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Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. The doses of the most widely discussed pharmacologically active ingredients, THC and CBD, vary by product, and the onset and bioavailability vary by how it is delivered. 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? On today's podcast, we answer that question with our guests, David Casarett and Eloise Theisen. David is a physician who wrote the book “Stoned: A Doctor's Case for Medical Marijuana” and gave a TED talk on “A Doctor's Case for Medical Marijuana” that was watched over 3 million times. Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. So, take a listen and check out the following resources to learn more about medical cannabis: Radicle Health's curriculum and modules for healthcare professionals on cannabis NEJM Catalyst article on integrating medical cannabis into clinical care David's TED talk on “A Doctor's Case for Medical Marijuana” A JPSM systematic review of current evidence for cannabis in palliative care Our past GeriPal episode with Bree Johnston and Ben Han on cannabis in older adults
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Death. We can't escape it. In this final episode of our series Angelica and Bey talk with palliative care physician Dr. David Casarett about death, dying, and really everything death-related. Hear from guests throughout the season about how their experience with the science of life shapes their thoughts about death. Click to learn more about about https://medicine.duke.edu/faculty/david-jonathan-casarett-md (Dr. David Casarett )
David Casarett, Professor of Medicine at the Duke University School of Medicine and Chief of Palliative Care for the Duke Health System, challenges our mainstream healthcare system to look for inspiration in a setting often considered taboo: the medical marijuana dispensary.
David Casarett on a solution that may help a family who is grieving after the loss of a loved one who has been in hospice ~ "This is something . . . in a hospice setting falls to family members to deal with. It's one of these things that as you're dealing with the loss of a loved one, as you're dealing with all of the other things that you have to manage after somebody dies, also being faced with the problem of getting rid of dangerous medications. That's one thing we actually could fix. We could make that better. We can't take away their grief and their sense of loss. We can't help them with all the other management and logistic issues they need to deal with, but we can, at least, help them to take care of these dangerous drugs that are sitting around in the house." David Casarett, MD, MA - Chief Medical Officer DisposeRx David Casarett: The trick for us is giving those patients exactly what they need but no more. Brian Wilson: The opioid crisis is an epidemic with many faces. To a member of the law enforcement community, opioids are dangerous substances to be managed and controlled. To the parent who's lost a child to addiction opioids are a gateway drug that can lead to a lifetime of loss and regret. But to those in pain management, opioids are necessary tools to help hurting patients at a time when little else can. Dr. David Casarett is the Chief Medical Officer at DisposeRx. As a professional with years of experience helping his patients manage pain, he brings a unique perspective to our conversation about the opioid crisis, and we start at the beginning. Downstream Effects of Increased Opioid Prescribing David Casarett: Many of us back in the '90s, early 2000s saw pain as the fifth vital sign, as a problem we had to solve, and became much more aggressive at prescribing pain medications, including opioids. Many of those prescriptions were legitimate for real needs and patients who were suffering, but some of them weren't. Gradually, the tide began to turn and there was an influx of opioids to people who didn't necessarily need them and a black market. Many of those patients, when that supply of drugs became unavailable, or less available, or more expensive turned to other forms of opioids including black tar heroin that was imported from Mexico. I wouldn't say all this started because of physicians, especially since many of those physicians like myself were really trying to do right by our patients, but I think we are seeing many of the downstream effects of increased opioid prescribing 10, 15 years ago, which we're now dealing with today. Brian Wilson: You are described to me as a palliative physician. What is that exactly? And, tell me a little bit about your credentials and what you bring to this particular story. David Casarett on Palliative Care David Casarett: Sure. So palliative care is a specialty of medicine and of nursing and social work, and other disciplines, by the way, it's not just physicians, focused on improving quality of life for patients with serious illness. We help with pain and symptom management for patients with cancer. We help with decision making under difficult circumstances for patients, say with heart failure. We provide emotional and spiritual support, meaning our team does, our nurses, our chaplains, our social workers. We really try to improve decision making and improve quality of life for patient who are going through a rough period of time, patients and their families, I should add. Brian Wilson: And often they're in hospices. What happens there at the end, let's say, of the journey? Either you get better, or in some cases, the pain management was used to support you through the end of life and now you've passed on. So what happens now to all those drugs that were prescribed? Hospice Care - Disposition of Leftover Medications David Casarett: Well, that's a good question. And just to be clear,
As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death. Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!) I want to… ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc. ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation. ...put my preferences in writing (an advance directive): Advance Directive forms connects you to advance directive forms for your state. My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere. Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Read some of Dr. Zitter’s articles about life support tech (here and here) and the tough decisions doctors and patients face in the ICU (here and here) Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.
As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death. Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!) I want to… ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc. ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation. ...put my preferences in writing (an advance directive): Advance Directive forms connects you to advance directive forms for your state. My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere. Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Read some of Dr. Zitter’s articles about life support tech (here and here) and the tough decisions doctors and patients face in the ICU (here and here) Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.
