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Most nursing homes think they're measuring success by how many patients move through their building. What they're not measuring is how many of those same patients end up right back in the hospital — and who pays the price when they do. In this episode of The Disrupted Podcast, Scott Middleton — Owner of Your Health and Chief Disruption Officer — pulls back the curtain on the facility partnership model Your Health is rolling out across the Southeast. It's a model that doesn't just serve patients in skilled nursing facilities; it pays those facilities for the care coordination work their staff is already doing, while creating the kind of presence that actually moves the needle on outcomes. Scott and Jamie cover the mechanics, the competitive landscape, and the cultural shift required to make it all work: Why Your Health is contracting with nursing homes to pay up to $20,000 a month for care coordination — and what that's worth annually to a facility with 200 Medicare patients The difference between "popping in" and genuine presence — and why only one of them drives real cost savings and keeps patients from bouncing back to the hospital Why physicians working in isolation are the biggest liability in a team-based care model, and how a September 1st bonus restructure is designed to change that culture How 80% of what used to require an in-person visit can now happen via telehealth — and the one thing technology will never replace: the relationship that makes a patient actually follow through Scott's 10-year urgency: why Your Health is already three steps ahead of the competition — and why that lead only matters if the model scales fast enough If you work in a nursing facility, lead a care team, run a healthcare organization, or believe the system needs a fundamentally better architecture — this is what building it actually looks like. Press play. www.YourHealth.Org
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What if the biggest threat to your healthcare organization isn't competition or reimbursement rates — it's the moment one of your team members decided that the policy was more important than the person in front of them? In this episode, Jamie sits down with Matt Staub, CEO of Your Health, to explore the timeless "Give 'Em the Pickle" philosophy — born in a burger joint, but almost perfectly designed for healthcare. Matt and Jamie unpack the four pillars of the pickle framework — service, attitude, consistency, and teamwork — and trace each one directly into the reality of patient care, care team dynamics, and organizational culture. Video LinkGive Em The Pickle Youtube Video What you'll hear in this episode: Why charging a loyal customer 75 cents for extra pickles is the same mistake healthcare makes every day — and how the Ritz Carlton's $2,500 employee empowerment policy points to a better way How attitude isn't just a soft skill — it's the infrastructure of every patient interaction, including the ones where you're already having a bad day Why mistakes in healthcare aren't failures — they're invitations, and the patients who complained and felt heard often become your fiercest advocates What real consistency looks like in care delivery: not doing the same thing robotically, but doing ordinary things extraordinarily well, every single time How teamwork in healthcare means every person in the organization — from the CEO to the community health worker — has a role in whether the patient feels seen and served This episode will challenge you to look at service not as a department or a satisfaction score, but as the very soul of what your organization stands for. Give 'em the pickle.
Denise's sister-in-law has terminal cancer and is being placed in hospice care. She wishes to receive hospice care in Denise's home. Got a dilemma? Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.com Follow on social media: Facebook.com/DrLaura Instagram.com/DrLauraProgram YouTube.com/DrLaura Join the Dr. Laura Family!! >> Receive my weekly newsletter, perks, and more! Sign up now, it's FREE > DrLaura.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
What if the most powerful growth strategy in hospice and primary care had nothing to do with your clinical protocols, your technology stack, or your marketing budget — and everything to do with who shows up, and how often? In this episode of The Disrupted Podcast, Scott Middleton — founder and Chief Disruption Officer of Your Health — unpacks the real-world lessons shaping how your Health is staffing, growing, and rebuilding trust as it integrates the newly merged TCPA and Providence Care organizations. Scott spent the week in the field — Monroe, Georgia; Beaufort, South Carolina; Atlanta and beyond — sitting in care team meetings, talking to nurses, watching exercise classes, and rethinking everything from staffing ratios to personality matching. What he found is both a warning and a blueprint. In this episode: Why minor service failures — a nurse who didn't show up once — can cost you an entire facility relationship, and what it actually takes to earn it back The strategic case for pulling a nurse off a shared caseload and planting her full-time in a single building — even when the numbers don't fully justify it yet The story of a nurse so embedded in one facility that an administrator told Your Health: "I will cut you if you move her" How DISC personality profiles should determine which staff member walks into which building — and why getting it wrong creates friction that kills referrals Why the best talent you'll ever hire is already living in the community you serve — and why your recruiters will never find them on Indeed The centralize-then-decentralize model Your Health deploys every time it launches something new — and why it's the only way to scale without losing quality If you lead a care team, run a hospice program, manage a building, or are trying to grow in any direction in healthcare right now — this episode is your field guide. www.YourHealth.Org
The RNIB gold medal award-winning Talking Books Garden at the RHS Sandringham Flower Show 2026 celebrates the 90th anniversary of RNIB Talking Books and the incredible impact that gifts left in Wills have on the RNIB's work too.Award-winning Garden Designer Paul Hervey-Brookes has again worked on the RNIB Talking Books garden which in many ways brings the Library of the Imagination to life through the garden's design.After the end of the RHS Sandringham Flower Show elements of the RNIB Talking Books Garden will be donated to the Tapping House Hospice Care Trust in Kings Lynn and our Toby Davey caught up with their Chief Executive Niki Ellis to find out what it means to her and the Hospice to be able to use some of the plants from the Talking Books Garden in their own garden for their patients and their families. The RNIB Talking Books Garden has been kindly supported by players of the Postcode Lottery through the Postcode Care Trust.To find out more about the RHS Sandringham Flower Show 2026 and the RNIB Gold Medal award-winning Talking Books Garden do visit the following pages of the RHS website - https://www.rhs.org.uk/shows-events/rhs-sandringham-flower-showImage shows Toby and guide dog Boston in front of the large RHS logo at the RHS Flower Show Sandringham
An ER nurse who spent 15 years on the night shift says she can predict which patients heal fastest — and it has nothing to do with diet or exercise. It's whether someone showed up for them and refused to stay quiet. In this episode, Matt Staub, CEO of Your Health, sits down with Jamie Preston to unpack that idea from every angle: as a son who once filled a hospital waiting room with 20 advocates for his mother's liver transplant, as a nursing home administrator who sat with a dying patient who had no one else, and as a cancer patient who carried a notebook into every appointment so he wouldn't forget the questions that mattered. Together they explore: Why family advocates get prioritized in the ER — and it isn't about fear of being sued The data behind advocacy: a 65% drop in 30-day hospital readmissions and a 98% staff satisfaction rate when patients have someone in their corner How to ask a "dumb" question without ever sounding dumb — and why staff want you to ask it What to do when a well-meaning advocate crosses the line into disrespect, and how healthcare workers can hold the line with empathy intact The "teach-back" method that helps patients actually retain what they were told Why the best advocates aren't the loudest in the room — they're the most present This is a conversation about the most overlooked job in healthcare: the one nobody's officially hired for, but everybody eventually needs. Whether you're a caregiver, a patient, or the clinician on the other side of the exam table, you'll walk away knowing exactly what to do differently at your next appointment.
