbc4f2%2FGeriPal_EP333_forLibsyn.jpg%22%2C%22duration%22%3A2827000%2C%22download_count%22%3A38%2C%22size%22%3A67841216%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2Fd%2F8%2F34d8a78149ab1a8e88c4a68c3ddbc4f2%2FGeriPal_EP333_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2Fd%2F8%2F34d8a78149ab1a8e88c4a68c3ddbc4f2%2FGeriPal_EP333_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP333_Dialysis_vs_Conservative_Management.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-11-07T07%3A45%3A00Z%22%2C%22title%22%3A%22Dialysis%20vs%20Conservative%20Management%20for%20Older%20Adults%3A%20Manju%20Kurella%20Tamura%2C%20Susan%20Wong%2C%20%26%20Maria%20Montez-Rath%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A751223931%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP333_Dialysis_vs_Conservative_Management.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fcovid-updates-a-podcast-with-peter-chin-hong-and-lona-mody%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20March%202020%2C%20we%20launched%20our%20first%20podcast%20on%20COVID-19.%20Over%20the%20past%20four%20years%2C%20we%E2%80%99ve%20seen%20many%20changes%E2%80%94some%20positive%2C%20some%20negative.%20While%20many%20of%20us%20are%20eager%20to%20move%20past%20COVID%20(myself%20included)%2C%20it%E2%80%99s%20clear%20that%20COVID%20is%20here%20to%20stay.%20This%20week%2C%20we%20sit%20down%20with%20infectious%20disease%20experts%20Peter%20Chin-Hong%20and%20Lona%20Mody%20to%20discuss%20living%20with%20COVID-19.%20Our%20conversation%20covers%3A%20%20%20The%20current%20state%20of%20COVID%20%20%20Evidence%20for%20COVID%20boosters%2C%20who%20should%20get%20them%2C%20and%20preferences%20between%20Novavax%20and%20mRNA%20vaccines%20%20%20COVID%20treatments%20like%20Molnupiravir%20and%20Paxlovid%20%20%20Differences%20in%20COVID%20impact%20on%20nursing%20home%20residents%20and%20those%20with%20serious%20illnesses%20%20%20We%20wrap%20up%20with%20a%20%E2%80%9Cmagic%20wand%E2%80%9D%20question.%20My%20wish%20was%20for%20better%20randomized%20evidence%20for%20vaccines%20and%20treatments%2C%20though%20I%20worry%20this%20might%20not%20be%20feasible.%20In%20the%20meantime%2C%20there%E2%80%99s%20significant%20room%20to%20improve%20vaccine%20uptake%20among%20high-risk%20groups%2C%20particularly%20nursing%20home%20residents.%20Currently%2C%20only%201%20in%205%20nursing%20home%20residents%20in%20the%20US%20have%20received%20the%20COVID%20booster%2C%20compared%20to%20over%2050%25%20in%20the%20UK.%20By%3A%20Eric%20Widera%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D749229129%22%2C%22internal_product_id%22%3A%22cb.ep.749229129%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-ab2792babb335f04f856eef26d2505660a959a71%22%2C%22play_count%22%3A41%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F2%2F5%2F4%2F6%2F2546db89713497b1e55e3c100dce7605%2FGeriPal_EP332_forLibsybn.jpg%22%2C%22duration%22%3A2636000%2C%22download_count%22%3A38%2C%22size%22%3A63247363%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F2%2F5%2F4%2F6%2F2546db89713497b1e55e3c100dce7605%2FGeriPal_EP332_forLibsybn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F2%2F5%2F4%2F6%2F2546db89713497b1e55e3c100dce7605%2FGeriPal_EP332_forLibsybn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP332_COVID_Updates.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-31T06%3A45%3A00Z%22%2C%22title%22%3A%22COVID%20Updates%3A%20A%20Podcast%20with%20Peter%20Chin-Hong%20and%20Lona%20Mody%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A749229129%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP332_COVID_Updates.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fmedical-cannabis-revisted-a-podcast-with-david-casarett-and-eloise-theisen%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Cannabis%20is%20complicated.%20It%20can%20mean%20many%20things%2C%20including%20a%20specific%20type%20of%20plant%2C%20the%20chemicals%20in%20the%20plant%2C%20synthetic%20analogs%2C%20or%20products%20that%20have%20these%20components.%20The%20doses%20of%20the%20most%20widely%20discussed%20pharmacologically%20active%20ingredients%2C%20THC%20and%20CBD%2C%20vary%20by%20product%2C%20and%20the%20onset%20and%20bioavailability%20vary%20by%20how%20it%20is%20delivered.%20If%20you%20believe%20the%20evidence%20for%20efficacy%20to%20manage%20symptoms%20like%20neuropathic%20pain%2C%20how%20do%20you%20even%20start%20to%20think%20about%20recommending%20these%20products%20to%20patients%3F%20On%20today%E2%80%99s%20podcast%2C%20we%20answer%20that%20question%20with%20our%20guests%2C%20David%20Casarett%20and%20Eloise%20Theisen.%20David%20is%20a%20physician%20who%20wrote%20the%20book%20%E2%80%9CStoned%3A%20A%20Doctor's%20Case%20for%20Medical%20Marijuana%E2%80%9D%20and%20gave%20a%20TED%20talk%20on%20%E2%80%9CA%20Doctor's%20Case%20for%20Medical%20Marijuana%E2%80%9D%20that%20was%20watched%20over%203%20million%20times.%20Eloise%20is%20a%20palliative%20care%20NP%20at%20Stanford%20and%20co-founder%20of%20The%20Radicle%20Health%20Clinician%20Network.%20So%2C%20take%20a%20listen%20and%20check%20out%20the%20following%20resources%20to%20learn%20more%20about%20medical%20cannabis%3A%20%20%20Radicle%20Health%E2%80%99s%20curriculum%20and%20modules%20for%20healthcare%20professionals%20on%20cannabis%20%20%20NEJM%20Catalyst%20article%20on%20integrating%20medical%20cannabis%20into%20clinical%20care%20%20%20David%E2%80%99s%20TED%20talk%20on%20%E2%80%9CA%20Doctor's%20Case%20for%20Medical%20Marijuana%E2%80%9D%20%20%20A%20%20JPSM%20systematic%20review%20of%20current%20evidence%20for%20cannabis%20in%20palliative%20care%20%20%20Our%20past%20%20GeriPal%20episode%20with%20Bree%20Johnston%20and%20Ben%20Han%20on%20cannabis%20in%20older%20adults%20%20%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D747350331%22%2C%22internal_product_id%22%3A%22cb.ep.747350331%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-52b958848fa2b58034a672b074f576616079250c%22%2C%22play_count%22%3A51%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F1%2Fc%2F3%2F1%2F1c31c273d8f9c859e55e3c100dce7605%2FGeriPal_EP331_forLibsyn.jpg%22%2C%22duration%22%3A3127000%2C%22download_count%22%3A42%2C%22size%22%3A75052736%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F1%2Fc%2F3%2F1%2F1c31c273d8f9c859e55e3c100dce7605%2FGeriPal_EP331_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F1%2Fc%2F3%2F1%2F1c31c273d8f9c859e55e3c100dce7605%2FGeriPal_EP331_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP331_Cannabis_Revisited.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-24T06%3A45%3A00Z%22%2C%22title%22%3A%22Medical%20Cannabis%20Revisited%3A%20A%20Podcast%20with%20David%20Casarett%20and%20Eloise%20Theisen%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A747350331%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP331_Cannabis_Revisited.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fguidelines-or-goals-in-heart-failure-parag-goyal-nicole-superville-and-matthew-shuster%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22When%20treating%20heart%20failure%2C%20how%20do%20we%20distinguish%20between%20the%20expanding%20list%20of%20medications%20recommended%20for%20%E2%80%9CGuideline%20Directed%20Medical%20Therapy%E2%80%9D%20(GDMT)%20and%20what%20might%20be%20considered%20runaway%20polypharmacy%3F%20In%20this%20week%E2%80%99s%20podcast%2C%20we%E2%80%99ll%20tackle%20this%20crucial%20question%2C%20thanks%20to%20a%20fantastic%20suggestion%20from%20GeriPal%20listener%20Matthew%20Shuster%2C%20who%20will%20join%20us%20as%20a%20guest%20host.%20We%E2%80%99ve%20also%20invited%20two%20amazing%20cardiologists%2C%20Parag%20Goyal%20and%20Nicole%20Superville%2C%20to%20join%20us%20about%20GDMT%20in%20heart%20failure%20with%20reduced%20ejection%20fraction%20(HFrEF)%20and%20in%20Heart%20Failure%20with%20preserved%20EF%20(HFpEF).%C2%A0%20We%20talk%20about%20what%20is%20heart%20failure%2C%20particularly%20HFpEF%2C%20how%20we%20treat%20it%20(including%20the%20use%20of%20sodium%E2%80%93glucose%20cotransporter-2%20inhibitors%20(SGLT2%E2%80%99s)%2C%20and%20how%20we%20should%20apply%20guidelines%20to%20individual%20patients%2C%20especially%20those%20with%20multimorbidity%20who%20are%20taking%20a%20lot%20of%20other%20medications.%20I%E2%80%99d%20also%20like%20to%20give%20a%20shout%20out%20to%20a%20recent%20ACP%20article%20on%20HFpEF%20with%20an%20outstanding%20contribution%20from%20Ariela%20Orkaby%2C%20geriatrician%20extraordinaire%20(we%20also%20just%20did%20a%20%20podcast%20with%20her%20on%20frailty).%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D745504196%22%2C%22internal_product_id%22%3A%22cb.ep.745504196%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-605f29768780ee19f9fa68cae021636ba37a16a6%22%2C%22play_count%22%3A52%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22duration%22%3A2908000%2C%22download_count%22%3A42%2C%22size%22%3A69798874%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-17T06%3A45%3A00Z%22%2C%22title%22%3A%22Guidelines%20or%20Goals%20in%20Heart%20Failure%3A%20Parag%20Goyal%2C%20Nicole%20Superville%2C%20and%20Matthew%20Shuster%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A745504196%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fintentionally-interprofessional-care-doranne-donesky-michelle-milic-naomi-saks-cara-wallace%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20fellowship%2C%20one%20of%20the%20leaders%20at%20MGH%20used%20to%20quote%20Balfour%20Mount%20as%20saying%2C%20%E2%80%9CYou%20say%20you%E2%80%99ve%20worked%20on%20teams%3F%20Show%20me%20your%20scars.