The Clinical Problem Solvers

MARCH 22, 2020

Dr. Thakur’s experience as a clinician and Medical Director of the Zuckerberg San Francisco General Hospital Chest Clinic, gives her first-hand insight on how social and environmental stress negatively affect asthma and other health outcomes, and practical knowledge of the existing barriers to adoption of evidence-based interventions into practice.

Asthma 52

Asthma Internal Medicine Community Consulting 52

Louisville Lectures

JULY 1, 2021

Internal Medicine Residency Orientation of 2021 The July Effect: Interns around the world are beginning their residencies this month, giving many a reason to believe there will be more mistakes made in the hospital. ❤️ 💚 ❤️ 💚 Internal Medicine Residency Holiday party! Not to worry!

Internal Medicine 52

Internal Medicine Illness Hospital Patients 52

Physician's Weekly

JUNE 23, 2025

No illnesses have been reported so far. Listeria is a type of bacteria that can cause a serious illness called listeriosis. . “The recall was the result of a routine sampling program by the company which revealed that the finished products contained the bacteria,” the U.S Food and Drug Administration (FDA) said in a notice.

Illness 52

Illness IT Clinic Family Practice 52

PEMBlog

SEPTEMBER 27, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Patients 52

Patients Illness Hospital Management 52

Physician's Weekly

JUNE 23, 2025

No illnesses have been reported so far, but the company has issued a voluntary recall out of caution. A lab test later confirmed that the candy contained milk, which was not listed on the ingredient label, CBS News explained in a report.

Lab Testing 52

Lab Testing Illness IT Family Practice 52

PEMBlog

AUGUST 30, 2023

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

Physician's Weekly

JUNE 30, 2025

The group does not anticipate any adverse health effects if the products are consumed, and there haven’t been any confirmed reports of illness. The USDA’s Food Safety and Inspection Service (FSIS) received a complaint through a hotline and determined that the products contained source materials that were not declared on the label.

Families 52

Families Family Illness Family Practice 52

PEMBlog

SEPTEMBER 13, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Patients 52

Patients Screening Illness Physicals 52

PEMBlog

SEPTEMBER 6, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

JANUARY 23, 2025

Emily 06:11 Yeah, we definitely have a pill for every ill. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. We have staff that circulate between the hospitals and part of it is if the staff start to learn about it, there could be some contamination of your control.

Specialization 119

Specialization IT Patient-Centered Medical 119

The Clinical Problem Solvers

MAY 2, 2022

Dr. Valtis is a 4th year Med-Peds Resident at Brigham & Women’s Hospital and Boston Children’s Hospital, and his research focuses on race and the utilization of security responses in the inpatient hospital setting. Yannis Valtis, Ebi Okah, and Carine Davila, about research in their respective fields.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though.

Hospital 125

Hospital IT Patient-Centered Patients 125

Tiny Physician

JULY 14, 2021

By the end of my internship, I was quite interested in Internal Medicine (IM) and wanted to pursue the same for my residency. Death of an elderly person may not create trouble at the hospital normally but the demise of a 7-year-old child can cause problems from agitated bystanders if not handled well. To send a DM, use Telegram.

Internal Medicine 52

Internal Medicine Medical Student Medical Patients 52

GeriPal

JUNE 12, 2025

There were a number of opportunities to be involved in medical oncology and doing medical oncology rotations as a medical student, as an internal medicine residential. I didn’t know where they existed within the hospital. But radiation oncology was really more or less like a black box. There really was very little.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Journal of Palliative Medicine , 23 (6), [link].

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . AlexSmithMD .

Illness 109

Illness IT Family Families 109

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? Oh, my goodness.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Been in the hospital four times, vented, been told the story to her family, she won’t live. Alex: Yeah.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. Nathan: I do.

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 22, 2025

Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. So our inpatient hospitals are kind of under resourced for music therapy. Tyler 01:43 Okay. That’s.

IT 96

IT Patient-Centered Patients Board-Certified 96

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? This is not why I went into emergency medicine. I went into emergency medicine to act. Tammie 03:04 Depends on how long they were pre-hospital.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. His story, which he shares on todays podcast, is remarkable.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And then the process of having a guardian and then trying to have that guardian ultimately removed is a difficult one for a patient who’s seriously ill.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. By then they usually were out of the hospital actually. Eric 10:25 And who was included?

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? How does integrative medicine fit in with this? If its low evidence but not unsafe, not generally an issue. Think vitamins.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. And it was born when I was a medical resident at UCSF Internal Medicine.

IT 107

IT Community Patients Families 107

GeriPal

FEBRUARY 20, 2025

And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. Eric 30:52 And this also reminds me of Dani Chammas article she just published in Annals of Internal Medicine. Annals of Internal Medicine.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

AUGUST 24, 2023

So take a listen and if you are interested in learning more, check out these wonderful links: Harvey’s latest book is called, Dignity in Care: The Human Side of Medicine Intensive Caring: Reminding Patients They Matter Michael J. So tiny, tiny, in a hospital bed. Scientific American Letter to the Editor: Response to Downar et al.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 3, 2024

You can find her illustrations online at her Twitter account, particularly those about the anti-asian hate study that we did recently and had a podcast about, as well as in annals of internal medicine. They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 31, 2022

And maybe, just maybe, we convince that poetry skeptic Eric Widera that there is a place for poetry in medicine after all. Patient Poets: Illness from the Inside Out. I think it’s titled Patient Poets Illness. Marilyn: Patient Poets: Illness From Inside Out. Alex: Patient Poets: Illness From Inside Out.

IT 70

IT Patients Medical Illness 70

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. Alex (singing) Alex 02:34 All right, this was a fun one.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. Mary Dwyer, who is a lawyer, and bioethicist and assistant professor at Case Western Reserve and University Hospitals. Who spends the most time with the patient in the infusion center?

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

APRIL 11, 2024

Mary Dwyer, who is a lawyer, and bioethicist and assistant professor at Case Western Reserve and University Hospitals. We just directly walked out of the hospital and we were like, we’ve got to write about ambivalence, what is going on here? Jenny: Good to be here. Alex: And we’re delighted to welcome O. Eric: Great.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Then it really wasn’t until I got into medicine, medical school and residency, that I discovered poetry per se, and a mentor commented, I think to a number of us on this podcast, Steve McKee introduced me to poetry. To let it go. .

Patient-Centered 93

Patient-Centered IT Community Illness 93