Every patient has a different definition of what matters most. The challenge is making sure their care reflects it. In this episode of Home Health Revealed, Hannah Vale sits down with Raianne Melton, Senior Director of Clinical Services at Axxess, to discuss the Age-Friendly Care framework and how it helps home health and hospice providers deliver more personalized, patient-centered care. Drawing from both her clinical expertise and her own personal health journey, Raianne shares why understanding a patient's priorities can change the entire care experience. Together, Hannah and Raianne explore the four pillars of Age-Friendly Care: What Matters Most, Medication, Mentation, and Mobility. They also discuss practical ways agencies can incorporate these principles into everyday care, improve patient engagement, support quality outcomes, and strengthen collaboration across care teams. Whether you're a clinical leader, agency executive, compliance professional, or frontline clinician, this conversation offers practical ideas for putting patients at the center of every care decision. Chapters (00:00:03) - Hospice and Palliative Care Leader Raeanne Melton(00:01:44) - Honorizing the Seafood Industry(00:02:51) - Americans talk about the time change(00:05:52) - One Woman's Fight Against Breast Cancer(00:10:05) - Hospice Care's 4M Age Friendly Care(00:13:23) - Age-Friendly Care: The 4M's(00:23:00) - Palliative Hospice CAHPS Survey(00:30:51) - Hospice and Home Health: What We Need to Do to(00:38:44) - Home Health Leaders on the Hospice Conference(00:43:24) - Ray Melton on the Future of Hospice Care
This episode reviews new evidence on online GLP-1 prescribing practices, aspirin-only thromboprophylaxis after hip and knee arthroplasty, unexpected protection against gonorrhea from meningococcal B vaccination, and a cannabinoid formulation for agitation in advanced dementia. The studies highlight evolving approaches to obesity care, postoperative management, infectious disease prevention, and palliative dementia treatment with important implications for clinical practice.
When is hospice care best delivered in the hospital? In this episode of Rounding@IOWA, Dr. Gerry Clancy welcomes hospice and palliative medicine experts Dr. Michelle Weckmann and Dr. John Wilde to explore General Inpatient Hospice (GIP) care—what it is, when it should be considered, and how it helps patients with severe, uncontrolled symptoms at the end of life. They discuss practical communication strategies, symptom management, goals-of-care conversations, common misconceptions about hospice, and the clinician's role in easing suffering while honoring patient wishes. Episode Transcript CE Credit Available Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Michelle Weckmann, MD Associate Professor Emeritus, Family Medicine and Psychiatry University of Iowa Carver College of Medicine Medical Director, Iowa City Hospice John Wilde, DO Program Director, Hospice and Palliative Medicine Fellowship Clinical Assistant Professor of Internal Medicine University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-053-H01-P Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
The American healthcare system is built around a simple idea: get sick, get treated. But what if the problem isn't how we treat illness — it's that we've never seriously tried to prevent it? In this first installment of a two-part conversation, Jamie sits down with Brody Wall, Division President of Operations at Your Health, to trace the arc from a broken, reactive healthcare system to one where data tells you what's coming before the patient even knows something is wrong. Brody's path to healthcare wasn't through a textbook — it was through a father who was a Methodist minister and a mother who spent her career caring for underprivileged children. The mission was always there. The data just became the most honest way to fulfill it. In Part 1, Jamie and Brody cover: Why fee-for-service healthcare financially rewards volume of sick visits — not health — and how that one incentive structure explains why 17-20% of America's GDP goes to healthcare costs with outcomes that still lag behind other developed nations What Your Health was flying blind on before it committed to building a real data infrastructure — and what gut-feeling decisions look like when data finally proves them wrong How social determinants of health (Z codes) and behavioral health conditions (F codes) reveal which patients are actually at the highest risk of hospitalization The finding that changed everything: patients with four or more behavioral health conditions were ten times more likely to have multiple ER visits — and the clinical response that followed This isn't just a conversation about numbers. It's about what happens when an organization decides that preventing the crisis matters more than reacting to it. Part 2 drops next week. www.YourHealth.Org
What happens when the rules everyone follows weren't actually rules to begin with? In this episode, Scott Middleton — Owner of Your Health and Chief Disruption Officer — shares what he's seeing on the ground as the TCPA and Providence Care merger moves toward its final close. But the real conversation goes deeper: the quiet, dangerous habit of staff making up policies, enforcing phantom restrictions, and defaulting to "no" when the answer should have been "let's figure it out." Key topics covered: Why fabricated rules (like requiring a psych NP referral for talk therapy) become embedded in organizations — and how to stop it How Scott is approaching the merger with radical transparency, and why "don't tell until it's done" has no place in his culture The one thing that will get you fired fast: "don't tell Scott" What TCPA's nursing home model is teaching Your Health about patient frequency, hospitalizations, and what actually works Why the chaplain conversation changed Scott's entire philosophy — and how advanced care planning pays for it The system doesn't need more rules. It needs more people willing to ask. Listen now and ask yourself: what rule in your organization did somebody just make up? www.YourHealth.Org
In this episode of PIJN News, Dr. Chaps reports on significant challenges to religious freedom. Catholic nuns in New York face possible jail time for refusing to comply with transgender mandates in hospice care, while a Texas judge wins a $640,000 lawsuit after refusing to officiate gay weddings due to her religious beliefs. The episode also highlights a student's victory in a $95,000 lawsuit after being harassed for displaying a Bible verse. Join Dr. Chaps as he discusses these cases, prays for justice, and defends religious rights.
Leah speaks with veteran hospice nurse, JoAnne Chitwood, about how we can assist those we love to die with ease and grace, and how to prepare for death ourselves. This important conversation includes what to expect in the life review, the needs of a person dying, the needs for communication and transparency, and the effects we can have on one another until the end of life. Leah and JoAnne speak about energy, angels, grief, and how to support those we love in the transition phase. To learn more about JoAnne's work and book, Please Help Me Die Well, visit here. To learn more about Leah and her work, visit her website. Thanks for listening! Follow leah on IG, FB & TK @leahthemodernsage for more!
