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HPM TALK is the podcast of NHPCO's MyNHPCO Physician and Advanced Practice Provider Community. This podcast connects you with leaders in the field to discuss issues pertinent to our practice and to bring you the voices of other physicians and advanced practice providers who will share their experiences in the field. A rotating team of hosts will address topics of interest to the hospice medical director, hospice physician, advanced practice provider in hospice and palliative care and the pal ...
A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith.
Stay uptodate with the latest in heart failure, cardiac hemodynamics, pulmonary hypertension and cardiac transplantation.
This podcast is grounded in Palliative Care concepts. We explore topics and tools to create an amazing day amidst dying. My own insights and others' that have something to say about dying well in this modern age, healing symptoms and supporting the people who are supporting our dying loved ones. May we bring peace and comfort to ourselves and to our communities.
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All things Amyloid, including Aducanumab and Amyloid PET scans with Gil Rabinovici
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There are no currently approved disease modifying drugs for Alzheimer's disease, but in a couple months that may change. In July of 2021, the FDA will consider approval of a human monoclonal antibody called Aducanumab for the treatment of Alzheimer's disease. If approved, it will not only make this drug the defacto standard of care for Alzhimers di…
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Ageism + COVID19 = Elder Genocide: Podcast on nursing homes with Mike Wasserman
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One of our earliest COVID podcasts with Jim Wright and David Grabowski a year ago addressed the early devastating impact of COVID on nursing homes. One year ago Mike Wasserman, geriatrician and immediate past president of the California Long Term Care Association, said we’d have a quarter million deaths in long term care. A quarter of a million dea…
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COVID Vaccine Hesitancy in Frontline Nursing Home Staff
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COVID has taken a devastated toll in nursing homes. Despite representing fewer than 5% of the total US events, at least 40% of COVID‐19–related deaths occurred in older individuals living in nursing homes. The good news is that with the introduction of COVID vaccines in nursing homes, numbers of infections and outbreaks have plummeted. However, onl…
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Expelled from Hospice: Podcast with Elizabeth Luth and Lauren Hunt
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Hospice may not be a great match for all of the care needs of people with dementia, but it sure does help. And, as often happens, when patients with dementia do not decline as expected, they are too frequently discharged from hospice, an experience that Lauren Hunt and Krista Harrison refer to in an editorial in the Journal of the American Geriatri…
025 - Bowel Management Dr Linda Tavel National Medical Director, Hospice Division, Accent Care discusses bowel assessment and management
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Reframing Aging: A Podcast with Patricia D'Antonio
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The COVID pandemic brought to light many things, including how society views older adults. Louise Aronson wrote a piece in the NY Times titled “‘Covid-19 Kills Only Old People.’ Only? Why are we OK with old people dying?”. The ageist viewpoint she was rallying against was also brought to light in a study of ageism in social media. When looking at t…
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So you want to be a hospice medical director? Podcast with Tommie Farrell and Kai Romero
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So what exactly does a hospice medical director do? Why do some choose to become hospice physicians? What additional training is needed, if any, beyond Hospice and Palliative Medicine fellowship and boards? Who should take the new Hospice Medical Director Certification Board Examination? A recent study in JAGS found high rates of hospice disenrollm…
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The Problem of Alzheimer's: A Podcast with Jason Karlawish
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Where are we with Alzheimers? Are we about to see a revolution in how we diagnose and treat it with Amyloid PET scans and the amyloid antibody aducanumab (which is currently on FDA’s desk for approval)? Or are we still in the same place where there is no meaningfully effective treatment? Or is it somewhere in between, given the data that we have on…
We discuss several of the important data coming out the American Heart Association 2020 meeting. Thanks for listening. Please like, subscribe and give us a rating.By Mahek Shah, MD
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Importance of Function in COVID Prognosis: Podcast with Orestis Panagiotou, Elizabeth White, and Marlon Aliberti
