Podcast appearances and mentions of Ira Byock

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Best podcasts about Ira Byock

Latest podcast episodes about Ira Byock

End-of-Life University
Ep. 509 A Future Path for Hospice and Palliative Care with Ira Byock MD

End-of-Life University

Play Episode Listen Later Jul 14, 2025 57:23


Learn about Dr. Ira Byock’s strategic vision for approaching the major issues facing hospice and palliative care. My guest Dr. Ira Byock is a leading palliative care physician, author, and public advocate for improving care through the end of life. He is the author of the books Dying Well, The Four Things that Matter Most,… Continue reading Ep. 509 A Future Path for Hospice and Palliative Care with Ira Byock MD

TCN Talks
Plans of Care, Ethics, Robotics, and more! Top News Stories, June 2025

TCN Talks

Play Episode Listen Later Jul 2, 2025 64:18 Transcription Available


What makes Hospice special isn't magic—it's the masterful implementation of coordinated care plans that align interdisciplinary teams with patient priorities.  This month's deep dive into June's most critical Hospice and Palliative Care developments explores how this "secret sauce" remains simultaneously the heart of our philosophy and our most common survey deficiency.  In this episode of TCNtalks, host Chris Comeaux and Cordt Kassner, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics, discuss relevant top news stories in Hospice and Palliative Care for June.They also explore technology's dual-edged potential, suggesting that AI and robotics should enhance, rather than replace, the human elements of Hospice Care.  As Daniel Pink notes, "if a robot can replace you, you should be"—allowing us to focus our irreplaceable human capacity on meaningful connection rather than routine tasks.Dr. Ira Byock's strategic framework for hospice's future emerges as perhaps the most significant development of the month, offering four concrete paths forward: establishing clear clinical standards (like appropriate caseload sizes), creating meaningful data transparency, driving quality-based competition, and embracing our authentic brand as specialists in fostering well-being through the end of life. Subscribe to TCNtalks for monthly insights.  Additionally, we explore leadership strategies for growth and the necessity of a strategic path forward in Hospice and Palliative Care, emphasizing the importance of quality and ethical practices in the field.  We respect your time while keeping you informed on what truly matters.  Join us.Guest:Cordt KassnerPhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris ComeauxPresident / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/plans-of-care-ethics-robotics-and-more-top-news-stories-june-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice

Meet Joe Sanok Joe Sanok helps counselors to create thriving practices that are the envy of other counselors. He has helped counselors to grow their businesses by 50-500% and is proud of all the private practice owners who are growing their income, influence, and impact on the world. Click here to explore consulting with Joe. […] The post The Future of Dying with Dr. Ira Byock | POP 1205 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.

future practice dying scale ira byock private practice practice
GeriPal - A Geriatrics and Palliative Care Podcast
Psilocybin in Serious Illness: A Podcast with James Downar, Ali John Zarrabi and Margaret Ross

GeriPal - A Geriatrics and Palliative Care Podcast

Play Episode Listen Later May 8, 2025 46:57


We've covered psychedelics on the podcast before—first in 2019 with Ira Byock, where we explored their potential role in medicine, and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. In today's episode, we're taking a closer look at the current state of the science around one specific psychedelic: psilocybin. We'll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar, Ali John Zarrabi, and Margaret Ross.  We begin with a refresher on psilocybin—what it is, how it might work, what conditions it may help treat (including demoralization), and how it's typically administered. What makes this episode especially compelling is our deep dive into the three studies, which highlight two different approaches to using psilocybin: daily microdosing, similar to traditional antidepressants, and a more intensive model known as psilocybin-assisted therapy. This latter approach involves three structured phases—preparation, the dosing session, and post-session integration with trained therapists.

The Health Technology Podcast
What Dying Teaches Us About Living: Insights from Ira Byock

The Health Technology Podcast

Play Episode Listen Later May 6, 2025 47:03


Picture a hospital room late at night, the soft hum of machines in the background. A family gathers quietly around their loved one, unsure how to navigate the complexities of end-of-life care. It's a scene playing out every day across the country, highlighting a crucial yet often neglected part of healthcare—the way we care for people as their lives near an end. Joining me today is Ira Byock, a renowned physician, author, and passionate advocate for palliative care, whose groundbreaking work has transformed how we think about living—and dying—well. As the Emeritus Professor of Medicine and Community & Family Medicine, Dartmouth Geisel School of Medicine, Ira has dedicated his career to ensuring that end-of-life care is compassionate, comprehensive, and patient-centered. From developing the influential Missoula Demonstration Project to leading the Robert Wood Johnson Foundation's initiatives on end-of-life care, Ira's pioneering efforts have touched millions of lives. Drawing deeply from his early experiences in rural family medicine, Ira witnessed firsthand the profound gaps in care for dying patients, sparking a lifelong mission to humanize healthcare. His belief that moments of crisis can also be opportunities for growth and wellbeing and reshaped our understanding of what it means to care for the whole person. In this episode, we explore Ira's remarkable journey—from a young physician confronting ethical dilemmas, to a visionary leader reshaping the landscape of hospice and palliative care. We'll discuss the challenges of balancing compassionate care with a profit-driven healthcare system, the transformative power of treating patients as whole people, and Ira's innovative vision for a more humane and effective healthcare future. Do you have thoughts on this episode or ideas for future guests? We'd love to hear from you. Email us at hello@rosenmaninstitute.org.  

Humanize
Ira Byock, M.D., on the Crisis in Hospice Care

Humanize

Play Episode Listen Later Feb 10, 2025 56:02


The creation of the modern hospice movement was a major advance in the care for people with terminal illnesses. Alas, in recent years, hospice has entered something of a crisis, with too many facilities offering inadequate care and some patients receiving short shrift of services to which they are entitled. To get to the bottom of the problem, Wesley invited Read More ›

Discovery Institute's Podcast
Ira Byock, M.D., on the Crisis in Hospice Care

Discovery Institute's Podcast

Play Episode Listen Later Feb 10, 2025 56:02


Earth Ancients
Destiny: Dr. Richard Miller, Psychedelic Medicine at the End of Life

Earth Ancients

Play Episode Listen Later Jan 15, 2025 73:37


A cutting-edge exploration of the role of psychedelics in the end-of-life experience• Outlines 10 steps for dying gracefully with the help of psychedelics, including how to navigate the complex legal landscape and find the right guide and therapy• Looks at clinical studies of psychedelics from UCLA, Johns Hopkins, and NYU School of Medicine that show dramatic lessening of end-of-life anxiety in terminally ill patients• Shares wisdom from experts on psychedelic research and palliative care, including Roland Griffiths, Katherine MacLean, Ira Byock, and Anthony BossisExamining the evolving landscape that is found around end-of-life psychedelic care, Dr. Richard Louis Miller, a clinical psychologist for more than half a century, looks at how LSD, MDMA, psilocybin, and ayahuasca can be vital tools in allowing individuals in all stages of life to confront fears of dying and, in so doing, lead richer lives.Miller shares wisdom from experts on the frontiers of psychedelic research and palliative care—including Roland Griffiths, Katherine MacLean, Ira Byock, and Anthony Bossis—and examines cutting-edge studies from Johns Hopkins, UCLA, and NYU School of Medicine that show dramatically decreased anxiety in terminally ill patients through the use of psychedelics. He explores how different substances can help the dying overcome their end-of-life distress. He also provides testimony from researchers and patients participating in psychedelic-assisted psychotherapy that helps convey the experience of ego death at the heart of the psychedelic experience.Miller outlines 10 steps for dying gracefully, without fear, with the help of psychedelics. He examines how to navigate the complex legal landscape and find the right guide, dose, and therapy. He also includes reflections from key figures in the psychedelic community as well as some of his own psychedelically informed mystical and near-death experiences.Revealing psychedelics as a portal of transformation, Miller shows how they are singularly valuable in helping individuals face the end of life with courage and serenity.Richard Louis Miller, M.A., Ph.D., has been a clinical psychologist for more than 60 years. He is host of the internet radio broadcast Mind Body Health & Politics, the founder of the internationally acclaimed Cokenders Alcohol and Drug Program, and creator of the Health Sanctuary at Wilbur Hot Springs. He has been a faculty member at the University of Michigan and Stanford University and an advisor on the President's Commission on Mental Health. He lives in Fort Bragg and Wilbur Hot Springs, California.https://www.drrichardlouismiller.com/Become a supporter of this podcast: https://www.spreaker.com/podcast/earth-ancients--2790919/support.

