Podcasts about Palliative care

Teresa Baglietto has lived through the kind of compounded harm that exposes how thin the safety net really is. In this episode she walks through a life shaped by medical neglect, personal violence, and the exhausting labor of self advocacy. She nearly died after a C section when hospital staff failed to confirm she had urinated before discharge, spending 15 days hospitalized and separated from her newborn while facing the possibility of permanent damage. In 2013 she discovered an aggressive breast cancer and waited weeks for test results and surgery while administrators stalled and passed responsibility. Care only moved forward after she threatened public exposure. Teresa also speaks openly about surviving rape in high school, losing her father to cancer at age 48 when she was 10, and growing up without reliable adults in the room. She explains why it took 7 years to write her book, why she launched a podcast, and how sales grit becomes a survival tool when patients must fight systems designed to delay them. The conversation stays specific, unsentimental, and grounded in consequence.RELATED LINKSTeresa Baglietto on LinkedInThe Ripple Effect by Teresa BagliettoIn Shock PodcastIn Shock Podcast on InstagramCanvas Rebel interview with Teresa BagliettoFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Have burning, electric shocks, tingling or numbness after chemo? Learn why and how to manage it.  https://bit.ly/3Nra074We dive into a common but often overlooked side effect of chemotherapy: chemotherapy-induced peripheral neuropathy (CIPN). Up to 40% of cancer survivors who receive certain chemotherapy drugs experience tingling, numbness, pain, or weakness in their hands and feet. We'll unpack which drugs are most likely to cause CIPN, why it happens, what symptoms to watch for, and how to manage or even improve function over time. From medications to physical and occupational therapy, balance training, and lifestyle strategies, this episode offers evidence-based insights to help cancer survivors and caregivers better understand and cope with CIPN.In this Episode:00:00 - Intro: Understanding Chemotherapy-Induced Peripheral Neuropathy (CIPN)02:07 - Marge Simpson and Santa's Little Helper's Visit to "The Pitt" ED05:33 - What is Chemotherapy-Induced Peripheral Neuropathy (CIPN)06:29 -  Why Chemo Causes Pins and Needles (The Science of Nerve Damage) 09:11 - Is there Hope of Recovering from CIPN? Treatment Options and Lifestyle Considerations13:40 - The Lived Experience of Chemotherapy-Induced Peripheral Neuropathy20:54 - OutroResources: Download our CIPN Symptoms & Safety Infographic Here S5E34: How to Avoid Falls, the Leading Cause of Death for Older Adults (Discusses many of the fall mitigation steps that can help someone with peripheral neuropathy)S6E5: Understanding Cancer Treatment Options: ChemotherapyS1E03: What is Palliative Care? (Learn how palliative care envelops symptom management along a treatment path, such as chemotherapy side effects.)S4E37: A Family's Perspective on Palliative Care – with Connie BakerS5E25: The Important Role of the Microbiome to Your Health and Immune Function (Good nutrition is important to neuron regeneration)S5E4: Inflammation: What it is, How It Causes Disease, and How You Can Decrease ItAll Cancer Topics (Everything You Wanted to Know About Cancer, But Didn't Have Anyone to Ask)Support 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

Science likes to call itself a meritocracy. Angela Anderson and Brandi Mattson know better. Both served as editors at elite journals (Cell and Neuron), where a single decision could determine who gets tenure, funding, or obscurity. They watched brilliant data get filtered out because the authors did not know the unwritten rules controlled by 5 dominant publishing houses with profit margins higher than Google.In 2020, amid pandemic shutdowns and national reckoning over racial injustice, they co-founded a nonprofit to expose that hidden curriculum. Through the JEDI program, they provide 10 hours of free editorial consulting to scientists who lack access to elite networks. In 1 year alone, 25 awards helped researchers salvage canceled grants, secure NSF career funding, and rebuild careers derailed by rejection.This episode pulls back the curtain on the multibillion dollar publishing engine that profits from taxpayer funded science and reveals who gets heard, who gets sidelined, and how insiders are choosing to redistribute power.RELATED LINKSAngela AndersonBrandy MattsonLife Science EditorsLife Science Editors FoundationCellNeuronNational Science FoundationFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Today's episode of Out of Patients welcomes Dr Pamela Buchanan, an emergency room physician with over 20 years inside American medicine who refuses to sugarcoat what the job demands and what it destroys. She worked straight through COVID as protocols changed by the day and deaths arrived faster than anyone could process. She logged 80 to 100 hour weeks. She isolated from her family to avoid bringing the virus home. Over time, survival began to feel negotiable.Dr Buchanan speaks openly about burnout as emotional flatline and about physician suicide as a predictable outcome that leadership prefers to ignore. She describes the ER as the catch all for a broken system and explains why chronic care collapses there by design. She shares the reality of trying to access mental health care while still practicing medicine, calling dozens of therapists, getting nowhere, and spending $10,000 to $15,000 out of pocket just to stay alive and functional.Listeners will hear how neurodivergence shaped her career in emergency medicine, how race and trust intersect inside hospital walls, and why doctors are leaving in waves. This conversation carries clarity, anger, humor, and hard earned truth from someone who stayed long enough to name the damage.RELATED LINKSDr Pamela BuchananStrong MedicineDr Pamela Buchanan on LinkedInDr Pamela Buchanan on InstagramEmotional Flatline articleKevinMD essay by Dr Pamela BuchananFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

