The Clinical Problem Solvers

MARCH 14, 2025

She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. Epub 2015 Dec 1. 2023 Apr;21(2):166-7. Brent DA, Goldstein TR, Benton TD.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

33 Charts

OCTOBER 2, 2021

Why MyChart messages create a challenge for hospital systems So more contact and connection between doctors and patients seems like a good thing, right? Some of these Epic features can create the expectation of concierge-level service — a challenge at a time when hospitals are facing a global pandemic with crisis-level staffing.

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Patients IT Provider Family Doctor 75

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though.

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Hospital IT Patient-Centered Patients 125

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?”

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Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. And I started my career at Barnes-Jewish Hospital in St. But rarely does the podcast and clinical reality meet in the same day.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

DECEMBER 15, 2022

Heather: I do Alex, and I’m so happy to have this song request, it’s called The Eye by Brandi Carlile, which comes from a quite old 2015 album called The Firewatcher’s Daughter. Been in the hospital four times, vented, been told the story to her family, she won’t live. So I would love to hear.

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IT Patient-Centered Healthcare Illness 105

GeriPal

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. In fact, as Lauren Hunt found , the average likelihood that a person will be disenrolled from one hospice vs. another is two. AlexSmithMD.

Families 106

Families Family IT Patients 106

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. And then the second one in 2015. They may have few family members, live alone.

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IT Community Patient-Centered Medical 99

GeriPal

JUNE 29, 2023

And back then, mostly we took care of each other in the cells and it was like a family thing. AIDs didn’t know any color or creed, so it was a family thing, we all took care of each other. And it’s a family environment, it becomes like a big family here. And this is my family, who I spend my time with.

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IT Families Family Board-Certified 97

GeriPal

MARCH 2, 2023

By 2015 that number increased to 4% of US adults. Eric: And we have Tasce Bongiovanni, who is an acute care trauma surgeon at UCSF and the San Francisco General Hospital. These are families who are in distress. Summary Transcript Summary Gabapentin is the 10th most prescribed drug in the United States and use is increasing.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

JANUARY 18, 2024

And as of 2015, the survey started to ask folks about cancer history, just some broad questions about lifetime history of cancer and whether they’ve had a cancer diagnosis in the past year. Have you had a family history of substance use disorder? And they ask questions like, have you used substances?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 11, 2024

What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods. The MAID issue then came on the table in Canada after the 2015 Supreme Court ruling in Carter v.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 7, 2023

And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. And we have gone from 250 members at the end of 2015 to about 26,000 right now across the United States and a number of chapters that have grown.

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Healthcare IT Education Community 129

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? God, it must have been like 2015, 2016. And we have some great guests.

Families 106

Families Family Patient-Centered IT 106

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

Common Sense Family Doctor

MARCH 23, 2025

AHRQ survived that episode, only to be zeroed out by the House once again in 2015, when the danger to the agency's survival seemed real enough that former Senate majority leader Bill Frist and former CMS director Gail Wilensky both penned op-eds urging their Republican colleagues to reconsider - which they eventually did. Why do I care?

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52

GeriPal

JANUARY 5, 2023

To examine how clinicians might act in the face of such bans, we turn to Lori Freedman, who wrote a book about clinicians (primarily Ob-Gyn’s) who work in Catholic Hospitals. Lori Freedman’s book (forthcoming) – Bishops and Bodies: Reproductive Care in American Catholic Hospitals. Lisa Harris piece mentioned on podcast.

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Provider Medical Hospital IT 19

Pamela Wible MD

JUNE 19, 2025

Born into a family of physicians who warned her not to pursue medicine. Fed up with assembly-line medicine Dr. Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. These human rights violations are perpetuated in first-world brand-name hospitals. It’s Japanese.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

Physician's Weekly

JUNE 27, 2025

Nursing homes have struggled to replace licensed nurses, who can find better-paying jobs at hospitals and doctors’ offices, as well as nursing assistants, who can earn more working at big-box stores or fast-food joints. Conteh said taking care of elders is embedded in the culture of African families.

Community 52

Community Internal Medicine Families Family 52