TCN Talks
Year in Review for 2024 and One Word

TCN Talks

Play Episode Listen Later Jan 1, 2025 22:29 Transcription Available


In this crossover podcast episode, host Chris Comeaux does a recap of the top podcasts of 2024.  First for TCNtalks with amazing guests like New York Times best-selling author John Burke, Peter Benjamin, Dr. Ira Byock, and Judi Lund Person.Chris then does a recap from our first year of our new podcast, the Anatomy of Leadership, with great guests such as Quint Studer, Meridith Elliott Powell, John Locke, and Brian Jaudon.Additionally, Chris introduces the intriguing concept of the "One Word," which serves as a thematic or guiding principle for the upcoming year.  This is a great piece of wisdom Teleios and many of it's members practice every year.  This is a much more powerful way to set the tone and intention for your upcoming year and is much more useful than a New Year's Resolution which seem to wane about thirty days into the New Year.  By looking back on the past year and gazing forward, individuals can gain clarity about their personal causes and purposes.  Selecting a One Word for the year can offer a focused and directional approach to both personal and professional life.Host:  Chris Comeaux, MLAS, CPA; President/CEO of Teleios Collaborative Network and Teleios Consulting GroupTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Ask A Death Doula
Death Doula Global Summit Speaker Spotlight: Brad Wolfe, Founder of Reimagine EOL

Ask A Death Doula

Play Episode Listen Later Jul 23, 2024 49:09


Death Doula Global Summit Speaker Spotlight: Brad Wolfe, Founder of Reimagine EOL What if confronting mortality could be the key to living a more meaningful life? Join us as we host Brad Wolf, the visionary founder and executive director of Reimagine End of Life, who shares his deeply personal journey and the pivotal experiences that led him to break down the taboos surrounding death through arts, spirituality, healthcare, and design. Brad recounts early inspirations, like his grandmother's wisdom and the impactful loss of his friend Sarah, demonstrating how mortality can serve as a powerful catalyst for living more fully.  Through our conversation with Brad, we uncover the profound wisdom shared by those facing the end of life, including valuable teachings from thought leaders Frank Ostaseski and Ira Byock. We touch on the transformative power of forgiveness, gratitude, and the importance of meaningful relationships. Hear touching stories, such as that of young volunteer Grace, and learn how the pandemic has reshaped our approach to these essential conversations. Additionally, Brad gives us a glimpse into an upcoming festival dedicated to creating space for vital end-of-life discussions. Explore the transformative practices of writing legacy letters and love letters to oneself, and the importance of rituals and mindfulness in healing. Brad talks about Reimagine's remarkable initiatives, like the "Creating Space" festival and the "Mourning into Unity" initiative, which bring people together to support each other through grief and healing. Finally, Suzanne O'Brien wraps up the Death Doula Global Summit interview with heartfelt gratitude and anticipation for future discussions, leaving us inspired to integrate the wisdom of elders and face life and death with courage and compassion.       We dive into: (04:01 - 04:52) Rediscovering the Value of Aging (09:39 - 11:47) Universal Laws and Common Humanity (14:11 - 15:52) Innovative Human-Centered Design Approach (21:45 - 23:42) Zoom Challenges and Opportunities (34:01 - 35:33) Path to Hospice and Consciousness (43:51 - 44:59) Sharing Wisdom in End-of-Life Care         We want to hear from you!!! If you found this podcast helpful, Please Rate, Review, & Follow so we can reach more people.     Links mentioned in this episode: Doulagivers Institute The NEXT Free Level 1 End of Life Doula Training Registration LINK  The NEXT Free Doulagivers Discovery Webinar  Reimagine Organization   80-90% of a positive end of life depends on these two things: Knowing the basic skills on how to care for someone at the end of life and planning ahead - and BOTH Doulagivers Institute is giving you for FREE! Access them Below! Making your wishes known is one of the greatest gifts you can give to your loved ones. Download The Doulagivers 9 Choice Advance Directive now! It's FREE!     More about what we do at Doulagivers Institute - Click here! More about Brad Wolfe and his music - Click here! 

The Disagreement
9: Medical Aid in Dying

The Disagreement

Play Episode Listen Later May 21, 2024 59:49


Today's disagreement is on medical aid in dying. In the United States, this term refers to the right for a terminally ill, adult patient to end their own life by taking a medication prescribed by a doctor. Medical aid in dying is currently legal in ten states and Washington, D.C.We've brought together an activist and a doctor to dive into the topic:Dr. Ira Byock is a physician, author, and advocate for palliative care — the medical practice of treating people with serious, complex, and terminal illnesses. Ira is the founder of the Providence St. Joseph Health Institute for Human Caring and is an emeritus professor of medicine and professor of community health and family medicine at the Geisel School of Medicine at Dartmouth College.Kim Callinan is an end-of-life leader and advocate in the field of medical aid in dying. She is President and Chief Executive Officer of Compassion & Choices, an organization that aims to “improve care, expand options and empower everyone to chart their end-of-life journey.”Today we ask a wide range of important questions on medical aid in dying.How broken is end-of-life care in America? And how should we fix it?What are the potential risks and benefits of implementing medical aid in dying?How should we be thinking about death, dying, and the end-of-life for our loved ones?And one more very exciting note: today's disagreement is facilitated by Catherine Cushenberry, one of our producers and someone who has been helping to bring the idea for this podcast to life from the very beginning. Catherine is also a healthcare industry veteran and the perfect facilitator for this topic.And as you'll hear, she's awesome at it.Show NotesCurrent state of end-of-life care [03:25]Palliative care [07:45]Question of unintended consequences [12:56]Defining medical aid in dying [16:47]Effect of medical aid in dying on end-of-life care [22:36]Medical aid in dying outside the U.S. [28:02]Process of medical aid in dying [33:56]Is there a slippery slope? [37:30]Reasons why people choose medical aid in dying [43:21]Financial incentives [47:08]Steelmanning [51:05]

Irmã Morte: Histórias de um Capelão Hospitalar
A Experiência de Aproximação da Morte - Da Tragédia à Graça - Parte III (Epílogo)

Irmã Morte: Histórias de um Capelão Hospitalar

Play Episode Listen Later Mar 2, 2024 47:54


Nesta terceira e última parte do episódio final do Podcast da Irmã Morte, nós continuamos falando sobre a fase da 'transcendência' da experiência de aproximação da morte, conforme o livro 'The Grace in Dying', de Kathleen Dowling Singh.Partilhando algumas histórias de atendimento, eu abordo os fenômenos espirituais comumente associados à experiência de aproximação da morte, bem como algumas das tarefas nas quais as pessoas que estão morrendo podem se empenhar a fim de encontrar sentido e paz no final da vida.  Livros: - The Grace in Dying: A Message of Hope, Comfort and Spiritual Transformation, Kathleen Dowling Singh.- The Four Things That Matter Most: A Book About Living, Ira Byock. - Dancing Standing Still: Healing the World from a Place of Prayer, Richard Rohr- Conjectures of a Guilty Bystander, Thomas Merton. - The Sacred Heart of the World: Restoring Mystical Devotion to Our Spiritual Life, David Richo.Artigo: - Emanuel et al. 'The Dying Role'.  Journal of Palliative Medicine, v.10, 1. 159-169 (2007). Música: 'Home' -  Cody Martin

The Whole Care Network
Clinician, Author, Educator Ira Byock

The Whole Care Network

Play Episode Listen Later Feb 28, 2024 51:08


This episode features our interview with palliative care physician, author and public advocate Dr. Ira Byock. He is the author of 'The Four Things that Matter Most' and 'The Best Care Possible', available now. We chat with him about his philosophical approach to dying, whether we should rebrand palliative care, privatizing healthcare and much more. For more information about Ira, visit his website: https://irabyock.org/ For more information visit: https://waitingroomrevolution.com Our theme song is Maypole by Ketsa and is licensed under CC BY-NC-ND 4.0