At a time when modern medicine is allowing people to enjoy longer, fuller lives, mortality is not always a chief concern. But when a serious illness occurs, the topic becomes unavoidable. This became especially clear during the early days of the COVID-19 pandemic when hospitals were overrun with patients, many with grim prognoses. "The pandemic gave all of us a sense that life can be short and there's the very real possibility of dying," says Jennifer Kapo, MD, director of the Palliative Care Program at Yale New Haven Hospital. "It opened the door for us to talk more about death and have a better sense of our mortality." Palliative care is a caregiving approach for anyone with a serious or chronic medical condition; its goal is to maximize quality of life and manage symptoms. In addition to helping patients and their families navigate difficult conversations and decisions, palliative care team members are attentive to "goals of care," which means understanding the patient's wishes and how medical steps can help achieve them. For example, if a patient has a low likelihood of coming off a ventilator, that would be made clear to them, if possible, before they were put on one, explains Laura Morrison, MD, a physician in the Palliative Care Program. "The pandemic highlighted the need for us to have more proactive and earlier conversations with patients and their families. If we gave them the chance to make a choice, some might say they don't want to die in an intensive care unit," Dr. Kapo adds. Still, many people still aren't sure what palliative care really means. Below, we talk with a few members of Yale Medicine's program to better understand it. How does palliative care differ from hospice care? Palliative care is a specialized model of care for people living with serious or chronic illnesses including cancer, heart and liver failure, dementia, and pulmonary disease. Like hospice care, the focus is on maximizing comfort and quality of life. But palliative and hospice care differ in that hospice is for patients who are not receiving life-extending treatment, and is typically limited to the last six months—or less—of one's life. Palliative care, conversely, can be integrated into a patient's medical care at any point during their illness, from diagnosis to end-of-life, and can include life-extending medical treatment. "Essentially, palliative care is an extra layer of support for any patient who has a serious illness. That can include attention to pain and other symptom management, as well as help coping with the stress of having the illness," Dr. Morrison explains. "We also focus on facilitating communication between patients, their families, and medical providers." The Palliative Care Program has 35 members in various disciplines, including physicians, nurses, social workers, a chaplain, a psychologist, and a pharmacist. Palliative care services are offered to all patients at Yale New Haven Hospital and Smilow Cancer Hospital, and at Smilow's outpatient offices. And it provides care on a spectrum, based on what patients and their loved ones need in the moment. "At the beginning of a serious illness, a patient's needs might revolve around addressing anxiety over their diagnosis," Dr. Kapo says. Plus, taking care of the entire family, and not just the patient, is an important element, Dr. Kapo adds. "Our goal is to provide the best quality of life possible to patients and their families, which is why our bereavement program is also an important element. Our care does not stop when a loved one dies," she says. How is palliative care broached with patients? Because Yale Medicine offers palliative care to hospitalized patients, that is often where someone first hears about the model of care. "We typically structure the conversation broadly at first and ask a patient what they understand about their illness, what they have heard about it, and what they believe about it," Dr. Kapo says. "If a patient has no idea that death is a real possibility, we spend a lot of time sharing information. Or, if they have been sick for five years and know that time may be short, we talk about what is important to them and what they want to do with the time they have left." That, Dr. Kapo says, opens a conversation about a patient's values. "We listen very carefully and get a sense of whether this is a patient with goals of wanting to extend life no matter what it takes, or someone who is more interested in quality of life," she says. The goal of palliative care is not to change a patient's mind about their decisions, she adds. "It's to listen to a patient's story and support their decisions," Dr. Kapo says. "If someone tells me that they will fight for every last second of life, no matter what the cost might be physically, then we honor that." Meanwhile, a social worker can provide support and address any psychosocial issues. For example, if someone is just diagnosed with a critical illness, their primary concern might be how they can still work and pay their bills. The team's social worker can help them navigate the logistics of their health insurance coverage and sick time policies, among other issues. With other patients, the social worker might help explain a diagnosis to a patient's children in an age-appropriate way. The program also has a medical-legal partnership that assists patients with estate planning; navigating entitlements, including Social Security and insurance; and advance directives (a living will), a written statement of a patient's wishes regarding medical treatment in the event they are unable to communicate them to a doctor. What are the benefits of palliative care? Palliative care is by no means a new medical concept. In fact, it was all medical providers had before many current treatments were invented. "Back in the early 20th century, before antibiotics and chemotherapy and many other therapies we now have, physicians provided palliative care as their treatment," Dr. Morrison says. "Our job was to be present, hold hands with patients, and relieve symptoms as it was possible. Morphine might have been given for pain." Today, palliative care encompasses not only all the advanced medical treatments and medications now available, but it is increasingly being woven into care for chronic conditions. Meanwhile, research has shown that palliative care is effective. One study published in The New England Journal of Medicine in 2010 examined patients newly diagnosed with metastatic non-small cell lung cancer. One group received standard oncologic care; the other had standard oncologic care with palliative care added on. Those in the palliative care group reported less anxiety and depression and were also hospitalized less. They also lived a month longer. Subsequent similar studies expanding to other populations with advanced serious illness have also shown positive outcomes.  (CREDITS: YALE MEDICINE)

Jaime Jump, DO, is a dual-trained physician specializing in pediatric critical care and palliative care. She currently serves as the Program Director of Palliative Care and is an Associate Professor in the Sections of Critical Care Medicine and Pediatric Palliative Care at Baylor College of Medicine and Texas Children's Hospital. Learning Objective: By the end of this podcast, listeners should be able to discuss an evidence-based and expert-guided approach to Withdrawal of Life Sustaining Therapy (WOLST) in children.References:TEXAS CHILDREN'S HOSPITAL DIVISION OF PALLIATIVE CARE Withdrawal of Life-Sustaining Therapies (WOLST) ProtocolKompanje EJ, van der Hoven B, Bakker J. Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. Intensive Care Med. 2008 Sep;34(9):1593-9. doi: 10.1007/s00134-008-1172-y. Epub 2008 May 31.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Al's on the mic with a London-led study suggesting specialist palliative care can improve quality of life and ease pressure on the NHS — yes, a rare win-win. Then the UK ADHD debate gets a much-needed reality check as experts say the bigger issue isn't overdiagnosis… it's unmet need and long waits. After that, we jump to physics where atom-thin magnets start forming tiny vortices like it's completely normal, before China's brain-computer ambitions give the sci-fi crowd something to talk about. In gaming, Marvel Rivals brings back Chrono Rush, and we finish on commuter tech: The Standard's take on Google's Pixel 10a. More on all of it at standard.co.uk — and follow Tech and Science Daily from The Standard for your weekday briefing. Hosted on Acast. See acast.com/privacy for more information.

