The Clinical Problem Solvers

APRIL 24, 2025

The episode highlights the importance of policy advocacy, culturally responsive therapy, and practicing cultural humility in mental health care. She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Kevin M.

Mental Health 52

Mental Health Community Hospital Appointment 52

Physician's Weekly

JUNE 11, 2025

U=U is a very relevant and necessary message that should be part of any intervention that addresses ART adherence, viral load suppression, stigma, and mental health. I tell my patients that, based on our large body of evidence, if their HIV viral load is consistently below 200, they will not transmit HIV sexually.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Then, “Keep your hand up if you frequently refer patients with cancer pain to a psychologist?” Eric: So you could probably tell we’re going to be talking about mental health issues.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 25, 2024

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Your research is a lot in this patient population, right? The article we discuss today, also published in JAMA , addresses these two gaps. Big randomized control study that came out. Important implications.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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? Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. Eloise, welcome to the GeriPal podcast. They just kept at it.

Medical 98

Medical IT Patient-Centered Healthcare 98

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

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Maybe we’ll get to talking about that today. Jessie: Thank you.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Management of chronic pain in the elderly: focus on transdermal buprenorphine. And how am I going to manage their pain? Learn about using the low dose buprenorphine patch: . Learn about how to initiate buprenorphine: .

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. William: Thanks so much.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

NOVEMBER 17, 2022

But why I decided to look at medical and mental health care and assisted living. So, we’ve been seeing that there’s this increasing need for attending to the medical and mental health wellbeing of people in assisted living more so than before, because it’s not really just a social model of care.

Community 97

Community IT Mental Health Medical 97

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. There was no conversation with the patient or the family about this. We talk about challenges facing the field today. AlexSmithMD .

Illness 109

Illness IT Family Families 109

GeriPal

FEBRUARY 8, 2024

Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. What do we mean by health? I’ve had a patient in one room, they have stage four breast cancer.

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 19, 2025

And also kind of highlights, you know, part of what we try to do in geriatrics and palliative care is really individualize how we care for individual, like, the people in front of us, the patients, the caregivers, their family members, their friends. And then the other thing is really partnering with your patient or your clients in terms of.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JUNE 22, 2023

Healthcare staff were afraid of patients with HIV because there wasn’t clarity on how it was transmitted. So if healthcare staff are concerned, custodial staff are concerned, the other incarcerated people. We have about 450 inpatient mental health beds. It’s by choice, just like in the community.

Family 132

Family Families IT Community 132

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So being well and also potentially periods of dying.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 31, 2023

He studies the mental health system in the ways in which it has failed children and adolescents, and he writes about his experience with cancer in a blog, the Billgardner.substack.com, Billgardner, one word. One colleagues of mine in the Netherlands did just interviews with 30 cancer patients and this theme kept coming out.

Illness 128

Illness IT Diagnose Medical 128

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? And so I began to think about the training that I had and that there was no mental health condition that was diagnosed.

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. Today we’re going to be talking about narrative writing specifically for healthcare professionals.

IT 95

IT Patient-Centered Patients Healthcare 95

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. It’s not like societally we make that understanding clear.

IT 66

IT Patient-Centered Screening Patients 66

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. These studies are important. It meets in-person, once a month, over nine sessions. This is Eric Widera.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? And I wonder if that is key in patients, people who are experiencing homelessness as well. A lot of the principles that are talked about in core topics in substance use health, I definitely do extend. Naheed 15:53 Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

So it’s just every single part of our life is affected and mental health issues. Eric: I guess, Ruth, the question for you is what’s the role of the healthcare system in all of this? Why is it up to the healthcare system? I mean, many people in their mid to older years are on certain medications.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

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. One of the patients I spoke to really said this quite well. And yet very, very few patients are actually using those services.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. Eric: Well, how about just with the debate?

Illness 98

Illness Patient-Centered IT Patients 98

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

GeriPal

JUNE 2, 2022

And if you look at the span of history of infectious diseases, we have always managed to control all infectious diseases because we have tools because it’s the other, it’s not yourself. But we have managed to control it. Eric: We’ll talk about the management, paxlovid, too. Infectious disease is always other.

Vaccination 100

Vaccination IT Hospital Management 100