In the United States, nearly 70% of people say they want to die at home, yet the majority still die in medical settings, often after receiving care that may not match their goals and values. Closing that gap between preference and reality is at the heart of the work being done by End Well, a nonprofit dedicated to transforming how we think about, plan for, and experience the end of life. "The gap isn't about people wanting the wrong things. It's that our culture and our incentives aren't aligned with helping those wishes actually happen at the end of life,” says Dr. Shoshana Ungerleider, End Well's founder and president. As Dr. Ungerleider explains to Raise the Line host Michael Carrese, End Well sponsors an annual symposium and year-round activities to bring together clinicians, patients, caregivers, and innovators to improve that alignment. Key steps include earlier integration of palliative care, allowing providers time for listening and goal setting with patients, and normalizing conversations about what matters most to people. This compelling conversation on reframing end of life care also covers how to bring wonder, joy, and hope into end-of-life conversations, and End Well's work to change how death is portrayed in the media. Mentioned in this episode:End Well If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Grief and healing often begin in the quiet moments we are never fully prepared for. In this conversation about end-of-life care, caregiving, anticipatory grief, and healing through storytelling, we explore how love carries us through the final hours with someone we cherish.In this episode of Groove with Portia, I sit down with filmmakers Dana White and Christopher Knoblock, directors of the short film Turning Blue. Based on a true story, the film follows a mother and daughter during the mother's final hours before death, capturing the tenderness, fear, humor, denial, and love that often live inside the caregiving journey.Together, we discuss Dana's relationship with her mother Carol, the promise she made to care for her until the end, and how the film honors the emotional complexity of watching a loved one transition. We also explore the role of sound, shadow, humor, hospice support, and storytelling in helping audiences better understand grief and end-of-life care.In this episode, we discuss:• The true story behind Turning Blue• Honoring Carol's life, humor, and legacy• Caregiving during terminal illness• Anticipatory grief and end-of-life decisions• The emotional reality of hospice and comfort care• The symbolism of sound, breath, shadows, and light• How film can create space for grief conversations• Why caregivers need community and supportWhether you have cared for a parent, sat beside someone at the end of life, or are learning how to hold space for grief, this conversation is a reminder that love does not end when life does.Connect with Dana White and Christopher Knoblock: https://www.chrisdanafilms.com/
Prolonged mechanical ventilation in rural long-term care settings brings a unique set of clinical, ethical, and logistical challenges for care teams, residents, and their families. In this episode, we explore the realities of ventilator use in rural long-term care environments, where limited resources and geographic barriers can complicate care decisions and delivery. We also take a thoughtful look at the emotional and practical impact of ventilator discontinuation, highlighting the experiences of those directly affected. Join us for a nuanced conversation that sheds light on an often-overlooked aspect of long-term care and the difficult decisions that come with it. Von Vitto, DNP, CNP, AGNP-C, ACHPN® Von Vitto, DNP, CNP, AGNP-C, ACHPN® is a board-certified adult-gerontology nurse practitioner and has advanced certification as a hospice and palliative nurse. He currently serves as a nurse practitioner at HospiceCare in The Berkshires, Inc. in Berkshire County, MA. Von brings years of experience in delivering geriatric and specialty palliative care in skilled nursing facilities and to community-dwelling patients. He is passionate about navigating serious illness conversations and the provision of goal-concordant care. Von has also mentored and precepted nurse educator and nurse practitioner students. Julie Thurston Julie Thurston is a board-certified Adult-Gerontology Primary Care Nurse Practitioner with advanced certification in Hospice and Palliative Care who currently serves as a key member of the leadership team at HospiceCare in The Berkshires, Berkshire County, Massachusetts. In her role, Julie provides comprehensive patient and family-centered care, supports her organization in ongoing performance improvement projects, and mentors her staff in various professional development opportunities. During her tenure, Julie has embraced diverse roles including RN Case Manager, RN Weekend/Evening Triage, and Staff Educator. Her commitment to the provision of high-quality care across the continuum earned her an Integritus Healthcare Profiles in Care award. Additionally, she shares her expert knowledge and experience providing education throughout the local community for healthcare providers across multiple disciplines. Julie has been an active member of the Hospice and Palliative Nurses Association since 2010. Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
What if the patient you discharged three years ago is still costing you money today? In this episode of The Disrupted Podcast, Scott Middleton pulls back the curtain on the mechanics of value-based care most providers never see — and the merger bringing it all into focus. With the July 15th closing date approaching, Scott walks through what the merger of Your Health with TCPA and Providence Care actually means on the ground: new contracts, new provider numbers, a reimbursement model built on RAF scores and revenue rather than guesswork, and a technology stack — from the Clini app to QR-coded patient wristbands — designed to capture what was previously left on the table. In this episode: Why patient attribution under value-based contracts follows you for years — and what hospice discharges are really costing the organization How the new bonus structure ties pay to billing, RAF scores, and quality measures (and why you can never be paid to put someone on hospice) The difference between care management, facilitated visits, and what providers have been under-billing all along How skilled nursing facilities became the highest-leverage opportunity in the entire model Why advanced care plans aren't just clinical — they're a 30% income increase hiding in plain sight If you've ever wondered why the "why" behind a process matters more than the process itself, this episode is the answer. Press play. www.YourHealth.Org
The OSJ Rise & Thrive Radio Hour received several emails on follow-up questions about Heartland Hospice and Hospice Care … so we felt it would be beneficial to air this original OSJ Radio Hour again from May.Listen to Johnny Moore with Heartland Hospice in the Rise & Thrive OSJ Radio Studio this Saturday at 9:05FM on 96.7FM Radio… AND on 1,700 podcast platforms!The first two important questions:What is hospice care and when is it appropriate?How does hospice improve quality of life for patients and families?We have this plus many more answers from our expert Johnny Moore of Heartland Hospice. We also discuss their “Heartland Wish Program.”Hospice is a needed connection between the family and the client … it is a beautiful thing that is provided at no cost to the family or client. I know how imperative hospice was to my family —my father on hospice for four years and my mom three days. It was a Godsend!Johnny MooreJohnny MooreJohnny Moore is an Oklahoma City native and Healthcare Consultant with Heartland Hospice, where he has served for over two years supporting patients, families, and healthcare partners with compassionate end-of-life care solutions. A graduate ofPutnam City North High School and the University of Central Oklahoma, Johnny earned his Bachelor's degree in Corporate Communications and has built a successful career spanning more than 20 years in marketing and sales. heartland hospice13909 Technology Drive Ste BOklahoma City, Oklahoma 73134O-405-241-4491heartlandhospice.com
What if the patient never noticed the merger at all? For Matt Staub, that's not a failure — it's the goal. In this episode, Your Health CEO Matt Staub sits down with Jamie to talk through the company's merger with TCPA and Providence Care — a move that brings together similar footprints in primary care, palliative, hospice, skilled nursing, and assisted living across South Carolina and Georgia. As a 23-year healthcare veteran going through his first merger, Matt is candid about the tedious due-diligence "earnest money" phase, the EMR transitions ahead, and why he refuses to let "what could go wrong" crowd out "what could go right." You'll hear: Why "mass moves mass" — and what scale actually buys patients in care management and data analytics How Your Health breaks 50,000 patients into groups, teams, and "hubs" so no one falls through the cracks The "change is hard" philosophy and the discipline of productive (not just effective) communication How the spirit of agape — godly love — still threads through a company that's evolved far past its original name What success looks like in six months: patient retention, mission and margin If you lead through change — or live through it — this one will reframe how you think about getting bigger without losing what made you matter.