The Whole Care Network
Dr. Ira Byock

The Whole Care Network

Play Episode Listen Later Feb 7, 2024 51:08


This episode of the Waiting Room Revolution features our interview with palliative care physician, author, and public advocate Dr. Ira Byock. He is the author of 'The Four Things that Matter Most' and 'The Best Care Possible', available now. We chatted with him about his philosophical approach to dying, whether we should rebrand palliative care, privatize healthcare, and much more. For more information about Ira, visit his website: https://irabyock.org/ For more information visit: https://waitingroomrevolution.com Our theme song is Maypole by Ketsa and is licensed under CC BY-NC-ND 4.0

ketsa mattermost maypole ira byock waiting room revolution
Embrace your healing journey
E10 I Why healing is still possible for chronic illnesses with no cure

Embrace your healing journey

Play Episode Play 46 sec Highlight Listen Later Feb 1, 2024 14:41 Transcription Available


Have you come to terms with a diagnosis, only to later feel lost and frustrated all over again? Pushing your body to fight through pain and exhaustion is not the only way to manage living with chronic illness. There is a better way. Healing goes deeper than curing and brings together all aspects of your life relating to illness. BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:- The difference between being "cured" and embracing the journey of "healing"- How to take responsibility and empower yourself no matter what the diagnosis- Why healing and death are not mutually exclusiveI've created an Autoimmune Symptom Relief Guide to help you weather storms with more ease and self-compassion.It is a non medical guide that contains top tips for managing autoimmune flares and finding daily relief without the help of medications!Learn how to manage episodes on YOUR terms - through self-care rituals, adaptogenic herbs, lifestyle tweaks and more.So if you're ready to weather autoimmune storms with more ease and self-compassion, click the link below to sign up for the guide!CLICK HERE FOR THE FREE GUIDEOTHER LINKS MENTIONED IN THIS EPISODE:"The Four Things That Matter Most" by Dr. Ira Byock"Women's Bodies, Women's Wisdom" by Dr. Christiane Northrup  Rate, Review, & Follow on Apple Podcasts“A must listen for anyone dealing with such chronic illnesses or anyone looking at improving their overall health and wellness”

TCN Talks
What's the Diagnosis of the Problem for our Hospice and Palliative Care Movement

TCN Talks

Play Episode Listen Later Jan 17, 2024 37:11 Transcription Available


When the ideals of hospice care—the very essence of compassion and dignity at life's end—are at stake, it's time for a hard look at the truths we're facing. That's just what we do as I sit with Dr. Ira Byock, a visionary in hospice and palliative care, to address the heartache and hope within this critical healthcare sector. Dr. Byock, with his transformative book "The Four Things That Matter Most," guides us through the noble roots of hospice care and into the thick of its current crisis, urging us to acknowledge the flaws and fight for the reform this field so desperately needs.Amidst our candid talk, we confront the sobering inconsistencies in care quality that too many patients endure. Sharing firsthand accounts, we discuss the reality of stretched-thin staff, emergency response shortfalls, and the emotional toll on families, juxtaposed with the defensive postures of industry bodies resistant to change. Dr. Byock insists on the power of apology and transparency in the journey toward healing and betterment, sparking a conversation on the complex dynamics of non-profit and for-profit models and the overarching need for accountability.The call to action is clear: rekindle the hospice community's commitment to its foundational values and ensure that every caregiver and patient experiences the excellence they deserve. We underscore the intertwined fates of caregiver wellness and service quality, scrutinize the controversial metrics of pain as a quality indicator, and envision a hospice future where excellence in care is the norm, not the exception. It's an episode that not only honors the profound impact hospice care has on families but also champions a vision where such care is a guarantee for all in their final chapters.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

While We're Still Here
We All Are on the Brink of Death

While We're Still Here

Play Episode Listen Later Oct 19, 2023 14:39


Any minute, we could be dead. Someone we love could be gone. We do not know get to know the time of our death. Dr. Ira Byock wrote "The Four Things That Matter Most: A Book About Living". He found through his years as an emergency physician and Hospice physician that the dying often turn inwards, become softer, and retrace the footsteps of their lives and relationships. To affirm connections that are strained by telling loved ones The Four Things can be a life-changer, or end-of-life changer, if you will. What are the Four Things? Take a listen. https://irabyock.org/books/the-four-things-that-matter-mosthttps://theconversationproject.orgListen and read my blog: https://whilewerestillhere.com and https://grimtea.comReach me at kathy@whilewerestillhere.comStarting with Episode 56, the episode music was added. It was composed, produced and provided by Kyle Bray specifically for this show.The logo artwork was provided by Maddie's Plush Pouch.

While We're Still Here
Sometimes the Journey Stinks

While We're Still Here

Play Episode Listen Later Aug 31, 2023 22:43


Destinations can be great. Getting there can be great. When the destination is death, we can sometimes choose the journey. The way we process our emotions can lead to a more peaceful journey to our end of life. To leave nothing unsaid, to let those you love know how much you love them. What is your most precious possession? Dr. Ira Byock has some insights regarding this and the journey to death as a result of many years working as a Hospice physician and listening to his patients. He also is part of The Conversation Project, an organization I have mentioned here. Take a listen. Listen and read my blog: https://whilewerestillhere.com and https://grimtea.comStarting with Episode 56, the episode music was added. It was composed, produced and provided by Kyle Bray specifically for this show.The logo artwork was provided by Maddie's Plush Pouch.

Hear Me Now Podcast
Can hospice be saved?

Hear Me Now Podcast

Play Episode Listen Later Aug 24, 2023 48:24


An online transcript is available At the end of last year, The New Yorker and ProPublica documented fraud and mistreatment in some for-profit hospices across the country. The exposé shouted something that has been whispered for a long while in circles concerned with the care of the dying: hospice needs saving.Begun as a visionary mission run by charities, hospice care has morphed into a 22 billion dollar industry where margin trumps mission. On today's program, host Seán Collins discusses the state of hospice, its future, and ways to preserve quality of care when caring for people at the end of their lives. Guests are Drs. Ira Byock and Glen Komatsu, longtime hospice physicians and thought leaders in the field. ..Glen Komatsu, M.D.Chief Medical OfficerProvidence Hospice, Los Angeles CountyTorrance, Calif..Ira Byock, M.D., FAAHMPEmeritus Professor of MedicineGeisel School of Medicine at DartmouthAuthor, Dying Well (1997), The Four Things That Matter Most (2004), and The Best Care Possible (2012)Missoula, Mont. ..FURTHER READINGHow Hospice Became a For-Profit Hustle by Ava Kofman (New Yorker)Endgame: How the Visionary Hospice Movement Became a For-Profit Hustle by Ava Kofman (ProPublica)Joint statement from The National Association for Home Care & Hospice (NAHC) and National Hospice and Palliative Care Organization (NHPCO) responding to Ava Kofman's reporting.Dr. Tara Friedman's response to the New Yorker article (President, American Academy of Hospice and Palliative Medicine)Hospice Needs Saving by Ira Byock  (STAT First Opinion)Hospice Industry: Start with Apologies by Ira Byock (STAT First Opinion)National Hospice Locator  (Hospice Analytics)Hospice Compare (medicare.gov)A simplified description of the person from Dr. Eric Cassell's "The Nature of Suffering and the Goals of Medicine."..   

