Skip to main content

GeriPal Enters into the Terrible Twos


On June 19, 2009, GeriPal was born. On that date the post 'Support the Independence at Home Act' was published to the world. Well, really, just probably published to two people: Alex and Eric.

Times have changed since that first post. Our community is larger than we ever expected. Every month we have around 30,000 pageviews from an international audience (the top 5 countries being the United States, Canada, Germany, the United Kingdom and Australia). In addition to those who come to our website, we also have close to 1,200 individuals who receive our posts via email or RSS readers. We are also now on Twitter (nearly 1000 followers) and Facebook (over 200 followers).

As GeriPal's community grew, so did its recognition. For instance, GeriPal has been mentioned in the NY Times, MSNBC, and the Lancet, as well being recognized as the 2010 Best Clinical Blog in the medical weblogs awards.

All of this would never have happened if was not for our amazing contributors, who have really taken this experiment in disruptive commentary to heart. Reading the list gives you an idea of some of the talent we have on board:
Theresa Allison, Bob Arnold, Helen Chen, Amy Corcoran, Ken Covinsky, Anne Johnson, Bree Johnston, Helen Kao, Chrissy Kistler, Leslie Kernisan, Sei Lee, Susan Lysaght, Dan Matlock, Brad Miller, Carla Perissinotto, VJ Periyakoil, Mike Steinman, Rebecca Sudore, Brad Stuart, Paul Tatum, Julie Thai, Ori Tzvieli, Patrice Villars, Lindsey Yourman, and Ron Walent.
These contributors have created a total of 266 posts on topics that spanned the spectrum of geriatrics and palliative care. To give you a taste, here are our top 10 posts of all time:
  1. End Stage Dementia: A Terminal Disease Needing Palliative Care
  2. Atul Gawande New Yorker Article "Letting Go" 
  3. Watchful Waiting or Surgery for Prostate Cancer? 
  4. Don't try this at home (New GeriPal video "Take out the trash")
  5. Length of Stay in Nursing Homes at the End of Life 
  6. A Call for Hospice Reform: Nurse Practitioners Lead the Way 
  7. Palliative Care Consultations: An Answer to Medicaid's Woes
  8. Does Morphine Stimulate Cancer Growth?
  9. Palliative Care and Accountable Care Organizations – A Call for Comments 
  10. Palliative Care Prolongs Life

With all this said, our initial vision was to start a dialogue about geriatrics and palliative care on a national stage by creating an online community for people who are passionate about this subject. Making this vision a reality is the true measure of success, and we hope that we are getting close to achieving it. Our community is the thing that keeps us going and keeps the posts flowing.

So, a very big happy birthday to the GeriPal community.  Thank you for everything that you have done to make this such a wonderful two years. 

What does the next year have in store for us all? We're not sure. However, the one thing we do know is that GeriPal is entering into the 'terrible twos' when toddlers traditionally begin to stretch their boundaries and push their limit. Sounds fun!

Sincerely,

Eric Widera and Alex Smith

Comments

First!

Congratulations GeriPal on a great first two years. You guys have done some amazing things. I am glad to see you thriving and dropping off like so many blogs do. A reason why so many blogs stop after a few months? It is hard work.

So a standing ovation from my computer in my office at home for Alex and Eric leading a great group of writers to expand the dialogue. Keep up the great work.

I look forward to many future joint parties with Pallimed and GeriPal in the years to come.
♫ Happy Birthday to you! ♪
♫ Happy Birthday to you! ♪
♪ Happy Birthday to GeriPal! ♫
♫ and many more...! ♫
Congratulations!
Dr. Pam said…
Happy anniversary! Wishes for many more to come, Pam Harris
Happy Birthday and warmest congratulations to everyone at GeriPal! Thank you for being such an outstanding model for the rest of us who blog, tweet and post on Facebook!
Mike Steinman said…
To add my voice to the mix, hearty congratulations to Eric and Alex - the blog has been a tremenous success thanks to your hard work and dedication!
Dan Matlock said…
A sincere thank you for this thoughtful forum
Lindsey Yourman said…
Do you make Geri-Pal T-shirts? If so, how can I get one?

Popular posts from this blog

Lost in Translation: Google’s Translation of Palliative Care to ‘Do-Nothing Care’

by: Cynthia X. Pan, MD, FACP, AGSF (@Cxpan5X)

My colleagues often ask me: “Why are Chinese patients so resistant to hospice and palliative care?” “Why are they so unrealistic?” “Don’t they understand that death is part of life?” “Is it true that with Chinese patients you cannot discuss advance directives?”

As a Chinese speaking geriatrician and palliative care physician practicing in Flushing, NY, I have cared for countless Chinese patients with serious illnesses or at end of life.  Invariably, when Chinese patients or families see me, they ask me if I speak Chinese. When I reply “I do” in Mandarin, the relief and instant trust I see on their faces make my day meaningful and worthwhile.

At my hospital, the patient population is about 30% Asian, with the majority of these being Chinese. Most of these patients require language interpretation.  It becomes an interesting challenge and opportunity, as we often need to discuss advance directives, goals of care, and end of life care options…

Are Palliative Care Providers Better Prognosticators? A Podcast with Bob Gramling

Estimating prognosis is hard and clinicians get very little training on how to do it.  Maybe that is one of the reasons that clinicians are more likely to be optimistic and tend to overestimate patient survival by a factor of between 3 and 5.  The question is, aren't we better as palliative care clinicians than others in estimating prognosis?  This is part of our training and we do it daily.   We got to be better, right? 

Well, on todays podcast we have Bob Gramling from the Holly and Bob Miller Chair of Palliative Medicine at the University of Vermont to talk about his paper in Journal of Pain and Symptom Management (JPSM) titled “Palliative Care Clinician Overestimation of Survival in Advanced Cancer: Disparities and Association with End of Life Care”.

Big findings from this JPSM paper include that we, like all other clinicians, are an optimistic bunch and that it actually does impact outcomes.   In particular, the people whose survival was overestimated by a palliative care c…

Delirium: A podcast with Sharon Inouye

In this week's GeriPal podcast we discuss delirium, with a focus on prevention. We are joined by internationally acclaimed delirium researcher Sharon Inouye, MD, MPH. Dr Inouye is Professor of Medicine at Harvard Medical School and Director of the Aging Brain Center in the Institute for Aging Research at Hebrew SeniorLife.

Dr. Inouye's research focuses on delirium and functional decline in hospitalized older patients, resulting in more than 200 peer-reviewed original articles to date. She has developed and validated a widely used tool to identify delirium called the Confusion Assessment Method (CAM), and she founded the Hospital Elder Life Program (HELP) to prevent delirium in hospitalized patients.

We are also joined by guest host Lindsey Haddock, MD, a geriatrics fellow at UCSF who asks a great question about how to implement a HELP program, or aspects of the program, in a hospital with limited resources.  


You can also find us on Youtube!


Listen to GeriPal Podcasts on:
iTunes…