The Clinical Problem Solvers

AUGUST 25, 2020

Jefferson & Hedwig Lee (2020) Illness spillovers of lethal police violence: the significance of gendered marginalization. Essien, MD, MPH Hosts: Dereck Paul, MS, Utibe R. N Engl J Med. 2016;375(22):2113-2115. doi:10.1056/NEJMp1609535 Alyasah Ali Sewell, Justin M. Feldman, Rashawn Ray, Keon L. Gilbert, Kevin A. Ethnic and Racial Studies.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. The question I would ask is, how helpful is that in our clinical practice? Because it can be important to think about how people are coping with their illness. But before we do, we always have a song request.

Illness 129

Illness IT Diagnosis Patient-Centered 129

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MARCH 14, 2024

But again, most of my clinical practice, until recent years, has been in the acute care setting. We have patients who are acutely ill, pulmonary consequences can be really, really serious for a lot of our hospitalized patients. And so I always think of thickened liquids as a tool in our toolkit.

IT 124

IT Patient-Centered Hospital Individual 124

GeriPal

JANUARY 18, 2024

Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Eric: So, before we jump into the topic of substance use disorder in aging and serious illness, I think someone has a song request. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. I think the very simple, practical thing is involuntary weight loss. Alex 36:08 Yeah.

Illness 133

Illness Patient-Centered Patients IT 133

The Clinical Problem Solvers

MAY 2, 2022

As she embarked on her project, she realized that improving serious illness care would require improving serious illness communication. Ebi found that the belief in genetic differences as an explanation for racial health disparities was associated with use of race-based clinical practices.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson).

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 29, 2024

Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. And, that’s to help people who have serious illness, that’s to help people who have diseases of aging at a younger age, people who are homeless, people who are incarcerated.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

JUNE 12, 2025

And I would say not infrequently do I see patients who have a misunderstanding about radiation similar to their.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. And in my nursing home practice, most people want to be DNR selective treatment meaning like no heroics. Good to know.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

The Clinical Problem Solvers

NOVEMBER 16, 2020

37:50​ Race vs. ancestry vs genetics–implications for research and clinical practice 52:02 ​What can we start doing tomorrow? Much of the data promoting biological difference amongst races comes from poorly-designed studies where race as a variable is ill-defined or confounding variables are inadequately controlled.

Clinical Practice 52

Clinical Practice Clinic Medical IT 52

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! Ivermectin to treat cancer. Stem cell treatments. Chelation therapy.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 4, 2024

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. They were seriously ill and had a chance to get to know. What words to use? Is the POLST useful? Under what circumstances?

Family 112

Family Families Patient-Centered IT 112

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? Eric: Yeah.

IT 102

IT Family Families Clinic 102

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 25, 2023

Sarah: But as you bring your inner circle into your care, you know, how does that that that feels like an important group to be assessing in terms of psychological outcomes and kind of what their experience with the process is like as they’re navigating illness and serious illness. Alex: LJ, are you going to add to that?

Community 96

Community IT Patient-Centered Primary Care 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. Were you administering scales to pick up on loneliness and isolation? It’s tough.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. What should our listeners take away from this study in clinical practice? Welcome to the GeriPal Podcast, Amber. Amber: Thank you guys. I’m a huge fan.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. I treat patients with acute leukemias and related diseases, so I kind of know some of this from my own clinical practice. Alex: We had you on just recently, the podcast. We’ve had you on twice before.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

SEPTEMBER 12, 2024

So whether it’s an encounter with a patient or whether it’s a family meeting or a clinical practice meeting or a feedback session with a fellow, the idea that we have both the ability to be very full and open and also selective and disciplined about how it is that we. Like, we are not ever included to do that.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Which may not be necessarily traumatizing.

IT 67

IT Patient-Centered Individual Patients 67

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Not my normal clinical practice. And she couldn’t control her husband’s illness the way it was heading towards his death. How did you react? This is Eric Widera.

Patients 109

Patients IT Family Families 109

GeriPal

FEBRUARY 6, 2025

Most of the public wants to have access to treatments and interventions that might help them forestall a devastating illness. It’s. These trials are designed to help future patients. Nate 29:18 Well, we’re waiting. I mean, but I think we’ve kind of gone off on a different path here. But we went from primary care to this.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. I think this is a topic we don’t talk about as much in the context of serious illness. Don, welcome to GeriPal. Don 01:11 Thank you so much.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Outcomes are typically assessed from available records.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. That’s in my view as analogous as to any other illness. You need the plaques to have that illness.

IT 116

IT Clinic Illness Hypertension 116

Common Sense Family Doctor

MARCH 23, 2025

The proliferation of clinical practice guidelines of varying quality and conflicting recommendations has led to calls to systematically evaluate guidelines for their impact on patient outcomes. You need not be ill enough to be hospitalized or care about practice guidelines to suffer if AHRQ is eliminated for good.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52