The Clinical Problem Solvers

APRIL 24, 2025

[link] CPSolvers: Anti-Racism in Medicine Series Episode 27 – Racial and Gender Health Disparities in Youth Suicide: Part 2 Show Notes by Asya Pitre April 25, 2025 Summary: In this second half of a two-part series, Dr. Tami Benton and Dr. Kevin Simon discuss racial and gender health disparities in youth suicide. Accessed 2025.

Mental Health 52

Mental Health Community Hospital Appointment 52

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. And it was like the lights came on. This guy came alive.

IT 96

IT Patient-Centered Patients Board-Certified 96

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 85

Individual Community IT Chronic Condition 85

GeriPal

NOVEMBER 2, 2023

I talked about lack of prestige and respect, and I talked about how healthcare system leaders and medical school deans don’t always seem to value the field of geriatrics. We were never going to have all the geriatricians that folks had forecast, whether it was 25,000 in 2025 or 30,000 in 2030, we were never going to get there.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

FEBRUARY 9, 2023

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? So I just can’t keep going. And so I think that’s why it has its moment now even in 2023.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

Families 93

Families Family IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. Later on, of course, we added health professionals to, you know, give us more information.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this. Ivermectin to treat cancer. Stem cell treatments.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. And it was very clear, and she could now no longer recognize her family members. And the family says, dad would never want to live like this.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

JUNE 26, 2025

We focus on function and mortality because these are outcomes that really are important to patients and families. Like if you had a magic wand, you had healthcare providers, like, one thing they. ABIM MOC credit will be offered to subscribers in November, 2025. What is your function? And do you die?

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

APRIL 26, 2024

ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. He is a palliative care physician at the Durham VA Medical Center in Duke and blogs on Substack at Notes from a Family Meeting. It’s all stemmed from a post that Josh wrote, I’ll caught from his Substack Notes from a Family Meeting.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? . You basically don’t even ask the family, you just stop the bleeding.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

OCTOBER 31, 2024

The impact on families. But turns out that Jan1 and its family are all very similar. I have used Moderna or all of mine and in my family I do okay with the vaccine, which means that I probably am not mounting enough response. Year four, year four of COVID What are you hoping in 2025, Lona? The impact on. I think that was.

Vaccination 127

Vaccination IT Patient-Centered Patients 127