Is #delirium just temporary confusion, or does it cause lasting brain injury? We explore new research proving delirium independently drives long-term #CognitiveDecline. Guests @HshiehTammy, @MarcantonioEd, & Thiago Avelino-Silva.

bit.ly/GeriPalEp423
@AlexSmithMD | @EWidera

How Can We Improve Surgery for #OlderAdults? We explore #Geriatric Surgery Verification (GSV) and aligning surgical care with older adults' personal goals & functional independence. Aaron Baggs, Emily Finlayson, @torbati_ali.

- bit.ly/GeriPalEp422
- @AlexSmithMD | @EWidera

Can we prevent #CognitiveDecline? Researchers Laura Baker & @EFBinderSTL join us to discuss multi-domain lifestyle trials (FINGER, US POINTER, rrAD) & how combined interventions can slow the aging brain by 1–2 years. #hpm

-> bit.ly/GeriPalEp421
Hosts @AlexSmithMD | @EWidera

New guidelines make 90%+ of #OlderAdults eligible for #statins, but should they take them? New PREVENT risk calculator, STAREE trial findings, and the safety of #deprescribing after 75 with @RFRedberg, Tim Anderson & Mike Rich.

- bit.ly/GeriPalEp420
@AlexSmithMD | @EWidera

Are "hot new drugs" actually ready for #palliativecare? Our 3 guest pharmacists break down the hype vs. reality of 5 new and rediscovered drugs, including GLP-1. Guests @MaxSPharmD, Alex McPherson, & Nisha Iyer. #hpm

Post: bit.ly/GeriPalEp419
Hosts @AlexSmithMD | @EWidera

How can interactive maps transform #aging? We explore how mapping neighborhood data—from crosswalk times to tree canopy—reveals health inequities and better supports #olderadults. Guests Judy Salerno & Lindsay Goldman.

Post: bit.ly/GeriPalEp418
Hosts @AlexSmithMD | @EWidera

We break down the latest #vaccine updates for #OlderAdults: which flu shot works best, who needs #RSV & #COVID boosters, #Shingrix side effects, plus data on how vaccines reduce cardiovascular events & #dementia risks.

Post: bit.ly/GeriPalEp417
Hosts @AlexSmithMD | @EWidera

Financial decline often precedes a #dementia diagnosis by up to 8 years. We talk with guests Jason Karlawish, Duke Han, & @lhnicholas to explore how missed bills, scams, and banking changes expose cognitive risk.

Post: bit.ly/GeriPalEp416
Hosts @AlexSmithMD | @EWidera

Are GLP-1s always the answer for older adults? We explore the delicate balance between weight loss and #sarcopenia, and why one size fits none in #geriatric care. Guests John Batsis, Shen Dewar, & @DrArunaJ. #GLP1

Post: bit.ly/GeriPalEp415
Hosts @AlexSmithMD | @EWidera

As #PalliativeCare evolves beyond #EndOfLifeCare, who should see a specialist? We talk with leaders Diane E. Meier, @rabob, & Justin Sanders about eligibility, workforce capacity, & the future of serious illness care.

Post: bit.ly/GeriPalEp414
Hosts @AlexSmithMD | @EWidera

Over 75% of older adults with #dementia actually have a MIX of different brain pathologies. We talk with Nate Chin & Sterling Johnson about LATE (mimics #Alzheimers), biomarkers, mixed dementia's, & clinical realities.

Post: bit.ly/GeriPalEp413
Hosts @AlexSmithMD | @EWidera

Can videos & communication training improve #AdvanceCarePlanning? We talk with Joshua Lakin & @KeiO97 to break down recent trials combining patient video aids with clinician training to drive #GoalConcordantCare. #hpm

Post: bit.ly/GeriPalEp412
Hosts @AlexSmithMD | @EWidera

Longevity Treatments - Snake Oil or Breakthrough? #Longevity experts Dr. Mahtab Jafari & @GeriSciDoc break down what actually works to extend #healthspan & #lifespan, from proven lifestyle habits to drugs in the pipeline.

👉 bit.ly/GeriPalEp411
Hosts @AlexSmithMD | @EWidera

Can hepatologists deliver #palliativecare effectively? We dive into a new JAMA study showing both models significantly improve quality of life for end-stage #LiverDisease patients. Chris Woodrell, Manisha Verma, & Marie Bakitas.