Join me, Savy for Episode 3 of Season 18, with Dan Haire of Navian Hawaii, Catia Garell of Thrive for Life and World-Renowned Laughter Leader and Award-Winning Empowerment Coach Bianca Spears returns for our Mindful Moment! We're here to bring back the joy of Caregiving, we're here to connect you to the resources that you need, because you DESERVE some "CARING"From this Episode:Havian Hawaii - Guiding and assisting patients and their families through difficult times, providing Palliative Care to patients battling serious illnesses or delivering Hospice Care to patients nearing their end-of-life journeyThrive for Life - The only known premier residential accessibility consulting firm in Hawai'iBianca Spears - World-Renowned Laughter Leader and Award-Winning Empowerment Coach: Showing others how to activate more fun, freedom & flow in their livesOur Resources:Gimme A Break - Non-profit for caregivers aiming to bring back joy to caregiving, free weekly support sessions offering caregivers a chance to relax, renew, resource and revive. Register or register a caregiver for a break.Givers Guides Magazine - The complete caregiver resource guide. Get your first issue today, as 100% of all profits are donated to support Gimme A Break.Your Host:Savy Makalena - founder of Gimme a Break and Givers Guides Connect with the Caring Caregiver Show:Facebook Page: Caring Caregiver ShowInstagram: caringcaregivershowWebsite: www.caringcaregivershow.comFacebook Group: Click here to join
What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. In this conversation, Jamie and Scott explore: Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. www.YourHealth.Org
Nurse Maude has opened their new state-of-the-art hospice in Merivale this week, with its $16m price tag which has been fully funded entirely from the community. Board Chair Jane Cartwright joined Canterbury Mornings after the ribbon was cut and their patients had moved in. She discussed why hospice care is so important not just for those who are nearing the end of their life, but for their loved ones as well. LISTEN ABOVESee omnystudio.com/listener for privacy information.
What if the most important care in the entire healthcare system is also the most underfunded? While hospitals and inpatient reimbursements rise with inflation, the physician fee schedule has quietly declined roughly 33% in real terms over 25 years — and this year it's facing another cut. In this episode, Jamie Preston sits down with Your Health CEO Matt Staub, just back from Capitol Hill, where he spent a record-setting 95-degree day meeting with seven legislative offices to advocate for physicians, providers, and the patients they serve across rural South Carolina, Georgia, and beyond. What follows is part field report, part reflection on why preventive primary care saves money and lives — and why we plan meticulously for weddings, retirement, and vacations, but treat our own health with a "call us if something happens" approach. In this conversation: Why a 2.5–5% physician fee cut hits frontline rural practices hardest The bipartisan doctors' caucus and the real appetite for reform Why winning can come from a loss — the Kobe Bryant mindset on process over outcome How a Disney ride (Spaceship Earth) reframes humanity's whole story around communication The case for proactive, team-based primary care over reactive sick visits Press play for a conversation about advocacy, communication, and a simple, powerful idea: the change you need to make starts with you.
What if educating your people so well that they could leave was exactly the point? At Your Health, that's not a risk to manage — it's the philosophy that built an entire learning ecosystem. In this episode, Jamie talks with Aubrey Wall, who came to Your Health from a background in education and now leads Your Health University, the organization's learning management system and continuous-development engine. Aubrey brings an educator's eye to a fast-evolving healthcare environment, where best practice changes by the day and meeting patients where they are demands that staff never stop learning. Here's what you'll hear: Why a healthcare company runs 12-month, Department of Labor–registered apprenticeships — including programs in management, value-based care, population health, and hospice aide preparation How gamification is being built into nurse instruction (straight from Aubrey's dissertation research) The difference between Your Health University (your classroom) and the Hub (your resource library) How LinkedIn Learning delivered roughly $4.2 million in CEUs to staff last year Meeting Leah — the new AI assistant that helps employees find exactly the right course If you've ever believed growing your people is a cost rather than the whole point, this conversation will change how you think. Press play, then go ask Leah a question. www.YourHealth.Org
What do you do when a doctor says: "There is nothing more we can do"?For thousands of cancer patients and families in India, this is a moment of complete helplessness. Most rush to another doctor, try another treatment, spend everything they have, not knowing there is a better, more peaceful path.In this TAL Health Talk, Dr. Subrahmanyam Maddirala, Founder Trustee at @sparsh.hospice, Hyderabad — explains everything families need to know about hospice and palliative care, in simple, honest words.Hospice care is NOT giving up. It is choosing comfort, dignity, and peace over painful, futile treatments. It means your loved one gets to spend their remaining time without pain, surrounded by family — not alone in an ICU.WHAT YOU'LL LEARN:What hospice and palliative care actually meansWhy ICU and ventilators are not always the right answerHow cancer patients can live remaining time with zero pain & full dignityHome care vs inpatient hospice — what suits your familyWhy all care at Sparsh is 100% FREE — medicines, food, counseling includedHow families get emotional support even after their loved one passesThe real numbers — 30,000 advanced cancer patients in Hyderabad alone, but only 3,000 seek palliative care"The aim of a hospice is not to speed up or delay death, but to treat the symptoms so the remaining time is meaningful." — Dr. Subramanyam
Lily and Sebastian McGrath's 2 1/2 year old son Bryson was first thought to have a Wilms Tumor before his Pediatric Cancer diagnosis was changed to Stage 4 Neuroblastoma in the early days of 2023. Lily and Sebastian had to put up with a number of more than questionable medical decisions during Bryson's fight and also had to endure the final days of Bryson's life who while in Hospice Care, was promised 24 hour round the clock availability should they be needed and when they were needed the most, they were nowhere to be found. Lily also had to watch after Bryson passed away while one of the Hospice nurses attempted to rip off all of Bryson's dressings, instead of treating her son with the kid gloves that he more than deserved.
Many people associate hospice care with the final days of life, but healthcare advocates say there are still major misconceptions surrounding both hospice and palliative care. On this episode of What's Next?, Kelly Clem of Hospice Buffalo and Palliative Care Buffalo explains the differences between the two forms of care and why early intervention can improve quality of life for patients living with chronic illness. She also discusses how palliative care helps manage symptoms at any stage of illness, while hospice focuses on comfort and support during the final months of life, including emotional and spiritual care for families.
He says Democrats have a chance to defeat President Donald Trump's brand of right-wing populism, but only if the party embraces core economic issues instead of polarizing culture fights.