End-of-Life University
Ep. 411 The Four Things That Matter Most with Dr. Ira Byock

End-of-Life University

Play Episode Listen Later Jul 10, 2023 72:27


Learn about a powerful book that has been helping people heal their relationships at the end of life for almost 20 years. My special guest Dr. Ira Byock is a leading palliative care physician, author, and public advocate for improving care through the end of life. We discuss his seminal book The Four Things That Matter… Continue reading Ep. 411 The Four Things That Matter Most with Dr. Ira Byock

The Whole Care Network
Dr. Ira Byock on How Hospice is Changing

The Whole Care Network

Play Episode Listen Later Jun 10, 2023 50:19


Physician Dr. Ira Byock is a voice for change in the hospice industry, and an advocate for quality end of life care. His many years of experience in hospice medicine, coupled with the compassion he has for people dealing with serious illness, have made him an industry leader in the U.S. According to his website (irabyock.org), he is “Founder of the Institute for Human Caring at Providence St. Joseph Health. Dr. Byock is Active Professor Emeritus of Medicine and Community & Family Medicine at the Geisel School of Medicine at Dartmouth. He served as Director of Palliative Medicine at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire from 2003 through July 2013. Dr. Byock has been involved in hospice and palliative care since 1978. His research has contributed to conceptual frameworks for the lived experience of illness that encompasses a continuum from suffering to wellbeing; related measures for subjective quality of life during illness; and effective life-completion counseling methods. From 1996 to 2006 he directed Promoting Excellence in End-of-Life Care, a national Robert Wood Johnson Foundation program that developed prototypes for concurrent palliative care of people with life-threatening conditions. He is a past president of the Academy of Hospice and Palliative Medicine.”   What Dr. Byock's bio doesn't describe is his caring heart. It drives his dedication to identifying the issues we face in the hospice industry and offering evidence-based, practical solutions. He wants the hospice silo of healthcare to correct its own path. Dr. Byock believes hospice can heal its own dysfunction by holding providers and clinicians responsible for the care we provide and how we provide it. His articles in STAT magazine and the Journal of Palliative Medicine describe actionable, practical solutions. Hospice practitioners of every discipline can learn from Dr. Byock.   Connect with Dr. Byock at irabyock.org. Find and purchase Dr. Byock's books, including The Four Things That Matter Most, by clicking here.  Read Dr. Byock's STAT article Hospice Care Needs Saving here.  Read Dr. Byock's article Core Roles and Responsibilities of Physicians in Hospice Care: A Statement by and for U.S. Hospice and Palliative Care Physicians by clicking here.                                                                                      28 Apr 2023https://doi.org/10.1089/jpm.2023.0194   Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.  Follow The Heart of Hospice on Facebook, Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network and other caregiving podcasts by clicking here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)

The Heart of Hospice
Making End of Life Care Better With Dr. Ira Byock, Episode 162

The Heart of Hospice

Play Episode Listen Later Jun 9, 2023 50:20


Physician Dr. Ira Byock is a voice for change in the hospice industry and an advocate for quality end of life care. His many years of experience in hospice medicine, coupled with the compassion he has for people dealing with serious illness, have made him an industry leader in the U.S.  According to his website (irabyock.org), he is “Founder of the Institute for Human Caring at Providence St. Joseph Health. Dr. Byock is Active Professor Emeritus of Medicine and Community & Family Medicine at the Geisel School of Medicine at Dartmouth. He served as Director of Palliative Medicine at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire from 2003 through July 2013. Dr. Byock has been involved in hospice and palliative care since 1978. His research has contributed to conceptual frameworks for the lived experience of illness that encompasses a continuum from suffering to wellbeing; related measures for subjective quality of life during illness; and effective life-completion counseling methods. From 1996 to 2006 he directed Promoting Excellence in End-of-Life Care, a national Robert Wood Johnson Foundation program that developed prototypes for concurrent palliative care of people with life-threatening conditions. He is a past president of the Academy of Hospice and Palliative Medicine.”   What Dr. Byock's bio doesn't describe is his caring heart.  It drives his dedication to identifying the issues we face in the hospice industry and offering evidence-based, practical solutions.  He wants the hospice silo of healthcare to correct its own path.  Dr. Byock believes hospice can heal its own dysfunction by holding providers and clinicians responsible for the care we provide and how we provide it.  His articles in STAT magazine and the Journal of Palliative Medicine describe actionable, practical solutions.  Hospice practitioners of every discipline can learn from Dr. Byock.   Connect with Dr. Byock at irabyock.org. Find and purchase Dr. Byock's books, including The Four Things That Matter Most, by clicking here.  Read Dr. Byock's STAT article Hospice Care Needs Saving here.  Read Dr. Byock's article Core Roles and Responsibilities of Physicians in Hospice Care: A Statement by and for U.S. Hospice and Palliative Care Physicians by clicking here.                     28 Apr 2023https://doi.org/10.1089/jpm.2023.0194 Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.  Follow The Heart of Hospice on Facebook,  Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network and other caregiving podcasts by clicking here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)  

The Heart of Hospice
Making End of Life Care Better with Dr. Ira Byock , Episode 162

The Heart of Hospice

Play Episode Listen Later Jun 8, 2023 50:19


Physician Dr. Ira Byock is a voice for change in the hospice industry, and an advocate for quality end of life care. His many years of experience in hospice medicine, coupled with the compassion he has for people dealing with serious illness, have made him an industry leader in the U.S. According to his website (irabyock.org), he is “Founder of the Institute for Human Caring at Providence St. Joseph Health. Dr. Byock is Active Professor Emeritus of Medicine and Community & Family Medicine at the Geisel School of Medicine at Dartmouth. He served as Director of Palliative Medicine at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire from 2003 through July 2013. Dr. Byock has been involved in hospice and palliative care since 1978. His research has contributed to conceptual frameworks for the lived experience of illness that encompasses a continuum from suffering to wellbeing; related measures for subjective quality of life during illness; and effective life-completion counseling methods. From 1996 to 2006 he directed Promoting Excellence in End-of-Life Care, a national Robert Wood Johnson Foundation program that developed prototypes for concurrent palliative care of people with life-threatening conditions. He is a past president of the Academy of Hospice and Palliative Medicine.”   What Dr. Byock's bio doesn't describe is his caring heart. It drives his dedication to identifying the issues we face in the hospice industry and offering evidence-based, practical solutions. He wants the hospice silo of healthcare to correct its own path. Dr. Byock believes hospice can heal its own dysfunction by holding providers and clinicians responsible for the care we provide and how we provide it. His articles in STAT magazine and the Journal of Palliative Medicine describe actionable, practical solutions. Hospice practitioners of every discipline can learn from Dr. Byock.   Connect with Dr. Byock at irabyock.org. Find and purchase Dr. Byock's books, including The Four Things That Matter Most, by clicking here.  Read Dr. Byock's STAT article Hospice Care Needs Saving here.  Read Dr. Byock's article Core Roles and Responsibilities of Physicians in Hospice Care: A Statement by and for U.S. Hospice and Palliative Care Physicians by clicking here.                                                                                      28 Apr 2023https://doi.org/10.1089/jpm.2023.0194   Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.  Follow The Heart of Hospice on Facebook, Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network and other caregiving podcasts by clicking here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)

The Waiting Room Revolution
S6: Episode 62: Dr. Ira Byock

The Waiting Room Revolution

Play Episode Listen Later Apr 11, 2023 51:08


This episode features our interview with palliative care physician, author and public advocate Dr. Ira Byock. He is the author of 'The Four Things that Matter Most' and 'The Best Care Possible', available now. We chat with him about his philosophical approach to dying, whether we should rebrand palliative care, privatizing healthcare and much more. For more information about Ira, visit his website: https://irabyock.org/   For more information visit: https://waitingroomrevolution.com  Our theme song is Maypole by Ketsa and is licensed under CC BY-NC-ND 4.0

GeriPal - A Geriatrics and Palliative Care Podcast
Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal - A Geriatrics and Palliative Care Podcast

Play Episode Listen Later Mar 24, 2023 51:41


In November of 2022, Ava Kofman published a piece in the New Yorker titled “How Hospice Became a For-Profit Hustle.”  Some viewed this piece as an affront to the amazing work hospice does for those approaching the end of their lives by cherry picking stories of a few bad actors to paint hospice is a bad light. For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade - hospice has in some ways lost its way in a quest of promoting profit over care. On today's podcast, live from the American Academy of Hospice and Palliative Medicine Annual Meeting, we invite two thought leaders in the field, Ira Byock and Joseph Shega, to discuss among other things: Is hospice losing its way? Is there a difference between for-profit and not-for-profit when it comes to quality of care? What is our role as hospice and palliative care providers in advocating for high-quality hospice care? If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. For a deeper diver into these issues, check out some of the following links:     Ira's Stat new article “Hospice care needs saving” GeriPal's episode on the growing role of private equity in hospice care Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations. JAMA IM 2021 Hospice Acquisitions by Profit-Driven Private Equity Firms. JAMA Health Forum. 2021 Association of Hospice Profit Status With Family Caregivers' Reported Care Experiences.  JAMA IM 2023 A shout-out to my NPR episode on 1A titled the “State of Hospice Care”   DISCLAIMER While we filmed in Montreal during the Annual Assembly, all opinions expressed in this podcast are independent of AAHPM and HPNA, or the Annual Assembly.  Furthermore, direction to external websites is not an endorsement from AAHPM or HPNA, or the Annual Assembly.    ---------------------------  

