The Clinical Problem Solvers

APRIL 24, 2025

Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network.  Epub 2015 Dec 1. 2022;31(2):211-221.

Mental Health 52

Mental Health Community Hospital Appointment 52

The Clinical Problem Solvers

MARCH 14, 2025

Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network.  Epub 2015 Dec 1. 2022;31(2):211-221.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

CDOCS

MARCH 31, 2021

With the approval of both the patient as well as the practitioner, all materials would be sent back to the lab for the final fabrication& of the prosthesis.¹ & This process can be completed for both or just one arch depending on what the patient needs.&

Appointment 52

Appointment Families Family Patients 52

CDOCS

MARCH 26, 2021

png]<br /> <em><span style="font-size:11px;">​Figure& 1:& <span data-contrast="auto" xml:lang="EN-US">A life-long bruxer, this patient presented with lost teeth in the posterior and compensatory eruption of lower anterior teeth.</span>&

Families 52

Families Family Patients Provider 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Identify patient, provider, and healthcare process and utilization factors associated with rates of secondary acceptance of the HPV vaccine. Existing research on secondary acceptance has focused on demographics and initial declination with little evidence around factors associated with increased rates of secondary acceptance.

Vaccination 130

Vaccination DO Family Medicine Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To evaluate the effectiveness of the national roll out of PINCER to reduce the prevalence of patient exposure to hazardous prescribing and insufficient medication monitoring, and the incidence of serious harm in patients at risk of hazardous prescribing.

General Practice 130

General Practice Primary Care Clinical Practice Patients 130

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. Our loves, our triumphs, our failures, our work, our families. . Storytelling Helps Hospital Staff Discover The Person Within The Patient. What’s in a story?

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

DECEMBER 15, 2022

Along the way we address: Is this degree of slowed cognitive decline meaningful to patients or care partners? 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. So I would love to hear.

IT 106

IT Patient-Centered Healthcare Illness 106

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. The patient’s capacity to make decisions was marginal, and his sons were shouldering much of the responsibility.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

PEMBlog

MAY 15, 2023

Our role as providers is to identify the patients who have a life-threatening etiology to their syncope. History and physical examination are critical components to any emergency department evaluation but are especially helpful in syncope patients. Wolters Kluwer/Lippincott Williams & Wilkins Health, 2015. Brugada Syndrome.”

Utilities 97

Utilities Screening Physicals Medical 97

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. Krista Harrison found , to her surprise, that caregivers of people with dementia who died rated hospice as well as similar patients without dementia who died on hospice. AlexSmithMD. Transcript.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 2, 2023

By 2015 that number increased to 4% of US adults. The FDA-approved indications for gabapentin are only for treating patients with partial seizures or postherpetic neuralgia. valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. Tasce: Yes. Taylor Swift.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

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. We discuss the moral distress that clinicians felt including, as one physician put it, a sense of your soul being ripped out.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. If we think of discrimination, how people are treated by their biological family. Caregivers too.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JUNE 30, 2022

You have a patient with dementia severe enough that she cannot recognize relatives. A huge part of this decision rests on (1) her previously stated wishes, values, and goals (prior to the onset of dementia); and (2) the outcomes of surgery for patients with dementia. Summary Transcript Summary. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

Illness 137

Illness Patient-Centered Screening Clinic 137

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. But, should we as clinicians care about the social lives of our patients?

IT 100

IT Community Patient-Centered Medical 100

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

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.

IT 97

IT Families Family Board-Certified 97

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. The MAID issue then came on the table in Canada after the 2015 Supreme Court ruling in Carter v. So being well and also potentially periods of dying.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. It is appropriate for all patient populations, and it is developed specifically for the palliative care and hospice populations. Why do this?

Families 108

Families Family Patient-Centered Patients 108

GeriPal

DECEMBER 7, 2023

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. And that’s a good thing to share with an older patient or client that making decisions about your activity. So how are your patients going to deal with extreme heat and cold?

Healthcare 130

Healthcare IT Education Community 130

Physician's Weekly

JUNE 12, 2025

Centers for Disease Control and Prevention (CDC) database that includes vaccine safety information from millions of patients, according to multiple sources. Results of that work are expected this fall. Geier, meanwhile, is trying to gain access to a U.S. The two had access to the CDC database in 2004 and 2006.

Vaccination 52

Vaccination Patient-Centered Government Diagnosis 52

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.”

Patient-Centered 126

Patient-Centered IT Families Family 126

Common Sense Family Doctor

JUNE 11, 2025

Several past colleagues in the family medicine department at Georgetown recently published an informative scoping review of specialty disrespect in the medical learning environment. A research letter in JAMA Network Open reported that in 2015 and 2020, graduates of U.S. It's well documented that schools that are ranked highly by U.S.

Primary Care 90

Primary Care Community Primary Care Physician DO 90

Common Sense Family Doctor

MARCH 23, 2025

Nonetheless, its work has often been politically unpopular and unheralded outside of a small community of health services researchers and patient advocates. Sadly, when all medical waste is somebody's income, there is little enthusiasm in the medical-industrial complex or on Capitol Hill in allocating the $3 trillion the U.S.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52

Pamela Wible MD

JUNE 19, 2025

Born into a family of physicians who warned her not to pursue medicine. In order to heal her patients she first had to heal her ailing profession. An inspiring leader and educator of the next generation of physicians, Doctor Wible has been named one of the 2015 Women Leaders in Medicine and the “Physicians Guardian Angel.”

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

JANUARY 5, 2023

We start by talking with Robert Brody, an internist who recalls physicians helping patients die during the height of the AIDS epidemic in San Francisco. Robert was first asked by one of his own patients for assistance in dying in 1991, far before aid in dying was legalized in California in 2016.

Provider 19

Provider Medical Hospital Patient-Centered 19