Hospice care is often structured around a 40-hour workweek—but patients and families need support 24/7. In this episode, we explore what happens during the “other 123 hours”: nights, weekends, and holidays when staffing is leaner, coverage areas expand, and each clinician carries greater responsibility—even as symptom crises and end-of-life transitions unfold. Through frontline insights, we examine the risks, resilience, and resourcefulness that define after-hours care—and discuss practical strategies to strengthen continuity, safety, and support across the full week. Djenie Helne, DNP, FNP-BC, CRNP, ACHPN® D'Jenie R. Helne, DNP, FNP-BC, ACHPN®, is a Doctor of Nursing Practice–prepared Family Nurse Practitioner and Advanced Certified Hospice and Palliative Nurse with over 18 years of nursing experience and more than a decade in advanced practice. She currently serves as Director of Resource Nights & Weekend Nurse Practitioners at Chapters Health System, where she leads multi-state advanced practice teams delivering high-quality hospice and palliative care across Florida, DC, Maryland, and Virginia. Dr. Helne is recognized for her expertise in clinical operations, regulatory readiness, telehealth innovation, and interdisciplinary care models. She has held leadership, hospitalist, and academic roles, including faculty appointments at Johns Hopkins University and Santa Fe College. Fluent in Haitian Kreyòl and proficient in Spanish, she is deeply committed to equitable, patient-centered care and building collaborative clinical environments that drive excellence in outcomes and operational performance. Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
What if doing the right thing for someone you love could cost you everything?In this gripping episode, Rich sits down with Rachel Waters, a caregiver who was shockingly charged with murder after her mother's hospice death. Her story reveals the frightening gaps in the system that every family should know about before facing end-of-life care.Rachel Waters is an advocate for caregiver protections and the founder of Marsha's Law, a proposed reform designed to prevent others from experiencing what she endured.In this episode, you'll learn: The hidden risks caregivers face in hospice situations How a misunderstanding led to a murder charge What Marsha's Law is and why it matters Practical steps to protect yourself and your loved ones Resources:https://marshaslaw.orgRachel's story is emotional, eye-opening, and incredibly important.If this episode resonates with you, please leave a review, subscribe, and share it with someone who needs to hear it. You never know who it might help.Send us Fan MailAmerican Auto Repair Sales & ServicesAmerican Auto Repair & Performance was founded on the basic idea that everyone deserves respect. It Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showRate & Review on Apple Podcasts Follow the Conversations with Rich Bennett podcast on Social Media:Facebook – Conversations with Rich Bennett Facebook Group (Join the conversation) – Conversations with Rich Bennett podcast group | FacebookTwitter – Conversations with Rich Bennett Instagram – @conversationswithrichbennettTikTok – CWRB (@conversationsrichbennett) | TikTokSponsors, Affiliates, and ways we pay the bills:Hosted on BuzzsproutSquadCastSubscribe by Email
"What if you train them and they leave?" It's the fear that quietly keeps most healthcare leaders from investing in their people. Matt Staub — CEO of Your Health — wants you to sit with the question his mentor once asked in return: What if you don't train them, and they stay? In this episode, Matt joins Jamie Preston for a conversation about why workforce education isn't a perk at Your Health — it's the culture. From nationally accredited apprenticeships, to a training pipeline built out of a licensing crisis, to the real people behind the success stories, this is a blueprint for leaders who want to grow something that lasts. Key topics covered: The lumberjack story: why sharpening your axe beats swinging harder every time How a shortage of licensed administrators became the catalyst for Your Health's training engine The shift from "education happens on your own time" to "this is how we behave" Real success stories — Olivia, Kristin, Taylor, McKinsey, Rebecca — and what they share Matt's three challenges for anyone ready to grow: show up, find your who, take your shot If you've ever wondered whether developing your people is worth the cost, this episode will change the math. Press play — then look around, and ask yourself who's looking at you.
Most providers interrupt their patients within 18 seconds. What if the next few minutes of silence could tell you more than the next hour of testing? In Part 2 of the Your Health Values Series, Jamie sits down again with members of the Your Health Experience Team — Rebecca, Jennifer, Whitney, and Carlos — to go beneath the surface of "patient-centered care" and look at what empathy really demands in the pressured, everyday moments of healthcare. This isn't a conversation about being nice. It's a conversation about seeing people — patients, families, and colleagues — for everything they're carrying, even when they're hiding it behind a smile. In this episode: Why empathy is officially non-negotiable at Your Health — and what that looks like in practice The difference between emotional empathy and "empathetic sternness" (and why both save lives) How to recognize when a patient or colleague is carrying something deeper than their symptoms The real threat of empathy fatigue — and how to keep giving without burning out The two "holy times" in healthcare where empathy matters most What patients actually say when they feel truly seen If you've ever wondered whether the extra 60 seconds is worth it, this episode will show you why it's everything. Press play — and then try it on your very next interaction. www.YourHealth.Org
What if the healthcare system your loved one relies on doesn't even know they need help until it's too late — and what would it look like if it did? In this Q1 2026 episode, Jamie Preston sits down with Matt Staub, CEO of Your Health, for a candid and wide-ranging look at how one of the country's largest home-based care providers is navigating the evolving landscape of value-based care, population health, and the human experience at the center of it all. Matt brings his characteristic clarity and heart to a conversation that is equal parts strategy, story, and honest reckoning with what the system still gets wrong. Key topics covered: Why 11% of patients account for 67% of all healthcare spending — and why most of them don't know they're in an ACO The evolution of value-based care: from quality-over-cost to outcomes + patient experience over total costs How Your Health is becoming proactive — not reactive — about falls, readmissions, and high-needs patients The quiet crisis of patient trust: down from 71% in 2020 to just 33% today, and what the correlation means for hospitalizations Real stories: a 79-year-old patient who went from barely existing to living fully — and Matt's own mom, who hasn't fallen since leaving the hospital after her stroke If you work in healthcare, advocate for someone in the system, or simply believe that better is possible — this episode will change the way you see what care can be.
Derek shows Beth one of his favorite 70s horror films - Don Coscarelli's Phantasm. Plus Listener Feedback, Mark Matzke's Beta Capsule Review (Ultraman Taro) and Kenny's Look at Famous Monster of Filmland! Voicemail: (360) 524-2484 Email: monsterkidradio@gmail.com Monster Kid Radio on Patreon - https://www.patreon.com/c/monsterkidradio Monster Kid Radio on Twitch! - https://www.twitch.tv/monsterkidradio Monster Kid Radio on YouTube - http://youtube.com/monsterkidradio Follow Mark MatzkeMonster Study Group - https://podcasts.apple.com/us/podcast/monster-study-group/id1526013554 Small Town Monsters - https://www.smalltownmonsters.com Support Reggie Bannister's Hospice Care - https://www.gofundme.com/f/support-reggie-bannisters-hospice-care CINESYLM presents The Last Man on Earth at the Academy Theatre - https://academytheatre.betterworld.org/events/cinesylum023 24th Annual Rondo Hatton Classic Horror Awards Ballot - https://www.tapatalk.com/groups/monsterkidclassichorrorforum/here-s-the-official-ballot-for-the-gasp-24th-annua-t99390.html Classic Horror Film Board - https://classichorrorfilmboard.com/ Executive Producer - https://www.podcascadia.com/ Deth Designs - https://dethdesigns.bigcartel.com/ "Unholy Mackerel" (Music For Alternate Realities, Vol 2) provided courtesy of Thee Leviathans https://theeleviathans.bandcamp.com/ https://www.youtube.com/@theeleviathans https://www.facebook.com/theeleviathans https://www.instagram.com/theeleviathans Bride of Monster Kid Radio is a Team Deth Production. All original content of Bride of Monster Kid Radio is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License. You can learn more about Team Deth, our other projects like Deth Merchant, Mail Order Zombie, Deth Writer, and more at www.teamdeth.com. Please rate and review Bride of Monster Kid Radio wherever you download your favorite podcasts. Next time on Bride of Monster Kid Radio: Follow us on Patreon to find out!
