400th Episode Celebration: Ask Us Anything, Hot Ones-style
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In celebration of the 400th episode of GeriPal, hosts Eric Guadero and Alex Smith welcomed back guest hosts Ann Kelly and Lynn Flint for a special 'Ask Me Anything' segment styled after Hot Ones, complete with increasingly spicy wings. The conversation covered a wide range of topics from clinical practice changes inspired by podcast interviews—such as rethinking how we ask about 'needs' and 'wants' in care planning—to reflections on the podcast's growth, audience evolution, and future directions in geriatrics and palliative care. The hosts shared personal anecdotes, discussed the impact of AI on medicine and research, addressed ageism in healthcare, and explored the future of palliative care in home and emergency settings. The episode concluded with a lighthearted lightning round, where guests shared dream celebrity guests, songs they’d avoid, and fun new podcast additions like a dunk tank or live streaming. Throughout, the tone remained joyful, reflective, and deeply committed to the mission of humanizing care for older adults and those with serious illness.
Reframe clinical questions: Replace 'Do you need intubation?' with 'If you were short of breath, what would you want?' to avoid leading assumptions.
Advanced care planning remains valuable, especially for appointing healthcare proxies, even if its effectiveness in broader measures is debated.
AI in medicine is a double-edged sword—useful for information retrieval but risky for hallucinations and eroding critical thinking skills.
Palliative care must integrate geriatrics more deeply, especially as it moves into outpatient and community-based settings.
Structural changes—like better reimbursement and time allocation—are essential to support meaningful palliative care in emergency departments.
…and 3 more takeaways available in PodZeus
400th Episode Celebration & Introduction
“10 years. That's right. 2016. Yeah. You and Ken said, hey, let's record a podcast about bed alarms. Bring your guitar.”
Hot Wings & Song Request: '22' by Taylor Swift
“I feel like most of us are still pretty close to 22. Yeah, yeah. Dear listeners, that was 52 does 22.”
Coffee, Jokes, and Community Building
The hosts share personal quirks—Alex’s notoriously weak coffee—and light-hearted patient jokes, while discussing how social media and podcasts can foster community in palliative care.
Clinical Practice Changes from Podcasts
“I resolved to ask every patient the next time I was on service, do you feel lonely? Which of course is not in the UCLA loneliness scale.”
Spelling, Audience, and Regrets
The hosts humorously confess their spelling struggles, express surprise at the podcast’s global reach—especially in Brazil—and reflect on what they’d change, ultimately embracing their early, imperfect style.
“I worry that in the clinical world... we've been burned before. Maybe I'm extra sensitive to it, but I feel like I'm on the leading edge of being burned again.”
“I think we have to integrate more geriatrics into palliative care, similar to how we're doing in geriatrics where like every Jerry fellow is doing some palliative care rotations.”
“We should always be asking ourselves, how will this affect various groups, particularly groups who have been historically disadvantaged?”
Hosts
Guests
Alex Smith
person
Eric Guadero
person
Lynn Flint
person
Ann Kelly
person
Taylor Swift
person
Prepare for Your Care
other
Jerry Powell Fellowship
organization
Vivek Murthy
person
52 does 22
media
Fly by Jing Sichuan Chili Crisp
other
Pragmatic Trial to Increase Advance Care Planning: Anne Walling, Neil Wenger, & Rebecca Sudore
GeriPal - A Geriatrics and Palliative Medicine Podcast • 50m • 4/2/2026
Rural Palliative Care: Karl Bezak, Jeanie Youngwerth, Adie Goldberg, and Gregg Vandekieft
GeriPal - A Geriatrics and Palliative Medicine Podcast • 47m • 4/9/2026
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