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Episode 376 – RLR – The Same Start but a different end
Manage episode 464819742 series 2499397
Content provided by The Clinical Problem Solvers. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by The Clinical Problem Solvers or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
https://clinicalproblemsolving.com/wp-content/uploads/2025/02/RLR-2-cases-of-fatigue-1.mp3
Title – The same start, but a different ending
Episode description
RR discusses 2 cases of fatigue
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382 episodes
Manage episode 464819742 series 2499397
Content provided by The Clinical Problem Solvers. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by The Clinical Problem Solvers or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
https://clinicalproblemsolving.com/wp-content/uploads/2025/02/RLR-2-cases-of-fatigue-1.mp3
Title – The same start, but a different ending
Episode description
RR discusses 2 cases of fatigue
Student discount
https://www.rlrcpsolvers.com/student-discounts/
IMG discount
Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan
382 episodes
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The Clinical Problem Solvers

1 Episode 390: WDx #35: Demystifying Feedback 53:28
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Description: Dr. Julia Armendariz joins Kaylin, Sharmin, and Cheryl to discuss feedback. She shares why giving feedback is so critical as well as an approach to feedback and goal-setting with learners. She also debunks common myths, highlights potential pitfalls, and shares her strategies to create a positive team learning environment. Julia’s bio: Julia Armendariz, MD, is a hospitalist and clinician educator in the Bay Area who works closely with trainees on the wards and in the classroom. She is the co-director for the Medical Education Elective for the Stanford Internal Medicine Residency, where she shares her passion for Med Ed with Stanford junior and senior residents. Her special areas of interest within Med Ed are communication, specifically feedback, and the struggling learner. She is also a facilitator for a national CME course called MODEL (Maximizing Ongoing Development and Educational Leadership) within the Veteran’s Administration, where she delivers a feedback workshop for attending physicians. She is currently collaborating with faculty at Stanford and other academic programs for research projects, including resident perspectives on faculty feedback delivery, how to improve feedback skills for attending physicians, and how to coach feedback givers. Outside of medicine, Julia loves gardening, the ocean, and spending time with family and friends. https://clinicalproblemsolving.com/wp-content/uploads/2025/04/WDx-4.17.25-final.m4a Download CPSolvers App here RLRCPSOLVERS…
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1 Episode 389: Rafael Medina Subspecialty Series – Hypotension and Peaked T waves 1:19:20
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In this Nephrology episode, Dr.Samira Farouk discusses the nuances of AKI, why you should be trending Urine like you trend Troponin. Stay tuned to find out the final diagnosis! Session facilitator: Dr.Elena Storz Case Discussants: Dr.Douglas Farrell MD : Nephrology Fellow, Icahn School of Medicine at Mount Sinai Dr. Samira Farouk MD: Associate Professor of Medicine and medical Education, Associate Program Director of the Nephrology Fellowship Program, Icahn School of Medicine at Mount Sinai Case Presenter: Kuchal To join us live and present a case, check out our virtual morning report ! Download CPSolversApp here. RLRCPSOLVERS https://clinicalproblemsolving.com/wp-content/uploads/2025/04/SubspecialityVMR1_13_2025_Nephrology_3_10_25.mp3…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/04/Schema-Episode-April-3-2025.wav Maddy, Youssef and Andrew discuss a case presented by Noah and share their approach to bradycardia. View the bradycardia schema here. To join us live on Virtual Morning Report (VMR), sign up HERE . Download CPSolvers App here RLRCPSOLVERS…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/04/RLR-3.31.25-1.mp3 Episode description RR discusses a case of dysphagia Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan
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https://clinicalproblemsolving.com/wp-content/uploads/2025/03/Confusion-32825-11.01 PM.mp3 Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Sebastian presents a case of confusion to Aye. Aye Chan Moe Thant ( @AyeThant94 ) Aye is a physician from Myanmar and now working as a clinical research team member at the Department of Neurology, Washington University in Saint Louis. Throughout her career in Myanmar, she worked closely and received training from her mentor neurologist, one of only three neurologists available for the whole upper Myanmar of 23 million population. Witnessing the challenges faced by the patients from underserved areas, she is dedicated to advancing health equity, research, and global neurology. Aye is also very passionate about medical education and has been deeply involved in Clinical Problem Solvers mainly in neurology with the mentor Dr. Aaron Berkowitz. She is going to apply for neurology residency and very excited about the journey ahead! Dr. Sebastian Green ( @sebfgreen ) Dr. Sebastian Green is a neurology resident at the University of California, Los Angeles (UCLA). He was born and raised in London, England. He has degrees in Medicine from the University of Bristol and Neuroscience from the University of Oxford. He has published on neuroimaging, memory, sleep, epilepsy, and more. He is passionate about medical education in neurology, and using EEG to answer big questions about the brain. Download CPSolvers App here RLRCPSOLVERS…