Most people believe hospice means that medical professionals will come in and take care of everything when someone is dying. But the reality is very different. In this episode, Suzanne B. O'Brien RN — former hospice and oncology nurse who has cared for more than 1,000 patients at the end of life — reveals the number one problem with hospice care today and why so many families feel overwhelmed during one of the most important moments of life. The truth may surprise you. Hospice was designed to provide comfort, guidance, and medical oversight, but the majority of hands-on care actually falls to family members at home. In fact, families often find themselves responsible for tasks such as: administering medications managing symptoms bathing and repositioning their loved one monitoring breathing and physical changes All while navigating grief, exhaustion, and fear. Many families enter hospice believing full-time care will be provided — only to discover that nurses and hospice staff may visit periodically while loved ones provide most of the daily care. This isn't a failure of hospice. It's a missing piece of education. The Real Problem Over the past 100 years, death has become increasingly medicalized. Historically, families knew how to care for loved ones at the end of life. These sacred caregiving skills were passed down from generation to generation. But as death moved into hospitals and institutions, those skills quietly disappeared. Now hospice has brought death back into the home — but the knowledge never returned with it. As a result, families are often asked to do one of the most profound acts of care in life without ever being taught how. The Solution The answer isn't more medicalization. The answer is education before crisis. For the past 16 years, the Doulagivers Institute has been working to restore the lost skills of end-of-life care through education and community training. To date: 400,000 people have been trained Participants come from over 39 countries The training is offered free each month The mission is simple: End-of-life care is a human right. Every family deserves to know how to care for their loved one with confidence, dignity, and peace. What You'll Learn in This Episode The #1 misunderstanding about hospice care Why families often feel unprepared during the dying process The historical reason we lost end-of-life caregiving skills Why hospice alone cannot meet the needs of families The simple solution that can transform end-of-life care worldwide About Suzanne B. O'Brien RN Suzanne B. O'Brien is a former hospice and oncology nurse who has cared for over 1,000 patients at the end of life. She is the founder of the Doulagivers Institute and author of the international bestseller The Good Death: A Guide for Supporting Your Loved One Through the End of Life. Her mission is to ensure that every family in the world has access to the knowledge and tools needed to support a peaceful and sacred end-of-life experience. Learn the Skills Before You Need Them Join the free Doulagivers Level 1 End-of-Life Doula Training, attended by hundreds of thousands of people around the world. These are the sacred caregiving skills every family deserves to know.
179 Hospice Is About Living: Honest Conversations, Palliative vs. Hospice, and Supporting Nurses with Gina Harris MSN, MSQT Host Marie Betcher, a registered nurse and former hospice nurse, interviews Gina Harris MSN, MSQT, Chief Clinical Officer at Marisol Health in South Carolina, about hospice education and reducing fear around end-of-life care. Gina shares her career path from mortgage banking to 25 years in nursing, including critical care leadership and work as a CMS-certified surveyor, and explains how hospice nursing is emotionally demanding and often undervalued. The conversation centers on the need for honest communication about dying, including a story of a woman with recurring cancer who pursued a third major surgery before choosing hospice and dying days later, highlighting "chasing normal" and the limits of prognostic estimates. Gina describes hospice as support for living with comfort and dignity, outlines palliative care versus hospice, and explains how Marisol trains staff through in-services, role playing, interdisciplinary visits, and certification. 00:00 Welcome and Disclaimer 00:29 Meet Host Marie 00:45 Introducing Gina Harris MSN, MSQT 02:11 Gina's Nursing Journey 04:09 Why Hospice Matters 06:05 Coaching Nurses to Talk 08:29 Chasing Normal Story 13:42 Hard Truths and Hospice 18:21 Hospice Is About Living 20:23 Palliative vs Hospice Care 23:32 Training Staff for Truth 26:44 Hospice as a Choice 28:15 Signing Up and Opting Out 29:42 Closing Thanks and Location 30:21 Final Wrap Up https://mirasolhealth.org/ If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast. Maire introduces a partnership with Suzanne Mayer RN inventor of the cloud9caresystem.com, When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.
Welcome to our show. Today, we're delving into a deeply important, yet often challenging, subject: hospice care and the intricate world of end-of-life decision-making. These are conversations many understandably shy away from, but as you'll hear, they are profoundly necessary, and ideally, they should take place long before a critical health crisis ever arises. We are incredibly fortunate to have a true expert guide us through this discussion: my sister, Celeste Galati. Celeste is an experienced nurse who specializes in hospice care, and she joins us to illuminate her many years of dedicated work with patients and their families. Throughout this episode, Celeste will share invaluable insights and practical strategies for addressing the complex needs of individuals facing a terminal illness, and just as importantly, supporting the families who are suffering alongside them. We'll explore what exactly hospice care and end-of-life care truly entail, clearly define the distinctions between palliative care and hospice, and dismantle some prevalent misunderstandings surrounding these crucial topics. Get ready for an honest, compassionate, and incredibly informative conversation that underscores why these difficult discussions, though challenging, are absolutely essential to have well in advance. #hospice #palliativecare #endoflife Where to find Dr. Joe Galati and his team:Dr. Galati's newsletter sign-upMedical Practice: Liver Specialists of TexasDr. Galati's Book Site: Eating Yourself SickFacebook: Dr. Joe GalatiDr. Galati's YouTube ChannelPlease send feedback and suggestion. You can message me here. Hosted on Acast. See acast.com/privacy for more information.
Pancreatic cancer is often called a 'silent' disease because its early signs are so easy to miss. This episode provides a comprehensive look at the diagnosis—from the complex Whipple procedure to hospice care—to help families move from fear toward understanding. https://bit.ly/4birjzsIn this episode, you will learn: What the pancreas actually does (enzymes, insulin, and glucagon).The difference between modifiable and non-modifiable risk factors. What a "pancreaticoduodenectomy" (Whipple procedure) involves and a brief history of the procedure. How hospice provides wraparound support to manage metastasis, ascites, and pain, ensuring comfort and dignity in the final stages Timestamps: 00:00 - Intro: Roasted Jalapeño Dip, and Mel Brooks Documentary03:14 - Jim Henson's Legacy - It's Not Easy Bein' Green06:33 - Pancreatic Cancer Statistics & The Pancreas Defined06:33 - Cancer Risk Factors: Genetics vs. Lifestyle 09:42 - The Whipple Procedure Explained 16:42 - Late-Stage Realities & Hospice Support29:19 - A Poem Honoring Alex Pretti by National Youth Poet Laureate Amanda Gorman 30:56 - OutroRelated Episodes Mentioned:S5E45: Why Does Cancer Exist?S4E26: How Pain Medications for Cancer Improve Quality of LifeS2E29: How to Decide When It is Time for HospiceS4E43: The Carters – Living Their Best Life to the End #PancreaticCancer #CancerAwareness #HospiceCare #WhippleProcedure #EndOfLife #EveryoneDiesPodcast #JimHensonSupport the showConnect with Us: Email our Host: mail@every1dies.org Website: https://every1dies.org: Find show notes, links and expanded resources Follow Us: Facebook | Instagram | YouTube
