iiinova — where your digital self keeps evolving

Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 31/07/2025

Guest Victor Montori's book, "Why We Revolt," decries the Industrialization of #healthcare. Clinicians become busier & patients are tasked with more work to self manage. #medsky 👉 Full episode at bit.ly/GeriPalEp367 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guest: Victor Montori

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 07/08/2025

Art in Medical Education: How art museums can enhance empathy & awareness, and create deeper team bonds for health care professionals. #medsky 👉 Full episode: bit.ly/GeriPalEp368 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Amy Klein, Laura Morrison, and Gordon Wood

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Reposted by Alex Smith, MD

Journal of the American Geriatrics Society (JAGS) @agsjournal.bsky.social · 14/07/2025

JAGS Remains Committed to Scientific Principles That Support Better Health and Function for All Older Adults: Disparities, Diversity in Research, and Respectful Discourse. #geriatrics @alexsmithmd.bsky.social agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 17/07/2025

How can we best manage #DeathAnxiety? While some don't worry about it, others, including patients and clinicians, grapple with its impact. #medsky 👉 Full episode at geripal.org/death-anxiet... 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Dani Chammas & Keri Brenner

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Alex Smith, MD @alexsmithmd.bsky.social · 14/07/2025

Many thanks to contributions from all authors and others who provided valuable feedback on drafts. @amergeriatrics.bsky.social #geriatrics #DEImatters

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Alex Smith, MD @alexsmithmd.bsky.social · 05/07/2025

Renn and friend Evan on hike to Stubai glacier in Tyrollean alps, Austria. (Look closely @geripal.bsky.social)

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 03/07/2025

Should #PalliativeCare be in the business of caring for #CancerSurvivors? It’s more complicated than it seems. We talk with Laura Petrillo and Laura Shoemaker about this topic. #medsky #cancersurvivor 👉 Full episode at bit.ly/GeriPalEp363 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

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GeriPal Podcast @geripal.bsky.social · 29/05/2025

#Dementia patients having Lucid Episodes can be impactful for family, loved ones, #caregivers, and others. We discuss this impact with nurse researcher Andrea Gilmore-Bykovskyi & philosopher Andrew Peterson. #medsky bit.ly/GeriPalEp358 - hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 22/05/2025

Can music play an important role for those at the end of life? What about for dementia patients and caregivers? We examine the role of Music as Medicine with 3 guests: Jenny Chen, Tyler Jorgensen, and Theresa Allison. #medsky bit.ly/GeriPalEp357 - @alexsmithmd.bsky.social | @ewidera.bsky.social

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Reposted by Alex Smith, MD

UCSF Geriatrics @ucsfgeriatrics.bsky.social · 19/05/2025

Lauren Hunt, PhD, RN, FNP-BC, received the 2025 Terrie Fox Wetle Rising Star Award from @AFARorg for her impactful, multidisciplinary research in health services and aging. Congrats, Dr. Hunt! 👏

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Reposted by Alex Smith, MD

Krista Harrison, PhD @kristalynharrison.bsky.social · 10/05/2025

Sing-along state of the science at #AGS2025 by @alexsmithmd.bsky.social @kencovinsky.bsky.social @ewidera.bsky.social complete with light sticks at 8:45 am #WeAreGeriatrics

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Reposted by Alex Smith, MD

Lingsheng Li, MD MHS @lingshengli.bsky.social · 10/05/2025

#AGS25 Geri Lit Review @amergeriatrics.bsky.social Thank you @kencovinsky.bsky.social @alexsmithmd.bsky.social @ewidera.bsky.social for an incredibly fun and memorable learning+sing-along experience about all things #Geriatrics! @ucsfgeriatrics.bsky.social

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 01/05/2025

Today, people with #HIV are living into advanced ages with nearly half over age 55. So what are the implications for clinical care? for Loneliness? Stigma? Screening? Guests Peter Selwyn and @geri4life.bsky.social bit.ly/GeriPalEp354 - hosted by @alexsmithmd.bsky.social and @ewidera.bsky.social

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Reposted by Alex Smith, MD

Meredith Greene MD (she/her) @geri4life.bsky.social · 02/05/2025

Thank you @geripal.bsky.social @alexsmithmd.bsky.social @ewidera.bsky.social at the end we talk about how YOU can advocate for HIV service and research cuts. Situation only worse since March when this was recorded. #silence=death

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GeriPal Podcast @geripal.bsky.social · 25/04/2025

Beware of PULET: Potentially Unsafe Low-Evidence Treatments endorsed by influencers & self-identified experts. We discuss risky therapies like #ivermectin for cancer. Guests Adam Marks, Laura Taylor, & Jill Schneiderhan. #medsky bit.ly/GeriPalEp353 - @alexsmithmd.bsky.social | @ewidera.bsky.social

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GeriPal Podcast @geripal.bsky.social · 17/04/2025

Loss of DEI Hurts Everyone. Pulitzer winner Farah Stockman & healthcare leader Ali Thomas discuss why DEI attacks harm healthcare & society, and how diversity & excellence are aligned. Ken Covinsky ties it to Jackie Robinson’s legacy. bit.ly/GeriPalEp352 - hosted by Drs. Alex Smith and Eric Widera

