We dive deep into Leadership, Quality, & the Future of Hospice & Palliative Care with TCNtalks' Chris Comeaux & Cordt Kassner. - leadership challenges, mission vs money, fraud, research funding + more! #medsky
π Post: bit.ly/GeriPalEp394
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
05.03.2026 19:11
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Should hospitals allow Unilateral DNR orders? We dive into this and the silent practice of assent DNRs, ethics, the legal "wild west" of state statutes, and bias in end-of-life care. #medsky
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π Post: bit.ly/GeriPalEp392
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
19.02.2026 17:45
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Shoutout to @lsgeriatricem.bsky.social and @lizgoldbergmd.bsky.social for their fantastic @geripal.bsky.social podcast episode!
www.youtube.com/watch?v=u1no...
podcasts.apple.com/us/podcast/e...
@saemonline.bsky.social
#emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment
15.02.2026 20:55
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We discuss how Embedding Care (PTs, pharmacists, & social services) directly in the ED can reduce repeat fall-related visits by 66% and connect vulnerable seniors with life-saving community resources. #medsky
π Post: bit.ly/GeriPalEp391
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
12.02.2026 19:16
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Notes in the Margin - 9 February 2026
Notes from a Family Meeting is a newsletter where I hope to join the curious conversations that hang about the intersections of health and the human condition.
I wish I could write as well as @jbriscoe.bsky.social. His take on AI and medicine was priceless. Just to quote from it:
"Are we prepared for this? I think we're prepared for it in the same way a turkey is prepared for Thanksgiving..."
familymeetingnotes.substack.com/p/notes-in-t...
10.02.2026 01:08
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Importance of Function for Alzheimer Diagnosis and Management
This Viewpoint offers a reminder, amid new laboratory testing for Alzheimer disease, of the primary care practitionerβs important role in functional assessment of activities of daily living.
ββ¦the growing enthusiasm for biomarkers risks obscuring a fundamental truth: biomarkers only reflect disease pathology. They cannot assess cognition or illuminate the functional changes that transform memory concerns into meaningful impairment.β #alz
jamanetwork.com/journals/jam...
09.02.2026 16:59
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Great discussion with Dr. Bob Wachter about his new book on AI and Healthcare, "A Giant Leap."
We discuss using AI for diagnosis, job loss concerns, risks of direct-to-patient chatbots, ethics + more! #medsky
π Post: bit.ly/GeriPalEp390
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
05.02.2026 18:39
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Surprise: Routine perioperative #PalliativeCare may NOT improve outcomes for curative-intent cancer surgery. Lead authors of the SCOPE & PERIOP-PC trials join us to discuss these null results. #medsky
π Post: bit.ly/GeriPalEp389
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
29.01.2026 18:00
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Is the future of #PalliativeCare moving into the community? π‘ We dive into #ValueBasedCare, the risks of "Palliative Lite," and how innovation is expanding access for patients with #SeriousIllness. π©Ί #medsky
π Post: bit.ly/GeriPalEp388
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social l
22.01.2026 20:25
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The killing of Alex Pretti is a heartbreaking tragedy. It should also be a wake-up call to every American, regardless of party, that many of our core values as a nation are increasingly under assault.
25.01.2026 17:39
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Heartbreaking
25.01.2026 01:57
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Alex Pretti was a colleague at the VA. We hired him to recruit for our trial. He became an ICU nurse- I lover working with him. He was a good kind person who lived to help and these fuckers executed him.
White. Hot. Rage.
24.01.2026 19:31
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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. #medsky
π Post: bit.ly/GeriPalEp387
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
15.01.2026 18:32
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Why we need quality improvement (QI) collaboratives, registries, and benchmarking, and the immense potential this has to enhance #PalliativeCare. Guests Steve Pantilat, David Currow, and Arif Kamal. #medsky
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π Post: bit.ly/GeriPalEp386
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
08.01.2026 19:06
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I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
19.12.2025 11:00
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Improve your patient care in older adults by learning with @acpimphysicians.bsky.social full-day #Geriatrics and #Palliative Medicine course intensive on Wednesday, April 15 in San Francisco! Learn more here - annualmeeting.acponline.org/educational-...
18.12.2025 04:58
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Link to the JAGS article βRehab and Death: Improving End-of-Life Care for Medicare Skilled Nursing Facility Beneficiaries.β #medsky agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
13.12.2025 23:09
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Rehab & Death in Skilled Nursing Facilities is a vicious cycle: Sarguni Singh, Christian Furman, & Lynn Flint explain how hope, policy gaps, & payment rules shape these transitionsβand why change is needed. #medsky
π Post: bit.ly/GeriPalEp384
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
11.12.2025 19:04
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Inflammagingβchronic, low-grade inflammation that rises with ageβmay be a key driver behind many chronic and acute diseases. We talk with 3 experts: Brian Andonian, Sara LaHue, & Joe Hippensteel. #medsky
π Post: bit.ly/GeriPalEp383
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
04.12.2025 21:14
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Widera, Willham, and Harper Help Launch New AGS Curriculum on Alzheimerβs Diagnostics and Treatments | Geriatrics
Eric Widera, MD, and Kaitlin Willham, MD, co-authored the module "Evidence Review of FDA-Approved Monoclonal Antibody Treatments," as part of the newly published AGS online curriculum, "Alzheimer'sβ¦
Drs. @ewidera.bsky.social, and Kaitlin Willham co-authored a module in the new @amergeriatrics.bsky.social Alzheimerβs curriculum, edited by Dr. Michael Harper. The curriculum covers new diagnostic tools and treatments for Alzheimerβs. geriatrics.ucsf.edu/news/widera-...
21.11.2025 18:28
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A chaplain (Betty Clark) and a doctor (Jessica Zitter) reflect on their new documentary, The Chaplain and the Doctor, and the ways personal stories and biases shape our interactions in healthcare. #medsky
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π Post: bit.ly/GeriPalEp382
π Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
20.11.2025 19:35
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Hospice & Palliative Care leaders reflect on the past 50 yearsβand the urgent need to raise standards, ensure access, & lead with love in a profit-driven system. Ira Byock, Kristi Newport, Brynn Bowman. #medsky
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π Post: bit.ly/GeriPalEp381
π hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
13.11.2025 18:13
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Sickle cell disease brings lifelong challengesβfrom severe pain to systemic inequities. Today our guests share how palliative care supports patients through compassion, trust, and whole-person care. π #medsky
π Post: bit.ly/GeriPalEp380
π hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
06.11.2025 21:42
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Join us! @ewidera.bsky.social & @alexsmithmd.bsky.social are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm PT.
The topic is "What we've learned from nearly 400 GeriPal podcasts."
Join via zoom or in person.
Via zoom: ucsf.zoom.us/webinar/regi...
See graphic for more info. #medsky
01.11.2025 17:57
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We do use a lot of Do Not Resuscitate (DNR) orders in the US but when family members want their dying loved ones to be full code (do attempt resuscitation) it creates a lot of moral distress. The slow code is the result of this distress and happens more commonly than I initially thought
25.10.2025 03:54
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Are Slow Codes ever ethical? We dive into the gray area of CPR, shallow compressions, walk don't run, compassion with deceit, outcomes vs values, bioethics vs real world, trust, + more. #medsky
π Post: bit.ly/GeriPalEp378
π hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
23.10.2025 20:40
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