%E2%80%9D%C2%A0%20Scars%2C%20really%3F%C2%A0%20Yes.%20I%E2%80%99ve%20been%20there.%20You%20probably%20have%20too.%20On%20the%20one%20hand%2C%20I%20don%E2%80%99t%20think%20interprofessional%20teamwork%20needs%20to%20be%20scarring.%20On%20the%20other%20hand%2C%20though%20it%20goes%20against%20my%20middle-child%20%E2%80%9Ccan%E2%80%99t%20we%20all%20get%20along%E2%80%9D%20nature%2C%20disagreement%20is%20a%20key%20aspect%20of%20high%20functioning%20teams.%C2%A0%20The%20key%20is%20to%20foster%20an%20environment%20of%20curiosity%20and%20humility%20that%20welcomes%20and%20even%20encourages%20a%20diversity%20of%20perspectives%2C%20including%20direct%20disagreement.%20Today%20we%20talk%20with%20DorAnne%20Donesky%2C%20Michelle%20Milic%2C%20Naomi%20Saks%2C%20%26%20Cara%20Wallace%20about%20the%20notion%20that%20we%20should%20revolutionize%20our%20education%20programs%2C%20training%20programs%2C%20teams%2C%20incentive%20structures%2C%20and%20practice%20to%20be%20intentionally%20interprofessional%20in%20all%20phases.%C2%A0%20The%20many%20arguments%2C%20theories%2C%20%26%20approaches%20across%20settings%20and%20conditions%20are%20explored%20in%20detail%20in%20the%20book%20they%20edited%2C%20%E2%80%9CIntentionally%20Interprofessional%20Palliative%20Care%E2%80%9D%20(discount%20code%20AMPROMD9).%20Of%20note%3A%20these%20lessons%20apply%20to%20geriatrics%2C%20primary%20care%2C%20hospital%20medicine%2C%20critical%20care%2C%20cancer%20care%2C%20etc%2C%20etc.%20And%20they%20begin%20on%20today%E2%80%99s%20podcast%20with%20one%20clinical%20ask%3A%20everyone%20should%20be%20a%20generalist%20and%20a%20specialist.%20In%20other%20words%2C%20in%20addition%20to%20being%20a%20specialist%20(e.g.%20social%20worker%2C%20chaplain)%2C%20everyone%20should%20be%20able%20to%20ask%20a%20question%20or%20two%20about%20spiritual%20concerns%2C%20social%20concerns%2C%20or%20physical%20concerns.%20Many%20more%20approaches%20to%20being%20interprofessional%20on%20today%E2%80%99s%20podcast.%C2%A0%20But%20how%20about%20you!%20What%20will%20you%20commit%20to%20in%20order%20to%20be%20more%20intentionally%20interprofessional%3F%20If%20we%20build%20this%20dream%20together%2C%20standing%20strong%20forever%2C%20nothing%E2%80%99s%20gonna%20stop%20us%20now%E2%80%A6%20-%40AlexSmithMD%20%C2%A0%20%C2%A0Interprofessional%20organizations%20that%20are%20not%20specific%20to%20palliative%20care%20are%20doing%20excellent%20work%20%20%20National%20Center%20for%20Interprofessional%20Practice%20and%20Education%3A%20https%3A%2F%2Fnexusipe.org%2F%20%20%20National%20Collaborative%20for%20Improving%20the%20Clinical%20Learning%20Environment%20https%3A%2F%2Fncicle.org%2F%20%20%20Interprofessional%20Education%20Collaborative%20(home%20of%20the%20IPEC%20Competencies)%20https%3A%2F%2Fwww.ipecollaborative.org%2F%20%20%20American%20Interprofessional%20Health%20Collaborative%20(sponsor%20of%20the%20biennial%20meeting%20%5C%22Collaborating%20Across%20Borders%5C%22)%20https%3A%2F%2Faihc-us.org%2Findex.php%2F%20%20%20Health%20Professions%20Accreditors%20Collaborative%20https%3A%2F%2Fhealthprofessionsaccreditors.org%2F%20%20%20%C2%A0%20%20This%20episode%20of%20the%20GeriPal%20Podcast%20is%20sponsored%20by%C2%A0UCSF%E2%80%99s%20Division%20of%20Palliative%20Medicine%2C%20an%20amazing%20group%20doing%20world-class%20palliative%20care.%C2%A0%20They%20are%20looking%20to%20build%20on%20both%20their%20research%20and%20clinical%20programs%20and%20are%20interviewing%20candidates%20for%20the%C2%A0Associate%20Chief%20of%20Research%C2%A0and%20for%C2%A0full-time%20physician%20faculty%20to%20join%20them%20in%20the%20inpatient%20and%20outpatient%20setting.%20%C2%A0To%20learn%20more%20about%20job%20opportunities%2C%20please%20click%20here%3A%C2%A0https%3A%2F%2Fpalliativemedicine.ucsf.edu%2Fjob-openings%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20%20click%20here%20**%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D743368153%22%2C%22internal_product_id%22%3A%22cb.ep.743368153%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-a9fb4771c8f82ebcdb824cd72625989d86869c99%22%2C%22play_count%22%3A45%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fb%2F3%2F8%2F6%2Fb386b50a8e734df7e55e3c100dce7605%2FGeriPal_EP329_forLibsyn.jpg%22%2C%22duration%22%3A2876000%2C%22download_count%22%3A38%2C%22size%22%3A69027112%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fb%2F3%2F8%2F6%2Fb386b50a8e734df7e55e3c100dce7605%2FGeriPal_EP329_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fb%2F3%2F8%2F6%2Fb386b50a8e734df7e55e3c100dce7605%2FGeriPal_EP329_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP329_Intentionally_Interprofessional_Care-CME.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-10T06%3A45%3A00Z%22%2C%22title%22%3A%22Intentionally%20Interprofessional%20Care%3A%20DorAnne%20Donesky%2C%20Michelle%20Milic%2C%20Naomi%20Saks%2C%20%26%20Cara%20Wallace%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A743368153%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP329_Intentionally_Interprofessional_Care-CME.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fimages-of-the-dying-a-podcast-with-wendy-macnaughton-lingsheng-li-and-frank-ostaseski%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Can%20death%20be%20portrayed%20as%20beautiful%3F%20In%20this%20episode%2C%20we%20share%20the%20joy%20of%20talking%20with%20Wendy%20MacNaughton%20(artist%2C%20author%2C%20graphic%20journalist)%20and%20Frank%20Ostaseski%20(Buddhist%20teacher%2C%20author%2C%20founder%20of%20the%20Metta%20Institute%20and%20Zen%20Hospice%20Project)%20about%20using%20drawings%20and%20images%20as%20tools%20for%20creating%20human%20connections%20and%20processing%20death%20and%20dying.%20You%20may%20know%20Wendy%20as%20the%20talented%20artist%20behind%20%20Meanwhile%20in%20San%20Francisco%20or%20Salt%20Fat%20Acid%20Heat.%20Our%20focus%20today%2C%20however%2C%20was%20on%20her%20most%20recently%20published%20book%20titled%20%20How%20to%20Say%20Goodbye.%20This%20beautiful%20book%20began%20as%20a%20very%20personal%20project%20for%20Wendy%20while%20she%20was%20the%20artist-in-residence%20at%20Zen%20Hospice.%20As%20BJ%20MIller%20writes%20in%20the%20foreword%2C%20%E2%80%9CMay%20this%20book%20be%20a%20portal%20--%20a%20way%20for%20us%20to%20move%20beyond%20the%20unwise%20territory%20of%20trying%20to%20%E2%80%98do%20it%20right%E2%80%99%20and%20into%20the%20transcendent%20terrain%20of%20noticing%20what%20we%20can%20notice%2C%20loving%20who%20we%20love%2C%20and%20letting%20death%20--%20like%20life%20--surprise%20us%20with%20its%20ineffable%20beauty.%E2%80%9D%20Some%20highlights%20from%20our%20conversation%3A%C2%A0%C2%A0%20%20%20The%20role%20of%20art%20in%20humanizing%20the%20dying%20process.%C2%A0%20%20%20%20%20How%20the%20act%20of%20drawing%20can%20help%20us%20sloooow%20down%2C%20pay%20attention%20to%20the%20people%20and%20world%20around%20us%2C%20and%20ultimately%20let%20go%E2%80%A6%C2%A0%20%20%20The%20possibility%20of%20incorporating%20drawings%20in%20research%20and%20even%20clinical%20care.%C2%A0%20%20%20The%20wisdom%20and%20experiences%20of%20hospice%20caregivers%20(who%20are%20often%20underpaid%20and%20undervalued).%20%20%20How%20to%20use%20the%20%E2%80%9CFive%20Things%E2%80%9D%20as%20a%20framework%20for%20a%20%E2%80%9Cconversation%20of%20love%2C%20respect%2C%20and%20closure%E2%80%9D%20with%20someone%20who%20is%20dying.%20%20%20And%20finally%2C%20Wendy%20offers%20a%20drawing%20lesson%20and%20ONE-MINUTE%20drawing%20assignment%20to%20help%20us%20(and%20our%20listeners)%20be%20more%20present%20and%20connect%20with%20one%20another.%20You%20can%20read%20more%20about%20this%20blind%20contour%20exercise%20from%20Wendy%E2%80%99s%20DrawTogether%20Strangers%20project.%20The%20rules%20are%20really%20quite%20simple%3A%C2%A0%20%20%20Find%20another%20person.%20%20%20Sit%20down%20and%20draw%20each%20other%20for%20only%20one%20minute.%20%20%20%20NEVER%20lift%20up%20your%20pen%2Fpencil%20(draw%20with%20a%20continuous%20line)%C2%A0%20%20%20NEVER%20look%20down%20at%20your%20paper%20%20%20%20That%E2%80%99s%20it!%20While%20the%20creative%20process%20is%20what%20truly%20matters%2C%20we%20think%20that%20the%20outcome%20is%20guaranteed%20to%20be%20awesome%20and%20definitely%20worth%20sharing.%20We%20invite%20you%20to%20post%20your%20drawings%20on%20twitter%20and%20tag%20us%20%40GeriPalBlog!%20Happy%20listening%20and%20drawing%2C%20Lingsheng%20%40lingshengli%C2%A0%20%20Additional%20info%3A%C2%A0%20%20%20For%20weekly%20lessons%20on%20drawing%20and%20the%20art%20of%20paying%20attention%20from%20Wendy%2C%20you%20can%20subscribe%20to%20her%20Substack%20DrawTogether%20with%20WendyMac%20and%20join%20the%20Grown-Ups%20Table%20(GUT)!%C2%A0%20%20%20To%20learn%20more%20about%20Frank%E2%80%99s%20teaching%20and%20philosophy%20on%20end-of-life%20care%2C%20read%20his%20book%20The%20Five%20Invitations%C2%A0%20%20%20%C2%A0%20%20This%20episode%20of%20the%20GeriPal%20Podcast%20is%20sponsored%20by%C2%A0UCSF%E2%80%99s%20Division%20of%20Palliative%20Medicine%2C%20an%20amazing%20group%20doing%20world-class%20palliative%20care.%C2%A0%20They%20are%20looking%20to%20build%20on%20both%20their%20research%20and%20clinical%20programs%20and%20are%20interviewing%20candidates%20for%20the%C2%A0Associate%20Chief%20of%20Research%C2%A0and%20for%C2%A0full-time%20physician%20faculty%20to%20join%20them%20in%20the%20inpatient%20and%20outpatient%20setting.%20%C2%A0To%20learn%20more%20about%20job%20opportunities%2C%20please%20click%20here%3A%C2%A0https%3A%2F%2Fpalliativemedicine.ucsf.edu%2Fjob-openings%20%C2%A0%20**%20This%20podcast%20is%20not%20CME%20eligible.