Send a textIn Part Two of “Love Hurts: Leadership, Quality, and the Future of Hospice & Palliative Care,” leaders from the GeriPal podcast and TCNtalks / Anatomy of Leadership, continue a thoughtful discussion on the most pressing issues facing hospice and palliative care today.The conversation explores how waste, fraud, and abuse in isolated cases can tarnish the reputation of an entire field—even when the majority of providers deliver extraordinary care.  The panel dives into the evolving landscape of ownership models, from nonprofit and faith-based organizations to private equity–backed providers, raising an important question: does ownership affect quality, or does leadership and accountability matter more? The discussion also examines structural challenges within the healthcare system, including flawed quality reporting tools like Medicare Compare and the unintended consequences of free-market dynamics in healthcare.  With over 300 hospices sometimes operating within a single county, leaders highlight the need for transparency, meaningful quality metrics, and thoughtful regulation such as Certificate of Need laws to ensure resources are distributed responsibly and patients receive the best possible care. Finally, the conversation pivots to leadership—arguably the most important ingredient in shaping the future of hospice and palliative care.  From the principle of “Go See for Yourself” (Gemba Leadership) to the importance of servant leadership, focus, curiosity, and interdisciplinary collaboration, the panel shares powerful lessons for healthcare leaders navigating complex systems while staying grounded in mission-driven care for patients and families.Key TakeawaysFraud and bad actors can damage the reputation of the entire hospice field.  Ownership models matter less than maintaining high-quality patient care.  Healthcare markets lack true transparency and informed consumer choice.  Many hospices still lack meaningful public quality ratings.  Effective leaders stay close to the mission and frontline care.  (This episode is a Top News Stories of Month February 2026)TCNtalks:Chris Comeaux, President / CEO of TELEIOSTCNtalks Co-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics GeriPal Podcast:Dr. Eric Widera, Professor of Medicine and clinician-educator in the Division of Geriatrics at the University of California San Francisco (UCSF) and co-host of Geri-Pal PodcastDr. Alex Smith, UCSF faculty in the Division of Geriatrics and ) and co-host of Geri-Pal PodcastThe 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

In Part Two of “Love Hurts: Leadership, Quality, and the Future of Hospice & Palliative Care,” leaders from the GeriPal podcast and TCNtalks / Anatomy of Leadership, continue a thoughtful discussion on the most pressing issues facing hospice and palliative care today.The conversation explores how waste, fraud, and abuse in isolated cases can tarnish the reputation of an entire field—even when the majority of providers deliver extraordinary care.  The panel dives into the evolving landscape of ownership models, from nonprofit and faith-based organizations to private equity–backed providers, raising an important question: does ownership affect quality, or does leadership and accountability matter more?  The discussion also examines structural challenges within the healthcare system, including flawed quality reporting tools like Medicare Compare and the unintended consequences of free-market dynamics in healthcare.  With over 300 hospices sometimes operating within a single county, leaders highlight the need for transparency, meaningful quality metrics, and thoughtful regulation such as Certificate of Need laws to ensure resources are distributed responsibly and patients receive the best possible care.  Finally, the conversation pivots to leadership—arguably the most important ingredient in shaping the future of hospice and palliative care.  From the principle of “Go See for Yourself” (Gemba Leadership) to the importance of servant leadership, focus, curiosity, and interdisciplinary collaboration, the panel shares powerful lessons for healthcare leaders navigating complex systems while staying grounded in mission-driven care for patients and families.Key TakeawaysFraud and bad actors can damage the reputation of the entire hospice field.  Ownership models matter less than maintaining high-quality patient care.  Healthcare markets lack true transparency and informed consumer choice.  Many hospices still lack meaningful public quality ratings.  Effective leaders stay close to the mission and frontline care.  (This episode is a Top News Stories of Month February 2026)TCNtalks:Chris Comeaux, President / CEO of TELEIOSTCNtalks Co-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics GeriPal Podcast:Dr. Eric Widera, Professor of Medicine and clinician-educator in the Division of Geriatrics at the University of California San Francisco (UCSF) and co-host of Geri-Pal PodcastDr. Alex Smith, UCSF faculty in the Division of Geriatrics and ) and co-host of Geri-Pal PodcastTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Dr. Barbara Paldus is the Founder and CEO of CODEX Labs, the sponsor of this episode.She grew up around Nobel Prize winners, built biotech manufacturing equipment for vaccines and cancer therapeutics, and then sold her company after an 8 year old threatened suicide.Her son's severe eczema pushed her into an unregulated $100,000,000,000 skincare market where parents are told to trust labels that nobody verifies. She explains how corticosteroid ladders leave patients with years long withdrawal, why U.S. ingredient oversight lags Europe, and how chemotherapy destroys the same skin and gut barriers seen in inflammatory disease.The conversation tracks the real stakes behind “clean” marketing: a child's immune system, hospital infections like MRSA, and patients trying to survive treatment without new damage. She also details the research path from Irish medical manuscripts to microbiome science and why sick populations become the only reliable regulators when policy fails.RELATED LINKSBarbara PaldusCodex LabsSekhmet VenturesDr Peter LioFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send a textThis episode explores the future of hospice leadership and hospice quality through a collaborative discussion between the TCNtalks and GeriPal podcasts.TCNtalks / Anatomy of Leadership host Chris Comeaux and co-host Cordt Kassner join forces with Dr. Eric Widera and Dr. Alex Smith of the GeriPal Podcast , leaders in palliative care and hospice innovation discuss emerging quality measures, data-driven hospice analytics, research challenges, and the leadership needed to guide healthcare organizations through change. For professionals working in healthcare leadership and serious illness care, the conversation offers valuable insight into the policies, research, and innovations shaping the future of hospice and palliative medicine.This is a thoughtful roundtable discussion on leadership, quality, and the evolving future of hospice and palliative care. Together, they explore the biggest stories shaping the field—from emerging quality metrics and research priorities to the human side of hospice leadership.  If you're passionate about improving serious illness care, this conversation is just the beginning.  Subscribe to TCNtalks/Anatomy of Leadership and GeriPal to stay informed on the latest trends in hospice leadership, palliative care innovation, and healthcare policy. Share this episode with a colleague, discuss it with your team, and join the movement to strengthen the mission and future of hospice care.(This episode is a Top News Stories of Month February 2026)TCNtalks:Chris Comeaux, President / CEO of TELEIOSTCNtalks Co-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics GeriPal:Dr. Eric Widera, Professor of Medicine and clinician-educator in the Division of Geriatrics at the University of California San Francisco (UCSF) and co-host of Geri-Pal PodcastDr. Alex Smith, UCSF faculty in the Division of Geriatrics and ) and co-host of Geri-Pal PodcastThe 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

