The Clinical Problem Solvers

MARCH 22, 2020

He is a medical educator who specializes in treating infectious diseases, particularly infections that develop in patients who have suppressed immune systems, such as as solid organ and hematopoietic stem cell transplant recipients and HIV+ organ transplant recipients.

Asthma 52

Asthma Internal Medicine Community Consulting 52

PEMBlog

JUNE 7, 2023

Describe the role of medical control in determining destination and goals of safe transport This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.

Transportation 123

Transportation Patient-Centered Management Finance 123

PEMBlog

JUNE 14, 2023

This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together.

Mental Health 98

Mental Health Management Patient-Centered Illness 98

GeriPal

JULY 27, 2023

For those with serious illness, sleep problems and insomnia are all too common. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Insomnia sucks. Chronic insomnia sucks even more. Brienne: Yeah.

Illness 85

Illness IT Clinic Medical 85

PEMBlog

MAY 31, 2023

When we think of managing agitated patients we think of medicines – but that shouldn’t be our first option. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. However, medications can be adjuncts to non-pharmacologic means to help keep agitated children safe from harm. PMID: 36948291.

Management 91

Management Patient-Centered Transportation Finance 91

StorytellERdoc

JULY 2, 2014

From this approach, I paused for several seconds to appreciate this serene, surreal view of a patient who appeared unaffected despite the scurrying of several staff and ambulance teams around him. He denied any further complaints as I patiently went through a list of symptoms. I mean poop, Dr. Jim," he clarified.

Specialization 100

Specialization ER Families Family 100

PEMBlog

MAY 17, 2023

Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. Diagnostic yield of head CT in pediatric emergency department patients with acute psychosis or hallucinations.

Patient-Centered 71

Patient-Centered Mental Health Management Transportation 71

GeriPal

MAY 19, 2022

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Step four is adjusting it for your patient. How do you do that?

IT 139

IT Patients Individual Relationship 139

GeriPal

MAY 8, 2025

Summary Transcript CME Summary Weve covered psychedelics on the podcast beforefirst in 2019 with Ira Byock, where we explored their potential role in medicine , and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. This is Eric Widera.

Illness 107

Illness IT Patient-Centered Patients 107

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care practices are often the first location a patient seeks treatment for substance use disorder (SUD). This intervention used a primary care addiction consultation service model including education, an addiction medicine consultant, and practice facilitation to increase capacity for opioid use disorder (OUD) treatment.

Primary Care 130

Primary Care Consulting Medical Illness 130

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . We got some really special guests with us. But does this drug really live up to the hype?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Summary Transcript Summary On today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!), He was also the one who we have to thank for suggesting this podcast!

Education 127

Education IT Illness Healthcare 127

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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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. But the patient would say, well, but it still hurts, though. Alex 03:31 That was fun.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Eric 01:42 So we’ ve got an exciting topic today.

IT 132

IT Illness Families Family 132

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 126

IT Patient-Centered Illness Education 126

Georgetown Pediatrics & Family Medicine

FEBRUARY 7, 2022

“A lot of times when we talk about mental illness or mental health, I think there’s a lot missing from the conversation,” Dr. Joy said. “I It doesn’t always have to be about mental illness.” He was interested in understanding racial bias and supporting educational justice. Canady is now enjoying retirement in Pensacola, FL. “I

Mental Health 40

Mental Health Patient-Centered Hospital Education 40

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. And, you know, I just thought it was a really special song. Kirsten 04:52 So we did a pilot study and of nine patients, and now we’re in the process of doing an RCT of 200. AMA PRA Category 1 credit(s) ™. Eric 04:50 Okay.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 11, 2022

We talk with Susan about how far the field has come, from early days when the attending physician would decide which patients were DNR and place a black “no code” dot in the chart. – Serious Illness Conversation Guide podcast. There was no conversation with the patient or the family about this. AlexSmithMD . Transcript.

Illness 109

Illness IT Families Family 109

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. We’re just like, “Okay, I see this patient has a need. Okay, I see this team member has a need.

IT 102

IT Families Family Clinic 102

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). The hospital refused without a court order, and the case eventually made its way to the Supreme Court. What words to use? Is the POLST useful?

Families 112

Families Family Patient-Centered IT 112

PEMBlog

MAY 24, 2023

Patient that are agitated should always be treated with dignity and respect. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. Structured team approach to the agitated patient in the emergency department. We have developed a series of pain focused episodes. doi: 10.1016/j.emc.2009.07.003.

Management 55

Management Patient-Centered Physicals Transportation 55

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. Welcome to the GeriPal podcast, Nathan.

IT 145

IT Hospital Patients Illness 145

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. I’ve had a patient in one room, they have stage four breast cancer. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study.

IT 137

IT Families Family Physicals 137

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. The patient case. I think the theme is more saving someone’s life and the regret that follows.

Patients 98

Patients IT Patient-Centered Hospital 98

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? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 28, 2024

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. Eric: And who are the patients including in this trial, again? Kate: These are very sick patients. And that’s it. Kate: Sure.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 24, 2023

I’m very proud of the work that we do every day and we take care of patients and families no matter where they live or who they are to help them meet their end of life goals. I am passionately against bad care and there is a lot of bad hospice care that preys on highly vulnerable patients and is unnecessary. Eric: Great.

IT 114

IT Provider Patients Families 114

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. Consider this: the majority of the 1.4 Thank you so much.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. In addition to that long list, I was also a chaplain educator. These studies are important.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. Kate 11:33 Yeah, I mean, definitely more indirect pathways than direct.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

MARCH 20, 2025

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

DECEMBER 5, 2024

We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. So has a special resonance for, I think, a lot of people who are Tragically H ip fans. Because we all interface with it at the end of the day as patients.

IT 107

IT Community Patients Families 107

GeriPal

MARCH 31, 2022

Marilyn is joined by Guy Micco to talk about why poetry is important in general, why it’s important in medical or nursing education, and why it’s important for people who care for older adults. Patient Poets: Illness from the Inside Out. I think it’s titled Patient Poets Illness. AlexSmithMD.

IT 70

IT Patients Medical Illness 70

GeriPal

JUNE 6, 2024

Summary Transcript Summary As Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. But one issue we’re not as good at discussing with our patients is sexual health. Clearly this issue is important to patients. How long they might have to live. Their declining cognitive abilities.

Illness 130

Illness IT Physicals Patients 130