GeriPal celebrates 400 episodes! Hosts @ewidera.bsky.social & @alexsmithmd.bsky.social do a Hot Ones–style AMA 🌶️: AI in medicine, changing clinical practice, joy in geriatrics, Advance Care Planning, and what they'd do differently after 10 years, + more. #medsky
 
👉 Post: bit.ly/GeriPalEp400

How to Improve Advanced Care Planning for Patients and Caregivers In recognition of “National Healthcare Decisions Day,” the “PREPARE for Your Care” program at UC San Francisco is making it easier for clinicians to remind their patients of the importance of planning...

PREPARE makes it easier for clinicians to support patients in advance care planning.

Easy-to-use tools help patients, caregivers, and clinicians plan for future medical decision-making.

Check out this press release:
www.ucsf.edu/news/2026/04...

Advancing a #Palliative Approach in Dementia Care in Asia: De-Implementation of Tube Feeding as Litmus Test. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.70383

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

👉 Post: bit.ly/GeriPalEp396
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

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. #medsky

👉 Post: bit.ly/GeriPalEp395
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

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

👉 Post: bit.ly/GeriPalEp394
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

FDA approval of benzgalantamine exposes flaws in the 505(b)(2) pathway for innovations on existing drugs When the US Food and Drug Administration (FDA) approved benzgalantamine (Zunveyl) in July 2024 for Alzheimer’s disease, it was hailed by its manufacturer as a ‘major breakthrough’.1 In reality, benzga...

How Pharma exploites a regulatory loophole allowing approval of high-priced, minimally modified drugs based on limited data. This example is on an Alzheimer’s drug called Zunveyl which is basically galantamine without safety data in the population that it’s indicated in.

ebm.bmj.com/content/earl...

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
 
👉 Post: bit.ly/GeriPalEp392
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

GeriPal Pubcrawl is Back in San Diego for the 2026 AAHPM-HPNA Annual Assembly We haven’t lost that loving feeling. The GeriPal pub-crawl is back, and this time we are bringing it to San Diego during the AAHPM-HPNA Annual Assembly. The Pub Crawl starts at 8 pm on Thursday, March...

Join us at the GeriPal Pub Crawl The GeriPal pub crawl in San Diego during the Annual Assembly of #hospice and #palliativecare. We start at 8pm on Thursday night, March 5th.

Details are on the link below:

geripal.org/geripal-pubc...

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

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

👉 Post: bit.ly/GeriPalEp391
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

@ewidera.bsky.social, MD just published in JAMA Internal Medicine: "Importance of Function for Alzheimer Diagnosis and Management—More Than Memory". #geriatrics #HPM #palliativemedicine #ucsf

Read more here: tiny.ucsf.edu/B6anHu

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...

Importance of Function for Alzheimer Diagnosis and Management This Viewpoint offers a reminder, amid new laboratory testing for Alzheimer disease, of the primary care practitioner’s important role in functional assessment of activities of daily living.

“…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.” #alz
jamanetwork.com/journals/jam...

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

👉 Post: bit.ly/GeriPalEp390
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

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

👉 Post: bit.ly/GeriPalEp389
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Is the future of #PalliativeCare moving into the community? 🏡 We dive into #ValueBasedCare, the risks of "Palliative Lite," and how innovation is expanding access for patients with #SeriousIllness. 🩺 #medsky

👉 Post: bit.ly/GeriPalEp388
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social l

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.

Heartbreaking

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.

Emergency Department Hallways Are Associated With Incident Delirium and Severe Agitation in Older Adults Living With Dementia Prolonged hallway care was found to be associated with an increased risk of delirium and severe agitation in patients living with dementia, but not in our entire cohort of older adults in our multiva...

Prolonged hallway care was found to be associated with an increased risk of delirium and severe agitation in patients living with dementia, but not in our entire cohort of older adults. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

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

👉 Post: bit.ly/GeriPalEp387
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

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
 
👉 Post: bit.ly/GeriPalEp386
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...

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-...

Link to the JAGS article “Rehab and Death: Improving End-of-Life Care for Medicare Skilled Nursing Facility Beneficiaries.” #medsky agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

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 transitions—and why change is needed. #medsky

👉 Post: bit.ly/GeriPalEp384
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

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. #medsky

👉 Post: bit.ly/GeriPalEp383
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Widera, Willham, and Harper Help Launch New AGS Curriculum on Alzheimer’s 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's…

Drs. @ewidera.bsky.social, and Kaitlin Willham co-authored a module in the new @amergeriatrics.bsky.social Alzheimer’s curriculum, edited by Dr. Michael Harper. The curriculum covers new diagnostic tools and treatments for Alzheimer’s. geriatrics.ucsf.edu/news/widera-...

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
 
👉 Post: bit.ly/GeriPalEp382
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social