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Reposted by Alex Smith, MD

CAPC @capcpalliative.bsky.social · 07/04/2025

🎤 It’s the thrill of the CAPC Seminar, rising up to the top! The hosts of @geripal.bsky.social, @alexsmithmd.bsky.social & @ewidera.bsky.social, are bringing their energy (+ vocals!) to #CAPCSeminar25! Catch their keynote as they break down the latest in palliative care research. ow.ly/JIJY50VeMqf

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Alex Smith, MD @alexsmithmd.bsky.social · 08/04/2025

Bitter end, NYC, guerrilla marketing. Amazing talent on singer songwriter night! bitterend.com/history/

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 03/04/2025

Nancy Lundebjerg & Annie Medina-Walpole interview Alex Smith, Eric Widera, & Ken Covinsky about their final AGS literature review plenary session & discuss favorite articles, parody songs, & memories from AGS meetings past. bit.ly/GeriPalEp350 - hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

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Reposted by Alex Smith, MD

Krista Harrison, PhD @kristalynharrison.bsky.social · 24/03/2025

Another great paper led by Dr. Lauren Hunt came out this week about #hospice & #dementia, this time regarding "Continued Use of Cholinesterase Inhibitors and Memantine", published in JAMA IM @jama.com. pubmed.ncbi.nlm.nih.gov/40126467/ 1/

pubmed.ncbi.nlm.nih.gov

Continued Use of Cholinesterase Inhibitors and Memantine in Hospice - PubMed

Continued Use of Cholinesterase Inhibitors and Memantine in Hospice

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Alex Smith, MD @alexsmithmd.bsky.social · 26/03/2025

So honored to have the inimitable Dr. Mike Malone give his last lecture, and last slide of his academic career with us at @ucsfgeriatrics.bsky.social

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Reposted by Alex Smith, MD

Journal of the American Geriatrics Society (JAGS) @agsjournal.bsky.social · 13/03/2025

Pulling Back the Curtain on Deprescribing Interventions. #geriatrics #deprescribing agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

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Reposted by Alex Smith, MD

Eric Widera, MD @ewidera.bsky.social · 14/03/2025

1 in 7 Medicaid beneficiaries received care at a nursing home following a new cancer diagnosis, with more than half of these individuals using one for the first time. Lung, breast, and hematological were most prevalent. #gerisky #medsky agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

The most prevalent cancer types associated with both short-and long-stay nursing home residents were similar: lung (18.0% vs. 15.5%), breast (9.9% vs. 12.9%), and hematological (9.9% vs. 9.6%) (Figure 1).

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Reposted by Alex Smith, MD

GeriPal Podcast @geripal.bsky.social · 13/03/2025

It's been 50 years since the first Palliative Care unit was opened in Quebec. But have we lost something along the way? #medsky Guests Sue Britton (1st nurse hired at that 1st PC unit), Michael Kearney, & Justin Sanders. bit.ly/GeriPalEp347 - hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

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Reposted by Alex Smith, MD

Eric Widera, MD @ewidera.bsky.social · 28/02/2025

I’m excited to give a keynote talk at the @capcpalliative.bsky.social #CAPCSeminar25! Join @alexsmithmd.bsky.social and me in Philadelphia, Sept 15-17, for our session highlighting key papers in #palliativecare published in the last year. Register: capc.org/seminar/ #hpm #hapc

capc.org

CAPC National Seminar 2025 - About

Join us for the CAPC National Seminar 2025 to network, connect, and attend sessions to advance high-quality, equitable palliative care.

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Alex Smith, MD @alexsmithmd.bsky.social · 13/02/2025

Had the pleasure of being a guest on someone else’s Podcast! Check out My Medical Mixtape - music and palliative care - host Tyler Jorgensen EM/palliative doc in Austin. open.spotify.com/episode/1HpR...

open.spotify.com

Track 2, Side 2: Our Thick Candy Shells

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Alex Smith, MD @alexsmithmd.bsky.social · 08/02/2025

Congratulations Ab Brody on the HPNA distinguished researcher award!!! #hapc2025

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Alex Smith, MD @alexsmithmd.bsky.social · 06/02/2025

If at #hapc25 and you want to do 1 good thing today, go up to someone standing alone by their poster and ask for a 1 minute version. If you do 2 good things ask that poster presenter to join you at the GeriPal pub crawl starting at 8pm at the Celtic.

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Reposted by Alex Smith, MD

UCSF Geriatrics @ucsfgeriatrics.bsky.social · 27/01/2025

Dr. Richard Parenteau and his mentor, Dr. Thea Mauro, published "Epidermal Penetration Increases with Age and May Contribute to Systemic Inflammation" in the Journal of Investigative Dermatology. buff.ly/3WYKNmn #Dermatology #Research

buff.ly

Epidermal Penetration Increases with Age and May Contribute to Systemic Inflammation - PubMed

Epidermal Penetration Increases with Age and May Contribute to Systemic Inflammation

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Reposted by Alex Smith, MD

Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 23/01/2025

As doctors and nurses, it is our moral duty to care for every person who walks through the door & needs medical help. Allowing ICE to raid hospitals & clinics is immoral and will lead to needless suffering & death. Reading this made me cry...what nation have we become? #medsky

statnews.com

Allowing ICE in hospitals is a public health catastrophe in the making

Allowing ICE to conduct raids in hospitals and medical clinics is not only cruel; it is a public health catastrophe in the making, writes Eric Reinhart.