%20To%20learn%20more%20about%20CME%20for%20other%20GeriPal%20episodes%2C%20click%20here.%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D741630010%22%2C%22internal_product_id%22%3A%22cb.ep.741630010%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-3ac73965f236be463561adfcb836ae8b2fad794d%22%2C%22play_count%22%3A46%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F9%2Fe%2Fb%2F49eb67ffbcb18a0a27a2322813b393ee%2FGeriPal_EP328_forLibsyn.jpg%22%2C%22duration%22%3A2990000%2C%22download_count%22%3A41%2C%22size%22%3A71750528%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F9%2Fe%2Fb%2F49eb67ffbcb18a0a27a2322813b393ee%2FGeriPal_EP328_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F9%2Fe%2Fb%2F49eb67ffbcb18a0a27a2322813b393ee%2FGeriPal_EP328_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP328__Images_of_the_Dying.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-03T06%3A45%3A00Z%22%2C%22title%22%3A%22Images%20of%20the%20Dying%3A%20A%20Podcast%20with%20Wendy%20MacNaughton%2C%20Lingsheng%20Li%2C%20and%20Frank%20Ostaseski%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A741630010%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP328__Images_of_the_Dying.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fstepped-palliative-care-a-podcast-with-jennifer-temel-chris-jones-and-pallavi-kumar%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22If%20palliative%20care%20was%20a%20drug%2C%20one%20question%20we%20would%20want%20to%20know%20before%20prescribing%20it%20is%20what%20dose%20we%20should%20give.%C2%A0%20Give%20too%20little%20-%20it%20may%20not%20work.%C2%A0%20Give%20too%20much%2C%20it%20may%20cause%20harm%20(even%20if%20the%20higher%20dose%20had%20no%20significant%20side%20effects%2C%20it%20would%20require%20patients%20to%20take%20a%20lot%20of%20unnecessary%20additional%20pills%20as%20well%20as%20increase%20the%20cost.)%20So%2C%20what%20is%20the%20effective%20dose%20of%20palliative%20care%3F%20On%20today%E2%80%99s%20podcast%2C%20we%20talk%20about%20finding%20an%20evidence-based%20answer%20to%20this%20dosing%20question%20with%20three%20leaders%20in%20palliative%20care%3A%20%20Jennifer%20Temel%2C%20Chris%20Jones%2C%20and%20Pallavi%20Kumar.%C2%A0%20All%20three%20of%20our%20guests%20were%20co-authors%20of%20a%20randomized%20control%20trial%20on%20%E2%80%9CStepped%20Palliative%20Care%E2%80%9D%20published%20in%20JAMA%20this%20year.%20We%20talk%20about%20what%20stepped%20palliative%20care%20is%2C%20how%20it%20is%20different%20from%20usual%20care%20or%20intensive%20palliative%20care%2C%20why%20these%20palliative%20care%20dosing%20questions%20are%20important%2C%20and%20dive%20deep%20into%20the%20results%20of%20their%20trial.%C2%A0%20We%20also%20discuss%20some%20of%20the%20other%20important%20trials%20in%20palliative%20care%2C%20including%20%20Jennifer%20Temel%E2%80%99s%20landmark%20NEJM%20study%20on%20outpatient%20palliative%20care%20and%20another%20study%20that%20gave%20an%20intervention%20we%20dubbed%20%E2%80%9Cfast-food%20palliative%20care%E2%80%9D%20in%20an%20older%20GeriPal%20blog%20post.%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20click%20here%20**%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D738168585%22%2C%22internal_product_id%22%3A%22cb.ep.738168585%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-f87d9db6072d65189468550a2e48b0c175fc77b1%22%2C%22play_count%22%3A50%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2F7%2Ff%2F347f5b6a31e691e1e55e3c100dce7605%2FGeriPal_EP327_forLibsyn.jpg%22%2C%22duration%22%3A3017000%2C%22download_count%22%3A43%2C%22size%22%3A72396800%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2F7%2Ff%2F347f5b6a31e691e1e55e3c100dce7605%2FGeriPal_EP327_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F3%2F4%2F7%2Ff%2F347f5b6a31e691e1e55e3c100dce7605%2FGeriPal_EP327_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP327_Stepped_Paliative_Care.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-09-19T06%3A45%3A00Z%22%2C%22title%22%3A%22Stepped%20Palliative%20Care%3A%20A%20Podcast%20with%20Jennifer%20Temel%2C%20Chris%20Jones%2C%20and%20Pallavi%20Kumar%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A738168585%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP327_Stepped_Paliative_Care.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fwell-being-and-resilience-a-podcast-with-jane-thomas-naomi-saks-ishwaria-subbiah%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Well-being%20and%20resilience%20are%20so%20hot%20right%20now.%20We%20have%20an%20endless%20supply%20of%20CME%20courses%20on%20decreasing%20burnout%20through%20self-care%20strategies.%20Well-being%20committees%20are%20popping%20up%20at%20every%20level%20of%20an%20organization.%20And%20C-suites%20now%20have%20chief%20wellness%20officers%20sitting%20at%20the%20table.%20I%20must%20admit%2C%20though%2C%20sometimes%20it%20just%20feels%20off%E2%80%A6%20inauthentic%2C%20as%20if%20it's%20not%20a%20genuine%20desire%20to%20improve%20our%20lives%20as%20health%20care%20providers%2C%20but%20rather%20a%20metric%20to%20check%20off%20or%20a%20desire%20to%20improve%20productivity%20and%20billing%20by%20making%20the%20plight%20of%20workers%20a%20little%20less%20miserable.%20On%20today%E2%80%99s%20podcast%2C%20we%20talk%20with%20Jane%20Thomas%2C%20Naomi%20Saks%2C%20and%20%20Ishwaria%20Subbiah%20about%20the%20concepts%20of%20wellness%2C%20well-being%2C%20resilience%2C%20and%20burnout%2C%20as%20well%20as%20what%20can%20be%20done%20to%20truly%20improve%20the%20lives%20of%20healthcare%20providers%20and%20bring%2C%20I%20dare%20say%20it%2C%20joy%20into%20our%20work.%20For%20more%20on%20resources%20for%20well-being%2C%20check%20out%20the%20following%3A%20%C2%A0%20%20%20Cynda%20Rushton%2C%20PHD%2C%20MSN%2C%20RN%20%E2%80%94%20Transforming%20Moral%20Distress%20into%20Moral%20Resilience%20https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DL1gE5G8WnTU%20%20%20%20%20Tricia%20Hersey%3A%20Rest%20%26%20Collective%20Care%20as%20Tools%20for%20Liberation%20https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D7OuXnLrKyi0%20%20%20%20%20Beyond%20resiliency%3A%20shifting%20the%20narrative%20of%20medical%20student%20wellness%20https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC10500407%2F%20%20%20%20%20Fostering%20resilience%20in%20healthcare%20professionals%20during%20and%20in%20the%20aftermath%20of%20the%20COVID-19%20pandemic%20%20https%3A%2F%2Fwww.cambridge.org%2Fcore%2Fjournals%2Fbjpsych-advances%2Farticle%2Ffostering-resilience-in-healthcare-professionals-during-and-in-the-aftermath-of-the-covid19-pandemic%2F0ADCA3737D12CAF308567A7F59EFC267%20%20%20%20%20The%20Greater%20Good%20Science%20Center%20studies%20the%20psychology%2C%20sociology%2C%20and%20neuroscience%20of%20well-being%20and%20teaches%20skills%20that%20foster%20a%20thriving%2C%20resilient%2C%20and%20compassionate%20society.%20%20https%3A%2F%2Fggsc.berkeley.edu%2F%3F_ga%3D2.230263642.712840261.1724681290-1268886183.1680535323%20%20%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20click%20here%20**%20%C2%A0%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D736361408%22%2C%22internal_product_id%22%3A%22cb.ep.736361408%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-27a7e5d1990e4395b786e8a63855a5f0a2ba30be%22%2C%22play_count%22%3A47%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F9%2F1%2Fa%2F591aa8ade6d8ebfa27a2322813b393ee%2FGeriPal_EP326_forLibsyn.jpg%22%2C%22duration%22%3A3050000%2C%22download_count%22%3A38%2C%22size%22%3A73195628%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F9%2F1%2Fa%2F591aa8ade6d8ebfa27a2322813b393ee%2FGeriPal_EP326_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F9%2F1%2Fa%2F591aa8ade6d8ebfa27a2322813b393ee%2FGeriPal_EP326_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP326_Well-being_and_Resilience.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-09-12T06%3A45%3A00Z%22%2C%22title%22%3A%22Well-being%20and%20Resilience%3A%20a%20Podcast%20with%20Jane%20Thomas%2C%20Naomi%20Saks%2C%20Ishwaria%20Subbiah%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A736361408%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP326_Well-being_and_Resilience.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fallowing-patients-to-die-louise-aronson-and-bill-andereck%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20today%E2%80%99s%20podcast%20we%20set%20the%20stage%20with%20the%20story%20of%20Dax%20Cowart%2C%20who%20in%201973%20was%20a%2025%20year%20old%20man%20horribly%20burned%20in%20a%20freak%20accident.%20Two%20thirds%20of%20his%20body%20was%20burned%2C%20most%20of%20his%20fingers%20were%20amputated%2C%20and%20he%20lost%20vision%20in%20both%20eyes.%C2%A0%20During%20his%2014%20month%20recovery%20Dax%20repeatedly%20demanded%20that%20he%20be%20allowed%20to%20die.%20The%20requests%20were%20ignored.%20After%2C%20he%20said%20he%20was%20both%20glad%20to%20be%20alive%2C%20and%20that%20the%20doctors%20should%20have%20respected%20his%20wish%20to%20be%20allowed%20to%20die.%20But%20that%20was%201973%2C%20you%20might%20say.%20We%20don%E2%80%99t%20have%20such%20issues%20today%2C%20do%20we%3F%C2%A0%20Louise%20Aronson%E2%80%99s%20recent%20perspective%20about%20her%20mother%20in%20the%20NEJM%2C%20titled%2C%20%E2%80%9CBeyond%20Code%20Status%E2%80%9D%20suggests%20no%2C%20we%20still%20struggle%20with%20this%20issue.%20And%20Bill%20Andereck%20is%20still%20haunted%20by%20the%20decision%20he%20made%20to%20have%20the%20police%20break%20down%20the%20door%20to%20rescue%20his%20patient%20who%20attempted%20suicide%20in%20the%201980s%2C%20as%20detailed%20in%20%20this%20essay%20in%20the%20Cambridge%20Quarterly%20of%20HealthCare%20Ethics.