Welcome to Classic Skeptic Metaphysicians! We're re-releasing some of our back catalog so that these gems can be re-discovered!This week: Should We Fear Death? An Honest Conversation with Hospice Nurse Julie McFaddenDeath. It's the one certainty we all share...and the one topic most of us avoid like the plague. For years, Will openly admits his biggest fear was dying. Not just the process… but the terrifying possibility of nothingness afterward. And even after years of exploring consciousness, spirituality, and Near-Death Experiences on this show, that old panic still sneaks in from time to time. So this week, we go straight to the source. We sit down with Hospice Nurse Julie McFadden, a former ICU nurse turned hospice advocate who has witnessed hundreds of deaths, and calls the experience not tragic… but beautiful. Yes. Beautiful. Julie pulls back the curtain on what really happens as the body shuts down, what families often misunderstand about the dying process, and why so many people report seeing deceased loved ones in the final weeks of life. We cover:What actually happens to the body in the final months, weeks, and hoursWhy dying does not automatically mean sufferingThe science behind decreased appetite, increased sleep, and metabolic shiftsWhat “visioning” is, and why it happens to so many peopleWhether atheists experience end-of-life visions tooThe truth behind the “6 ounces of the soul” mythWhat it feels like to be in the room when someone takes their final breathWhy education about death reduces fearAnd the ultimate question: Is there life after death?Julie speaks candidly about the mysterious, metaphysical phenomena she's witnessed, and the sacred stillness that seems to fill a room when someone transitions. This conversation may not give you absolute certainty about what lies beyond… But it may radically change how you think about the journey getting there. If you've ever feared the process of dying… If you've ever sat beside a loved one and wondered if they were suffering… Or if you're simply curious about what really happens when we take our last breath… This episode might bring you more peace than you expect.Why This Episode Matters We spend so much time preparing for life. Almost none preparing for death. And yet, according to someone who sees it daily, the body knows exactly what to do. The real fear may not be death itself…But our misunderstanding of it. Listen in. You may walk away feeling lighter.The Skeptic Metaphysicians is a spiritual awakening podcast for open-minded thinkers who refuse to check their critical thinking at the door. Each episode explores consciousness expansion, enlightenment, soul purpose, and soul growth through honest, grounded conversation with leading voices in metaphysics, psychic phenomenon, quantum healing, and beyond. We dive deep into spiritual awakening, ascension, alignment, and the awakening process without the dogma. From mediumship and spirit guides to Arcturian contact, astrology, and the subconscious mind, we explore it all with curiosity, humor, and zero guru worship. Whether you're in the middle of your own awakening, questioning reality, or just spiritually curious, this is the podcast for seekers and skeptics alike.Subscribe, Rate & Review!If you found this episode enlightening, mind-expanding, or even just thought-provoking (see what we did there?), please take a moment to rate and review us. Your feedback helps us bring more transformative guests and topics your way!Connect with Us:
Why baptize children? Is there still time to repent after death? Why prey to Mary? Join us for this Mailbag edition of Open Line Monday with Fr. John Trigilio. (Originally aired on 4/28/25)
Hospice care is one of the most misunderstood parts of end-of-life support. And that misunderstanding often keeps people from getting the comfort, care, and dignity they deserve.In this episode I'm joined by members of the team from Caring House, a nonprofit organization dedicated to providing compassionate, holistic hospice care and end-of-life support. We talk honestly about what hospice care actually is (and what it is not), when it's appropriate, and how compassionate care can transform the final chapter of life for both patients and their loved ones.We also explore how hospice isn't about “giving up,” but about shifting the focus from cure to comfort, from fear to presence, and from doing everything to doing what truly matters.Whether you're caring for someone with a terminal illness, navigating difficult decisions, or simply want to be better informed before a crisis hits, this conversation offers clarity, reassurance, and a whole lot of humanity.https://www.yourcaringhouse.org/https://www.yourcaringhouse.org/support-ushttps://www.yourcaringhouse.org/coffee-event-2026Support me on Patreon! https://www.patreon.com/nikkithedeathdoulaYou can find me here:https://linktr.ee/nikkithedeathdoulaGet merch! https://good-grief-podcast.printify.me/ Music:https://incompetech.filmmusic.io/song/3495-cheery-monday
174 Facing the Unspoken: Embracing End of Life Conversations In this episode of 'Hospice Explained,' host Marie Betcher RN , a former hospice nurse with a long nursing experience, emphasizes the significance of addressing end-of-life issues early. She discusses the common problem of late referrals to palliative and hospice care and highlights the need for healthcare providers to facilitate honest, fact-based conversations with patients. This approach allows patients to make informed choices, spend quality time with loved ones, and manage their affairs properly. Marie encourages providers to make these discussions a cooperative dialogue, providing resources and advice to help patients prepare for the end of life. She also invites listeners to share their stories and questions. 00:00 Introduction and Disclaimer 00:28 Meet Your Host: Marie Betcher RN 00:41 Addressing Late Referrals in Hospice Care 01:08 The Importance of dificult Conversations 01:47 Training Gaps in Medical Education 02:09 Empowering Patients with Honest Conversations 02:24 Practical Steps for End-of-Life Planning 03:42 The Role of Healthcare Providers 04:21 Creating a Dialogue, Not a Debate 05:04 Encouraging Hospice Consideration 05:46 Conclusion and Contact Information If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast. Maire introduces a partnership with Suzanne Mayer RN inventor of the cloud9caresystem.com, When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.
Send us a textIn Part Two of Protecting Patients at the End of Life: Why CON Still Matters, host Chris Comeaux continues the conversation with two of the nation's most respected hospice policy leaders—Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.This episode moves beyond regulatory theory and into the real-world patient and family experience—especially in states without hospice Certificate of Need (CON) laws. Drawing on decades of leadership, personal stories of loved ones in hospice, and data-informed insights, Paul and Tim explore what families actually face when hospice markets are oversaturated, fragmented, or poorly regulated.The conversation examines how too many choices can overwhelm families, how small, unsustainable hospice programs can dilute quality, and how fraud and inappropriate enrollments disproportionately affect vulnerable populations—often stripping patients of access to Medicare benefits when they need them most.Listeners also gain a deeper understanding of how Florida and North Carolina use CON to balance:Access to hospice careProgram sustainability and scaleRural and underserved community coverageInpatient hospice availabilityProtection against bad actorsThe episode concludes with a forward-looking discussion on what principles—not politics—should guide states that are reconsidering or redesigning hospice CON laws today.This is an essential conversation for healthcare leaders, policymakers, hospice executives, board members, and anyone committed to protecting quality end-of-life care.Guest:Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care AssociationTim Rogers, President & CEO of the Association for Home & Hospice Care of North CarolinaHost:Chris Comeaux, President / CEO of TELEIOSThe Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership
Send us a textCertificate of Need (CON) laws are among the most debated—and misunderstood—regulatory frameworks in healthcare. In this timely Part One conversation, host Chris Comeaux is joined by two of the most respected voices in hospice policy and advocacy: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.Together, they unpack why CON laws were originally created, what problems they were designed to solve, and why hospice continues to raise unique concerns that set it apart from other healthcare services. Drawing on decades of leadership and real-world experience, Paul and Tim explain why hospice does not function like a traditional free market—highlighting fixed reimbursement rates, demographic-driven demand, and the responsibility to serve entire communities, including rural and complex patient populations.This episode explores what actually happens in states without hospice CON: oversaturation in urban markets, reduced access in rural areas, fragmented care, and increased vulnerability to fraud and abuse. The discussion challenges common assumptions about competition and access, using data, policy insight, and firsthand examples to illustrate the unintended consequences of deregulation.Part One lays the foundation for a deeper conversation about quality, equity, and patient protection at the end of life—and why thoughtful oversight still matters in preserving the integrity of the hospice benefit.