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Nursing home residents have been devastated by COVID. Somewhere around 40% of deaths from COVID have been among nursing home residents, though they make up just a sliver of the US population. Prognostication among nursing home residents who have COVID is important for a host of reasons - for counseling patients and families about what to expect, fo…
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LGBT Care for Older Adults and Serious Illness: Podcast with Carey Candrian and Angela Primbas
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Lesbian, gay, bisexual and transgender (LGBT) older adults have lived through a lifetime of discrimination, social stigma, prejudice, and marginalization. Is the care that we are giving them in later life changing any of that or are we pushing them back into the closet? This is what we talk about in this week's podcast with Carey Candrian from the …
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Medications Safety/Quality Update: Podcast with Nagham Ailabouni
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On the one hand, every year we are fortunate to have new medications that help older adults and people living with serious illness. New treatments for lung cancer with remarkable survival outcomes come to mind, for example. On the other hand, the tremendous growth in medications has led to an explosion of prescribing, polypharmacy, with attendant s…
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Living with Death: A Podcast with BJ Miller
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Most of us know we are going to die. How often though do we actually let ourselves really internalize that understanding? To imagine it? To feel it? To try to accept it? On today’s podcast we invited BJ Miller back on our podcast to talk about death using as our guide his recent NY Times editorial What Is Death? How the pandemic is changing our und…
Dr. Steven Baumrucker discusses an unusual case that stretched the envelope when it comes to the role of the palliative medicine consultant.
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HeartSuccess- A Heart Failure Podcast
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#26 Cardiorenal Protection with Newer Antidiabetic Agents
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We have a multispecialty panel discussion on the cardiorenal benefits of newer antidiabetic agents with Drs Rangaswami, Vaduganathan, Tuttle and Bhalla. Thanks for listening. Please like, subscribe and give us a rating.By Mahek Shah, MD
Many of us in geriatrics and palliative care assume that we are the experts in health care when it comes to understanding the caregiver experience. Every once in a while, we are humbled and reminded of what we don’t know. Jessica Zitter had such an experience. Jessica, as many of you know, is an award winning author (link to our podcast about her b…
We discuss several of the important data coming out the European Society of Cardiology 2020 meeting. Thanks for listening. Please like, subscribe and give us a rating.By Mahek Shah, MD
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Guardianship and End-of-Life Decision Making: A Podcast with Andy Cohen and Liz Dzeng
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Surrogate decision‐making around life-sustaining treatments in the hospital even in the best of circumstances is hard. It’s maybe even harder when caring for those who are conserved or have a professional guardian. The conservator may not have known the patient prior to them losing capacity, they may not know their values or goals that can help gui…
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Caregiving Boot Camp: Podcast with Zaldy Tan
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“Diagnose and adios.” That’s the sad phrase that I’ve heard quoted more than once, representing caregivers' sentiment of what it’s like to be told by a clinician that your loved one has dementia. This week we talked with Zaldy Tan, Geriatrician and Director of the Memory and Aging program at Cedars Sinai in Los Angeles. With David Reuben at UCLA an…
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Driving a Cultural Shift in the End Of Life Experience: A Podcast with Shoshana Ungerleider on "Take 10"
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What does it mean to create a cultural shift to the end of life experience? Is it even possible? How do you even start something like that? On today's podcast, we talk to Shoshana Ungerleider about her experience making that change. Shoshana is one of those amazing advocates for palliative and end of life care. She started the Ungerleider Palliativ…
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Time to Benefit of Statins for Primary Prevention: A Podcast with Lindsey Yourman and Sei Lee
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How long does it take to see a benefit of statin therapy for primary prevention of cardiovascular events in adults aged 50 to 75 years? That's the question we try to answer with our two guests today, Drs Lindsey Yourman and Sei Lee, the lead and senior author of a JAMA IM study that tried to answer this question. In this podcast Drs. Yourman and Le…