%C2%A0%20The%20issues%20that%20are%20raised%20by%20these%20situations%20are%20really%20hard%2C%20as%20they%20involve%20complex%20and%20sometimes%20competing%20ethical%20values%2C%20including%3A%20%20%20The%20duty%20to%20rescue%2C%20to%20save%20life%2C%20to%20be%20a%20%E2%80%9Clifeguard%E2%80%9D%20%20%20Judgements%20about%20quality%20of%20life%2C%20made%20on%20the%20part%20of%20patients%20about%20their%20future%20selves%2C%20and%20by%20clinicians%20(and%20surrogate%20decision%20makers)%20about%20patients%20%20%20Age%20realism%20vs%20agism%C2%A0%20%20%20The%20ethics%20of%20rationale%20suicide%2C%20subject%20of%20a%20prior%20GeriPal%20episode%20%20%20Changes%20in%20medical%20practice%20and%20training%2C%20a%20disconnect%20between%20longitudinal%20care%20and%20acute%20care%2C%20and%20frequent%20handoffs%20%20%20The%20limitations%20of%20advance%20directives%2C%20POLST%2C%20and%20code%20status%20orders%20in%20the%20electronic%20health%20record%20%20%20The%20complexities%20of%20patient%20preferences%2C%20which%20extend%20far%20beyond%20code%20status%20%20%20The%20tension%20between%20list%20vs%20goals%20based%20approaches%20to%20documentation%20in%20the%20EHR%20%20%20And%20a%20great%20song%20request%2C%20%E2%80%9CThe%20Cape%E2%80%9D%20by%20Guy%20Clark%20to%20start%20and%20end.%20Enjoy!%20-%40AlexSmithMD%20%C2%A0%20**%20NOTE%3A%20To%20claim%20CME%20credit%20for%20this%20episode%2C%20click%20here%20**%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D734439460%22%2C%22internal_product_id%22%3A%22cb.ep.734439460%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-363b8e689a0bc1630e294825c8e2a3e645c8248e%22%2C%22play_count%22%3A53%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2Fa%2F5%2Ff%2Fea5f7516fa79a54427a2322813b393ee%2FGeriPal_EP325_forLibsyn.jpg%22%2C%22duration%22%3A2943000%2C%22download_count%22%3A41%2C%22size%22%3A70626176%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2Fa%2F5%2Ff%2Fea5f7516fa79a54427a2322813b393ee%2FGeriPal_EP325_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2Fa%2F5%2Ff%2Fea5f7516fa79a54427a2322813b393ee%2FGeriPal_EP325_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP325_Allowing_Patients_to_Die.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-09-05T06%3A45%3A00Z%22%2C%22title%22%3A%22Allowing%20Patients%20to%20Die%3A%20Louise%20Aronson%20and%20Bill%20Andereck%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A734439460%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP325_Allowing_Patients_to_Die.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fstump-the-vitaltalk-communication-experts-a-podcast-with-gordon-wood-holly-yang-elise-carey%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Serious%20illness%20communication%20is%20hard.%20We%20must%20often%20deliver%20complex%20medical%20information%20that%20carries%20heavy%20emotional%20weight%20in%20pressured%20settings%20to%20individuals%20with%20varying%20cultural%20backgrounds%2C%20values%2C%20and%20beliefs.%20That%E2%80%99s%20a%20hard%20enough%20task%2C%20given%20that%20most%20of%20us%20have%20never%20had%20any%20communication%20skills%20training.%20It%20feels%20nearly%20impossible%20if%20you%20add%20another%20degree%20of%20difficulty%2C%20whether%20it%20be%20a%20crying%20interpreter%20or%20a%20grandchild%20from%20another%20state%20who%20shows%20up%20at%20the%20end%20of%20a%20family%20meeting%20yelling%20how%20you%20are%20killing%20grandma.%20On%20today%E2%80%99s%20podcast%2C%20we%20try%20to%20stump%20three%20VitalTalk%20expert%20faculty%2C%20Gordon%20Wood%2C%20Holly%20Yang%2C%20Elise%20Carey%2C%20with%20some%20of%20the%20most%20challenging%20communication%20scenarios%20that%20we%20(and%20some%20of%20our%20listeners)%20could%20think%20up.%20During%20the%20podcast%2C%20we%20reference%20a%20newly%20released%20second-edition%20book%20that%20our%20guests%20published%20titled%20%E2%80%9CNavigating%20Communication%20with%20Seriously%20Ill%20Patients%3A%20Balancing%20Honesty%20with%20Empathy%20and%20Hope.%E2%80%9D%C2%A0%20I%E2%80%99d%20add%20this%20to%20your%20%E2%80%9Cmust%20read%E2%80%9D%20list%20of%20books%2C%20as%20it%20takes%20readers%20through%20the%20VitalTalk%20method%20that%20our%20guests%20use%20so%20effectively%20when%20addressing%20these%20challenging%20scenarios.%20If%20you%20are%20interested%20in%20learning%20more%20about%20VitalTalk%2C%20check%20out%20their%20and%20some%20of%20these%20other%20podcasts%20we%E2%80%99ve%20done%20with%20three%20of%20the%20other%20authors%20of%20this%20book%20(and%20VitalTalk%20co-founders)%3A%20%20%20Our%20podcast%20with%20Tony%20Back%20as%20well%20as%20Wendy%20Anderson%20on%20%E2%80%9CCommunication%20Skills%20in%20a%20Time%20of%20Crises%E2%80%9D%20%20%20Our%20podcast%20with%20James%20Tulsky%20on%20%E2%80%9CThe%20Messiness%20of%20Medical%20Decision-Making%20in%20Advanced%20Illness.%E2%80%9D%20%20%20Any%20one%20of%20our%20podcasts%20with%20Bob%20Arnold%2C%20including%20this%20one%20on%20the%20%20language%20of%20serious%20illness%20or%20this%20one%20on%20%20books%2C%20to%20become%20a%20better%20mentor.%20%20%20%20Lastly%2C%20I%20reference%20Alex%E2%80%99s%20Take%20Out%20the%20Trash%20video%2C%20where%20he%20uses%20communication%20skills%20learned%20in%20his%20palliative%20care%20training%20at%20home%20with%20his%20wife.%C2%A0%20The%20results%20are%E2%80%A6%20well%E2%80%A6%20let%E2%80%99s%20just%20say%20less%20than%20perfect.%C2%A0%20By%3A%20Eric%20Widera%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D731911402%22%2C%22internal_product_id%22%3A%22cb.ep.731911402%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-3b9eed7fc935edd7ecf46fe756960a8ac7c935ae%22%2C%22play_count%22%3A47%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2Fd%2F0%2F4%2Fdd044008772c03b9e55e3c100dce7605%2FGeriPal_EP324_forLibsyn.jpg%22%2C%22duration%22%3A2886000%2C%22download_count%22%3A39%2C%22size%22%3A69256448%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2Fd%2F0%2F4%2Fdd044008772c03b9e55e3c100dce7605%2FGeriPal_EP324_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fd%2Fd%2F0%2F4%2Fdd044008772c03b9e55e3c100dce7605%2FGeriPal_EP324_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP324_Stump_the_VitalTalkers.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-08-29T06%3A45%3A00Z%22%2C%22title%22%3A%22Stump%20the%20VitalTalk%20Communication%20Experts%3A%20A%20Podcast%20with%20Gordon%20Wood%2C%20Holly%20Yang%2C%20Elise%20Carey%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A731911402%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP324_Stump_the_VitalTalkers.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fwhat-is-death-winston-chiong-and-sean-aas%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22We%E2%80%99ve%20talked%20about%20Brain%20Death%20before%20with%20Robert%20(Bob)%20Troug%20and%20guest-host%20Liz%20Dzeng%2C%20and%20in%20many%20ways%20today%E2%80%99s%20podcast%20is%20a%20follow%20up%20to%20that%20episode%20(apologies%20Bob%20for%20mispronouncing%20your%20last%20name%20on%20today%E2%80%99s%20podcast!).%20Why%20does%20this%20issue%20keep%20coming%20up%3F%C2%A0%20Why%20is%20it%20unresolved%3F%C2%A0%20Today%20we%20put%20these%20questions%20to%20Winston%20Chiong%2C%20a%20neurologist%20and%20bioethicist%2C%20and%20Sean%20Aas%2C%20a%20philosopher%20and%20bioethicist.%C2%A0%20We%20talk%20about%20many%20reasons%20and%20ways%20forward%20on%20this%20podcast%2C%20including%3A%20%20%20The%20ways%20in%20which%20advancing%20technology%20continually%20forces%20us%20to%20re-evaluate%20what%20it%20means%20to%20be%20dead%20-%20from%20the%20ability%20of%20cells%2Forgans%20to%20revive%2C%20to%20a%20future%20in%20which%20organs%20can%20be%20grown%2C%20to%20uploading%20our%20consciousness%20to%20an%20AI.%C2%A0%20(I%20briefly%20mention%20the%20Bobiverse%20series%20by%20Denise%20Taylor%20-%20a%20science%20fiction%20series%20about%20an%20uploaded%20consciousness%20that%20confronts%20the%20reader%20with%20a%C2%A0%20re-evaluation%20of%20what%20it%20means%20to%20be%20human%2C%20or%20deserving%20of%20moral%20standing).%20%20%20The%20moral%20questions%20at%20stake%20vs%20the%20biologic%20questions%20(and%20links%20between%20them)%20%20%20The%20pressures%20the%20organ%20donation%20placers%20on%20this%20issue%2C%20and%20questioning%20if%20this%20is%20the%20dominant%20consideration%20(as%20Winston%20notes%2C%20organ%20donation%20was%20not%20central%20to%20the%20%20Jahi%20McMath%20story)%20%20%20%20What%20we%20argue%20about%20when%20we%20argue%20about%20death%20-%20the%20title%20of%20a%20great%20recent%20paper%20from%20Sean%20-%20which%20argues%20that%20%E2%80%9Cwe%20must%20define%20death%20in%20moralized%20terms%2C%20as%20the%20loss%20of%20a%20significant%20sort%20of%20moral%20standing%2C%E2%80%9D%20-%20noting%20that%20those%20why%20are%20%E2%80%9Cdead%E2%80%9D%20have%20something%20to%20gain%20-%20the%20ability%20to%20donate%20their%20organs%20to%20others.%20%20%20Winston%E2%80%99s%20paper%20on%20the%20%E2%80%9Cfuzziness%E2%80%9D%20around%20all%20definitions%20of%20brain%20death%2C%20titled%2C%20Brain%20Death%20without%20Definitions.%20%20%20As%20we%20joke%20about%20at%20the%20start%20-%20talking%20with%20philosophers%20and%20bioethicists%2C%20you%20almost%20always%20get%20a%20response%20along%20the%20lines%20of%2C%20%E2%80%9Cwell%20that%E2%80%99s%20a%20good%20question%2C%20but%20let%E2%80%99s%20examine%20a%20deeper%20more%20fundamental%20question.