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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. And then they had to be receiving 48 hours of continuous mechanical ventilation at a minimum and be an adult. Eric: And how did you do that? There were nine disease categories. Eric: Okay.

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Advance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold

GeriPal

Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. I think I’m heartened by the fact that over the last decade or so, the definition of advance care planning has evolved. Welcome back, Rebecca. Rebecca: Can I jump in.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

I can on one hand count the patients I’ve cared for who didn’t want mechanical ventilation. I can correspondingly count on one hand the number of patients I’ve cared for who said I want to be on mechanical ventilation at all costs, even if it means I will never come off. Kelly: Yeah, no, definitely. Abby: Yeah.

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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal

I think one of the residents you asked how would they broach a subject, and he said wording like, “Unfortunately, he still needs a ventilator.” ” You talk about this too, even in your own training, where even around CPR, the training is like he might need a ventilator if he couldn’t protect his airway.

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Miscommunication in Medicine: A podcast with Shunichi Nakagawa, Abby Rosenberg and Don Sullivan

GeriPal

Yeah, I think we took a pretty broad definition in the article, but really it’s any failure to communicate clearly and adequately. To me, that’s the definition of miscommunication. ” Don: It was part of the palliative care fellowship, a study of linguistics and communication. I didn’t assign somebody to ask.

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Comics and Humor in Palliative Care: A Podcast with Nathan Gray

GeriPal

If you look back to some of my cartoons from late in residency, they showed just how dehumanized I felt and definitely give windows into how dehumanized I imagined my patients to be. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Nathan: Yeah.