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The Clinical Problem Solvers

1 Episode 385 – Spaced Learning Series – Organizing Thoughts Around Hemoptysis 47:25
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https://clinicalproblemsolving.com/wp-content/uploads/2025/03/3-20-2025-SLS_RTP.mp3 Episode description: Seyma presents a case of persistent cough and fatigue that ends up in an unexpected place. Featuring: Priyanka Athavale Anna Fretz Kirtan Patolia Seyma Yildirim Schemas: Syncope Pulmonary renal syndromes Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!…
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1 Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1 41:02
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https://clinicalproblemsolving.com/wp-content/uploads/2025/03/The-Clinical-Problem-Solvers-Episode-384-Antiracism-in-Medicine-–-Episode-26-–-Racial-and-Gender-Health-Disparities-in-Youth-Suicide-Part-1-Dr.-Tami-Benton-and-Dr.-Kevin-Simon.mp3 CPSolvers: Anti-Racism in Medicine Series Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1 Show Notes by Alec J. Calac March 14, 2025 Summary: In this first half of a two-part series, we discuss the growing rates of suicide amongst child and adolescent populations in the United States, with a focus on historically underserved groups. In particular, our guests, Dr. Tami Benton and Dr. Kevin Simon, elucidate the disturbing rises in suicidality—suicide attempts and suicidal ideation—and suicide fatality amongst Indigenous and Black youth. Drs. Benton and Simon recount the pervasive nature of the suicide crisis impacting Black and Indigenous youth and offer insights into how we may begin ameliorating these harrowing inequities. Episode Learning Objectives After listening to this episode, learners will be able to: Identify barriers and facilitators to establishing care with a child and adolescent psychiatrist Explain the shifting visibility of racial and gender health disparities in the academic literature Describe the importance of cultural humility and racial concordance in health care Credits Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, Asya Pitre, and Team Hosts: Ashley Cooper and Sudarshan Krishnamurthy Infographic and Audio Edits: Ashley Cooper Show Notes: Alec J. Calac Guest: Dr. Tami Benton and Dr. Kevin Simon Time Stamps 0:00 Opening and Guest Biographies 3:15 Personal Guest Introductions (Dr. Simon) 6:50 Personal Guest Introductions (Dr. Benton) 13:08 Youth Suicide Crisis Discussion, “Ringing the Alarm” 20:10 Shift in Issue Framing in the Literature 24:31 The Network Begins with Primary Care 28:42 Diversifying your Outreach 30:54 Cultural Humility Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania. She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). She is the President of The American Association of Directors of Child and Adolescent Psychiatry (AADCAP) and the President of The American Academy of Child and Adolescent Psychiatry (AACAP). She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. She was awarded the Society of Biological Psychiatry Humanitarian Award and the Community Outreach Award by the American Foundation for Suicide Prevention. Dr. Benton’s career has been dedicated to developing leadership for a diverse child psychiatry workforce. Her mission — preparing the next generation of diverse physician leaders in pediatric healthcare and mental health and creating partnerships between communities and academic centers — will be critical for eliminating disparities among minority populations. Dr. Kevin M. Simon, MD, MPH , is Boston’s inaugural Chief Behavioral Health Officer, appointed by Mayor Michelle Wu. He is a physician-scientist, health policy expert, inspirational teacher, and a gifted writer. Dr. Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Academically, he has won multiple awards for research on structural violence, health equity, and mental health. Additionally, he consults with federal agencies on mental health system design and practices. Dr. Simon’s writings on health equity are in notable journals like the American Journal of Public Health and the New England Journal of Medicine . National audiences regularly seek his perspectives on mental health through trusted outlets. Episode Takeaways Community health centers play an important role in access to evidence-based psychiatric care rooted in community values. They are often the first interface for patients experiencing mental health crises, not academic medical centers. The youth suicide crisis is disproportionately shouldered by Indigenous and Black and African American communities. Historical challenges include inadequate data surveillance and reporting systems and “hidden” trends brought to the attention of academics by Dr. Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. Among these groups, youth suicide is particularly more prominent at younger ages when compared to other racial and ethnic groups. Groups experiencing severe morbidity and mortality–due to any psychiatric cause–often do not reflect the demographics of inpatient hospital censuses. Comprehensive mental health interventions are often beyond reach of those uninsured and underinsured. Resources are often directed to the largest group by number, not necessarily the group with the highest incidence and prevalence per capita. This can have devastating effects on public health and impede timely policy and program development. Literature has also shown that youth beneficiaries in Medicaid are not prioritized for mental health services when compar ed to other programs, which impedes continuity of care. There are a growing number of Child Psychiatric Access Programs, including one in Massachusetts, which provide quick access to psychiatric consultation and facilitates referrals for accessing ongoing behavioral health care. These programs recognize the increasing difficulties in having to first see a community-based primary care provider before seeing a specialized psychiatrist. Diversifying your mental health outreach goes hand in hand with diversifying your providers. This is directly related to the importance of cultural humility in mitigating health disparities among racial and gender minority youth, as well as literature highlighting the benefits of racial concordance between providers and patients. According to a 2019 study published by Price and Khubchandani, the suicide rate among Black girls increased by a striking 182% over the course of 2001 to 2017. Despite these increases there remains a paucity of literature addressing this critical disparity. Language plays an important role in obtaining a thorough mental health history. Youth are often not familiar with medical jargon on questionnaires and intake forms, which can work against important conversations and opportunities for shared decision-making. Large language models and artificial intelligence technologies are likely biased by the documentation we place in the electronic health record, which may reinforce youth health disparities. Disclosures The hosts and guests report no relevant financial disclosures. References Benton TD , Boyd RC , Njoroge WF. Addressing the Global Crisis of Child and Adolescent Mental Health. JAMA Pediatr. 2021;175(11):1108–1110. doi:10.1001/jamapediatrics.2021.2479 Benton T, Njoroge WFM, Ng WYK. Sounding the Alarm for Children’s Mental Health During the COVID-19 Pandemic. JAMA Pediatr. 2022;176(4):e216295. doi:10.1001/jamapediatrics.2021.6295 Benton TD. Suicide and Suicidal Behaviors Among Minoritized Youth. Child and Adolescent Psychiatric Clinics of North America. 2022;31(2):211-221. doi:10.1016/j.chc.2022.01.002 Benton TD. A Culturally Informed Approach to Supporting Suicidal Minoritized Patients. Focus. 2023 Apr;21(2):166-7. Brent DA, Goldstein TR, Benton TD. Bridging Gaps in Follow-up Appointments After Hospitalization and Youth Suicide: Mental Health Care Disparities Matter. JAMA Netw Open. 2020;3(8):e2013100. doi:10.1001/jamanetworkopen.2020.13100 Bridge JA, Asti L, Horowitz LM, et al. Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012. 2015;169(7):673-677. doi: 10.1001/jamapediatrics.2015.0465 Fontanella CA, Hiance-Steelesmith DL, Bridge JA, Lester N, Sweeney HA, Hurst M, Campo JV. Factors Associated With Timely Follow-Up Care After Psychiatric Hospitalization for Youths With Mood Disorders. Psychiatr Serv. 2016 Mar;67(3):324-31. doi: 10.1176/appi.ps.201500104. Epub 2015 Dec 1. PMID: 26620293. King, C. A., Brent, D., Grupp-Phelan, J., Shenoi, R., Page, K., Mahabee-Gittens, E. M., Chernick, L. S., Melzer-Lange, M., Rea, M., McGuire, T. C., Littlefield, A., & Casper, T. C. (2020). Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use. Journal of the American Academy of Child & Adolescent Psychiatry , 59 (9), 1058-1068.e5. https://doi.org/10.1016/j.jaac.2019.10.015 Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of Suicidal Behaviors Among High School Students in the United States: 1991–2017. Pediatrics . 2019;144(5):e20191187. doi: 10.1542/peds.2019-1187 Lindsey MA, Brown DR, Cunningham M. Boys do(n’t) cry: Addressing the unmet mental health needs of African American boys. American Journal of Orthopsychiatry . 2017;87:377-383. doi: 10.1037/ort0000198 Price JH, Khubchandani J. The Changing Characteristics of African-American Adolescent Suicides, 2001–2017. J Community Health . 2019;44(4):756-763. doi: 10.1007/s10900-019-00678-x Sheftall AH, Vakil F, Ruch DA, Boyd RC, Lindsey MA, Bridge JA. Black Youth Suicide: Investigation of Current Trends and Precipitating Circumstances. Journal of the American Academy of Child & Adolescent Psychiatry . 