The Clinical Problem Solvers

JANUARY 18, 2021

Understand that collective action and a focus on community, rather than individualism, are most effective in combating racism and achieving health equity. One of the biggest barriers to health equity is the narrow focus on the individual and a failure to see health as a widespread community issue. Published December 2, 2020.

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Community Medical Individual IT 52

GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. So we did primary care.

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Specialization IT Patient-Centered Medical 120

GeriPal

OCTOBER 13, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s a team now with them behind them making sure that they stay safe and held in our communities. Lona: Absolutely. Eric: Can I touch on the last study?

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Complication Patient-Centered IT Patients 97

GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. So people could live in the community. Ariel: Sure.

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Specialization Medical Patient-Centered Provider 105

Mesa Family Physician

JUNE 11, 2025

Preventive Care: Your First Line of Defense Against Illness When it comes to your health, waiting until something goes wrong isn’t the best approach. Instead, adopting a preventive mindset can help reduce your risk of illness, improve long-term outcomes, and even limit the need for more serious interventions.

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Illness Preventative Care Preventive Care Insurance 100

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

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Primary Care Diagnosis Screening IT 97

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

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Family Physician Preventative Care Preventive Care Family 100

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. You should have the child follow up with their primary care doctor often after about 10 to 14 days on the acid blocking regimen that you prescribed. They can handle this problem.

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Diagnosis Management IT Patient-Centered 52

Physician's Weekly

JUNE 12, 2025

As climate change increases in certain pediatric illnesses like asthma, pediatricians have a role in caring for children, especially in vulnerable communities. How are children in vulnerable communities at greater risk? Addressing the climate crisis needs to be multipronged.

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Asthma Mental Health Illness Chronic Disease 52

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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Illness IT Diagnose Medical 129

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. In their communities? The article we discuss today, also published in JAMA , addresses these two gaps.

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Patient-Centered IT Illness Patients 123

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. I would like to request the Friendship Train by Gladys Knight and the Pips.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. Happy pride and thanks for the invitation, Alex and E.

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Individual Community IT Chronic Condition 82

Plum Health

OCTOBER 16, 2024

Michigan residents have been buzzing about a primary care clinic that’s setting a new standard for healthcare across the state. Whether you’re in Detroit , Corunna , Lansing , Royal Oak , or Van Buren , this clinic is offering comprehensive care that puts patient well-being first. Here’s why everyone is talking about it!

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Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. link] Kensington Hospice & ‘Radical Love’ Equity-Oriented Hospice Palliative Care Naheed Dosani also serves as the Medical Director of Kensington Hospice, Torontos largest hospice.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. And the primary care provider had assumed he was no longer driving, I think.

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IT Family Families Diagnosis 102

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. . I worry, as a ex-primary care doctor, how much time I have.

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Illness IT Healthcare Patient-Centered 73

GeriPal

JUNE 22, 2023

And then from that, through community activists, ACT UP, legislators who felt that there needed to be something done, doctors within CDCR who cared passionately about the HIV population and others, all came together and we were able to eventually get funding for this 17-bed inpatient hospice. Eric: Mm-hmm. That’s one.

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Family Families IT Community 133

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And oh, guess what?

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Patient-Centered Hospital Patients IT 133

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. He looked very ill. We do conversations on goals of care and advanced care planning as well. How do you see the light?

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Provider Illness IT Healthcare 119

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 30, 2022

We think there are some cases, certain kinds of illnesses or conditions or operations, where people have the surgery and never get out of bed again. So for example, tracheostomies frequently occur in patients who are quite ill, but it’s not the trach itself that tends to lead to the mortality, it’s their generalized illness.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. And then as it grew, I just was viewing the entire enterprise as a love letter to health care. Emily 06:27 Yes.

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IT Community Patients Families 108

GeriPal

JUNE 5, 2025

Summary Transcript CME Summary The need for better palliative care in nursing homes is significant. nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Was the clinician working frontline in those community hospitals?

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Patient-Centered IT Hospital Patients 78

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. And certainly we can take care of patients at more advanced ages.

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Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Tom: Do you think they relayed that info to the primary care [inaudible 00:34:14]. Alex: We had you on just recently, the podcast. We’ve had you on twice before. Kate: Sounds right. Also the same hospital system?

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Consulting Patient-Centered IT Patients 116

GeriPal

FEBRUARY 20, 2025

Certainly a lot of communities we’re thinking about LA right now and the collective trauma that they’re experiencing from the fires. But you can also think about the collective trauma that we might experience from kind of these big world events, like the pandemic, from major wars or disasters.

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IT Patient-Centered Individual Patients 67

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with severe mental illness (SMI) who develop dementia are a particularly complex and understudied population with various healthcare needs. Objective: To describe individual characteristics and healthcare use in older adults with SMI across home care services (HCS) profiles before and after the first dementia diagnosis.

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Diagnosis Healthcare Illness Primary Care 130

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. So most of us in primary care, it’s probably even worse.

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Illness IT Physicals Patients 131

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

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Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

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Primary Care IT Clinic Patient-Centered 80

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. Is that what you’re seeing as a palliative care provider now or. I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other.

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Primary Care IT Clinic Provider 96

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. spends on health care more wisely or efficiently. 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

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. We have home-based primary care.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

Happy to be here Alex: And we’re delighted to welcome Carly Zapata, who is a palliative care physician faculty at UCSF and directs the Palliative Care Fellowship at UCSF. So we’re going to be talking about telemedicine, telehealth for people with serious illness. Now is the time to act, dear listeners! Eric: Yeah.

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Telemedicine Telehealth Patient-Centered Board-Certified 73

Physicians News Digest

APRIL 17, 2025

He and his colleagues had recruited 200 families, assembled a community advisory board to understand which vaccinations were top priorities, created short videos with people who had experienced vaccine-preventable illness, and texted those videos to half of the caregivers participating in the study. health care system and academia.

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Vaccination Government Patient-Centered Hospital 52