In this heartwarming episode of The Golden Gang podcast, Phil Rizzo, Business Office Director at Arbor Terrace Mount Laurel, sits down with Jackie Christmas from Vitality Hospice. Jackie, a passionate and dedicated hospice care professional, shares her journey of providing compassionate end-of-life care and the deep connections she's formed with the residents at Arbor Terrace. Join us as we explore the rewarding and often misunderstood world of hospice care, the importance of teamwork, and how Vitality Hospice makes a difference in the lives of families and residents!
Understanding End-of-Life Decisions: The Importance of Hospice Education In this episode of 'Hospice Explained,' host Marie Betcher, a registered nurse and former hospice nurse, shares a poignant story about educating a family on the realities of CPR within hospice care. Through a real-life example, Marie emphasizes the importance of understanding hospice care and the end-of-life process. The episode highlights the need for proper communication and realistic expectations regarding life-saving measures like CPR. Marie also encourages listeners to seek further information from resources like polst.org and invites individuals with personal stories or expertise to join the podcast for future episodes. 00:00 Introduction to Hospice Explained 00:29 Host Introduction and Purpose 00:45 A Personal Story: Challenges with CPR 02:15 Understanding CPR in Hospice Care 03:24 The Importance of Saying Goodbye 04:39 Resources and Final Thoughts POLST.ORG If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast. Maire introduces a partnership with Suzanne Mayer RN inventor of the cloud9caresystem.com, When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) If you would, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.
168 Breaking Taboos: Talking About Death with Gabby Jimenez In this episode of Hospice Explained, host Marie Betcher RN, a registered nurse and former hospice nurse, interviews Gabrielle Jimenez, a hospice and palliative care nurse, end-of-life doula, grief educator, and author. Gabby shares her journey from commercial real estate to nursing, witnessing nearly 2000 last breaths, and discusses the importance of human-centered care in hospice. The episode also covers the challenges and rewards of starting a nursing career later in life, the need for earlier hospice care, and supporting parents losing a child. Highlighting Gabby's intention to create a safe place through her Facebook community 'The Hospice Heart,' this episode emphasizes the critical role of compassion and education in end-of-life care. 00:00 Introduction to Hospice Explained 00:46 Meet Gabrielle Jimenez: Hospice Nurse and Doula 02:01 Gabrielle's Journey to Hospice Care 10:12 The Role of a Doula in End-of-Life Care 17:01 Challenges and Changes in Hospice Care 21:38 The Importance of Discussing Death and Dying 24:04 Celebrating Life and Death in New Orleans 24:37 Organizing Funeral Food 25:51 A Funny Story About My Dad's Funeral 27:20 Reflecting on My Mother's Death 29:13 Dealing with Family Drama During Funerals 32:12 Advice for Handling Grief and Family Dynamics 39:08 Supporting Parents Losing a Child 43:46 Conclusion and Final Thoughts https://www.thehospiceheart.net/ If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast. Maire introduces a partnership with Suzanne Mayer RN inventor of the cloud9caresystem.com, When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) If you would, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.
This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one.____________What if the search for your “one true purpose” is actually making you miserable and the real path to a regret-free life is simpler than you think?In this insightful conversation, Dr. Bradley Block reconnects with returning guest Dr. Jordan Grumet to explore the ideas in his new book, The Purpose Code. Building on his first book Taking Stock, Jordan tackles the question he's asked most: “How do I actually find purpose?” He breaks down why we get purpose wrong, introduces Big P vs. little p purpose, and shares why focusing on process over outcome creates abundance, community, and lasting happiness. From hospice stories to personal examples like podcasting and baseball cards, Jordan shows physicians how to build purpose around what truly fills them up, without needing to quit medicine or chase scarcity-driven goals.If you've ever felt purpose anxiety or wondered whether being a doctor is “enough,” this episode offers a practical, liberating framework to live intentionally and regret-free.Three Actionable Takeaways:Distinguish Big P from little p purpose: Stop chasing scarce, audacious goals (e.g., curing cancer, becoming a billionaire) that breed anxiety and failure. Instead, identify activities where you love the process itself regardless of outcome or pay. Ask: “Would I do this even if no one paid me or noticed?” These abundant little p purposes bring joy, flow, and surprisingly greater impact.Build purpose now, not after financial milestones: Don't wait for financial independence to pursue what lights you up. Use the 5–6 hours of daily free time most people have to fill time slots with purposeful activities. At work, maximize what you enjoy (addition), minimize what you loathe (subtraction), or switch roles or employers to increase joy without blowing up your finances.Pair purpose with meaning for true happiness: Purpose (present/future actions that fill you up) needs meaning, a heroic narrative of your past, to thrive. Reframe past struggles as a hero's journey “I am enough” to quiet victim stories that sabotage new purposeful pursuits. Strong relationships and community naturally flow from living your little p purpose, which research shows is the biggest predictor of health and longevity.About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Jordan Grumet, known as Doc G, is an associate medical director at Unity Hospice, a Plutus award-winning podcaster for Earn & Invest, and a prominent voice in the Financial Independence, Retire Early (FIRE) community. With a background in internal medicine and a shift to hospice care, he authored Taking Stock: A Hospice Doctor's Advice on Financial Independence, Building Wealth, and Living a Regret-Free Life, which reshaped how people align money with values. His second book, The Purpose Code (releasing January 7, 2025), explores creating purpose through process rather than goals, drawing from his hospice insights and personal journey to inspire a fulfilling life.LinkedIn: http://linkedin.com/in/jordan-grumet-38a506179 Website: https://jordangrumet.com/ Podcast: https://podcasts.apple.com/ng/podcast/earn-invest/id1440355498About the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
167 Exploring Compassionate Hospice Care with Max Labutin In this episode of Hospice Explained, host Marie Betcher RN, a former hospice nurse, interviews Max Labutin, founder of Maximum Care Hospice Incorporated. Max shares his journey into hospice care, inspired by personal loss and a calling to provide compassionate, family-centered hospice services. He discusses his company's commitment to high-quality care regardless of patients' socioeconomic backgrounds and highlights the importance of planning ahead for end-of-life care. Max also touches on the spiritual and emotional aspects of hospice, sharing heartwarming stories and insights on how to support families through this profound phase of life. The episode emphasizes the need for education and preparedness to ensure the best possible care for loved ones. 00:00 Introduction to Hospice Explained 00:45 Meet Max Labutin: Founder of Maximum Care Hospice 02:50 Max's Journey into Hospice Care 05:12 The Importance of Choosing the Right Hospice 07:50 Special Services and Staff at Maximum Care Hospice 13:43 Heartwarming Stories and Spiritual Insights 16:19 Family Involvement and Personal Reflections 17:47 Planning Ahead for Hospice Care 27:28 Cultural Perspectives on Death and Hospice 28:42 Conclusion and Final Thoughts https://www.maximumcarehospice.com/ If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast. Maire introduces a partnership with Suzanne Mayer RN inventor of the cloud9caresystem.com, When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) If you would, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.
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