Mind Body Health & Politics
Transform Your Perception of Healthcare: Why Treating the Whole Person Matters – Dr. Ira Byock

Mind Body Health & Politics

Play Episode Listen Later Mar 22, 2023 73:20


Are you curious about palliative care? Do you know what it is or when to ask for it? Palliative care is a field that seeks to improve the quality of life for individuals facing serious illnesses or nearing the end of their lives. In this episode, we explore the world of palliative care with a leading expert in the field, Dr. Ira Byock, M.D. From the evolution of palliative care to the use of psychedelics, this episode will challenge your perceptions and offer new insights into how we can provide the best care possible for those facing life's most challenging moments.“The potential for people to be well as they die should be the next big thing in American culture!”Ira Byock, M.D. is a leading medical authority and public advocate for improving care through the end of life. Dr. Byock is an active emeritus professor of medicine and community & family medicine at Dartmouth's Geisel School of Medicine and has been involved in hospice and palliative care since 1978. His research has contributed to conceptual frameworks for the lived experience of illness; measures for subjective quality of life during illness; and counseling methods for life completion. He is a past president of the Academy of Hospice and Palliative Medicine.From 1996 to 2006 Dr. Byock directed a national grant project of the Robert Wood Johnson Foundation that developed prototypes for concurrent palliative care within mainstream health care. From 2003 to mid-2013, he led the palliative care program at Dartmouth-Hitchcock Medical Center and the Dartmouth health system based in Lebanon, N.H. Dr. Byock has authored numerous articles in academic journals, and his first book, Dying Well, has become a standard in the field of hospice and palliative care. The Four Things That Matter Most is widely used as a counseling tool within palliative care as well as pastoral care. The Best Care Possible presents the potential for health care transformation. Dr. Byock lectures nationally and internationally.Show notes:* What is Palliative Care?* How palliative care has evolved* Treating Sharon who had Cystic Fibrosis* When Richard was hit by a Winnebago* Why treating the whole person is so important* The cost of palliative care is less than you would think* When can you ask for palliative care?* The use of psychedelics in palliative care* The fundamental nature of health and illness is not medical – It's personalLinks and references:* Psychedelic Wisdom* Psychedelic Medicine* The Best Care Possible* Taking Psychedelics SeriouslyWant the episode transcript and video? Join our Tribe!Mind Body Health & Politics is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.https://www.mindbodyhealthpolitics.org/subscribe Get full access to Mind Body Health & Politics at www.mindbodyhealthpolitics.org/subscribe

GeriPal - A Geriatrics and Palliative Care Podcast
Psychedelics - reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal - A Geriatrics and Palliative Care Podcast

Play Episode Listen Later Mar 9, 2023 48:17


Psychedelics are having a moment.  Enthusiasm is brimming.  Legalization is moving forward in several states, following the lead of Oregon and Colorado.  FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice.  Potential use in palliative care, chronic pain, and for mood disorders is tantalizing. Early data on efficacy in patients with anxiety and demoralization are promising.  Research is exploding.  Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson).  Theora Cimino conducted an observational study (publication in the works) of marginally housed/homeless persons many of whom had experience with psychedelics. And yet there are reasons for caution.  In our prior podcast with Ira Byock on psychedelics in 2019 we talked primarily about the potential of psychedelics.  Today we largely focus on reasons for caution, including: We know almost nothing about psychedelics in older adults - only about 1% of patients in published trials were older adults, much less older adults with multiple chronic conditions, multiple medications, and frailty.  Bree Johnston and Brian Anderson wrote a terrific summary of the evidence (or lack thereof) in older adults. There is a marked lack of diversity in published trials.  Most participants are White and well-resourced.  Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events. The efficacy of psychedelics without therapy, and the impact of variations in therapy type, training, duration, is unknown. Ethical issues, including colonization of psychedelics by big pharma. Psychedelics have been used by communities around the globe for hundreds of years (or more).  We cover these issues and more in today's podcast. Note, I butchered the chorus on the YouTube version - please listen to the podcast for my souped up version with drums and bass! -@AlexSmithMD  

Best Life Best Death
#79 Dr Ira Byock - Palliative Care Physician and Author - The Four Things that Matter Most

Best Life Best Death

Play Episode Listen Later Mar 1, 2023 31:38


Dr Ira Byock - leader in palliative care, advocate for patients, and author - joins me this week. We discuss: What might it mean to “die well”? Why is the nature of serious illness more personal than medical? What are the “four things that matter most”? What does “forgiveness” mean? How do the phrases he writes about in The Four Things that Matter Most apply to any of us, at any time in our lives? This week's BLBD conversation really grabbed me, because it is about dying, sure, but it is far more about living… and living with humility and kindness.

End-of-Life University
Ep. 387 How to Save Hospice with Ira Byock MD

End-of-Life University

Play Episode Listen Later Jan 23, 2023 58:19


Learn about some positive steps that are needed to heal the current hospice industry in the U.S. and how your story can make a difference. My guest Dr. Ira Byock is a leading palliative care physician, author and public advocate for improving care through the end of life. He is the author of Dying Well,… Continue reading Ep. 387 How to Save Hospice with Ira Byock MD

Live Inspired Podcast with John O'Leary
What Dying Teaches Us About Living (Monday Moment ep. 517)

Live Inspired Podcast with John O'Leary

Play Episode Listen Later Nov 21, 2022 5:09


Spending several decades as a hospice doctor, Dr. Ira Byock learned much about the process of death. Perhaps surprisingly, though, spending years among the dying taught him even more about living.   But here's the good news, my friends: We do not have to wait until our own final days are upon us or until we are at the bedside of someone we care about to live out these end of life lessons. He's distilled years of experience into four short but mighty statements that allow us all to be liberated from the burden of regret.

We Really Need To Talk
The Conversations

We Really Need To Talk

Play Episode Listen Later Oct 13, 2022 45:10


Angela Mennitto, a death midwife and community educator, and Deb Traunstein, a medical social worker, in Ithaca, New York talk to us about why having end-of-life conversations is so important.  They'll discuss why it's so hard, what may happen if you don't have the conversations  and what role culture plays in how we talk about death. Resources Dr. Ira Byock is a leading palliative care physician, author, and public advocate for improving care through the end of lifeAngela Mennitto's website  The Art of Dying WellThe Conversation Project  We Really Need to Talk is funded by the Finger Lakes Geriatrics Education Center at the Ithaca College Gerontology Institute. Editing and production support provided by Dr. Becky Lane and Jay Williamson at the Center for Creative Technology at Ithaca College. Web: www.ithaca.edu/gerontology-instituteEmail us icgi@ithaca.edu

GeriPal - A Geriatrics and Palliative Care Podcast
Avoiding the Uncanny Valley in Serious Illness Communication: Josh Briscoe

GeriPal - A Geriatrics and Palliative Care Podcast

Play Episode Listen Later Sep 22, 2022 50:19


Have you ever had that moment when talking to a patient, when you realized that the phrase you just uttered, which you've uttered a hundred times before, came out rote and scripted?  Maybe some phrase you learned from a prominent podcast or VitalTalk?  And in response, the family or patient looked at you like you were from another planet?  Yeah, I've been there too. Josh Briscoe, our guests on today's podcast, argues that you've entered the Uncanny Valley.  In robotics, the Uncanny Valley is that strange almost-human-but-not-quite territory in which humanoid appearing robots repulse us with their close yet still “off” appearance.  Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families.  Today we talk with Josh about how to anticipate and avoid the uncanny valley.  And talk about times when we've fallen into it.   Key message: Listen to the music.  All the time. ;) Links: -Uncanny Valley post on Josh's fantastic substack Notes from a Family Meeting -Anticipatory corpse book mentioned several times on the podcast -GeriPal post about teaching using YouTube (some links are old and don't work, but you get the idea, I recently gave a spontaneous talk to the palliative care fellows and was able to find the video snippets) -Ira Byock's 4 things that matter most -@AlexSmithMD

