The Clinical Problem Solvers

DECEMBER 16, 2020

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. Tsai has seen race-based medicine play out in clinical practice 10:45 What role should race play in making clinical decisions?

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BMJ

JULY 17, 2020

quarantine-breakers”) or video clips of people shouting at or even physically assaulting Wuhanese or people who visited Wuhan after the outbreak. Int J Soc Psychiatry 2020 (May 21; published online). Front Commun ́2020 (June 12; published online). Accessed June 21, 2020 from: [link]. 新闻战线[News Frontline] 2020;(3):1–10.

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Community Individual Physicals Finance 40

Today's Hospitalist

MAY 9, 2025

We have seen explosive growth and become a cornerstone of modern health care systems. Yet this expansion has come with a significant administrative burden, particularly that of clinical documentation. Documentation isn’t just time-consuming; it also contributes to pervasive physician burnout. It’s about augmenting your capabilities.

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The Clinical Problem Solvers

OCTOBER 18, 2022

Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system.

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FDA Law

NOVEMBER 1, 2023

The PR takes on two specific statutory grounds raised by the June 22, 2020 HHS memo —the requirements for “interstate commercial” and “commercial distribution”—and argues that they are not impediments to FDA jurisdiction over LDTs. Premarket Approval or De Novo pathways).

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GeriPal

JANUARY 12, 2023

Which patients are eligible to go to an ACE unit? What are the benefits of an ACE unit? If ACE units are so great, why are they not so common? . What does the future look like for ACE units and how does it differ (if at all) from Age Friendly Health Systems? But before we do, do you have a song request? I think Kellie, do you have it? Alex: Yeah.

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The Clinical Problem Solvers

AUGUST 25, 2020

Police brutality Police brutality should be thought of as the ways state-sanctioned violence leads to the physical, psychological, and emotional harm of its victims. Jefferson & Hedwig Lee (2020) Illness spillovers of lethal police violence: the significance of gendered marginalization. N Engl J Med. 2016;375(22):2113-2115.

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Community Patient-Centered Relationship Education 52

Doctor On Demand

APRIL 16, 2025

A 2020 study, “Herbal Medicine for Acute Bronchitis: A Qualitative Interview Study of Patients’ and Health Professionals’ Views,” published in Complementary Therapies in Medicine showed that many UK patients expressed an interest in herbal remedies to avoid unnecessary antibiotics. . Sign up today.

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Medical Board-Certified Asthma Telehealth 52

FDA Law

FEBRUARY 29, 2024

A surrogate endpoint is a marker, such as a laboratory measurement, radiographic image, physical sign or other measure that is thought to predict clinical benefit but is not itself a measure of clinical benefit. The use of a surrogate endpoint can considerably shorten the time required prior to receiving FDA approval. FDA-2022-E-3124 ).

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Clinic IT Provider Patient-Centered 59

33 Charts

OCTOBER 2, 2021

According to Epic, the number of patient messages spiked 151 percent nationally from the period covering the first 11 weeks of 2020 through the end of the year. It’s the physics of physician bandwidth: You can’t add something without taking something away. This change has been driven by health systems actively promoting portal use.

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FDA Law

JUNE 22, 2022

In the second case, occurring from January to May 2020, a registered nurse, admitted to daily tampering of fentanyl vials and hydromorphone injectables wherein she removed the drugs from the vials replacing them with saline solution. See Sovah Non-Prosecution Agreement, Addendum A, Agreed Facts, ¶2. 4, 2022).

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Board-Certified Provider Government Management 52

FDA Law

OCTOBER 28, 2024

When a comprehensive neurodevelopmental evaluation is needed, it should include an evaluation of physical, mental, and social health. Key considerations include minimizing participant burden; accounting for potential confounding factors; carefully considering the type of score to use, as some COAs may generate multiple types of scores (e.g.,

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Clinic Physicals IT Referral 64

FDA Law

JANUARY 2, 2022

The National Institute of Biomedical Imaging and Bioengineering describes computational modeling as “the use of computers to simulate and study complex systems using mathematics, physics and computer science.” NIH, Computational Modeling (May 2020). Similar techniques can be used to model complex biological systems.

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Medical Provider Physicals Engineering 52

PEMBlog

SEPTEMBER 13, 2023

A careful history and physical examination are ways that we as providers can “see what’s going on inside the head.” Occult trauma Any trauma that is not seen on your physical (e.g. Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. Glucose We all need it.

Patients 52

Patients Screening Illness Physicals 52

FDA Law

JANUARY 2, 2022

The National Institute of Biomedical Imaging and Bioengineering describes computational modeling as “the use of computers to simulate and study complex systems using mathematics, physics and computer science.” NIH, Computational Modeling (May 2020). Similar techniques can be used to model complex biological systems.

Medical 40

Medical Provider Physicals Engineering 40

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! Nadine: I do. Good choice.

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Diabetes Management Patient-Centered Families 73

Medical Xpress

JUNE 16, 2025

A 2024 study published in the journal Nature Medicine found that military veterans with brain injuries saw major mental and physical improvements after just one ibogaine session. The goal is to support clinical trials and bring in another $50 million in private investment to help ibogaine win approval from the U.S. Former Texas Gov.