2022;61(5):662-675. doi: 10.1016/j.jaac.2021.08.021 Sheftall AH, Miller AB. Setting a Ground Zero Research Agenda for Preventing Black Youth Suicide. 2021;175(9):890-892. doi: 10.1001/jamapediatrics.2021.1112 Simon KM. Daughters’ Keeper—The Care and Treatment of Black Girls in America. New England Journal of Medicine. 2022 Jun 2;386(22):2067-9. Simon KM. Mitigating the Negative Mental Health Impact of Racism on Black Adolescents—A Preventive Perspective. JAMA Netw Open. 2023;6(11):e2340577. doi:10.1001/jamanetworkopen.2023.40577 Simon KM. Them and Me – The Care and Treatment of Black Boys in America. N Engl J Med. 2020 Nov 12;383(20):1904-1905. doi: 10.1056/NEJMp2022606. PMID: 33176082. Congressional Black Caucus: Emergency Task Force on Black Youth Suicide and Mental Health. Ring the Alarm. The Crisis of Black Youth Suicide in America. U.S. Congress. Published December 17, 2019. Accessed 2024. https://watsoncoleman.house.gov/imo/media/doc/full_taskforce_report.pdf Citation Benton T, Simon K, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Khazanchi R. “Episode 26: Racial and Gender Health Disparities in Youth Suicide: Part 1” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/ . March 14, 2025. Show Transcript Download CPSolvers App here RLRCPSOLVERS…
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1 Episode 383 – Clinical Unknown Series with Rabih Geha 1:00:38
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https://clinicalproblemsolving.com/wp-content/uploads/2025/03/CUS-March-13-2025-Post-1.wav Noah, Mark, and Debora received Rabih Geha for a fantastic case discussion in this episode. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS
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1 *Special* Episode 382 – Reza interviews Dr. Elmer Holzinger 52:15
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https://clinicalproblemsolving.com/wp-content/uploads/2025/03/Holzinger.mp3 Episode description Reza interviews his mentor and master clinician Dr. Elmer Holzinger
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https://clinicalproblemsolving.com/wp-content/uploads/2025/03/RLR-for-podcast-1.mp3 Title – Distention – why? Episode description RR discusses 2 cases of abdominal distention Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/02/Neuropathy_SchemaFinal.mp3 Maddy , Youssef and Andrew share their approach to neuropathy and frequent falls as they discuss a case presented by Sharmin . Polyneuropathy Framework To join us live on Virtual Morning Report (VMR), sign up HERE . Download CPSolvers App here RLRCPSOLVERS…
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1 Episode 379: Neurology VMR – Double Vision for One Day 56:52
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https://clinicalproblemsolving.com/wp-content/uploads/2025/02/One-and-a-half-Syndrome-Podcast-final.mp3 Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of double vision to Vale. Aye Chan Moe Thant ( @AyeThant94 ) Aye is a physician from Myanmar and now working as a clinical research team member at the Department of Neurology, Washington University in Saint Louis. Throughout her career in Myanmar, she worked closely and received training from her mentor neurologist, one of only three neurologists available for the whole upper Myanmar of 23 million population. Witnessing the challenges faced by the patients from underserved areas, she is dedicated to advancing health equity, research, and global neurology. Aye is also very passionate about medical education and has been deeply involved in Clinical Problem Solvers mainly in neurology with the mentor Dr. Aaron Berkowitz. She is going to apply for neurology residency and very excited about the journey ahead! Valeria Roldan @valeroldan23 Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine. Download CPSolvers App here RLRCPSOLVERS…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/02/IDLove-Episode-2-Final-Post-Auphonic.mp3 Frameworks discussed in the episode To join us live on Virtual Morning Report (VMR) or to present a case to us, sign up here . Download CPSolvers App here RLRCPSOLVERS
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1 Episode 377 – Spaced Learning Series – Cachexia & Irregular Eye Movements 39:56
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https://clinicalproblemsolving.com/wp-content/uploads/2025/02/SLS-2-6-2025-RTP.mp3 Episode description: Valeria presents a very unique neurological finding amidst a case of cachexia to the SLS team. Featuring: Valeria Roldan Jasdeep Bajwa Elena Storz Mukund Raguram Schemas Weight loss Abdominal distension Chronic diarrhea Joint pain thought train Iron deficiency Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!…
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1 Episode 376 – RLR – The Same Start but a different end 38:10
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https://clinicalproblemsolving.com/wp-content/uploads/2025/02/RLR-2-cases-of-fatigue-1.mp3 Title – The same start, but a different ending Episode description RR discusses 2 cases of fatigue Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…
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