End-of-Life University
Ep. 356 What Keeps Me Up at Night (about Hospice and Palliative Care) with Ira Byock MD

End-of-Life University

Play Episode Listen Later Jun 20, 2022 70:06


Dr. Ira Byock takes an honest and challenging look at worrisome issues within the hospice and palliative care field. My guest today is Dr. Ira Byock who is a leading palliative care physician, author, and public advocate for improving care through the end of life. He is the Founder and Chief Medical Officer for the… Continue reading Ep. 356 What Keeps Me Up at Night (about Hospice and Palliative Care) with Ira Byock MD

Music (ed) Matters
Episode 108: Episode 108 - Music Therapy 101 with Kourtney Tigner

Music (ed) Matters

Play Episode Listen Later May 31, 2022 32:46


Whether you're a young musician thinking about careers in music, an educator looking to enhance your space with music therapy, a potential candidate for the benefits of music therapy, or just interested in listening to an inspiring story, this episode features Kourtney Tigner, the board-certified music therapist for Hospice Savannah. Kourtney received her master's degree in music with an emphasis in music therapy from Texas Woman's University (2019) and her bachelor's degree in music from the University of Montevallo (2014). She is currently pursuing the certificate of Hospice and Palliative Care Music Therapy (HPMT) from the Center for Music Therapy in End of Life Care. Kourtney finds her passion in providing comfort and compassion to those facing end-of-life issues and their families through music.In this episode, we talk about her journey to music therapy, defining the job, what it looks like, and how everyone can benefit from this field. Read more about Ms Tigner: https://www.hospicesavannah.org/what-services-are-available/hospice-care/music-massage-story-keeping/. Other links and things from this episode: hospicesavannah.org musictherapy.org Hospice and Palliative Care Music Therapy by Russell Hilliard: https://www.amazon.com/Hospice-Palliative-Care-Music-Therapy/dp/0977027813Dying Well: Peace and Possibilities by Ira Byock: https://www.amazon.com/Dying-Well-Peace-Possibilities-Life/dp/1573226572Watch this episode on YouTube: https://youtu.be/SX1z5bHF8CsJoin us over at Patreon.com/MusicEdMatters for monthly meet ups, monthly bonus episodes, special pre-release book content and more!Support the companies that make The Music (ed) Matters Podcast possible: —Kaleidoscope Adventures - find your adventure today, kaleidoscopeadventures.com/. — The Kinnison Choral Company - check out their quality resources - or get your tracks made today - at KinnisonChoralCo.com. **Show music originally written by Mr. Todd Monsell**Show photography provided by Dr. Dan Biggerstaff

Hear Me Now Podcast
A New Day for Psychedelic Research

Hear Me Now Podcast

Play Episode Listen Later May 12, 2022 50:54


Dr. Bill Richards has been researching the therapeutic uses of psychedelic substances for 60 years and he believes there's a legitimate role for them in the treatment of depression, anxiety, and interpersonal withdrawal. He believes these substances behave in a novel way among psychiatric medications: it's the memory of an experience that's therapeutic and that you carry with you. You don't have to keep taking medication every day to have the effect. You experience something so profound, that it changes your whole concept of who you are. William Richards Ph.D.Research PsychologistCenter for Psychedelic and Consciousness ResearchJohns Hopkins UniversityBaltimore, Md.author: Sacred Knowledge: Psychedelics and Religious Experiences.Ira Byock, M.D., FAAHPMFounder/Senior Vice President for Strategic InnovationProvidence Institute for Human CaringMissoula, Mont.author: The Four Things That Matter Most and The Best Care Possible.JOIN US ONLINE ON JUNE 16thHUMANIZING HEALTHCARE EXPERT SERIESFor information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, visit this link. Registration is now open.     

The Doctor's Art
Lessons on Mortality and Dying Well (with Dr. Ira Byock)

The Doctor's Art

Play Episode Listen Later May 3, 2022 45:03 Transcription Available


Dr. Ira Byock is a leading figure in hospice and palliative medicine, having developed many practices and tools that now define the specialty. For him, this profession is a continual pursuit of balancing the scientific and human aspects of medical care, to address patient well-being in a way that transcends conventional concepts of disease and illness. In this episode, Dr. Byock joins us to discuss how palliative medicine developed into what it is today, how viewing death as a normal part of human living can allow patients to create meaning at the end of life, and what all clinicians can learn from palliative care about good doctoring.In this episode, you will hear about: Dr. Byock's early work in family and rural medicine and the moral crisis that awakened him to the need for palliative medicine - 1:51Dr. Byock's experiences in pioneering the nascent field of palliative medicine - 7:53Combating the prevailing notion that medicine is only about treating injuries and curing illnesses - 11:16A story about a dying patient and the extra mile Dr. Byock went for her, which solidified his belief in the power of palliative care - 17:05Reimagining our relationship to death, both from the clinician's and patient's perspectives - 24:10The Four Things that Matter Most - 31:19Lessons learned from patients experiencing the end of their lives - 35:52Dr. Byock's advice to young medical professionals and students - 39:31Connect with Dr. Byock on Twitter @IraByock.Dr. Byock is the author of several books: Dying Well The Four Things that Matter MostThe Best Care PossibleVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2022

CancerTalks Podcast
Walking Each Other Home with Spiritual Midwife Jade Young, MDIV

CancerTalks Podcast

Play Episode Listen Later Apr 29, 2022 66:01


Jade describes herself as a spiritual midwife. She spent the first 20 years of her professional life building a consulting business. When her mother was diagnosed with cancer Jade redirected her timme and energy to support her mother. Following her mother's death Jade spent years grieving, healing and recalibratinng her life. She said goodbye to the Bay Area and goodbye to consulting. For the 20 years since then Jade has been deepening her spiritual practice and fine tuning herself as an instrument of healing in the death and dying process. Jade reminds us that healing is not a rush job. As she puts it “you cannot force the river.” In order to become an instrument of healing, Jade first had to let herself heal, and in order to let herself heal, she moved from the fast lane to the slower pace of the Big Island and asked the ocean to hold her grief. This conversation winds and circles back on itself many times, just like the process of grieving. Jade's Reading List & Resources:   AARP – Checklist for My Family: A Guide to My History, Financial Plans and Final Wishes; by Sally Balch Hurme, an Elder Law Attorney quoted frequently in NY Times, Wall Street Journal, USA Today, CNN, NPR, Kiplinger's Retirement Report. BJ MILLER, M.D. Ted Talks – What Really Matters at the End of Life https://video.search.yahoo.com/search/video?fr=mcafee&ei=UTF-8&p=ted+talks+youtube+bj+miller&type=E211US105G0#id=1&vid=68dfedc905fc29bab4f13e4ce08afdc0&action=click Ira Byock, nationally renown palliative care specialist, M.D. – The Four Things That Matter Most: A Book about Living https://irabyock.org/books/the-four-things-that-matter-most/ Atul Gawande, M.D. – Being Mortal: Medicine and What Matters in the End http://atulgawande.com/book/being-mortal/ Paul Kalanithi, M.D. – When Breath Becomes Air     https://www.amazon.com/When-Breath-Becomes-Paul-Kalanithi/dp/081298840X Katy Butler, award winning journalist - Knocking on Heaven's Door, The Art of Dying Well Joan Halifax, Founder and Director of Upaya Zen Center: Being with Dying: Cultivating Compassion & Wisdom in the Presence of Death. https://www.upaya.org/being-with-dying/ https://www.upaya.org/dox/Being_Dying.pdf Frank Ostaseski, visionary co- founder of SF Zen Hospice, Metta Institute - Five Invitations: Discovering What Death Can Teach Us About Living Fully. This book is an evocative and relevant guide that points to a radical path for transforming the way we live. https://fiveinvitations.com/   the secret teacher hiding in plain sight, helping us Cathy Wurzer, founder of End in Mind: A movement that advocates to shift the fear-based cultural conversation about loss, death, dying, and provides curated resources to families and communities.  https://www.endinmindproject.org/resources/ If you enjoyed this conversation, please leave a review in your podcast app. CancerTalks is a platform for anyone who has been touched by cancer. If you're moved to donate, please visit cancertalks.com/donate