This episode explores the future of hospice leadership and hospice quality through a collaborative discussion between the TCNtalks and GeriPal podcasts. TCNtalks host Chris Comeaux and co-host Cordt Kassner join forces with Dr. Eric Widera and Dr. Alex Smith of the GeriPal Podcast , leaders in palliative care and hospice innovation discuss emerging quality measures, data-driven hospice analytics, research challenges, and the leadership needed to guide healthcare organizations through change. For professionals working in healthcare leadership and serious illness care, the conversation offers valuable insight into the policies, research, and innovations shaping the future of hospice and palliative medicine.This is a thoughtful roundtable discussion on leadership, quality, and the evolving future of hospice and palliative care. Together, they explore the biggest stories shaping the field—from emerging quality metrics and research priorities to the human side of hospice leadership.  If you're passionate about improving serious illness care, this conversation is just the beginning.  Subscribe to TCNtalks and GeriPal to stay informed on the latest trends in hospice leadership, palliative care innovation, and healthcare policy. Share this episode with a colleague, discuss it with your team, and join the movement to strengthen the mission and future of hospice care.(This episode is a Top News Stories of Month February 2026)TCNtalks:Chris Comeaux, President / CEO of TELEIOSTCNtalks Co-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics GeriPal:Dr. Eric Widera, Professor of Medicine and clinician-educator in the Division of Geriatrics at the University of California San Francisco (UCSF) and co-host of Geri-Pal PodcastDr. Alex Smith, UCSF faculty in the Division of Geriatrics and ) and co-host of Geri-Pal PodcastTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

As deaths from advanced chronic liver disease rise, many patients never receive timely palliative care.In this episode, we explore why early, holistic support is essential in advanced liver disease and HCC, and unpack key recommendations from the new EASL Position Paper to help reduce suffering and improve quality of life.Host:  Debbie Shawcross Speakers: Patrizia-Künzler-Heule, Sumita Verma This episode is also available on EASL Campus: https://easlcampus.eu/tltm/episode-04

Dr Eugene Manley grew up in Detroit in the 1980s cycling through emergency rooms 20 to 30 times a year with asthma and anaphylaxis while hospital staff talked past his family and buried them in paperwork they could not decode. He responded by earning a BS in mechanical engineering an MS in biomedical engineering and a PhD in molecular biology cell biology and biochemistry. Along the way he tore his ACL training for a jiu jitsu black belt worked 86 straight days in a lab during his doctorate and learned how academic and clinical systems punish people who refuse to shrink.In this episode Manley walks through a recent post surgery ordeal at Mount Sinai Queens where staff falsified records attempted an illegal discharge and nearly sent him home on the wrong blood thinner. He explains how medical racism shows up in charts staffing and decision making and why measurable equity fails without accountability. Listeners hear how his STEMM and Cancer Health Equity Foundation builds pipelines for underrepresented students challenges clinical trial design and teaches patients how to protect themselves when institutions lie. RELATED LINKS• Eugene Manley Jr• STEMM and Cancer Health Equity Foundation• Village Voice• LUNGevity FoundationFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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: 

Send a textAI isn't coming to home-based care. It's already here and accelerating. In this episode, Tony sits down with JJ Ram, CTO and co-founder of Claim Health, to explore how AI is evolving from tool to autonomous operator and what that means for hospice and home health leaders. 

For more information, call 706.529.3072 or visit www.VitruvianHealth.com/specialtycare.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Candice K. Silversides, MD, FACC, Editor-in-Chief of JACC: Advances, interviews authors Sarah Godfrey MD, MPH, FACC and Caroline L. Doherty DNP, AGACNP-BC, FACC about their paper, "Identifying Palliative Care Competencies for Cardiology Fellowship Training: A National Delphi Consensus Study" published in the February 2026 issue of the Journal.