%E2%80%9D%C2%A0%20Today%20is%20no%20different.%20And%20the%20process%20of%20identifying%20the%20right%20questions%20to%20ask%20is%20absolutely%20the%20best%20place%20to%20start.%C2%A0%C2%A0%20Eventually%2C%20of%20course%2C%C2%A0everything%20must%20cease.%C2%A0%C2%A0%20-%40AlexSmithMD%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D729995771%22%2C%22internal_product_id%22%3A%22cb.ep.729995771%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-81de17a8199333ec8794831232c7c646e2c426f6%22%2C%22play_count%22%3A58%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F5%2Fc%2F5%2F55c54fa8c363cad8e55e3c100dce7605%2FGeriPal_EP323_forLibsyn.jpg%22%2C%22duration%22%3A2895000%2C%22download_count%22%3A42%2C%22size%22%3A69469568%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F5%2Fc%2F5%2F55c54fa8c363cad8e55e3c100dce7605%2FGeriPal_EP323_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F5%2F5%2Fc%2F5%2F55c54fa8c363cad8e55e3c100dce7605%2FGeriPal_EP323_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP323_What_is_Death.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-08-22T06%3A45%3A00Z%22%2C%22title%22%3A%22What%20is%20Death%3F%20Winston%20Chiong%20and%20Sean%20Aas%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A729995771%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP323_What_is_Death.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fanti-asian-hate-russell-jeung-lingsheng-li-jessica-eng%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Anti-Asian%20hate%20incidents%20rose%20dramatically%20during%20COVID%2C%20likely%20fueled%20by%20prominent%20statements%20about%20the%20%E2%80%9CChinese%20virus.%E2%80%9D%C2%A0%20VIewed%20through%20the%20wider%20lens%20of%20history%2C%20this%20was%20just%20the%20latest%20in%20a%20long%20experience%20of%20Anti-Asian%20hate%2C%20including%20the%20murder%20of%20Vincent%20Chin%2C%20the%20Chinese%20Exclusion%20Act%2C%20and%20the%20internment%20of%20Japanese%20Americans%20during%20WWII.%C2%A0%20For%20those%20who%20think%20that%20anti-Asian%20hate%20has%20receded%20as%20the%20COVID%20has%20%E2%80%9Cended%2C%E2%80%9D%20just%20two%20days%20prior%20to%20recording%20this%20episode%20a%20Filipino%20woman%20was%20pushed%20to%20her%20death%20on%20BART%20in%20%20San%20Francisco.%20These%20incidents%20are%20broadcast%20widely%2C%20particularly%20in%20Asian%20News%20outlets.%20Today%20we%20talk%20about%20the%20impact%20of%20anti-Asian%20hate%20on%20the%20health%20and%20well%20being%20of%20older%20adults%20with%20Russell%20Jeung%2C%20sociologist%2C%20Professor%20of%20Asian%20Studies%20at%20San%20Francisco%20State%2C%20and%20co-founder%20of%20Stop%20AAPI-Hate%2C%20Lingsheng%20Li%2C%20geriatrician%2Fpalliative%20care%20doc%20and%20T32%20fellow%20at%20UCSF%2C%20and%20Jessica%20Eng%2C%20medical%20director%20of%20On%20Lok%2C%20a%20PACE%2C%20and%20Associate%20Professor%20in%20the%20UCSF%20Division%20of%20Geriatrics.%C2%A0%20We%20discuss%3A%20%20%20What%20is%20considered%20a%20hate%20incident%2C%20how%20is%20it%20tracked%2C%20what%20do%20we%20know%20about%20changes%20over%20time%20%20%20The%20wider%20impact%20of%20Anti-Asian%20hate%20on%20older%20Asians%2C%20who%20are%20afraid%20to%20go%20out%2C%20leading%20to%20anxiety%2C%20social%20isolation%2C%20loneliness%2C%20decreased%20exercise%2C%20missed%20appointments%20and%20medications.%20Lingsheng%20(and%20I)%20recently%20published%20studies%20on%20this%20in%20%20JAMA%20Internal%20Medicine%2C%20and%20%20JAGS.%20%20%20Ongoing%20reports%20from%20patients%20about%20anti-Asian%20hate%20experiences%C2%A0%20%20%20Should%20clinicians%20screen%20for%20Anti-Asian%20hate%3F%20Why%3F%20Why%20not%3F%20%20%20Proposing%20the%20clinicians%20ask%20a%20simple%20follow%20up%20question%20to%20the%20usual%20%E2%80%9Cdo%20you%20feel%20safe%20at%20home%3F%E2%80%9D%20question%20used%20to%20screen%20for%20domestic%20violence.%C2%A0%20Add%20to%20this%2C%20%E2%80%9Cdo%20you%20feel%20safe%20outside%20the%20home%3F%E2%80%9D%20This%20question%2C%20while%20providing%20an%20opportunity%20to%20talk%20about%20direct%20and%20indirect%20experiences%2C%20can%20be%20asked%20of%20all%20patients%2C%20and%20opens%20the%20door%20to%20conversations%20about%20anti-semitism%2C%20islamophobia%2C%20or%20anti-Black%20racism.%20%20%20See%20also%20guides%20for%20how%20to%20confront%20and%20discuss%20anti-Asian%20hate%20in%20these%20articles%20in%20the%20NEJM%20and%20JGIM.%20And%20to%20balance%20the%20somber%20subject%2C%20Lingsheng%20requested%20the%20BTS%20song%20Dynamite%2C%20which%20was%20the%20group%E2%80%99s%20first%20English%20language%20song%2C%20and%20was%20released%20at%20the%20height%20of%20the%20COVID%20pandemic.%C2%A0%20I%20had%20fun%20trying%20to%20make%20a%20danceable%20version%20with%20electronic%20drums%20for%20the%20audio-only%20podcast.%C2%A0%20Maybe%20we%E2%80%99ll%20get%20some%20BTS%20followers%20to%20subscribe%20to%20GeriPal%3F!%3F%20%C2%A0%20-%40AlexSmithMD%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D727926305%22%2C%22internal_product_id%22%3A%22cb.ep.727926305%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-faca8f7e7dcebda131814e6bbcd257361c885e85%22%2C%22play_count%22%3A45%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Ff%2Fe%2F8%2Fa%2Ffe8ac1e741640c9127a2322813b393ee%2FGeriPal_EP322_forLibsyn.jpg%22%2C%22duration%22%3A2760000%2C%22download_count%22%3A45%2C%22size%22%3A66239936%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Ff%2Fe%2F8%2Fa%2Ffe8ac1e741640c9127a2322813b393ee%2FGeriPal_EP322_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Ff%2Fe%2F8%2Fa%2Ffe8ac1e741640c9127a2322813b393ee%2FGeriPal_EP322_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP322_Anti-Asian_Hate.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-08-15T06%3A45%3A00Z%22%2C%22title%22%3A%22Anti-Asian%20Hate%3A%20Russell%20Jeung%2C%20Lingsheng%20Li%2C%20%20%26%20Jessica%20Eng%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A727926305%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP322_Anti-Asian_Hate.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fbetween-two-urns-undertaker-thomas-lynch%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22(We%20couldn%E2%80%99t%20resist%20when%20Miguel%20Paniagua%20proposed%20this%20podcast%20idea%20and%20title.%20And%20no%2C%20you%E2%80%99ll%20be%20relieved%20to%20hear%20Eric%20and%20I%20did%20not%20imitate%20the%20interview%20style%20of%20Zach%20Galifiniakis).%20We%E2%80%99ve%20talked%20a%20good%20deal%20on%20this%20podcast%20about%20what%20happens%20before%20death%2C%20today%20we%20talk%20about%20what%20happens%20after.%C2%A0%20Our%20guest%20today%20is%20Thomas%20Lynch%2C%20a%20poet%20and%20undertaker%20who%20practiced%20for%20years%20in%20a%20small%20town%20in%20Michigan.%C2%A0%20I%20first%20met%20Thomas%20when%20he%20visited%20UC%20Berkeley%20in%20the%20late%2090%E2%80%99s%20after%20publishing%20his%20book%2C%20%E2%80%9CThe%20Undertaking%3A%20Stories%20from%20the%20Dismal%20Trade.%E2%80%9D%20We%20cover%20a%20wide%20range%20on%20this%20topic%2C%20weaving%20in%20our%20own%20stories%20of%20loss%20with%20Thomas%E2%80%99s%20experiences%2C%20stories%2C%20and%20poems%20from%20years%20of%20caring%20for%20families%20after%20their%20loved%20one%E2%80%99s%20have%20died.%20We%20cover%3A%20%20%20The%20cultural%20shift%20from%20grieving%20to%20celebration%2C%20the%20%E2%80%9Cdisappearance%E2%80%9D%20of%20the%20body%20and%20death%20from%20funerals%20%20%20The%20power%20of%20viewing%20the%20body%20and%20participating%20in%20preparing%20the%20body%2C%20including%20cremation%20%20%20The%20costs%20of%20funerals%C2%A0%20%20%20The%20story%20of%20why%20Thomas%20became%20an%20undertaker%20%20%20A%20strong%20response%20to%20Jessica%20Mitford%E2%80%99s%20scathing%20critique%20of%20the%20American%20Funeral%20Industry%20published%20in%20%20%E2%80%9CThe%20American%20Way%20of%20Death%E2%80%9D%20%20%20Our%20own%20experiences%20with%20funerals%20and%20burial%20arrangements%20for%20our%20loved%20ones%20%20%20Shifting%20practices%2C%20with%20a%20majority%20of%20people%20being%20cremated%20after%20death%2C%20a%20dramatic%20increase%20%20%20%20This%20podcast%20was%20like%20therapy%20for%20us.%C2%A0%20And%20I%20got%20to%20sing%20Tom%20Waits%E2%80%99%20Time%2C%20one%20of%20my%20favorites.%C2%A0%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D726005802%22%2C%22internal_product_id%22%3A%22cb.ep.726005802%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-590c7c9855b49e005a63c5b8a9eef7df08ae90c0%22%2C%22play_count%22%3A54%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2Ff%2F7%2F4%2F6f74d5565e835e0ce55e3c100dce7605%2FGeriPal_EP321_forLibsyn.jpg%22%2C%22duration%22%3A2854000%2C%22download_count%22%3A43%2C%22size%22%3A68497280%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2Ff%2F7%2F4%2F6f74d5565e835e0ce55e3c100dce7605%2FGeriPal_EP321_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F6%2Ff%2F7%2F4%2F6f74d5565e835e0ce55e3c100dce7605%2FGeriPal_EP321_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP321_Between_Two_Urns_192kbps.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-08-08T06%3A45%3A00Z%22%2C%22title%22%3A%22Between%20Two%20Urns%3A%20Undertaker%20Thomas%20Lynch%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A726005802%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP321_Between_Two_Urns_192kbps.