Hear Me Now Podcast
Tele Palliative Care

Hear Me Now Podcast

Play Episode Listen Later Apr 28, 2022 57:17


Twenty percent of Americans live in a rural setting and full access to some medical care is limited: often requiring long drives or temporary relocations. That includes specialty palliative care -- the interdisciplinary services of physicians, nurses, social workers, and chaplains aimed at helping patients control symptoms of a serious illness.On today's podcast, we explore a demonstration project underway in rural Stevens County, Washington undertaken by the Palliative Practice Group at the Providence Institute for Human Caring.The in-person nursing and chaplaincy providers in two rural hospitals are being joined by physicians and social workers through a Tele-PC video connection or by phone, allowing patients to avoid 70-100 mile drives to seek consultations. And the Tele-PC connection allows far-flung family members to be involved in bedside conversations about the goals of care..JOIN US ONLINE ON JUNE 16thHUMANIZING HEALTHCARE EXPERT SERIESFor information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, featuring a number of guests heard on this episode of the podcast, visit this link. Registration is now open. .Gregg VandeKieft, M.D., MA, FAAFP, FAAHPM Executive Medical Director, Palliative Practice Group and Tele-PCProvidence Institute for Human CaringOlympia, Wash..Kevin Murphy, M.D., MSW Executive Director, Palliative Practice GroupProvidence Institute for Human CaringSeattle, Wash..Adie Goldberg, Ph.D., LICSW Palliative Care Social WorkerSpokane, Wash..Amber Moody, RNPalliative Care NurseProvidence Mount Carmel HospitalColville, Wash.(LISTEN to extended conversation).Kelly CorcoranChief Mission OfficerProvidence Mount Carmel HospitalColville, Wash.(LISTEN to extended conversation).Matthew Gonzales, M.D., FAAHPM Associate Vice President, Chief Medical and Operations OfficerProvidence Institute for Human Caring.Ira Byock, M.D., FAAHPMFounder/Senior Vice President for Strategic InnovationProvidence Institute for Human Caring. .   

The Doctor's Art
With Patients Until the End (with Dr. Mimi Dunne)

The Doctor's Art

Play Episode Listen Later Mar 8, 2022 35:47 Transcription Available


One aspect of the medical profession that doesn't often garner a great deal of public attention is that of caring for patients who are dying. For Dr. Mimi Dunne, the relief of suffering has been her life's calling — specifically the mission of relieving mental and social suffering in the lives of terminal patients, and helping them and their families find solace and meaning as they face mortality. This week, we ask Dr. Dunne to share insights and lessons from her experience in palliative care.In this episode, you will hear about: What palliative care entails and what kinds of physicians specialize in it- 02:06Dr. Dunne's path from emergency care to palliative medicine - 3:36Common misconceptions about palliative care - 7:43Stories of a pivotal patient case that illuminates Dr. Dunne's career - 11:33What it is like to accompany patients at their end of life - 15:59A discussion of Narrative Medicine and storytelling - 23:44A discussion of the Top Five Regrets of the Dying by Bronnie Ware - 29:29Works, Organizations, and Individuals Discussed:The American Academy of Hospice and Palliative MedicineThe Center to Advance Palliative CareDr. Diane Meier, professor of Geriatrics and Palliative MedicineBill Moyer's PBS docu-series Healing in the MindDr. Laura Carstensen of the Stanford Center on LongevityDr. Ira Byock's work on Developmental Tasks of the End of LifeNarrative Medicine: Honoring the Stories of Illness by Dr. Rita CharonProfessor Dan McAdams' work on Narrative IdentityThe Top Five Regrets of the Dyingby Bronnie WareVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2022

Hear Me Now Podcast
Advance Care Planning

Hear Me Now Podcast

Play Episode Listen Later Feb 10, 2022 59:02


Daniela Lamas, M.D., is a critical care physician at Brigham and Women's Hospital in Boston and a faculty member at the Harvard Medical School. She's also a frequent opinion writer for The New York Times. The paper published her piece, "When Faced With Death, People Often Change Their Minds," earlier this year.    "We need to shift the focus from talking to healthy people about what would happen should they stop breathing during a routine procedure, and toward improving conversations with people who are already seriously ill," Dr. Lamas wrote. Her op-ed piece comes on the heels of an essay the Journal of the American Medical Association published a few months earlier, "What's Wrong With Advance Care Planning?" by Drs. Sean Morrison, Diane Meier, and Robert Arnold, which argues that advance care planning has failed to accomplish its goals of aligning care and improving communication at the bedside. Joining Dr. Lamas in conversation is Ira Byock, M.D., a palliative physician, author, longtime advocate for advance care planning, and the founder of the Providence Institute for Human Caring, where this podcast is produced.  Dr. Byock holds that while there's dire need to redesign advance directives, providers should talk with patients about who they trust to speak for them and their general healthcare goals — optimally long before onset of a medical crisis. .  *******************.The podcast producers are interested in hearing from providers with questions or suggestions for an upcoming webinar on BEST PRACTICES FOR SOCIAL MEDIA USE FOR HEALTHCARE PROFESSIONALS. Have a story to share with us? Have suggestions? Write to us at HearMeNowStories@providence.org or leave a voicemail message on +1 424-212-5436. And thanks! 

Hear Me Now Podcast
Personalizing Care in a Transactional World

Hear Me Now Podcast

Play Episode Listen Later Nov 11, 2021 57:14


.PERSONALIZING CARE IN A TRANSACTIONAL WORLDexcerpts from the online conference held 1 November 2021and sponsored by the Providence Institute for Human Caring.You can watch the videos of each online session here..CONFERENCE AGENDA.KEYNOTE: Three Keys to Personalizing Healthcare Dr. Ira Byock, Institute for Human Caring.Why Serious Illness is a Serious Health-Equity Issue Dr. Tammie Quest, EmoryDr. Glen Komatsu, TrinityCare HospiceDr. Karen Boudreau,  ProvidenceMichael Drummond, Institute for Human Caring.Medicine Meets Ministry - Engaging Faith Communities to Fill Unmet Needs Seán Collins, Hear Me Now PodcastRev. Cynthia Carter Perrilliat, Alameda County Care AllianceJeannie Blaustein, ReImagine End of LifeJohnny Cox, Alliance of Catholic Health Care.Let's Get Digital, Digital - Humanizing the EHR Sara Veazy, ProvidenceDr. Matt Gonzales, Institute for Human CaringGregory Makoul, PatientWisdomMike Drummond, Institute for Human Caring.From Scratch - Discovering the Healing Powers of Food, Family and Community Tembi Locke & Dr. Ira Byock.Whole Person Care in the ICU Dr. Wes Ely, VanderbiltDr. Daniela Lamas, Brigham and Women's HospitalLiga Mezaraups, Providence.Age-Friendly Works at Providence and Beyond Amy Berman, John  A. Hartford FoundationYazmin Hehdi, Patient RepresentativeDr. Carrie Rubenstein, Swedish Family MedicineMike Drummond, Institute for Human Caring.Closing RemarksDrs. Ira Byock and Matt Gonzales, Institute for Human Caring  

Hear Me Now
Poetry + Medicine

Hear Me Now

Play Episode Listen Later Aug 5, 2021 59:52


We explore the poetics of medicine and the medicine in poetry with poet-physician Patrick Clary, M.D.; Redwing Keyssar, RN; and Ira Byock, M.D. "Poetry holds a mirror up to us. It helps us understand what has just happened," says Clary.

