The Clinical Problem Solvers

AUGUST 25, 2020

Policing in Schools and Hospitals Health care systems must actively advocate and protect their patients and that means we have to also reevaluate the presence of police in our spaces. Jefferson & Hedwig Lee (2020) Illness spillovers of lethal police violence: the significance of gendered marginalization. N Engl J Med.

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Pamela Wible MD

JUNE 20, 2025

Wendy Dean and Simon Talbot with their landmark 2018 article, Physicians aren’t ‘burning out.’ Dr. Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.) Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.) So what’s the real issue?

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GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . 2018 Systematic Review of Systematic Reviews on ACP. Where does POLST fit in with this debate?

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Illness IT Healthcare Patient-Centered 72

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Eric: For those of you don’t know, Emmy was on our podcast back in 2018 … man, pre-COVID times. I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. How did you both get interested in this as a topic?

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Family Families IT Diagnosis 102

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. Shunichi Nakagawa’s Tweet that went viral on responding a patient request to drink ice water before death.

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GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Think chemotherapy to imminently dying patients, or CPR.

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Patient-Centered IT Patients Illness 77

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. Michele: The article was 2018, but I think Bonnie read the article more recently. Eric: How long ago was this? Alex: A few years back.

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Family Families IT Community 132

GeriPal

MAY 12, 2022

I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission. It was wonderful for me, as a rehab doctor, to be able to see patients with spinal cord injuries and how they were living in their homes.

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GeriPal

OCTOBER 3, 2024

Alex 00:08 UCSF’s Division of Palliative Medicine are looking to build on their research and clinical programs and are interviewing candidates for the associate chief of research position and for full time physician faculty to join them in the in-patient and out-patient settings. Frank, welcome to the GeriPal podcast.

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IT Patient-Centered Patients Relationship 122

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

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Illness Patient-Centered IT Family 98

GeriPal

JULY 13, 2023

Summary Transcript Summary Today’s podcast is a follow up to our 2018 podcast with Randy Curtis about the Jumpstart intervention. On that podcast he and collaborators tested a combined patient and clinician facing communication priming intervention to promote goals of care conversations. Is 4% meaningful? We have lost a giant.

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GeriPal

MARCH 27, 2025

Only 5% of intervention patients received the facilitator-led component of the intervention (there were other components, facilitator-led was the most engaged component). Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Get to learn some Spanish for this one.

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GeriPal

APRIL 21, 2022

Poetry puts us in our patient’s shoes. Poetry holds us in that liminal space so many of our patients are in. Poetry helps us grapple with our own experiences of illness. Isn’t that what we always work with, with patients, with our colleagues, with ourselves? To let it go. . Alex: Mm-hmm (affirmative).

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Patient-Centered IT Community Illness 93

Common Sense Family Doctor

FEBRUARY 21, 2025

In two decades of practicing family medicine, I've never seen a patient with measles. But if there was ever a more fertile environment for this age-old contagion to come roaring back in the U.S., this is it. over the past 30 years.

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Common Sense Family Doctor

MARCH 23, 2025

This post first appeared on March 6, 2018, during the first Trump administration's failed attempt to eliminate the Agency for Healthcare Research and Quality (AHRQ). Nonetheless, its work has often been politically unpopular and unheralded outside of a small community of health services researchers and patient advocates. Why do I care?

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Healthcare Patient-Centered Primary Care Illness 52

PEMBlog

DECEMBER 4, 2024

Pediatr Rev May 2018; 39 (5): 247–257. Greater than 50 percent of kids under 12 months of age with pertussis could require hospitalization. Infants with apnea, cyanosis, or feeding difficulties should obviously be admitted to the hospital. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. link] UpToDate Yeh S et al.

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IT Vaccination Diagnosis Complication 52

Physician's Weekly

JUNE 17, 2025

And like the Tennants, many patients find themselves stuck in a convoluted appeals process marked by long wait times, frustrating customer service encounters, and decisions by medical professionals they’ve never met who may lack relevant training. For most patients, though, the process works seamlessly.

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