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Foptimizing-nutrition-in-aging-a-podcast-with-anna-pleet-elizabeth-eckstrom-and-emily-johnston%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22What%20is%20a%20healthy%20diet%20and%20how%20much%20does%20it%20really%20matter%20that%20we%20try%20to%20eat%20one%20as%20we%20age%3F%C2%A0%20That%E2%80%99s%20the%20topic%20of%20this%20week's%20podcast%20with%20three%20amazing%20guests%3A%20Anna%20Pleet%2C%20Elizabeth%20Eckstrom%2C%20and%20Emily%20Johnston.%20Emily%20Johnston%20is%20a%20registered%20dietitian%2C%20nutrition%20researcher%2C%20and%20Assistant%20professor%20at%20NYU.%C2%A0%20Anna%20Pleet%20is%20an%20internal%20medicine%20resident%20at%20Allegheny%20Health%20Network%20who%20has%20a%20collection%20of%20amazing%20YouTube%20videos%20on%20aging%20and%20the%20Mediterranean%20diet.%20Elizabeth%20Eckstrom%20is%20a%20geriatrician%2C%20professor%20of%20medicine%20at%20OHSU%2C%20and%20author%20of%20a%20new%20book%2C%20%20the%20Gift%20of%20Aging.%20I%20love%20this%20podcast%20as%20while%20we%20talk%20about%20the%20usual%20topics%20in%20a%20medical%20podcast%2C%20like%20the%20role%20of%20screening%2C%20energy%20balance%2C%20and%20evidence-based%20for%20specific%20diets%2C%20we%20also%20talk%20about%20what%20a%20Mediterranean%20diet%20actually%20looks%20like%20on%20a%20plate%20and%20pepper%20our%20guests%20with%20questions%20about%20their%20favorite%20meals%20to%20convince%20Alex%20and%20me%20to%20eat%20more%20like%20a%20Sardinian.%20Eric%20PS.%C2%A0%20NEJM%20just%20published%20a%20great%20summary%20of%20diets%20summing%20up%20adherence%20to%20the%20Mediterranean%20diet%20and%20the%20following%20improved%20health%20outcomes%3A%20death%20from%20any%20cause%2C%20cardiovascular%20diseases%2C%20coronary%20heart%20disease%2C%20myocardial%20infarction%2C%20cancer%2C%20neurodegenerative%20diseases%2C%20and%20diabetes%20%C2%A0%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D724100393%22%2C%22internal_product_id%22%3A%22cb.ep.724100393%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-9380a15f8c15c15ec5499ca164b3319e586e37b9%22%2C%22play_count%22%3A58%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F9%2F2%2Fb%2Fd%2F92bd0aacdf69c0bb27a2322813b393ee%2FGeriPal_EP320_forLibsyn.jpg%22%2C%22duration%22%3A3102000%2C%22download_count%22%3A44%2C%22size%22%3A74444480%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F9%2F2%2Fb%2Fd%2F92bd0aacdf69c0bb27a2322813b393ee%2FGeriPal_EP320_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F9%2F2%2Fb%2Fd%2F92bd0aacdf69c0bb27a2322813b393ee%2FGeriPal_EP320_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP320_Optimizing_Nutrition_in_Aging.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-08-01T06%3A45%3A00Z%22%2C%22title%22%3A%22Optimizing%20Nutrition%20in%20Aging%3A%20A%20Podcast%20with%20Anna%20Pleet%2C%20Elizabeth%20Eckstrom%2C%20and%20Emily%20Johnston%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A724100393%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP320_Optimizing_Nutrition_in_Aging.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fprognosis-superspecial-a-podcast-with-kara-bischoff-james-deardorff-and-elizabeth-lilley%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22We%20are%20dusting%20off%20our%20crystal%20balls%20today%20with%20three%20amazing%20guests%20who%20have%20all%20recently%20published%20an%20article%20on%20prognosis%20over%20the%20last%20couple%20months%3A%20Kara%20Bischoff%2C%20James%20Deardorff%2C%20and%20Elizabeth%20Lilley.%20To%20start%20us%20off%20we%20talk%20with%20Kara%20Bischoff%20about%20the%20article%20she%20just%20published%20in%20%20JAMA%20Network%20on%20a%20re-validation%20of%20the%20Palliative%20Performance%20Scale%20(PPS)%20in%20a%20modern%20day%20palliative%20care%20setting.%C2%A0%20Why%20do%20this%3F%C2%A0%20The%20PPS%C2%A0%20is%20one%20of%20the%20most%20widely%20used%20prognostic%20tools%20for%20seriously%20ill%20patients%2C%20but%20the%20prognostic%20estimates%20given%20by%20the%20PPS%20are%20based%20on%20data%20that%20is%20well%20over%20a%20decade%20old.%20ePrognosis%20now%20includes%20the%20modern%20validation%20of%20the%20PPS.%20Next%2C%20we%20talk%20with%20James%20Deardorff%20about%20whether%20we%20can%20accurately%20predict%20nursing%20home%20level%20of%20care%20in%20community-dwelling%20older%20adults%20with%20dementia.%C2%A0%20Spoiler%20alert%2C%20he%20%20published%20a%20study%20in%20JAMA%20IM%20on%20a%20prognostic%20index%20that%20does%20exactly%20that%20(which%20is%20also%20on%20eprognosis.org)%20Lastly%2C%20we%20invite%20Liz%20Lilley%20to%20talk%20about%20her%20paper%20in%20%20Annals%20of%20Surgery%20about%20prognostic%20allignment%2C%20including%20why%20as%20palliative%20care%20and%20geriatrics%20teams%20we%20need%20to%20take%20time%20to%20ensure%20that%20all%20disciplines%20and%20specialities%20are%20prognostically%20aligned%20before%20a%20family%20meeting.%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D722165182%22%2C%22internal_product_id%22%3A%22cb.ep.722165182%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-9beda0eb2b053fd2c8a3a895f16e016e06788077%22%2C%22play_count%22%3A64%2C%22like_count%22%3A1%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2F3%2Fa%2Fb%2Fe3ab42112719ba4e27a2322813b393ee%2FGeriPal_EP319_v2_forLibsyn.jpg%22%2C%22duration%22%3A2949000%2C%22download_count%22%3A45%2C%22size%22%3A70778816%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2F3%2Fa%2Fb%2Fe3ab42112719ba4e27a2322813b393ee%2FGeriPal_EP319_v2_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2Fe%2F3%2Fa%2Fb%2Fe3ab42112719ba4e27a2322813b393ee%2FGeriPal_EP319_v2_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP319_Prognosis_Superspecial.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-07-25T06%3A45%3A00Z%22%2C%22title%22%3A%22Prognosis%20Superspecial%3A%20A%20Podcast%20with%20Kara%20Bischoff%2C%20James%20Deardorff%2C%20and%20Elizabeth%20Lilley%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A722165182%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP319_Prognosis_Superspecial.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fscreening-for-dementia-a-podcast-with-anna-chodos-joseph-gaugler-and-soo-borson%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22The%20%20US%20Preventive%20Services%20Task%20Force%20(USPSTF)%20concluded%20back%20in%202000%20that%20there%20is%20insufficient%20evidence%20to%20recommend%20for%20or%20against%20routine%20screening%20for%20dementia%20in%20older%20adults.%20Are%20there%2C%20though%2C%20populations%20that%20it%20may%20be%20helpful%20in%2C%20or%20should%20that%20change%20with%20the%20advent%20of%20the%20new%20amyloid%20antibodies%3F%C2%A0%20Should%20it%3F%C2%A0%20If%20so%2C%20how%20do%20we%20screen%20and%20who%20do%20we%20screen%3F%20On%20this%20week%E2%80%99s%20podcast%20we%20talk%20with%20three%20experts%20in%20the%20field%20about%20screening%20for%20dementia.%20Anna%20Chodos%20is%20a%20geriatrician%20at%20UCSF%20and%20the%20Principal%20Investigator%20of%20Dementia%20Care%20Aware%2C%20a%20California-wide%20program%20to%20improve%20the%20detection%20of%20dementia%20in%20older%20adults%20who%20have%20Medi-Cal%20benefits.%20Joseph%20Gaugler%20is%20the%20Director%20of%20the%20Center%20for%20Healthy%20Aging%20and%20Innovation%20at%20the%20University%20of%20Minnesota%2C%20director%20of%20the%20BOLD%20Public%20Health%20Center%20of%20Excellence%20on%20Dementia%20Caregiving%2C%20and%20Editor-in-Chief%20of%20the%20Gerontologist.%C2%A0%20Lastly%2C%20Soo%20Borson%20is%20a%20self-described%20primary%20care%20leaning%20geriatric%20psychiatrist%2C%20developer%20of%20the%20Mini-Cog%2C%20and%20co-leads%20the%20CDC-funded%20BOLD%20Center%20on%20Early%20Detection%20of%20Dementia.%20In%20addition%20to%20the%20questions%20asked%20above%2C%20we%20also%20cover%20the%20following%20topics%20with%20our%20guests%3A%20%20%20What%20is%20dementia%20screening%3F%C2%A0%20%20%20Who%20should%20get%20it%20if%20anyone%3F%20%20%20What%20should%20we%20use%20to%20screen%20individuals%3F%20%20%20What%20happens%20after%20they%20test%20positive%3F%20%20%20And%20if%20you%20are%20interested%20in%20learning%20more%20about%20the%C2%A0Guiding%20an%20Improved%20Dementia%20Experience%20(GUIDE)%20Model%20for%20dementia%2C%20check%20out%20this%20podcast.%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D720631022%22%2C%22internal_product_id%22%3A%22cb.ep.720631022%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-1ea031e9b570048bb6390a3f2df79188895c252a%22%2C%22play_count%22%3A59%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F9%2F1%2F9%2Fd%2F919d6c0d26f08e3b27a2322813b393ee%2FGeriPal_EP318_forLibsyn.jpg%22%2C%22duration%22%3A3118000%2C%22download_count%22%3A46%2C%22size%22%3A74829248%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F9%2F1%2F9%2Fd%2F919d6c0d26f08e3b27a2322813b393ee%2FGeriPal_EP318_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F9%2F1%2F9%2Fd%2F919d6c0d26f08e3b27a2322813b393ee%2FGeriPal_EP318_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP318_Screening_for_Dementia.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-07-19T06%3A45%3A00Z%22%2C%22title%22%3A%22Screening%20for%20Dementia%3A%20A%20Podcast%20with%20Anna%20Chodos%2C%20Joseph%20Gaugler%20and%20Soo%20Borson%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A720631022%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP318_Screening_for_Dementia.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fageism-and-elections-louise-aronson-and-ken-covinsky%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22Emergency%20podcast!%20We%E2%80%99ve%20been%20asked%20by%20many%20people%2C%20mostly%20junior%2Fmid%20career%20faculty%2C%20to%20quickly%20record%20a%20podcast%20on%20ageism%20and%20the%20elections.