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The Clinical Problem Solvers

FEBRUARY 14, 2022

But, finding ways to do so can prove illuminating as well as rewarding. Pearls Built Environment, Physical Health, and Mental Health Dr. South detailed that there are clear physical health benefits associated with place-based interventions, but unfortunately many lots and buildings sit vacant and destitute across the US. Be curious.

Community 52

Community Individual Mental Health IT 52

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A. The illness narratives suffering, healing, and the human condition. Accepting This Poem by Mark Nepo [link] Saks, N.,

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GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows. Vicki 02:10 Thank you.

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Telehealth Patient-Centered IT Patients 105

Medical Xpress

JUNE 16, 2025

This achievement is the result of an interdisciplinary collaboration among researchers in life science, physics, and computer science. This cluster of about 20,000 to 40,000 neurons functions like a central watch, coordinating the timing of body functions to follow the 24-hour day. But the NTU team discovered that it is far more complex.

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GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Is it you Lyndsay?

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Patient-Centered IT Illness Patients 122

The Clinical Problem Solvers

MAY 2, 2022

Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department. link] November 17, 2020. December 17, 2020. Although they began with a large focus on police brutality as a whole, they realized that the presence of police within the hospital had not been sufficiently examined.

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Healthcare Utilities Hospital Internal Medicine 52

The Clinical Problem Solvers

MARCH 4, 2024

She started in the Narrative Medicine program at Columbia around Sayantani, and wanted to focus on incarceration as a healthcare issue, and has since engaged in work that attempts to decarcerate health care. Sayantani became a physician since she thought it was a concrete tool for social justice. Stories are not inherently just.

Community 52

Community Education Patient-Centered Relationship 52

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

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Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 2, 2023

2011-2014 JAMDA 2020 Efficacy of Gabapentinoids: Gabapentinoids for Pain: Potential Unintended Consequences. By 2015 that number increased to 4% of US adults. There are a lot of reasons that may explain the massive increase in use of these drugs. One thing is clear, it is not because people are using it for FDA approved indications.

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Patient-Centered IT Healthcare Medical 96

GeriPal

DECEMBER 8, 2022

Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet. It wasn’t until the end that the best term emerged – storycatching. It’s since spread to over 70 VAs.

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Patient-Centered Illness Healthcare IT 115

Vida Family Medicine

APRIL 27, 2023

While nutrition and physical activity are certainly important for overall health, they are only one part of the big picture. Often when a patient comes to me wanting to improve their health, they have put most of their focus on making changes to their diet and exercise. Sleep deprivation can come from a variety of causes.

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Individual Diabetes Medical Chronic Disease 52

The Clinical Problem Solvers

NOVEMBER 6, 2023

Physical Fitness.” Siddiqui October 31, 2023 Summary : This episode highlights the culture of food shaming and anti-fatness as it relates to anti-Blackness. During this episode, we hear from Da’Shaun L. Harrison, a community organizer and trans theorist, and Dr. Psyche A. The show notes for this episode were written by Humza A. Harrison, D.

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Community Manufacturing Patients Medical 52

PEMBlog

MAY 15, 2023

History and physical examination are critical components to any emergency department evaluation but are especially helpful in syncope patients. Congenital Long QT Syndrome with arrow showing QT interval (courtesy of life in the fast lane [link] LQT1 is most common, triggered by emotional or physical stress (diving, swimming).

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Georgetown Pediatrics & Family Medicine

FEBRUARY 10, 2023

According to the CDC, “About 697,000 people in the United States died from heart disease in 2020– that’s 1 in every 5 deaths”. In addition to a special day called Valentines, I would like to bring awareness to why we should keep our hearts healthy. We cannot control genetics, but we can control other modifiable factors.

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Primary Care Physician Family Medicine DO Appointment 40

GeriPal

MAY 26, 2022

The basis of their argument is the ethical notion of “reciprocity” – people who are vaccinated have done something to protect the public health, and we owe them something for taking that action. Eric and I attempt to poke holes in their arguments, resulting in a spirited discussion. Evusheld is the latest case in point. . Alex: Love this.

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FDA Law

JULY 11, 2021

DEA had issued a notice of proposed rulemaking in February 2020 (see our post here ). We note that the Centers for Disease Control and Prevention reported in December that over 81,000 drug overdose deaths occurred in the year ending May 2020, the highest number ever recorded during a twelve-month period. By Larry K.

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Transportation Patient-Centered Medical Patients 52

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

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IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Here we go.

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IT Patient-Centered Individual Screening 66

FDA Law

JULY 9, 2024

geographic location, gender identity, sexual orientation, socioeconomic status, physical and mental disabilities, pregnancy status, lactation status, and co-morbidity) may impact outcomes. Although these are the characteristics required to be included by FDORA, the Draft Guidance notes that other factors (e.g. population demographics.

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Clinic Provider Individual IT 59

The Clinical Problem Solvers

MARCH 31, 2021

2020, December 23). From social distancing to contact tracing to vaccin distribution, every step should be considered through an anti-raicst framework. This includes financing vaccine acquisition for all countries and avoiding the global north vaccine hoarding that is happening today. Kleinman, A., & Basilico, M. Goodwin, C. Malik, M.

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