Jenny Opalinski has spent more than a decade inside hospitals where people lose the ability to speak, breathe, swallow, and sometimes survive. A medical speech language pathologist by training, she worked in ICU, neuro rehab, and long term acute care settings, including a Level 1 trauma center, where she watched clinicians absorb 10 to 15 traumatic events in a single shift and then get told to move the crash cart faster next time.That lived reality pushed her to co found The Wellness Shift, an advocacy and education platform focused on healthcare worker burnout, suicide, and assault. In this conversation, Opalinski walks through the moment that changed everything for her: standing in a hospital hallway listening to a family wail after a failed code, followed by a debrief that addressed logistics and ignored grief entirely.She also explains how that work led to Humanity Rx, her podcast about the human cost of medicine, and Dragon's Breath: Calming Tricks for Big Feelings, a children's book that translates evidence based breathing and regulation strategies into language kids can actually use. The episode covers moral injury, time scarcity, false wellness, respiratory muscle training, and why empathy keeps getting treated as an optional expense instead of clinical infrastructure.RELATED LINKSJenny Opalinski on LinkedInThe Wellness ShiftHumanity RxDragon's Breath: Calming Tricks for Big FeelingsAspire Respiratory ProductsFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

For more information, call 706.529.3072 or visit www.VitruvianHealth.com/specialtycare.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

The sound of regional Australia. News and analysis from the ABC's network of regional reporters.

You just have to be a good parent 30-40% of the time. According to the research, and parenting expert Maggie Dent.

What if you could choose the time, place, and company for your final moments—ensuring a peaceful, dignified death on your own terms? Dr. Robert L. Fine, Director, Office of Clinical Ethics and Palliative Care, Baylor Scott & White Health, unpacks the complex realities of medical aid in dying (MAID), hospice, palliative care, and end-of-life decision-making. Dr. Fine sheds light on how individuals can navigate end-of-life decisions with dignity, legal clarity, and compassion while addressing common misconceptions and ethical challenges surrounding MAID. Join Dr. Fine and host Brian Levy as they explore a topic that hits close to home for so many, including a few personal examples from Dr. Fine's illustrious career.

Sarah Gromko and Matthew Zachary go back to SUNY Binghamton in the early 1990s, when they were barely 19 and living inside rehearsal rooms. She starred in campus musical theater productions. He served as pianist and music director for many of those shows and played rehearsal piano for the THEA101 repertory company. This episode reunites two former theater nerds who grew up and took very different paths through art, illness, and work that still circles the same truth.Gromko trained as a singer and composer, studied film scoring at Berklee College of Music, worked in New York and New Orleans, then moved into healthcare as a speech language pathologist and recognized vocologist. She explains aphasia, apraxia, dysarthria, and dysphagia with clarity earned from the clinic. She recounts helping a 16 year old gunshot survivor in New Orleans speak again using Melodic Intonation Therapy. The conversation covers voice banking for ALS, gender affirming voice care, and the damage caused when medicine confuses speech loss with intelligence loss. The result feels like an epic reunion powered by 1990s nostalgia and sharpened by decades of lived consequence.RELATED LINKSSarah GromkoGramco VoiceMelodic Intonation TherapyFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This episode examines the role public policy plays in impacting lung cancer treatment and research. The world has made tremendous progress in the treatment of lung cancer over the past decade, and much of that progress is the result of supportive public health policies. As we look to the future, healthcare policy is sure to play an even bigger role in further improving patient outcomes, but many challenging barriers exist on a global scale. Host: Dr. Stephen Liu Guests: Professor Andreas Charalambous, Chair of the Department of Nursing and Professor of Oncology and Palliative Care at the Cyprus University of Technology. Professor Nicole Rankin, Head of the Evaluation and Implementation Science Unit at the Melbourne School of Population and Global Health of the University of Melbourne Dr. Samuel Kareff, thoracic medical oncologist at the Eugene M. and Christine E. Lynn Cancer Institute and Clinical Assistant Professor at Florida Atlantic University

Bone tumor treatment: when do you burn it and when do you freeze it? In this BackTable MSK Brief, Dr. Damian Dupuy joins Host Dr. Kavi Krishnasamy to discuss the technical nuances of radiofrequency ablation (RFA) and cryoablation, patient selection criteria, procedural strategies, and the importance of setting appropriate patient expectations. Dr. Dupuy also shares insights on preventing complications like cryomyositis and myoglobinuria, underscoring the balance between aggressive treatment and patient safety. Episode Outline 00:00 - Introduction 00:40 - Bone Tumor Interface and Time Under Treatment 05:10 - Patient Selection and Treatment Considerations 07:57 - Approach to Large Bony Lesions 12:37 - Best Treatment Modality: Cryoablation vs. RFA 13:38 - Managing Collateral Damage 15:58 - Navigating Patient Expectations Resources Dr. Damian E. Dupuy, MD, FACR https://www.linkedin.com/in/damian-e-dupuy-md-facr-6b080b1b/  Solitary painful osseous metastases: correlation of imaging features with pain palliation after radiofrequency ablation--a multicenter american college of radiology imaging network study https://pubmed.ncbi.nlm.nih.gov/23657892/

For more information, call 706.529.3072 or visit www.VitruvianHealth.com/specialtycare.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

The House of Lord's amendments to England and Wales assisted dying bill might be causing a constitutional crisis. Lords have tabled 1,277 amendments—which is a record for any equivalent bill in history - and over half of those came from just seven peers. This has led to accusations of "delaying tactics" or "filibustering" to run down the clock deliberately and run this bill off the road. Although some of these amendments have been described as unworkable, repetitious and unnecessary; others reflect serious, legitimate concerns, around the prevention of coercion, how to identify victims of domestic abuse and the broader impact on the disabled community, and whether it's wise to introduce assisted dying while palliative and social care services are so stretched. 300 territories around the world, allow physician assisted death - so we asked experts from Canada and California to reflect on those objections, and if there is any evidence of this issues arising where they live. James Downer is Professor and Head of the Division of Palliative Care at the University of Ottawa, and Catherine Forest is clinical associate professor of family medicine at the University of California San Francisco.   Reading list: Scrutiny of the assisted dying bill is vital but obstruction in the House of Lords could mean it never becomes law