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Age Friendly Health Systems: Podcast with Julia Adler-Milstein and Stephanie Rogers
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An age friendly health system is one in which everyone, from the doctors to the nurses to the people cleaning the rooms are aware of the unique needs of older adults. These needs are categorized around the 4 M’s - Medication, Mentation, Mobility, and What Matters Most. But we cannot achieve the ideal of an age friendly health system without, well, …
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Crisis Communication and Grief in the Emergency Department: Podcast with Naomi George and Kai Romero
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The Emergency Department (ED) is a hard place to have serious illness discussions, whether it be goals of care or code status discussions, or whether or not to consider intubation for a seriously ill patient. Emergency physicians often don't have the time for in-depth discussions, nor have been trained on how to do so. There often is limited inform…
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Palliative Care for non-cancer illness: Podcast with Kieran Quinn and Krista Harrison
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In this week's podcast we talk with Kieran Quinn, author of a systematic review and meta-analysis of palliative care for non-cancer illness, published in JAMA. We also talk with Krista Harrison, first author of an accompanying editorial. JAMA editors cut out some of my favorite parts of Krista's editorial, possibly because they were more like a blo…
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State of Heart Failure & Palliative Care: Podcast with Haider Warraich
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There are a lot of large numbers that involve heart failure, starting with the sheer number of patients diagnosed (6.5 million and counting), to the cost of their care (~$70 billion by 2030), to the amount of money invested by the NIH into research ($1 billion annually). But the smaller numbers deserve attention too - 50% of patients die within 5 y…
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The Geriatric 5M Approach to Telemedicine Assessment: A Podcast with Lauren Moo
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On todays podcast, we have Lauren Moo, a cognitive behavioral neurologist who has been doing video visits well before the COVID-19 pandemic to decrease the need for travel and to decrease the agitation in older adults with dementia that commonly occur when a clinic visits disrupts the usual routine. Now with COVID among us, Lauren talks to us about…
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Advance Care Planning is So Right: Podcast with Rebecca Sudore and Ryan McMahan
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Last month we published a podcast with Sean Morrison that garnered a great deal of attention, in which Sean Morrison argued that Advance Care Planning is an idea that is “clear, simple, and wrong.” This week, we have a fresh updated counterpoint from Rebecca Sudore and Ryan McMahan. These two published a paper this week in the Journal of the Americ…
In 1968 a committee at Harvard Medical School met to lay down the groundwork for a new definition of death, one that was no longer confined to the irreversible cessation of cardiopulmonary function but a new concept based on neurological criteria. Over the next 50 years, the debate over the concept of brain death has never really gone away. Rather …
We discuss cardiogenic shock and decision making in the case of a young female presenting to the ER. We have a panel of cardiologists guide the discussion. Drs Rene Alvarez, Daniel Sims and Alec Vishnevski discuss the case presented by cardiology fellow Rachna Kataria, MD. Thanks for listening. Please like, subscribe and give us a rating.…
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It's Time for Comprehensive Dementia Care: Podcast with Lee Jennings and Chris Callahan
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Chris Callahan (of Indiana University) and Lee Jennings (University of Oklahoma) have some righteous anger. Why do we have comprehensive cancer care centers and not comprehensive dementia care centers? We have a body of evidence dating back 30 years to support people with dementia and their caregivers with Comprehensive Dementia Care. Lee Jennings …
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Reducing serious fall-related injuries: an interview with NEJM STRIDE Study author Tom Gill
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Every year, about a third of older adults fall. About one in five of those falls result in moderate to severe injury. What can we do to help not only prevent those falls but also the complications of them? On todays podcast, we talk to Tom Gill, one of the authors of the recent Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE)…
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Family Meetings for Patients with Serious Illness: Podcast with Eric Widera