👉bit.ly/GeriPalEp410
@AlexSmithMD | @EWidera

#NIH Shakeup! A proposed OMB rule change could allow political appointees to overrule scientific peer review, ban critical #HealthDisparity research, and censor funded scientists. Guests Sean Morrison, @geri_doc, Stacy Fischer.

bit.ly/GeriPalEp409
@AlexSmithMD | @EWidera

When should doctors say "no" to treatments that won't help? We talk to Jason Batten, @LizDzeng & @TevaBrender about the real-world, unwritten "workarounds" clinicians use when standard ICU guidelines fail on the ground.

👉 bit.ly/GeriPalEp408
Hosts @AlexSmithMD | @EWidera

How do we move from recognizing #ElderMistreatment to building actual solutions? We dive into #caregiver strain, clinical "spidey senses," hospital protection teams + more. Guests @Carrie_Ruby, Julia Hiner, & Tony Rosen.

👉bit.ly/GeriPalEp407
Hosts @AlexSmithMD | @EWidera

When #healthcare experts become the patients. We dive into elder care transitions, structural flaws in assisted living, and impact of #PrivateEquity on #VulnerablePopulations. Guests John Burton, Bill Applegate, & @MAldridgePhD.

👉bit.ly/GeriPalEp406
@AlexSmithMD | @EWidera

What even is a #geriatrician? Today we bring together @GoalsDriveCare, Jerry Gurwitz, @hfernandez01 & @geri_doc to wrestle with #geriatric identity, and why the field must stop lamenting shortages to dream big. #hpm

Post: bit.ly/GeriPalEp405
Hosts @AlexSmithMD | @EWidera

What is it really like to prescribe Medical Aid in Dying? Drs. Carly Zapata & @ChammasDani open up about moral ambivalence, clinician grief, and the ethical "gray zones" of #MAiD. No easy answers — just honest ones.

Post: bit.ly/GeriPalEp404
Hosts @AlexSmithMD | @EWidera

We break down the #OrganDonation Conversation — what clinicians often get wrong, why it's governed by gift law, and why donor families often say "donation saved us." Guests Toby Campbell, Nikole Neidlinger, & Samantha Taylor.

👉 bit.ly/GeriPalEp403
@AlexSmithMD | @EWidera

#BasalCell is the #1 cancer in the US. But for #OlderAdults, watchful waiting may be the right call. We dive into #GeriatricDermatology (#GeriDerm) + itching, moisturizers, & more with @linos_eleni & @DanielButlerMD.

Post: bit.ly/GeriPalEp402
Hosts @AlexSmithMD | @EWidera

Live from São Paulo: Brazilian geriatricians join GeriPal to discuss intrinsic capacity, loneliness as a medical syndrome, and advance care planning. Guests Eduardo Ferriolli, @marlon_aliberti, & Edison Vidal.

👉 Post: bit.ly/GeriPalEp401
😀 Hosts @AlexSmithMD | @EWidera

GeriPal celebrates 400 episodes! Hosts @EWidera & @AlexSmithMD do a Hot Ones–style AMA 🌶️: #AI in medicine, future of #PalliativeCare, joy in #geriatrics, what they'd do differently after 10 years + more. Guest hosts Lynn Flint & Anne Kelly. #hpm

👉 Post: bit.ly/GeriPalEp400

Rural #PalliativeCare isn't urban care in a smaller town. It's "MacGyver medicine" — champions cobbling care together with what exists. Guests @karlbezakmd, Jeanie Youngwerth, Adie Goldberg, & @vandekieftg. #hapc

👉 Post: bit.ly/GeriPalEp399
😀 Hosts @AlexSmithMD | @EWidera

Researchers from UCLA and UCSF join GeriPal to discuss a Pragmatic Trial using EHR nudges and navigators to increase #AdvanceCarePlanning. Guests @DrAnneMWalling, Neil Wenger, & Rebecca Sudore. #hpm #hapc

👉 Post: bit.ly/GeriPalEp398
😀 Hosts @AlexSmithMD | @EWidera

CMS's Age-Friendly Hospital Measure to improve care for #OlderAdults. We discuss the 4Ms framework and the move from disease-centric care to person-centered care. Guests @j_r_a_m, Stephanie Rogers, & Shari Ling. #hpm

Post: bit.ly/GeriPalEp397
Hosts @AlexSmithMD | @EWidera

We discuss guest Athanase Benetos's study that found no difference in mortality between #deprescribing antihypertensives & usual care in frail nursing home residents. We also interview Mike Steinman for context.