Most of us have been trained to think of treating people as a technical problem. If something hurts, we look for the right drug. If something fails, we look for the right procedure. That picture is incomplete.We've built a system obsessed with fixing bodies, while quietly ignoring the inner worlds of the people living inside them. Their fears, their beliefs, their unanswered prayers, and the meaning they're trying to make of suffering.Illness doesn't just attack organs. It raises questions about God, identity, guilt, fear, and loss of control. And when those questions go unanswered, suffering multiplies, no matter how advanced the treatment plan is.Modern medicine has no real language for this kind of pain. It knows how to measure blood pressure, inflammation, and tumor size, but it doesn't know how to sit with grief, spiritual doubt, uncertainty, and loss.Yet when clinicians slow down enough to listen, something shifts. Patients begin to speak about meaning, about God, about unresolved relationships and fears they've never voiced before.And often, that is where real healing starts — the kind of whole-person healing that restores connection, dignity, and a sense of being spiritually held in the middle of suffering.What if some of the deepest healing doesn't come from doing more, but from being more present? How can clinicians learn to care for the soul as intentionally as they care for the body?In this episode, I speak with Dr. Marvin Delgado Guay, a palliative care specialist at MD Anderson Cancer Center. We talk about what it looks like when medicine includes spiritual care in its everyday practice. We explore why “total pain” includes the soul as much as the body, and how healthcare can become not just a place of treatment, but a space for healing, meaning, and connection with God.Things You'll Learn In This Episode Pain isn't always physicalMany symptoms labeled as “medical” are actually expressions of emotional or spiritual distress. What happens when we treat suffering instead of just symptoms?Fixing vs. healingMedicine is trained to solve problems, but some forms of suffering can't be solved, only witnessed. How does presence become a form of treatment?How spirituality shapes medical decisionsBeliefs about meaning, God, and purpose influence everything from treatment choices to end-of-life care, but are clinicians equipped to address this?The power of the “collective soul” in healthcareWhen doctors, nurses, chaplains, and therapists work as one, care becomes something deeper than specialization. What changes when healing becomes a shared human act?Guest BioDr. Marvin Delgado Guay is an internist and Assistant Professor in the Department of Palliative Care and Rehabilitation Medicine at MD Anderson Cancer Center, where he provides symptom control and supportive care for patients with advanced cancer and their caregivers. He completed his internal medicine training at Michael Reese Hospital in Chicago, followed by a fellowship in Geriatric Medicine at Harvard Medical School, and a clinical and research fellowship in Symptom Control and Palliative Care at MD Anderson. Earlier in his career, he coordinated palliative care services and worked within geriatrics at Lyndon B. Johnson General Hospital through the University of Texas Medical School. Dr. Delgado Guay's work focuses on what medicine often overlooks: the full experience of illness. His research explores physical, psychological, and spiritual distress in patients with serious disease, as well as aging-related issues such as frailty and cognition. He has authored and co-authored multiple peer-reviewed publications on symptom burden and spiritual care in advanced cancer, and is deeply committed to improving quality of...

Matt Hampton and Dr Tom Ingegno came into my world the way the best guests always do. They found me first. They pulled me onto their Irreverent Health Podcast, a show that blends medicine, curiosity, and unapologetic nonsense the same way Gen X kids blended Saturday morning cartoons with nuclear-war anxiety. We recorded together, we went off the rails together, and by the end I told them the rule. If you ever come to New York, you sit in my studio. No exceptions.They showed up. They took the hot seat. They told Alexa to shut up. They joked about Postmates. They compared bifocals before I even hit record. From there it turned into a full blown eighties time machine powered by weed policy, AI diagnostics, acupuncture philosophy, art school trauma, cannabis data science, paranormal detours, and the kind of deep cut pop culture references only Gen X survivors can decode.Matt builds AI systems. Tom heals people with needles and a lifetime of East Asian medicine. Together they make healthcare funny without pretending it works. They remind you that curiosity carries weight when the system collapses under its own stupidity.This episode is a reunion of three loudmouths raised on Atari, late night cable, and the hard lesson that you either tell the truth or get flattened by it. Go subscribe to Irreverent Health. These guys earned it.RELATED LINKS• Irreverent Health Podcast• Matt Hampton – Consilium Institute• Envoy Design• Dr. Tom Ingegno – Charm City Integrative Health• The Cupping Book• You Got Sick—Now What?• Matt Hampton on LinkedIn• Dr. Tom Ingegno on LinkedInFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Roughly 90% of Alzheimer's patients develop neuropsychiatric symptoms including anxiety, persistent fear, and an inability to recognize safety — but little research is being done to investigate why. New data connecting PTSD, trauma, and accelerated brain aging may hold the answer.Dr. Caesar Hernandez is a behavioral, molecular, and circuit neuroscientist and assistant professor in the Division of Gerontology, Geriatrics & Palliative Care at the University of Alabama at Birmingham. His research program seeks to identify modifiable mechanisms that drive vulnerability to age-related cognitive decline and Alzheimer's disease.In this conversation with Dr. Dominic D'Agostino, Dr. Hernandez walks through epidemiological evidence linking PTSD to increased Alzheimer's risk, the comorbidity cluster of metabolic syndrome, gut permeability, and neuropsychiatric disorders observed in veteran populations, and why ketogenic interventions may offer a unique therapeutic angle — reducing neuroinflammation and anxiety while making the brain more receptive to rewiring traumatic memories.Questions Answered in This Episode: Could addressing PTSD in midlife meaningfully reduce the risk of cognitive decline and dementia later in life?Why do veteran populations show such high comorbidity between PTSD, metabolic syndrome, and dementia? Could ketogenic therapy serve a similar function to pharmacologically-assisted psychotherapy for PTSD? How does the amygdala - the brain's "fear center" - play a role in Alzheimer's disease? What is the single biggest unanswered question driving Alzheimer's research right now — and why does it go beyond genetics and biochemistry?Dr. Hernandez's driving question — why are negative life experiences associated with an increased the risk of neurodegeneration? — reframes brain aging as something shaped not just by genes and biology, but by the lives we live and the stress we carry.Find more of Dr. Caesar Hernandez online:University of Alabama BirminghamLinkedInSpecial thanks to the sponsors of this episode:✅ Genova Connect – Get 15% off any test kit with code METABOLICLINK here.✅ Fatty15 – Get 15% off a 90-day Starter Kit with code METABOLICLINK here.✅ Troscriptions – Get 10% off your first order with code METABOLICLINK here.✅ ZocDoc - Find and instantly book a top-rated doctor here.In every episode of The Metabolic Link, we'll uncover the very latest research on metabolic health and therapy. If you like this episode, please share it, subscribe, follow, and leave us a comment or review on whichever platform you use to tune in!You can find us on all your major podcast players here and full episodes are also up on our Metabolic Health Summit YouTube channel!Find us on social: Instagram Facebook YouTube LinkedIn Please keep in mind: The Metabolic Link does not provide medical or health advice, but rather general information that does not serve as a substitute for a licensed healthcare professional. Never delay in seeking medical advice from an appropriately licensed medical provider for any health condition that you may have.