Hear Me Now Podcast
The Poetry of Medicine

Hear Me Now Podcast

Play Episode Listen Later Jun 24, 2021 59:00


We explore the poetry of medicine by offering two conversations. In the first, Dr. Ira Byock talks with Dr. Patrick Clary about his poetry, why he writes it, how he uses it, and why it matters."I don't see it as a medical practice so much as a humane practice for us as we do medicine; to maintain our way of looking at our patients as people."    —Dr. Patrick Clary in conversation with Dr. Ira Byock..Then host Seán Collins talks with palliative care clinician Redwing Keysaar about the poetry workshops she's been hosting online during the pandemic. What began as a way for people to process their grief has become a way to get in touch with un-tapped creativity and strengths."We forget so many of the healing modalities that are with us all the time and that have been part of the various cultures that many of us come from. Dr. Rachel Remen says, "We may have lost faith in our ability to write poems just as we have lost faith in our ability to heal. Recovering the poet strengthens the healer and sets free the unique song that's at the heart of each life."   —Redwing Keysaar, RN in conversation with Seán Collins..Patrick L Clary, M.D.  has long used poetry as a tool in his effort to understand, practice, and teach medicine. His work has appeared in anthologies and in two collections, Notes for a Loveletter and Dying for Beginners. A conscientious objector on the basis of Quaker beliefs, he served as a medic with US Infantry Units in Vietnam 1969-70. He is past President of the New Hampshire Hospice and Palliative Care Organization and remains clinically active in end-of-life care as medical director of a community hospice house...Ira Byock, M.D., FAAHPM, is a leading medical authority and public advocate for improving care through the end of life. He is founder and serves as chief medical officer of the Providence Institute for Human Caring. The Institute drives transformation in clinical systems and culture to make caring for whole persons the new normal. The Institute for Human Caring's change strategies produce measurable and scalable improvements in healthcare quality and efficiency. Dr. Byock's books include The Best Care Possible  and The Four Things That Matter Most...Redwing Keysaar, RN is a palliative care clinician, author, poet, educator, national presenter, and frequent contributor to the public conversation about palliative and end-of-life care. Redwing is currently the director of Patient and Caregiver Education at the MERI Center for Education in Palliative Care (Making Education Relevant and Integrated) for Primary Palliative Care Education  at the Mt. Zion Campus of the University of California, San Francisco. She is the author of The Last Acts of Kindness. 

Hear Me Now
Trusted Decision Maker

Hear Me Now

Play Episode Listen Later Dec 2, 2020 37:47


Dr. Ira Byock, Founder and Chief Medical Officer of the Providence Institute for Human Caring, discusses a new vision for advance care planning that simply asks individuals to name a trusted decision- maker to speak for them in the event they're not able to speak for themselves. This choice is then entered into the electronic health record by a care provider. Joining Dr. Byock are Edo Banach, President and CEO of the National Hospice & Palliative Care Organization, and Nathan Kottkamp, founder of the National Healthcare decisions Day.

Hear Me Now
Grief in the Time of COVID

Hear Me Now

Play Episode Listen Later Nov 20, 2020 42:56


COVID-19 has changed the way we live and the way we die. The pandemic has changed interactions at the bedside, our rituals of mourning, and how we process loss. Hear Me Now Podcast presents “Grief in the time of COVID,” featuring Dr. Ira Byock, founder and chief medical officer at Providence's Institute for Human Caring, and Rev. Denise Hess, executive director of the Supportive Care Coalition.

Island Health & Wellness Foundation: Just For The Health Of It Community Discussions
Talking with Jody Wolford-Tucker, Executive Director of Hospice Volunteers of Hancock County

Island Health & Wellness Foundation: Just For The Health Of It Community Discussions

Play Episode Listen Later Nov 13, 2020 39:48


November is National Hospice Awareness Month. What does Hospice Volunteers of Hancock County do? What programs are offered to help caregivers and those who are coping with the loss of a loved one? These questions and more are answered in this heartfelt discussion with Jody Wolford-Tucker, Executive Director of this 40 year old organization. Hospice Volunteers of Hancock County website: https://www.hospiceofhancock.org/ Hospice Volunteers of Hancock County phone number: 667-2531 Anne West's email address: ihwf1966@gmail.com Anne West's phone number: 207-367-5851 Jody's book recommendations: At Peace Choosing a Good Death After a Long Life by Sam Harrington (DIS local!) https://www.amazon.com/At-Peace-Choosing-Death-After/dp/1478917415/ref=sr_1_1?dchild=1&keywords=At+Peace+book+sam+harrington&qid=1603231061&sr=8-1 The Four Things That Matter Most by Dr. Ira Byock https://www.amazon.com/Four-Things-That-Matter-Most/dp/1476748535/ref=sr_1_1?dchild=1&keywords=Four+Things+that+matter+most&qid=1603231117&sr=8-1 Peace at Last and other works by Deborah Grassman https://www.amazon.com/Peace-Last-Stories-Veterans-Families/dp/0918339723 The Art of Comforting by Val Walker https://www.amazon.com/Art-Comforting-What-People-Distress/dp/1585428280

Hear Me Now Podcast
Mental Health and the Pandemic / Heroism & Hypocrisy

Hear Me Now Podcast

Play Episode Listen Later Oct 8, 2020 51:42


If you or someone you know is struggling with depression or other mental health issues and would like to seek help, please check out the Work@BeWell website for a list of qualified organizations. Send us an email and share your COVID Winter strategies with us to help us plan our next episode.  Read Dr. Ira Byock's article Heroism and Hypocrisy: Seeing Our Reflection with 2020 Vision in The Journal of Palliative Medicine.   GuestsRobin Henderson, Psy. D. is a clinical psychologist in Portland, OR, and the Chief Executive for Behavioral Health for Providence Oregon and the Clinical Liaison to the Well Being Trust.Ira Byock, M.D., is a leading palliative care physician and the Founder and Chief Medical Officer of the Providence Institute for Human Caring in Gardena, CA.  About UsAt the Institute for Human Caring, we believe that whole-person care is essential to helping patients, families, and caregivers experience the best care possible. This requires attending to the body, mind, and spirit.  Learn more about our Hear Me Now storytelling and listing initiative. Contact us at HumanCaring@providence.org

Leading Person Centered Care Podcast
Episode 103: The Privileged Opportunity of Leadership

Leading Person Centered Care Podcast

Play Episode Listen Later Sep 11, 2020 28:08


To continue this new series, Edo sits down with Ira Byock, MD, FAAHPM, Founder and Chief Medical Officer of the Institute for Human Caring. They discuss why service in leadership is so important and qualities to look for in new hires. Hear their thoughts on why historically hospice hasn't always gotten an equal seat at the table.

The Surgical Palliative Care Podcast
Dr. Ira Byock: National Leader in Palliative Care

The Surgical Palliative Care Podcast

Play Episode Play 48 sec Highlight Listen Later May 4, 2020 48:51 Transcription Available


#009 - Join host Dr. Red Hoffman as she interviews Dr. Ira Byock, nationally known author and speaker and the founder and chief medical officer of the Institute for Human Caring at Providence St. Joseph in Southern California.  Ira served as the president of the American Association of Hospice and Palliative Medicine as well as the Director of the Robert Wood Johnson Foundation's Promoting Excellence in End of Life Care, under which the Surgeons Palliative Care task force (now the Committee on Surgical Palliative Care) was created within the American College of Surgeons.  For those interested in the history of surgical palliative care, Ira is also known as the man who introduced surgeons Dr. Robert Milch to Dr. Geoffrey Dunn (both men went on to become leaders in the field of surgical palliative care).  Ira shares that seeing how poorly patients at the end of life were treated in his training hospital led him to develop a hospice program while still a resident physician.  He discusses that illness is fundamentally a personal issue (rather than a medical issue) and that by acknowledging this, surgeons can do their part in making certain that patients get the best care possible.  He is thoughtful, inspiring, generous with both his time and his experience, and a pure joy to talk to!Learn more about Ira here.Ira's books include:The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life Dying Well: Peace and Possibilities at the End of LifeThe Four Things that Matter MostLearn more about the Surgeons Palliative Care Workgroup here (includes PDFs of over two dozen articles written about surgical palliative care and published in the Journal of the American College of Surgeons.)To learn more about the surgical palliative care community, visit us on twitter @surgpallcare

KPFA - About Health
11/18/19 Living and Dying Well

KPFA - About Health

Play Episode Listen Later Nov 18, 2019 59:58


When someone we love passes away, it can cause us to examine our own lives: How can we live our lives better? How can we be ready when our own time comes? Our guest today offers simple, yet profound advice for how to live better: Live like you're dying. As a palliative care physician, he observed that patients with terminal illness who embrace four specific tasks tend to be more at peace. It turns out that these tasks—which he calls “The Four Things That Matter Most”—apply equally well at almost any stage of life, and can potentially help all of us to live more meaningful, loving, and vibrant existences. Host David B. Feldman interviews Dr. Ira Byock, author of The Four Things That Matter Most: A Book about Living. The post 11/18/19 Living and Dying Well appeared first on KPFA.