What would you do if you knew you had a year to live? A month? A day? How would you spend your time? Who would you spend it with? What would you do? Please join us as we explore how these questions -- and the way that each of us answers them -- illuminate the diversity in our community. Presented by the Duke Center for Palliative Care, in partnership with Duke Chapel's Bridge Panels Series, and the Duke University School of Nursing. The panelists are: Linda Jacob, patient family member; Kimberly Johnson, MD, associate professor of medicine, Division of Geriatrics; Pastor Ronald Godbee, River Church in Durham; Anthony Galanos, MD, professor of medicine, Duke Palliative Care; Elizabeth Zechinati, NP, nurse practitioner, Duke Palliative Care. The conversation, held on February 23, 2018, was moderated by David Casarett, MD, director of the Duke Center for Palliative Care
The post Episode 40: Dr. David Casarett, Palliative Care Physician at Duke Medical Center appeared first on Death By Design, End Of Life Planning, Pallative, Hospice. See acast.com/privacy for privacy and opt-out information.
This week, we're taking a closer look at the medical marijuana controversy. How effective is medical marijuana and for what conditions is it a suitable treatment? In our attempt to separate evidence from anecdote we're joined by a panel of three: Dr. David Casarett, a palliative care physician and author of the book "Stoned: A Doctor's Case for Medical Marijuana"; Dr. Robert Wolff, a systematic reviewer for Kleijnen Systematic Reviews and coauthor of a recent systematic review to assess benefits and harms of cannabis for medical use; and Dr. Marcel Bonn-Miller, assistant professor in the Department of Psychiatry at the...
Dr. David Casarett, physician, researcher, and author of “Stoned: A Doctor’s Case for Medical Marijuana,” joins Sam and Rachelle to discuss what he learned about medical marijuana while writing his book. The team discusses Dr. Casarett’s thoughts and concerns about the future of marijuana as medicine, his experiences with self-experimentation, and why he felt compelled […] The post This Time It’s Stoned [#48] appeared first on This Week in Drugs.
This week, we're taking a closer look at the medical marijuana controversy. How effective is medical marijuana and for what conditions is it a suitable treatment? In our attempt to separate evidence from anecdote we're joined by a panel of three: Dr. David Casarett, a palliative care physician and author of the book "Stoned: A Doctor's Case for Medical Marijuana"; Dr. Robert Wolff, a systematic reviewer for Kleijnen Systematic Reviews and coauthor of a recent systematic review to assess benefits and harms of cannabis for medical use; and Dr. Marcel Bonn-Miller, assistant professor in the Department of Psychiatry at the...
Today on Just Say Know Ryan Hunt continues a two episode journey with David Casarett MD MA, physician and professor at Perelman School of Medicine, University of Pennsylvania. Ryan and Dr. Casarett talk about his new book Stoned, about his involvement in cannabis medicine.
Today on Just Say Know Ryan Hunt starts a two episode journey with David Casarett MD MA, physician and professor at Perelman School of Medicine, University of Pennsylvania. Ryan starts of the show by asking Dr. Casarett about his new book Stoned, leading into his background and startup in cannabis medicine.
Host: John J. Russell, MD No substance on earth is as hotly debated as marijuana. Opponents claim it’s dangerous, addictive, carcinogenic, and a gateway to serious drug abuse. Conversely, fans claim it as a wonder drug, treating cancer, anorexia, AIDS, chronic pain, glaucoma, arthritis, migraines, PTSD, and insomnia. In Stoned: A Doctor's Case for Medical Marijuana, palliative care physician Dr. David Casarett investigates with researchers, doctors, and patients around the globe how marijuana works—and doesn’t—in the real world. Dr. John Russell hosts a discussion with Dr. Cararett on this fascinating work.
Host: John J. Russell, MD No substance on earth is as hotly debated as marijuana. Opponents claim it’s dangerous, addictive, carcinogenic, and a gateway to serious drug abuse. Conversely, fans claim it as a wonder drug, treating cancer, anorexia, AIDS, chronic pain, glaucoma, arthritis, migraines, PTSD, and insomnia. In Stoned: A Doctor's Case for Medical Marijuana, palliative care physician Dr. David Casarett investigates with researchers, doctors, and patients around the globe how marijuana works—and doesn’t—in the real world. Dr. John Russell hosts a discussion with Dr. Cararett on this fascinating work.
Host: John J. Russell, MD Not too long ago, there was no coming back from death. But now, with revolutionary medical advances, death has taken on the appearance at times of just another serious complication. In Shocked, author Dr. David Casarett chronicles his exploration of the cutting edge of resuscitation and reveals just how far science has come. Dr. John Russell hosts.
Host: John J. Russell, MD Not too long ago, there was no coming back from death. But now, with revolutionary medical advances, death has taken on the appearance at times of just another serious complication. In Shocked, author Dr. David Casarett chronicles his exploration of the cutting edge of resuscitation and reveals just how far science has come. Dr. John Russell hosts.