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Reposted by Alex Smith, MD

Journal of the American Geriatrics Society (JAGS) @agsjournal.bsky.social · 23/01/2025

Comorbidities among older persons living with dementia do not appear to cluster into distinct groups or patterns highlighting the importance of taking an individualized approach for chronic disease management. #geriatrics #dementia agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

Network depicting all statistically significant (p < αFDR) pairwise associations between chronic health conditions among persons living with dementia and multiple comorbidities who resided in long-term care

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Alex Smith, MD @alexsmithmd.bsky.social · 22/01/2025

Lauren Hunt demonstrated that slow inexorable functional decline in people with dementia can be punctuated by disruptive events such as hip fracture and hospitalization for pneumonia, leading to big drops in function. #geriatrics #hapc agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

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Eric Widera, MD @ewidera.bsky.social · 22/01/2025

What other departments or divisions are doing faculty sessions on teaching how to get on BlueSky? @ucsfgeriatrics.bsky.social is! Thanks @lwaltermd.bsky.social for setting this up! #geriatrics #gerisky

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Eric Widera, MD @ewidera.bsky.social · 13/01/2025

Tamiflu (Oseltamivir), the most commonly prescribed influenza treatment, causes more adverse effects (nausea and vomiting) but has little to no effect on clinical outcomes compared with placebo (i.e.mortality, hospitalization, time to alleviation of symptoms). #medsky jamanetwork.com/journals/jam...

jamanetwork.com

Antiviral Medications for Treatment of Nonsevere Influenza

This systematic review and network meta-analysis evaluates the effectiveness and safety of antiviral treatment for patients with nonsevere influenza and thus support an update of World Health Organiza...

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Reposted by Alex Smith, MD

Eric Widera, MD @ewidera.bsky.social · 13/01/2025

This paper argues that it's unethical to put a DNR order in for those who have a unilateral DNR as it "obscures the unilateral decision-making by the clinician", but misses the point that an order doesn't ever show reasoning; that's what a note is for. #medsky jamanetwork.com/journals/jam...

jamanetwork.com

Addressing Inadequate Documentation of Unilateral Do-Not-Resuscitate Orders

This Viewpoint discusses addressing inadequate documentation of unilateral do-not-resuscitate orders in the electronic health record.

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Reposted by Alex Smith, MD

Ken Covinsky @kencovinsky.bsky.social · 13/01/2025

Important to remember that efforts to help people stop smoking will do FAR more to prevent to prevent lung cancer that screening CTs. To offer screening without addressing smoking is absurd jamanetwork.com/journals/jam...

jamanetwork.com

Smoking Cessation Interventions in the Lung Cancer Screening Setting

This randomized clinical trial evaluates the effectiveness of smoking cessation interventions of varying intensities in the lung cancer screening setting.

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Reposted by Alex Smith, MD

Ken Covinsky @kencovinsky.bsky.social · 13/01/2025

Fascinating perspective on "Pressure ulcers"--Is skin injury always the result of pressure? Authors argue that like any organ, the skin can fail towards the end of life--and this is sometimes not preventable jamanetwork.com/journals/jam...

jamanetwork.com

The Evolving Case for Skin Failure—Beyond Pressure Injury

This Viewpoint discusses the concept of skin failure, the breakdown of skin in aging and critically ill patients; how it differs from pressure injury; and future areas of research regarding the proces...

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Reposted by Alex Smith, MD

Eric Widera, MD @ewidera.bsky.social · 28/12/2024

Our most listened-to podcast of 2024: The Nature of Suffering with BJ Miller and Naomi Saks. BJ and Naomi discuss topics like how to respond to someone suffering and the trap in comparing one person’s suffering to another person’s suffering. #medsky geripal.org/the-nature-o...

geripal.org

The Nature of Suffering: BJ Miller and Naomi Saks

On this week's podcast, we are joined by BJ Miller, a palliative care doctor, and Naomi Sacks, a palliative care chaplain, to discuss the nature of suffering.

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Ken Covinsky @kencovinsky.bsky.social · 17/01/2025

Provision of hearing aids to older persons with hearing impairment leads to profound improvements in day to day communication function. Important RCT Isn't it outrageous the Medicare does not pay for hearing aids? agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

agsjournals.onlinelibrary.wiley.com

Effect of hearing intervention on communicative function: A secondary analysis of the ACHIEVE randomized controlled trial

Background The Aging and Cognitive Health Evaluation in Elders (ACHIEVE) Study was designed to determine the effects of a best-practice hearing intervention on cognitive decline among community-dwel...

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