The Clinical Problem Solvers

AUGUST 25, 2020

Pearls Defining Structural Racism Structural racism is a term that acknowledges that racism is perpetuated beyond individual interactions and interpersonal racism, but is present in the systems and policies that govern our everyday lives.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! Nadine: I do.

Diabetes 74

Diabetes Management Patient-Centered Family 74

Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. It’s a growing crisis affecting over half of all doctors in the U.S., They’re suffering from moral injury.

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Topics covered include: The pathophysiology of GER and GERD in the pediatric population.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

GeriPal

JUNE 12, 2025

Anish 00:24 Thanks so much for having me. Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Evie, welcome to GeriPal.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s.

Illness 109

Illness IT Patient-Centered Patients 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. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 137

Illness Patient-Centered Screening Clinic 137

Doctor Rachel

SEPTEMBER 27, 2017

And even more than avoiding illness, being aware of what our bodies are trying to say gives us power and insight in our lives, work, and relationships. As a physician, food fads drive me crazy as they always generalize individual reactions to the entire population—which is never accurate. True words. Lying down? I don’t know.

Relationship 130

Relationship IT Screening Illness 130

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. In robotics, the Uncanny Valley is that strange almost-human-but-not-quite territory in which humanoid appearing robots repulse us with their close yet still “off” appearance. Key message: Listen to the music.

Illness 102

Illness IT Patient-Centered Patients 102

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. Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast.

Individual 82

Individual Community IT Chronic Condition 82

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).

Illness 129

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. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. Welcome to GeriPal, Lyndsay.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. I’m just so excited about our guests today. It’s titled the VitalTalk Method.

IT 133

IT Illness Family Families 133

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. This week we dive into the challenges with communication when it comes to life sustaining treatments and CPR. Jacky: Thank you. It’s a pleasure. Bob: The fish.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

DECEMBER 15, 2022

Summary Transcript Summary. We’ve talked at length on prior podcasts about the failures of aducnumab, Biogen, and the FDA’s decision to approve it. . But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No No it’s not just the French version of Aducanumab). . In an article in the NEJM (a published article this time, wonder of wonders!)

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Don’t take my word for it, listen for yourself! ABIM MOC credit will be offered to subscribers in November, 2024.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Yeah, exactly.

Family 98

Family Families Patient-Centered IT 98

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. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended? Can you guys do that one?

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Alex: Pink Cadillac by Bruce Springsteen?

Family 102

Family IT Families Diagnosis 102

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Summary Transcript Summary. Wonderful work.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Panelists BJ Miller and Naomi Saks have no relationships to disclose. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print.

IT 137

IT Family Families Physicals 137

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024.

Education 128

Education IT Illness Healthcare 128

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MAY 4, 2023

Eric: So we’re going to be talking about palliative care for adolescents, and young adults. Why does it feel different? Does it feel different? How should we think about the care? But before we do, Abby, I think you have a song request for Alex. Abby: I do. So I requested that Alex play for us, Let It Grow, which is from The Lorax soundtrack.

IT 83

IT Family Families Illness 83

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Four percent.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. Today we discuss: What is the best terminology? Homelessness? Marginally housed?

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

MARCH 13, 2025

Justin Sanders wants to be sure the newer generations of palliative care clinicians understand the early principles and problems that animated the founders of hospice and palliative care, including: Origins of the word palliative – its not what I thought! If you read just one, read Palliative Medicine – Just Another Specialty ?

IT 105

IT Patient-Centered Family Families 105

The Physicians Foundation

MAY 20, 2025

At a time when chronic diseases remain the number one cause of illness, disability and death nationwide, it is critical for physicians to have the tools needed to support the collective health of individuals across the United States. As the U.S.

Chronic Disease 40

Chronic Disease Screening Transportation Patient-Centered 40

GeriPal

MAY 12, 2022

Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. Social pain and loneliness. Community-based palliative care networks . Raj’s reflections on the state of palliative care in the US. Transcript.

Community 116

Community IT Relationship Healthcare 116

GeriPal

MARCH 7, 2024

He looked very ill. An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. John: I do. It’s Jimmy Buffett’s song, Bubbles Up.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

IT 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

APRIL 4, 2024

Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. In 1990 the Supreme Court ruled…for the state of Missouri. What words to use? Is the POLST useful? Under what circumstances?

Family 113

Family Families Patient-Centered IT 113

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 117

Management Patient-Centered Patients IT 117