Medical marijuana has always been a polarizing topic, clouded in controversy, and it can be challenging to distinguish the real medical benefits from the stoner myths. On this week's Yoga Talk Show, Dr. David Casarett takes us on a tour of the medical cannabis world to learn about its uses and benefits as “medicine”. Dr. David Casarett is a physician, researcher, and tenured associate professor at the University of Pennsylvania Perelman School of Medicine. His studies have included more than 10K patients and have resulted in more than a 100 articles and book chapters, published in leading medical journals such as the Journal of the American Medical Association and The New England Journal of Medicine. His many awards include the prestigious U.S. Presidential Early Career Award for Scientists and Engineers. Dr. Casarett recently launched MarijuanaResults.org, a platform for medical marijuana users to connect about their experiences and a source of data for medical professionals. His new book, Stoned: A Doctor's Case for Medical Marijuana, is available on Amazon. In this Show, You'll learn: Medical marijuana: real benefits or excuse to get stoned? Hemp vs cannabis: what's the difference? How to not smoke and not get high - but still use cannabis Why cannabis legalization is suddenly spreading Nutritional Tip of the Week: The “dark side” of balsamic vinegar Links & References from the Show: http://www.davidcasarett.com Stoned: A Doctor's Case for Medical Marijuana Got questions? Write to us: podcast@yogabody.com Thanks to our sponsors! www.AbsoluteYogaAcademy.com
On the show this week we talk to David Casarett, M.D. about his latest book Stoned: A Doctor's Case for Medical Marijuana.iTunes: itunes.apple.com/us/podcast/inquiring-minds/id711675943RSS: feeds.feedburner.com/inquiring-mindsStitcher: stitcher.com/podcast/inquiring-mindsTumblr: http://inquiringshow.tumblr.com
Author and palliative care physician David Casarett joins us on today’s episode of Modern Notion Daily to discuss his new book, Stoned: A Doctor’s Case for Medical Marijuana (Current, July 2015). When a patient with advanced cancer asked Casarett about the effects of medical marijuana (positive or negative), he realized that he actually didn’t know…
This week we're looking at medical advances that are blurring the lines between life and death. We're joined by physician and researcher Dr. David Casarett, to talk about his book "Shocked: Adventures in Bringing Back the Recently Dead." And we'll talk to Michael Kruse, founder of Bad Science Watch, about the history and application of CPR.
Kathryn interviews LIVESTRONG.com weight loss blogger Rachel L. Pires, author of “Diet Enlightenment: The Real Secret to Weight Loss”. Those who have adapted Pires' program — including her father, a Neuropsychologist at Weill-Cornell Medical College — have been able to lose and maintain their desired weight with ease. Pires, a Boston University graduate, is a weight loss advisor, a dancer, a 2nd degree black belt, and an advanced certified scuba diver. Kathryn also interviews University of Pennsylvania Professor Dr. David Casarett, author of “Shocked: Adventures in Bringing Back the Recently Dead”. Dr. Casarett was inspired by the story of a two-year-old girl who fell into a creek and was underwater for over an hour. After three hours of persistent work, a team of doctors were able to bring her back. Dr. Casarett chronicles his exploration of the cutting edge of resuscitation and reveals just how far science has come in trying to bring the recently dead back to life.
Kathryn interviews LIVESTRONG.com weight loss blogger Rachel L. Pires, author of “Diet Enlightenment: The Real Secret to Weight Loss”. Those who have adapted Pires' program — including her father, a Neuropsychologist at Weill-Cornell Medical College — have been able to lose and maintain their desired weight with ease. Pires, a Boston University graduate, is a weight loss advisor, a dancer, a 2nd degree black belt, and an advanced certified scuba diver. Kathryn also interviews University of Pennsylvania Professor Dr. David Casarett, author of “Shocked: Adventures in Bringing Back the Recently Dead”. Dr. Casarett was inspired by the story of a two-year-old girl who fell into a creek and was underwater for over an hour. After three hours of persistent work, a team of doctors were able to bring her back. Dr. Casarett chronicles his exploration of the cutting edge of resuscitation and reveals just how far science has come in trying to bring the recently dead back to life.
On today’s episode of Sharp & Hot, Emily Peterson talks to Rob Keller, owner of Napa Valley Bee Company about his art, bees, and the importance of community & local adapted bees. After the break, Dr. David Casarett talks about his new book about the science of resuscitation and food at the end of life, Shocked: Adventures in Bringing Back the Recently Dead . This program was brought to you by Cain Vineyard & Winery. “I never had an idea of put out a business plan it just kind of fell into place.” [06:00] –Rob Keller on Sharp & Hot
On the show this week we talk to University of Pennsylvania professor of medicine David Casarett about his book Shocked: Adventures in Bringing Back the Recently Dead.Casarett explains the science of resuscitation—and what exactly it means to be “dead.” We talk about cryonics, the idea that you might be able to preserve your brain—or your whole body—by freezing it immediately after you die, and then bring it back to life in the future once science figures out how to do that. We also talk to Casarett about how likely it is that one day we might be able to put humans in a state of hibernation or suspended animation.This episode also features a conversation with Tara Smith, an epidemiologist who is an expert on the Ebola virus, and has been debunking a large number of myths about the latest outbreak.iTunes: itunes.apple.com/us/podcast/inquiring-minds/id711675943RSS: feeds.feedburner.com/inquiring-mindsStitcher: stitcher.com/podcast/inquiring-minds