In this episode of SHE MD, Mary Alice Haney and Dr. Thaïs Aliabadi sit down with Hospice Nurse Julie, a hospice and palliative care nurse who has supported thousands of patients and families at the end of life. Together, they gently explore what dying actually looks like, both physically and emotionally, and how understanding the process can help reduce fear.Julie explains common signs seen in the final days, including terminal lucidity, changes in breathing, the “death rattle,” and decreased awareness, helping listeners understand that many of these experiences are natural and not signs of suffering. They discuss terminal agitation, how hospice teams manage comfort, and the thoughtful use of medications like morphine.The conversation also emphasizes the importance of end of life planning, including advance directives, family conversations, and making wishes known to reduce guilt and conflict later. Julie shares how her work has changed the way she lives, encouraging presence, gratitude, and honest conversations about mortality. This episode offers comfort, clarity, and reassurance for anyone caring for a loved one, facing serious illness, or simply wanting to approach death with less fear and more understanding.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.Sponsors:Ka'Chava - Stick with your wellness goals. Go to kachava.com and use code SHEMD for 15% offPeloton - Let yourself run, lift, sculpt, push, and go. Explore the new Peloton Cross Training Tread+ at onepeloton.com ButcherBox - As an exclusive offer, new listeners can get their choice between organic ground beef, chicken breast or ground turkey in every box for a year, PLUS $20 off when you go to ButcherBox.com/SHEMD Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in‑network psychiatrist in just a few minutesWhat You'll Learn:How hospice care works and when it's appropriateWhat terminal lucidity is and why it happensWhat the “death rattle” is and why it usually does not indicate sufferingHow hospice manages comfort, pain, and terminal agitationWhy advance directives and end of life planning matter for familiesHow talking about death can reduce fear and guiltHow working with dying patients can change the way we liveKey Timestamps:00:00 Introduction to hospice care and why understanding death reduces fear06:25 What does hospice really mean and when is it appropriate10:00 What is terminal lucidity and why do some patients suddenly rally11:30 Julie's journey as a nurse14:40 The difference between dying in the ICU and in hospice19:30 The stages of dying21:50 What actually happens during the actively dying phase39:10 Explanation of “visioning”42:30 What causes the death rattle and is the patient suffering48:50 When is morphine used and is it always necessary50:00 What is terminal agitation and how is it managed53:00 How can families prepare emotionally and practically for end of life01:00:25 How working with dying patients changes the way you live01:07:10 Advice for someone who is scared they are dying01:09:30 Is hospice covered by insurance and Medicare01:10:30) Final reflections on making death less frightening and more meaningfulKey Takeaways:Many physical changes at the end of life are natural and not signs of sufferingComfort, dignity, and presence are the core goals of hospice carePlanning ahead helps families feel confident and united in difficult momentsBeing present with a loved one can be more meaningful than trying to control every detailUnderstanding death can help us live more fully and with deeper gratitudeGuest Bio:Julie McFadden, RN, is the bestselling author of Nothing to Fear and a hospice/palliative care nurse with more than fifteen years of experience. Passionate about normalizing death and dying, she has more than one million followers on TikTok as @hospicenursejulie. She has been featured in Newsweek, Time, USA Today, and The Atlantic, and has appeared on Dr. Phil Primetime, Howie Mandel Does Stuff, and elsewhere.Links:Hospice Nurse Julie Social Media: https://www.instagram.com/hospicenursejulieWebsite: https://www.hospicenursejulie.comNothing to Fear Book: https://www.penguinrandomhouse.com/books/734126/nothing-to-fear-by-julie-mcfadden-rn/Nothing to Fear Journal: https://www.penguinrandomhouse.com/books/777758/the-nothing-to-fear-journal-by-julie-mcfadden-rn/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The boys packed the studio for this episode, welcoming in Courtney Woznek and Darrin Willingham to talk about the 2026 El Cheapo Sheepshead Tournament. They gave everyone the lowdown on all the details and the prizes, too. The conversation inevitably led to sheepshead fishing stories, including Kirk’s infamous “Dixie Cup” tale…this one alone is worth the listen! Alexis Kidd from Community Hospice and Palliative Care also checked in to talk about their connection to the upcoming Walter “Chuck” Foster Sporting Clay Shoot. It’s a great organization doing great things and getting help from a great event! Of course, there was all kinds of talk about fishing as the guys were looking ahead to warmer weather. Here's your L.V. Hiers Inc gear tip of the week from Captain Kevin: Mechanix gloves are THE best hunting/work/cold weather gloves by far! They have all different kinds of gloves to meet every need, and you can find them everywhere. Here's your Ring Power CAT tip of the week: The 11th Annual Walter “Chuck” Foster Sporting Clay Shoot is this coming Thursday, and spots are filling fast! Rally your team and click HERE to register. Here’s your KirbyCo Builders’ Cooking Tip of the Week: Captain Kevin’s wife Carrie makes a MEAN S.O.S. (if you don’t know, ask somebody). If you want the recipe, check out our Facebook post.  Facebook