👉 Post: bit.ly/GeriPalEp396
😀 Hosts @AlexSmithMD | @EWidera

Is Alzheimer's a clinical symptom or just a #biomarker? We’re diving into the "A-words"— #amyloid, antibodies, and #Alzheimers—with three top experts - Halima Amjad, Barak Gaster, & Heather Whitson. #dementia

👉 Post: bit.ly/GeriPalEp395
😀 Hosts @AlexSmithMD | @EWidera

Today we dive deep into Leadership, Quality, & the Future of #Hospice & #PalliativeCare with TCNtalks' Chris Comeaux & Cordt Kassner. Leadership challenges, mission vs money, fraud, research funding + much more!

👉 Post: bit.ly/GeriPalEp394
😀 Hosts @AlexSmithMD | @EWidera

We discuss the challenges of #Deprescribing at the #EndOfLife, from the "easy" calls (statins) to the hard ones (anticoagulants), & how to align meds with a patient's true goals. Guests Jennifer Tjia, @jfuruno, & Simon Mooijaart.

bit.ly/GeriPalEp393
@AlexSmithMD | @EWidera

Should hospitals allow Unilateral DNR orders? We dive into this and the silent practice of assent DNRs, ethics, the wild west of state statutes, and bias in end-of-life care. Guests @GinaPiscitello, Erin DeMartino, & @WF_Parker.

👉bit.ly/GeriPalEp392
@AlexSmithMD | @EWidera

Embedding Care (PTs, pharmacists, & social services) directly in the ED can reduce repeat fall-related visits by 66% & connect vulnerable seniors with life-saving community resources. Guests @LizGoldbergMD & Lauren Southerland.

👉bit.ly/GeriPalEp391
@AlexSmithMD | @EWidera

Great discussion with @Bob_Wachter about his new book on #AI and #Healthcare, "A Giant Leap." We discuss AI for diagnosis, job loss concerns, risks of direct-to-patient bots, time efficiencies, ethics + more.

👉 Post: bit.ly/GeriPalEp390
😀 Hosts @AlexSmithMD | @EWidera

Surprise: Routine perioperative #PalliativeCare may NOT improve outcomes for curative-intent cancer surgery. Lead authors of the SCOPE (@mcshinalljr) & PERIOP-PC (@AslaksonRebecca) trials join us to discuss these null results.

- bit.ly/GeriPalEp389
- @AlexSmithMD | @EWidera

Is the future of #PalliativeCare moving into the community? We dive into #ValueBasedCare, the risks of "Palliative Lite," & how innovation is helping those with #SeriousIllness. Alan Chiu, Mindy Stewart-Coffee, & Ben Thompson.

👉bit.ly/GeriPalEp388
@AlexSmithMD | @EWidera

Today we explore Uncertainty in Medicine and the need to rethink & embrace uncertainty to better manage complexities of #medicine & build confidence in the face of the unknown. Guests @Jon_Ilgen & @Gurpreet2015.

👉 Post: bit.ly/GeriPalEp387
😀 Hosts @AlexSmithMD | @EWidera

Why we need #QualityImprovement (QI) collaboratives, registries, and benchmarking, and the immense potential this has to enhance #PalliativeCare. Guests @stevepantilat, David Currow, & @arifkamalmd. #MedTwitter

👉 Post: bit.ly/GeriPalEp386
😀 Hosts @AlexSmithMD | @EWidera

To what extent is it our job as consultants to navigate, manage, or attend to Clinician Distress? What happens if that clinician distress leads to conflict? Guests Sara Johnson, Yael Schenker, & Anne Kelly. #hpm

👉 Post: bit.ly/GeriPalEp385
😀 Hosts @AlexSmithMD | @EWidera

Rehab and Death in #SkilledNursingFacilities is a vicious cycle. @SarguniSingh, @cdfurm02, & Lynn Flint explain how hope, policy gaps, and payment rules shape these transitions—and why change is needed. #hpm

