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Showing posts from February, 2017

How Low Should We Go with Blood Pressure in Older Adults? A Podcast with Mark Supiano

In this GeriPal Podcast we talk with Dr. Mark A. Supiano about a blood pressure management in older adults in the light of new evidence from the Systolic Blood Pressure Intervention Trial (SPRINT) . In particular, we talk about a recent paper he co-author with Jeff Williamson in the Journal of the American Geriatrics Society (JAGS) titled "Applying the Systolic Blood Pressure Intervention Trial Results to Older Adults."   We discuss issues around the generalizability of the SPRINT trial, whether it applies to a subset of frail older adults, and whether the way we measure blood pressure in a typical office visit influences how we should think about the question "how low should we go?" GeriPal Podcasts can be found on: iTunes Google Play Music Soundcloud Stitcher Transcript of the podcast: Eric: Welcome to the geripal podcast this is Eric Widera. Sei: And Sei Lee. Alex: And Alex Smith. Eric: And before we get to our guest who's ca

Encouraging ACP to support the Older Americans Act

by: Joanne Lynn, MD ( @drjoannelynn ) Last year when the Older Americans Act came up for reauthorization, no medical or nursing professional groups provided visable support.  Outrageous.  This is how our vulnerable patients get Meals on Wheels, housing adaptations, transportation, and so on.  Funding has been stagnant for nearly two decades. If you are a member of American College of Physicians (ACP), please write immediately in support of the Resolution 3-S17 which is reproduced below – comments are due by March 1 – so don’t delay . Send your supportive comment to . If you are not in ACP – consider whether your professional organizations might support the OAA when it comes up next year.  ACP required this process that ends up authorizing their advocacy group to take action – so it takes a year or so to get them aligned.  See what other groups will need to be ready. If we are not there for our patients in need, who will be?  Most cities now have 6 mon

Jessica Zitter on Palliative Care in the ICU

In this GeriPal Podcast  we talk with Dr. Jessica Zitter , a pulmonary critical care and palliative medicine physician ( click here for the podcast ). Jessica Zitter is the author of Extreme Measures: Finding a Better Path to the End of Life  (publication date 2/21/17) and is featured in the short documentary Extremis , available on Netflix and nominated for an Oscar . We talk with Jessica about her experience transitioning from being an ICU doctor to an ICU/Palliative doctor, how she is treated differently when she sees patients as an ICU attending vs a palliative care attending, the Big 3 (CPR, mechanical ventilation, and feeding tubes), and most importantly WHO she is wearing to the Oscars! Jessica Zitter will be speaking and showing the film Extremis at the HPNA/AAHPM meeting this Thursday 1:30-2:30, and will be signing copies of her book Thursday at 5:30pm in the Exhibit Hall. Major props to Jessica for being the first GeriPal podcast guest to sing along!  Musical

Ain't No Party Like a GeriPal / Pallimed #HPMParty at #HPM17

Come one, come all to the 11th annual GeriPal / Pallimed party during the Annual Assembly of AAHPM and HPNA, and right after SWHPN's conference too! In keeping with tradition, we will host it on the Thursday of the Assembly (Feb 23rd).  We will start at Lustre at around 8 PM and move on from there to Hanny's at 10pm (and then who knows what).  Like always though, these are rough estimates of time, so if you want to know the details, follow the hashtag #HPMparty  on Twitter. Also, feel free to invite and bring anyone, as this is no exclusive crowd. Ways to follow:  #HPMparty twitter feed Pallimed Twitter feed  /  Pallimed Facebook page   GeriPal Twitter feed  /  GeriPal Facebook page  by: Eric Widera ( @ewidera )

Nate Goldstein - The Role of Palliative Care in Heart Failure

On today's podcast we interview Nathan Goldstein ( @drnategoldstein ), Chief of the Division of Palliative Care for Mount Sinai Beth Israel. We discuss his experiences and research focused on improving communication and the delivery of palliative care to patients with advanced heart failure, including for those folks with AICD's and LVADs (and other interesting acronyms). GeriPal Podcasts can be found on: iTunes  Google Play Music Soundcloud Stitcher Transcript of the podcast: Alex: Welcome to the GeriPal Podcast, I'm Alex Smith. Ken: I'm Ken Covinsky. Alex: And we have a special guest with us today, Ken. We have Nate Goldstein all the way from the left coast. Who's Nate Goldstein? Ken: Oh my gosh, I have been a long-time admirer of Nate. Truly on of the giants in the fields of palliative medicine. So Nate is the one who has really founded the field of palliative medicine within heart failure research. Alex: I can't wait to meet