%C2%A0%20People%20are%20feeling%20conflicted.%C2%A0%20On%20the%20one%20hand%2C%20they%20have%20concerns%20about%20cognitive%20fitness%20of%20candidates%20for%20office.%C2%A0%20On%20the%20other%20hand%2C%20they%20worry%20about%20ageism.%C2%A0%20There%E2%80%99s%20something%20happening%20here%2C%20and%20what%20it%20is%20ain%E2%80%99t%20exactly%20clear.%20We%20need%20clear%20eyed%20thinking%20about%20this%20issue.%20In%20today%E2%80%99s%20podcast%2C%20Louise%20Aronson%2C%20author%20of%20%20Elderhood%2C%20validates%20that%20this%20conflict%20between%20being%20concerned%20about%20both%20fitness%20for%20the%20job%20and%20alarmed%20about%20ageism%20is%20exactly%20the%20right%20place%20to%20be.%C2%A0%20We%20both%20cannot%20ignore%20that%20with%20advancing%20age%20the%20prevalence%20of%20cognitive%20impairment%2C%20frailty%2C%20and%20disability%20increase.%C2%A0%20At%20the%20same%20time%2C%20we%20can%20and%20should%20be%20alarmed%20at%20the%20rise%20in%20ageist%20language%20that%20equates%20aging%20with%20infirmity%2C%20and%20images%20of%20politicians%20racing%20walkers%20or%20a%20walker%20with%20the%20presidential%20seal.%C2%A0%20Ken%20Covinsky%20reminds%20us%20that%20we%20should%20not%20be%20making%20a%20diagnosis%20based%20on%20what%20we%20see%20on%20TV%2C%20and%20that%20if%20a%20patient%E2%80%99s%20daughter%20expressed%20a%20concern%20that%20their%20parent%20%E2%80%9Cwasn%E2%80%99t%20right%2C%E2%80%9D%20we%20would%20conduct%20an%20in%20depth%20evaluation%20that%20might%20last%20an%20hour.%C2%A0%20Eric%20Widera%20reminds%20us%20of%20the%20history%20of%20the%20Goldwater%20Act%20created%20by%20the%20American%20Psychological%20Association%20in%20the%201960s%20which%20states%20that%20psychiatrists%20should%20refrain%20from%20diagnosing%20public%20figures%2C%20and%20the%20%20American%20Medical%20Association%20code%20of%20ethics%20which%20likewise%20discourages%20armchair%20diagnosis%20(rule%20established%20in%202017).%20We%20frame%20today%E2%80%99s%20discussion%20around%20questions%20our%20listeners%20proposed%20in%20response%20to%20our%20Tweets%2C%20and%20are%20grateful%20for%20questions%20from%20Anand%20Iyer%2C%20Sandra%20Shi%2C%20Mike%20Wasserman%2C%20Ariela%20Orkaby%2C%20Karen%20Knops%2C%20Jeanette%20Leardi%2C%20Sarah%20McKiddy%2C%20Cecilia%20Poon%2C%20Colleen%20Christmas%2C%20and%20Kai%20Smith.%20We%20talk%20about%20positive%20aspects%20of%20aging%2C%20cognitive%20screening%2C%20the%20line%20between%20legitimate%20concerns%20and%20ageism%2C%20ableism%2C%20advice%20for%20a%20geriatrician%20asked%20to%20comment%20on%20TV%2C%20frailty%20and%20physical%20disability%2C%20%20images%20in%20the%20%20press%2C%20historical%20situations%20including%20%2C%20and%20an%20upper%20age%20limit%20for%20the%20Presidency%2C%20among%20other%20issues.%20Of%20note%2C%20we%20talk%20about%20candidates%20from%20all%20parties%20today.%C2%A0%20We%20acknowledge%20concerns%20and%20speculation%20that%20others%20have%20raised%20about%20candidates%20across%20the%20political%20spectrum%2C%20current%20and%20former.%C2%A0%20We%20do%20not%20endorse%20or%20disclose%20our%20personal%20attitudes%20toward%20any%20particular%20candidate.%C2%A0%20Fitness%20for%20public%20office%20is%20a%20non-partisan%20issue%20that%20applies%20to%20all%20candidates%20for%20office%2C%20regardless%20of%20political%20party.%20There%E2%80%99s%20something%20happening%20here%2C%20and%20what%20it%20is%20ain%E2%80%99t%20exactly%20clear.%20Strong%20recommendation%20to%20also%20listen%20to%20this%20terrific%20podcast%20with%20another%20geriatrician%20all%20star%2C%20%20Jim%20Pacala%2C%20on%20MPR!%20-%40AlexSmithMD%20%C2%A0%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D719882962%22%2C%22internal_product_id%22%3A%22cb.ep.719882962%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-97db8d9464c53268f1b655f26fa7ad4d2633a206%22%2C%22play_count%22%3A42%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2F76%2F16%2Fef%2F7c46008fed4c8da1316f2aeb16c908d9b8_scaled_v1_400.jpg%22%2C%22duration%22%3A2859000%2C%22download_count%22%3A36%2C%22size%22%3A68606436%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2F76%2F16%2Fef%2F7c46008fed4c8da1316f2aeb16c908d9b8_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2F76%2F16%2Fef%2F7c46008fed4c8da1316f2aeb16c908d9b8_scaled_v1_600.jpg%22%2C%22author%22%3A%22Drs.%20Alex%20Smith%20and%20Eric%20Widera%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP317_v2_Ageism_and_Cognitive_Fitness.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-07-16T21%3A21%3A00Z%22%2C%22title%22%3A%22Ageism%20and%20Elections%3A%20Louise%20Aronson%20and%20Ken%20Covinsky%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A719882962%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP317_v2_Ageism_and_Cognitive_Fitness.mp3%3Fdest-id%3D2390675%22%5D%7D%2C%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fpalliative-care-in-liver-disease-a-podcast-with-kirsten-engel-sarah-gillespie-heyman-brittany-waterman-amy-johnson%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22In%20May%20we%20did%20a%20%20podcast%20on%20KidneyPal%20(the%20integration%20of%20palliative%20care%20in%20renal%20disease)%2C%20%20which%20made%20us%20think%2C%20hmmm%E2%80%A6%20one%20organ%20right%20next%20door%20is%20the%20liver.%20Maybe%20we%20should%20do%20a%20podcast%20on%20LiverPal%3F%20(or%20should%20we%20call%20it%20HepatoPal%3F)%20On%20today%E2%80%99s%20podcast%2C%20we%20do%20that%20by%20inviting%20four%20palliative%20care%20leaders%20who%20are%20integrating%20palliative%20care%20into%20the%20care%20of%20those%20with%20liver%20disease%3A%20Kirsten%20Engel%2C%20Sarah%20Gillespie-Heyman%2C%20Brittany%20Waterman%2C%20and%20Amy%20Johnson.%20It%E2%80%99s%20a%20jampacked%2050%20minutes%2C%20filled%20with%20pearls%20on%20taking%20care%20of%20patients%20with%20liver%20disease.%C2%A0%20We%20cover%3A%20%20%20How%20each%20of%20their%20LiverPal%20teams%20are%20structured%20%20%20Why%20and%20how%20LiverPal%20differ%20from%20general%20palliative%20care%20or%20other%20palliative%20care%20specialty%20areas%20(KidneyPal%2C%20PalliPulm%2C%20etc)%20%20%20How%20to%20prognosticate%20in%20liver%20disease%20and%20how%20they%20communicate%20this%20with%20patients%20%20%20How%20to%20think%20about%20expectations%20of%20transplants%20and%20limitations%20of%20it%20%20%20How%20to%20manage%20complications%20and%20symptoms%20ranging%20from%20ascites%2C%20hepatic%20encephalopathy%2C%20pain%2C%20itching%2C%20cramps%2C%20and%20depression%20%20%20Also%2C%20if%20you%20want%20to%20take%20an%20ever%20deeper%20dive%2C%20check%20out%20our%20%202022%20podcast%20on%20End%20Stage%20Liver%20Disease%20with%20Jen%20Lai%2C%20Ricky%20Shinall%2C%20Nneka%20Ufere%2C%20and%20Arpan%20Patel%20%20%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D718422833%22%2C%22internal_product_id%22%3A%22cb.ep.718422833%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-6007ffc4bb617cc1a67a3608103cb6572366a14d%22%2C%22play_count%22%3A30%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff6%2Fed%2F81%2F671c20564a29e5b140e0b2b6efdfab96ae_scaled_v1_400.jpg%22%2C%22duration%22%3A3083000%2C%22download_count%22%3A18%2C%22size%22%3A74013915%2C%22small_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff6%2Fed%2F81%2F671c20564a29e5b140e0b2b6efdfab96ae_scaled_v1_200.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fs3.castbox.fm%2Ff6%2Fed%2F81%2F671c20564a29e5b140e0b2b6efdfab96ae_scaled_v1_600.jpg%22%2C%22author%22%3A%22%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP316_Palliative_Care_in_Liver_Disease.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-07-11T06%3A45%3A00Z%22%2C%22title%22%3A%22Palliative%20Care%20in%20Liver%20Disease%3A%20A%20Podcast%20with%20Kirsten%20Engel%2C%20Sarah%20Gillespie-Heyman%2C%20Brittany%20Waterman%2C%20%26%20Amy%20Johnson%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A718422833%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP316_Palliative_Care_in_Liver_Disease.mp3%3Fdest-id%3D2390675%22%5D%7D%5D%2C%22epStatusCid%22%3A-1%2C%22epStatus%22%3A%7B%7D%2C%22skip%22%3A0%2C%22limit%22%3A20%2C%22isFetching%22%3Afalse%2C%22fetchingList%22%3Afalse%2C%22fetchOver%22%3Atrue%7D%2C%22trackPlayItem%22%3A%7B%22playItem%22%3A%7B%22website%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Fguidelines-or-goals-in-heart-failure-parag-goyal-nicole-superville-and-matthew-shuster%22%2C%22cid%22%3A3520819%2C%22description%22%3A%22%3Cp%20dir%3D%5C%22ltr%5C%22%3EWhen%20treating%20heart%20failure%2C%20how%20do%20we%20distinguish%20between%20the%20expanding%20list%20of%20medications%20recommended%20for%20%E2%80%9CGuideline%20Directed%20Medical%20Therapy%E2%80%9D%20(GDMT)%20and%20what%20might%20be%20considered%20runaway%20polypharmacy%3F%20In%20this%20week%E2%80%99s%20podcast%2C%20we%E2%80%99ll%20tackle%20this%20crucial%20question%2C%20thanks%20to%20a%20fantastic%20suggestion%20from%20GeriPal%20listener%20Matthew%20Shuster%2C%20who%20will%20join%20us%20as%20a%20guest%20host.%3C%2Fp%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%3EWe%E2%80%99ve%20also%20invited%20two%20amazing%20cardiologists%2C%20Parag%20Goyal%20and%20Nicole%20Superville%2C%20to%20join%20us%20about%20GDMT%20in%20heart%20failure%20with%20reduced%20ejection%20fraction%20(HFrEF)%20and%20in%20Heart%20Failure%20with%20preserved%20EF%20(HFpEF).%C2%A0%20We%20talk%20about%20what%20is%20heart%20failure%2C%20particularly%20HFpEF%2C%20how%20we%20treat%20it%20(including%20the%20use%20of%20sodium%E2%80%93glucose%20cotransporter-2%20inhibitors%20(SGLT2%E2%80%99s)%2C%20and%20how%20we%20should%20apply%20guidelines%20to%20individual%20patients%2C%20especially%20those%20with%20multimorbidity%20who%20are%20taking%20a%20lot%20of%20other%20medications.