The Clinical Problem Solvers

APRIL 5, 2022

Margot Kushel is a Professor of Medicine and Division Chief at the Division of Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative. Do you have a medical respite center?

Community 52

Community Patient-Centered Emergency Room Medical 52

Plum Health

OCTOBER 2, 2024

Ever found yourself in a medical bind, but not quite sure if it's an emergency? That's where urgent care centers come in handy. These facilities offer a wide range of medical services, from treating minor injuries to managing chronic conditions, without the long wait times and hefty price tag of an emergency room.

Emergency Room 52

Emergency Room Healthcare Patient-Centered Chronic Disease Management 52

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. Kirsten 04:16 So, in emergency medicine, obviously, we are interacting and caring for these both exciting and interesting, but also very complex and humbling patients to care for in the ED setting. What’s the connection and why?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. That put me in the emergency room.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

MARCH 28, 2024

Alex: Today we’re delighted to have Corita Grudzen, who is an emergency medicine physician and she’s at Memorial Sloan Kettering. And we have Kate Courtright, who’s at University of Pennsylvania, the PAIR Center. Eric: And who are the patients including in this trial, again? Kate: These are very sick patients.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Other states set lower bars, including oral assignment of surrogate decision-makers. What words to use?

Family 112

Family Families Patient-Centered IT 112

GeriPal

APRIL 10, 2025

Summary Transcript CME Summary Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. 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?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

OCTOBER 12, 2023

Summary Transcript Summary For surgeons and patients, deciding if and when to operate can be challenging. Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. We hope you enjoy this episode. I did it before and this guy, he was 85, but he was climbing Mount Everest.”

IT 128

IT Family Families Patient-Centered 128

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. GeriPal podcast with Linda Fried on frailty.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? Has kept me interested, the patient experience and the older adults in the community, their experience.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. But my piece in the New England Journal is about being a patient right before awake brain surgery.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

NOVEMBER 17, 2022

staff training in person centered care). And she had started this practice following her mental health patients as they got older, and invariably over decades of her practice, her practice became an assisted living practice, because all of her patients ended up moving into assisted facilities. Her name’s Carole Cohen.

Community 97

Community IT Mental Health Medical 97

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. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985.

Patients 98

Patients IT Patient-Centered Hospital 98

FDA Law Blog

MAY 21, 2024

Scientific Evidence of Marijuana’s Pharmacological Effects, If Known HHS found that marijuana abuse can lead to negative consequences that include addiction and the need for medical attention through poison center calls or emergency room visits. Basis at 18; NPRM at 44,605. Basis at 24; NPRM at 44,617.

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

JULY 7, 2022

I was helped into a wheelchair kind of rushed to the emergency room, which was not far away because I was on the medical school campus. Haider: And because it is so subjective and because we have these arbitrary rules around what the right patient with pain looks like, I think we really trap patients in a really difficult situation.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

Doctors for America

MAY 30, 2025

FOR IMMEDIATE RELEASE Doctors for America PO Box: 21161 2300 18th St NW Lbby Washington, DC 20009-9996 May 30, 2025 Coalition Acts to Protect Pregnant Patients’ Federal Right to Emergency Care, Including Abortion By Intervening in a Federal Challenge to EMTALA, Doctors for America Seeks to Protect Health and Lifesaving Care WASHINGTON, D.C.

Patients 93

Patients Medical Student Patient-Centered Emergency Room 93

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. I think most states have them.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. We want to do meaningful work and so we want to know that the conversations we have impact patient care. Eric: Well, how about just with the debate? We see how hard it is.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism.

Mental Health 116

Mental Health Community IT Screening 116

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.” Care Ecosystem.

Patient-Centered 125

Patient-Centered IT Family Families 125

Physicians News Digest

FEBRUARY 18, 2025

By Brad Broker The Centers for Disease Control and Prevention (CDC) has issued a concerning report on the current flu season, describing it as the worst in years. Nationwide, healthcare facilities are implementing contingency plans to manage the influx of patients.

Vaccination 52

Vaccination Emergency Room Complication Healthcare 52

Medical Xpress

JUNE 23, 2025

The temperature is just going to continue to rise and at some point thats going to lead to death," says Wood, who has worked as a nurse practitioner in the emergency room. "Its like taking the batteries out of your thermostat. Thats when we really need to aggressively cool people off in an ice bath."

Illness 54

Illness Engineering Medical Nurse Practitioner 54

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

Two-thirds of the patients in the home now have COVID-19. Seventeen of your patients are dead. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You’re short on gowns and facemasks. Did I summarize that right, Darrell?

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

DECEMBER 12, 2024

Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. The first one is that a lot of patients, particularly the end of life, probably the majority of them, can’t make their own decisions. Good to be here.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

Physician's Weekly

JUNE 17, 2025

They rushed to the emergency room, fearing a dangerous bowel impaction. Until recently, the only treatment was growth hormone therapy to help patients stay leaner and grow taller, but it didn’t address appetite. ” Over 26 years in practice, she’s also seen just how severely the disease hurts patients.

Patient-Centered 52

Patient-Centered Emergency Room Insurance Patients 52

Doctors for America

APRIL 22, 2025

Doctors see the human toll of gun violence every single day—in emergency rooms, in trauma centers, and in the quiet moments of grief that follow. Our patients deserve better, and our communities deserve to feel safe. DFA focuses solely on what is best for our patients, not on the business side of medicine.

Medical Student 52

Medical Student Emergency Room Community Patient-Centered 52

Physician's Weekly

JUNE 13, 2025

Sheps Center for Health Services Research following a request from Senate Democrats, who released the findings publicly Thursday. ” Hospitals that do stay afloat likely will do so by cutting services that are particularly dependent on Medicaid reimbursements, such as labor and delivery units, mental health care, and emergency rooms.

Finance 52

Finance Hospital Community Emergency Room 52

Physician's Weekly

JUNE 13, 2025

In our city of Victoria, for instance, many people do not have a family doctor because so many doctors have retired; those who are left are unable to take new patients because their lists are full. These comments clearly demonstrated the beneficiaries of the program were not just the patients; they were also the volunteers. Kennedy Jr.’s

Vaccination 52

Vaccination Family Families IT 52