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No dear listeners and readers, that is not a typo. Eric Widera is indeed our guest today to discuss his first author publication in the New England Journal of Medicine, Family Meetings on Behalf of Patients with Serious Illness. Our other guests include other authors James Frank, Wendy Anderson, Lekshmi Santhosh, me and actress and frequent GeriPal…
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The Perfect Storm of COVID‐19 in Nursing Homes: A Podcast with Joe Ouslander
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COVID-19 has created a perfect storm in nursing homes. As noted in a recent Journal of the American Geriatrics Society (JAGS) article by Joe Ouslander and David Grabowski, the storm is created by the confluence risks, including a vulnerable population that develop atypical presentations of COVID-19, staffing shortages due to viral infection, inadeq…
Drs Burkarth and Baumrucker discuss the ins and outs of publishing your research, case studies, literature reviews and even poetry in this month's episode. Check out the companion article: The 4-Step Guide That Will Get Your Research PublishedBy HPM Talk
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Advance Care Planning is Wrong: Podcast with Sean Morrison
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Sean Morrison dropped a bomb. It's a perspective I've heard before from outside of palliative care, most clearly by bioethicists Angie Fagerlin and Carl Schnieder in their landmark article Enough: The Failure of the Living Will. But Sean Morrison, Director of the National Palliative Care Research Center and Chair of the Department of Geriatrics and…
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#23 Understanding Cardiogenic Shock with Navin Kapur MD
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We discuss the various aspects of cardiogenic shock including definition, heterogeneity, classification and management with an internationally renowned expert in the field Dr Navin Kapur. Dr Kapur is the Director of the Acute Mechanical Circulatory Support Program at Tufts University School of Medicine, Boston, MA. Listen, like, subscribe, and give…
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022 - Telemedicine vs Telehealth- Some Answers
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Join Dr. Steven Baumrucker, Medical Director of Ballad Health Palliative Medicine Associates and Associate Editor in Chief of the American Journal of Hospice and Palliative Medicine, as he speaks with Debbie Voyles, Corporate Director of Virtual Health for Ballad Health System about telemedicine in the age of COVID-19.…
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HeartSuccess- A Heart Failure Podcast
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#22 Cardio-Oncology from the Cardiologist- Cardiotoxicity with Sherry-Ann Brown MD PhD
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We discuss several aspects of cardio-oncology including screening protocols, specific chemotherapy related cardiotoxicities and management of cardiovascular disease among cancer patients and cancer survivors. Dr Sherry-Ann Brown is the director of Cardio-Oncology at the Medical College of Wisconsin, Milwaukee, WI. Listen, like, subscribe, and give …
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Ageism in the Time of COVID: Podcast with Louise Aronson
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In this week's GeriPal podcast we talk with Louise Aronson, author of the Pulitzer prize finalist Elderhood (https://www.amazon.com/Elderhood-Redefining-Transforming-Medicine-Reimagining/dp/1620405466). Louise has been one of the (sadly) few voices beating a loud and urgent drum in the medical and lay press about the insidious ageism taking place i…
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HeartSuccess- A Heart Failure Podcast
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#21 Cardio-Oncology- Arrhythmias in Cancer Patients with Michael Fradley MD and Avirup Guha MD
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We discuss several aspects of cardiac arrhythmias and their management among cancer patients and cancer survivors with Drs Fradley and Guha. Dr Fradley is an electrophysiologist and Dr Guha is a non-invasive cardiologist, both with tremendous expertise in cardio-oncology. Dr Fradley is the Medical Director of Cardio-Oncology at University of Pennsy…
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#20 Cardio-Oncology from the Radiation Oncologist- Radiation Therapy and Cardiovascular Disease with Brett Lewis MD PhD
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We discuss some radiation physics, role for ionizing radiation in treating cancer & related cardiac damage with Dr Brett Lewis MD PhD. Dr. Lewis has interest & expertise in treating several thoracic malignancies & practices at Hackensack Meridian Health, NJ. Listen, like, subscribe, and give us a high rating.…
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021 - Enhanced Family Communication in the Age of COVID-19
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Dr. Baumrucker discusses an innovative program for virtual visitation during the coronavirus lockdown with Jordan Harrington, from Ballad Health system.By HPM Talk