%3C%2Fp%3E%20%3Cp%20dir%3D%5C%22ltr%5C%22%3EI%E2%80%99d%20also%20like%20to%20give%20a%20shout%20out%20to%20a%20recent%20%3Ca%20href%3D%20%5C%22https%3A%2F%2Fwww.acpjournals.org%2Fdoi%2F10.7326%2FM23-2384%5C%22%3EACP%20article%20on%20HFpEF%3C%2Fa%3E%20with%20an%20outstanding%20contribution%20from%20Ariela%20Orkaby%2C%20geriatrician%20extraordinaire%20(we%20also%20just%20did%20a%20%3Ca%20href%3D%20%5C%22https%3A%2F%2Fgeripal.org%2Felectronic-frailty-indexes-kate-callahan-ariela-orkaby-dae-kim%2F%5C%22%3E%20podcast%20with%20her%20on%20frailty%3C%2Fa%3E).%3C%2Fp%3E%20%3Cp%3E%C2%A0%3C%2Fp%3E%22%2C%22ep_desc_url%22%3A%22https%3A%2F%2Fcastbox.fm%2Fapp%2Fdes%2Fep%3Feid%3D745504196%22%2C%22internal_product_id%22%3A%22cb.ep.745504196%22%2C%22private%22%3Afalse%2C%22episode_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc-605f29768780ee19f9fa68cae021636ba37a16a6%22%2C%22play_count%22%3A52%2C%22like_count%22%3A0%2C%22video%22%3A0%2C%22cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22duration%22%3A2908000%2C%22download_count%22%3A42%2C%22size%22%3A69798874%2C%22small_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fstatic.libsyn.com%2Fp%2Fassets%2F4%2F1%2F9%2F5%2F4195ee19eb32c0ece55e3c100dce7605%2FGeriPal_EP330_forLibsyn.jpg%22%2C%22author%22%3A%22Drs.%20Eric%20Widera%20and%20Alex%20Smith%22%2C%22url%22%3A%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3%3Fdest-id%3D2390675%22%2C%22release_date%22%3A%222024-10-17T06%3A45%3A00Z%22%2C%22title%22%3A%22Guidelines%20or%20Goals%20in%20Heart%20Failure%3A%20Parag%20Goyal%2C%20Nicole%20Superville%2C%20and%20Matthew%20Shuster%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22comment_count%22%3A0%2C%22eid%22%3A745504196%2C%22urls%22%3A%5B%22https%3A%2F%2Ftraffic.libsyn.com%2Fsecure%2Fgeripal%2FGeriPal_EP330_Guildelines_or_Goals_in_Heart_Failure.mp3%3Fdest-id%3D2390675%22%5D%2C%22channel%22%3A%7B%22uid%22%3A%220ba2239677254759aa4cd4df3a36e272%22%2C%22episode_count%22%3A335%2C%22x_play_base%22%3A0%2C%22stat_cover_ext_color%22%3Atrue%2C%22keywords%22%3A%5B%22disability%22%2C%22clinicalpractice%22%2C%22Science%22%2C%22dialysis%22%2C%22eom%22%2C%22intensivecare%22%2C%22FOAMED%22%2C%22PalliativeCare%22%2C%22HeartDisease%22%2C%22aging%22%2C%22Nursing%22%2C%22ICU%22%2C%22medicalresearch%22%2C%22olderadults%22%2C%22Elderly%22%2C%22geriatricians%22%2C%22physicians%22%2C%22ACP%22%2C%22Dementia%22%2C%22nursinghome%22%2C%22palliative%22%2C%22medical%22%2C%22gerontology%22%2C%22Health%20%26%20Fitness%22%2C%22endoflife%22%2C%22nurses%22%2C%22medicine%22%2C%22Life%20Sciences%22%2C%22hospital%22%2C%22seniors%22%2C%22surgery%22%2C%22Caregiving%22%2C%22COPD%22%2C%22caregiver%22%2C%22heartfailure%22%2C%22Doctors%22%2C%22hospice%22%2C%22geriatrics%22%2C%22hospitalist%22%2C%22Medicine%22%2C%22cancer%22%2C%22advancecareplanning%22%2C%22MedEd%22%5D%2C%22cover_ext_color%22%3A%22-16352598%22%2C%22mongo_id%22%3A%225faed65ebe48032ae239942c%22%2C%22show_id%22%3A%2257fee30bd58830736da1bb8b%22%2C%22copyright%22%3A%222021%20GeriPal.%20All%20rights%20reserved.%22%2C%22author%22%3A%22GeriPal%22%2C%22is_key_channel%22%3Atrue%2C%22audiobook_categories%22%3A%5B%5D%2C%22comment_count%22%3A0%2C%22website%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22rss_url%22%3A%22https%3A%2F%2Fgeripal.libsyn.com%2Frss%22%2C%22description%22%3A%22A%20geriatrics%20and%20palliative%20care%20podcast%20for%20every%20health%20care%20professional.%20%5Cn%5CnWe%20invite%20the%20brightest%20minds%20in%20geriatrics%2C%20hospice%2C%20and%20palliative%20care%20to%20talk%20about%20the%20topics%20that%20you%20care%20most%20about%2C%20ranging%20from%20recently%20published%20research%20in%20the%20field%20to%20controversies%20that%20keep%20us%20up%20at%20night.%20%20%20You'll%20laugh%2C%20learn%20and%20maybe%20sing%20along.%20%20Hosted%20by%20Eric%20Widera%20and%20Alex%20Smith.%20CME%20available!%22%2C%22tags%22%3A%5B%22from-itunes%22%2C%22evst-review-passed%22%2C%22from-google%22%5D%2C%22editable%22%3Atrue%2C%22play_count%22%3A28217%2C%22link%22%3A%22http%3A%2F%2Fwww.geripal.org%22%2C%22twitter_names%22%3A%5B%22GeriPalBlog%22%5D%2C%22categories%22%3A%5B10059%2C10091%2C10062%2C10095%2C10012%5D%2C%22x_subs_base%22%3A24%2C%22small_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F200x200bb.jpg%22%2C%22big_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F600x600bb.jpg%22%2C%22language%22%3A%22en%22%2C%22cid%22%3A3520819%2C%22latest_eid%22%3A755287330%2C%22release_date%22%3A%222024-11-21T07%3A45%3A00Z%22%2C%22title%22%3A%22GeriPal%20-%20A%20Geriatrics%20and%20Palliative%20Care%20Podcast%22%2C%22uri%22%3A%22%2Fch%2F3520819%22%2C%22https_cover_url%22%3A%22https%3A%2F%2Fis1-ssl.mzstatic.com%2Fimage%2Fthumb%2FPodcasts115%2Fv4%2F35%2F08%2F6f%2F35086f93-1641-5c4d-6f7c-cdc91d69b27d%2Fmza_8919546856187092189.jpg%2F400x400bb.jpg%22%2C%22channel_type%22%3A%22private%22%2C%22channel_id%22%3A%2257f7e1f80e28804500fb24eb7df71bf4c602eedc%22%2C%22sub_count%22%3A733%2C%22internal_product_id%22%3A%22cb.ch.3520819%22%2C%22social%22%3A%7B%22website%22%3A%22https%3A%2F%2Fwww.geripal.org%22%2C%22youtube%22%3A%5B%7B%22name%22%3A%22channel%2FUCuqH32jtgFwqJ8jYoQbQgdQ%22%7D%5D%2C%22twitter%22%3A%5B%7B%22name%22%3A%22GeriPalBlog%22%7D%5D%2C%22facebook%22%3A%5B%7B%22name%22%3A%22GeriPal%22%7D%5D%2C%22instagram%22%3A%5B%7B%22name%22%3A%22geripal_podcast%2F%22%7D%5D%7D%7D%2C%22count%22%3A0%7D%2C%22isPlay%22%3Afalse%2C%22timeupdate%22%3A0%2C%22playContent%22%3A%7B%7D%7D%2C%22comment%22%3A%7B%22loading%22%3Afalse%2C%22comment_list%22%3A%5B%5D%2C%22_cid%22%3A%22%22%2C%22_eid%22%3A%22745504196%22%2C%22comment_count%22%3A0%7D%2C%22platForm%22%3A%7B%22isPhone%22%3Afalse%2C%22isAndroid%22%3Afalse%2C%22isMac%22%3Afalse%2C%22from%22%3A%22%22%2C%22isBot%22%3Afalse%2C%22isWebView%22%3Afalse%2C%22isDev%22%3Afalse%2C%22isIos%22%3Afalse%2C%22isKaios%22%3Afalse%2C%22country%22%3A%22us%22%2C%22isTwitterWebView%22%3Afalse%7D%7D"; window.__ISINAPP__=false window.__NOT_ALLOWED_COOKIES__=true </script> <script id="__LOADABLE_REQUIRED_CHUNKS__" type="application/json">[0,4,80,2,44,3,6,10,18,1,20,42]</script> <script async data-chunk="castbox" src="https://s3.castbox.fm/webstatic/js/manifest.57b07a13.js"></script> <script async data-chunk="castbox" src="https://s3.castbox.fm/webstatic/js/page.vendor.e44e040b.js"></script> <script async data-chunk="castbox" src="https://s3.castbox.fm/webstatic/js/page.castbox.ca94781a.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~audiobooks.genre~castbox.main~categories~ch~channellist~claim~claim.failed~claim.~b62a876c.b05dccc0.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~ch~ep~global~home~login~m.about~m.app.index~m.contactus~m.cookie~m.download~m.hel~dc9febc7.ba580a6f.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.vendors~global.477d99c3.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.categories~channellist~claim~claim.failed~claim.link_claimed~claim.link_lost~claim.ok~global~login~m~430f1dc9.c099faab.js"></script> <script async data-chunk="global" src="https://s3.castbox.fm/webstatic/js/page.global.ded6e35e.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~castbox.main~ch~creator.analytics~creator.ch~creator.ch.des~creator.comments~crea~60d4e606.8cfae974.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.vendors~castbox.main~creator.analytics~creator.ch~creator.ch.des~creator.comments~creator.ep~creator~546696e9.f9d60409.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks.genre~castbox.main~genre.9c3cbd17.js"></script> <script async data-chunk="castbox.main" src="https://s3.castbox.fm/webstatic/js/page.castbox.main.0f563c20.js"></script> <script async data-chunk="ch" src="https://s3.castbox.fm/webstatic/js/page.vendors~audiobooks~audiobooks.genre~categories~ch~channellist~claim~claim.failed~claim.link_claimed~~48565954.55d81d64.js"></script> <script async data-chunk="ch" src="https://s3.castbox.fm/webstatic/js/page.ch.1c5ad71a.js"></script> <script async data-chunk="ep" src="https://s3.castbox.fm/webstatic/js/page.ep.c2b68e4c.js"></script> <script async src="/api/pwa/app.js"></script> <script> !function(f,b,e,v,n,t,s) {if(f.fbq)return;n=f.fbq=function(){n.callMethod? n.callMethod.apply(n,arguments):n.queue.push(arguments)}; if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0'; n.queue=[];t=b.createElement(e);t.async=!0; t.src=v;s=b.getElementsByTagName(e)[0]; s.parentNode.insertBefore(t,s)}(window, document,'script', 'https://connect.facebook.net/en_US/fbevents.js'); fbq('init', '572262379840831'); fbq('track', 'PageView'); </script> <noscript><img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=572262379840831&ev=PageView&noscript=1" /></noscript> <script type="text/javascript" charset="utf-8"> (function (g, o) { (g[o] = g[o] || function () { (g[o]['q'] = g[o]['q'] || []).push(arguments); }), (g[o]['t'] = 1 * new Date()); })(window, '_googCsa'); </script> <script type="text/javascript"> window._taboola = window._taboola || []; _taboola.push({ homepage: 'auto' }); !(function (e, f, u, i) { if (!document.getElementById(i)) { e.async = 1; e.src = u; e.id = i; f.parentNode.insertBefore(e, f); } })( document.createElement('script'), document.getElementsByTagName('script')[0], '//cdn.taboola.com/libtrc/castbox-desktop/loader.js', 'tb_loader_script' ); if (window.performance && typeof window.performance.mark == 'function') { window.performance.mark('tbl_ic'); } </script> </body> </html>