👉 Post: bit.ly/GeriPalEp384
😀 Hosts @AlexSmithMD | @EWidera

#Inflammaging—chronic, low-grade inflammation that rises with age—may be a key driver behind many chronic and acute diseases. We talk with 3 experts: Brian Andonian, Sara LaHue, & Joe Hippensteel. #AgingResearch

👉 Post: bit.ly/GeriPalEp383
😀 Hosts @AlexSmithMD | @EWidera

A chaplain (Betty Clark) and a doctor (@JessicaZitter) reflect on their new documentary, The Chaplain and the Doctor, and the ways personal stories and biases shape our interactions in healthcare. #hapc #chaplain

👉 Post: bit.ly/GeriPalEp382
😀 Hosts @AlexSmithMD | @EWidera

#Hospice & #PalliativeCare leaders reflect on the past 50 years—and the urgent need to raise standards, ensure access, and lead with love in a profit-driven system. Guests @IraByock, @kbnewport, & @BrynnBHealth.

👉 Post: bit.ly/GeriPalEp381
😀 Hosts @AlexSmithMD | @EWidera

#SickleCell disease causes immense pain & suffering—but #palliativecare can help by addressing pain, inequities, and trust to improve quality of life. Guests @CraigBlinderman, @stephbkiser, @DrO_MD_. #hpm

👉Post: bit.ly/GeriPalEp380
😀Hosts @AlexSmithMD | @EWidera

Join us! @EWidera and @AlexSmithMD are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm Pacific Time. Topic is "What we've learned from nearly 400 GeriPal podcasts."
Join via zoom or in person.

To join via zoom: ucsf.zoom.us/webinar/regist…
See graphic below for more info:

#Geriatrics Billing doesn’t have to be confusing or undervalued. Learn to capture the complexity of geriatric care & use new codes like G2211 & APCM to support your team. Peter Hollmann, @CLEGeriatrics, Audrey Chun.

Post: bit.ly/GeriPalEp379
Hosts @AlexSmithMD | @EWidera

Are #SlowCodes ever ethical? We dive into the gray area of CPR, compassion with deceit, outcomes vs values, bioethics vs real world, trust, + more. Guests @JWassermanPhD, @GinaPiscitello, Parker Crutchfield.

👉 Post: bit.ly/GeriPalEp378
😀 Hosts @AlexSmithMD | @EWidera

GeriPal Live at NPCRC Foley Retreat! We talk with guests Prasanna Ananth, Dio Kavalieratos, and Alexi Wright about why #PalliativeCare clinicians get fired, global care equity, and cancer treatment behind bars.

👉 Post: bit.ly/GeriPalEp377
😀 Hosts @AlexSmithMD | @EWidera

GeriPal Live! at CAPC: @mattgonzalesmd on AI & #palliativecare, @Curseen on outpatient training gaps, @KBulloc2 on equity in #hospice & PC. Fun sing-along finale! @CAPCpalliative #hpm #hapc #palliative

👉 Post: bit.ly/GeriPalEp376
😀 Hosts @AlexSmithMD | @EWidera

Geriatricians Houman Javedan & @vickytangMD discuss Preoperative Assessments for #OlderAdults, emphasizing CGAs, frailty screening, and the Geriatric Surgery Verification program to optimize outcomes. #Geriatrics

👉 Post: bit.ly/GeriPalEp375
😀 Hosts @AlexSmithMD | @EWidera

What makes a "good death"? We dive into landmark studies: @steinhaus1 on pain, peace & awareness; Edison Vidal & @rasamikelyte on UK/Brazil dementia views—choice vs. faith. Key: Listen to patients! #EndOfLife

👉 Post: bit.ly/GeriPalEp374
😀 Hosts @AlexSmithMD | @EWidera

A podcast on medical billing & coding? Yes! It's not hard. Know your worth & bill for it, even if visit doesn't feel HARD-it can help pay for team members who often can't bill. Guests @CAJonesMD & @PhilRodgersMD.

👉 Post: bit.ly/GeriPalEp373
😀 Hosts @AlexSmithMD | @EWidera

GeriPACTs bring specialized team-based care to older #veterans with complex needs - smaller panels, #geriatric training & more. But are they better than standard care? Guests @HastingsNicki, Kristie Hsu, & @geri_doc.

👉 bit.ly/GeriPalEp372
😀 Hosts @AlexSmithMD | @EWidera