Send us a textWhat gets measured shapes how patients experience the final chapter of life.  In Part Two of Measures That Matter: How Better Metrics Can Transform End-Of-Life Care, hospice and healthcare leaders explore how focused, meaningful metrics—not check-the-box measures—can improve quality, reduce unnecessary hospitalizations, and strengthen value-based end-of-life care.Hosted by Chris Comeaux, President & CEO of Teleios, and Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today and CEO & Founder of Hospice Analytics, this episode brings together national experts to examine which hospice measures truly differentiate quality.Featured guestsBob Tavares, VP & General Manager, HealthPivotsRobin Heffernan, PhD, Co-Founder & CEO, EmpassionMindy Stewart-Coffee, National Vice President, Palliative Care, Optum Home & CommunityThe conversation highlights a small, high-impact set of indicators that better reflect real-world hospice performance—such as visits in the last days of life, live discharges and burdensome transitions, gaps in nursing visits, access to higher levels of care (GIP and Continuous Home Care), and patient experience, including the simple but powerful question: “Would you recommend this hospice?”A central takeaway is nuance: more is not always better. High-quality hospice care lives within healthy ranges and must be interpreted in clinical, geographic, and population context—not through rigid or one-size-fits-all targets.The episode also highlights the critical role of palliative care upstream from hospice. Earlier, multidisciplinary engagement helps align goals, manage symptoms proactively, and reduce crises and late referrals—ultimately redefining value at the end of life as goal-concordant care delivered at the right time, in the right setting, at a sustainable cost. Hospice and palliative care are not peripheral to value-based healthcare—they are foundational to it.Great end-of-life care isn't accidental—it's designed, supported, and measured well.The 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

What gets measured shapes how patients experience the final chapter of life.  In Part Two of Measures That Matter: How Better Metrics Can Transform End-Of-Life Care, hospice and healthcare leaders explore how focused, meaningful metrics—not check-the-box measures—can improve quality, reduce unnecessary hospitalizations, and strengthen value-based end-of-life care.Hosted by Chris Comeaux, President & CEO of Teleios, and Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today and CEO & Founder of Hospice Analytics, this episode brings together national experts to examine which hospice measures truly differentiate quality.Featured guestsBob Tavares, VP & General Manager, HealthPivotsRobin Heffernan, PhD, Co-Founder & CEO, EmpassionMindy Stewart-Coffee, National Vice President, Palliative Care, Optum Home & CommunityThe conversation highlights a small, high-impact set of indicators that better reflect real-world hospice performance—such as visits in the last days of life, live discharges and burdensome transitions, gaps in nursing visits, access to higher levels of care (GIP and Continuous Home Care), and patient experience, including the simple but powerful question: “Would you recommend this hospice?”A central takeaway is nuance: more is not always better. High-quality hospice care lives within healthy ranges and must be interpreted in clinical, geographic, and population context—not through rigid or one-size-fits-all targets.The episode also highlights the critical role of palliative care upstream from hospice.  Earlier, multidisciplinary engagement helps align goals, manage symptoms proactively, and reduce crises and late referrals—ultimately redefining value at the end of life as goal-concordant care delivered at the right time, in the right setting, at a sustainable cost.  Hospice and palliative care are not peripheral to value-based healthcare—they are foundational to it.Great end-of-life care isn't accidental—it's designed, supported, and measured well.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Bill Thach has had 9 lines of treatment, over 1,000 doses of chemo, and more scans than an airport. He runs ultramarathons for fun. He jokes about being his own Porta Potty. He became a father, then got cancer while his daughter was 5 months old. Today she is 8. He hides the worst of it so she can believe he stands strong, even when he knows that hiding has a cost.We talk about the illusion of strength, what it means to look fine when your body is falling apart, and how a random postcard in an MD Anderson waiting room led him to Man Up to Cancer, where he now leads Diversity and AYA Engagement. Fatherhood. Rage. Sex. Denial. Humor. Survival. All that and why the words good morning can act like a lifeline.RELATED LINKSFight Colorectal CancerCURE TodayINCA AllianceMan Up to CancerWeeViewsYouTubeLinkedInFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

173 Understanding Palliative Care with Dr. Win Lin Chai In this episode of Hospice Explained, host Marie Betcher RN interviews Dr. Win Lin Chai, a palliative care specialist from Malaysia. They discuss the role of palliative care in improving the quality of life for patients with serious illnesses, the importance of early referral, and the challenges faced by healthcare providers in delivering holistic care. Dr. Chai shares insights from her extensive experience, including a touching patient story, and emphasizes the need for healthcare professionals to support and understand both patients and their fellow caregivers. 00:00 Introduction to Hospice Explained 00:46 Meet Dr. Win Lin Chai 01:47 Dr. Chai's Journey into Palliative Care 05:26 Understanding Palliative Medicine 06:49 Challenges and Advocacy in Palliative Care 08:23 Palliative Care in Malaysia 21:17 Patient Stories and Impact 27:03 The Importance of Palliative Care 28:48 Conclusion and Final Thoughts   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.

Recent randomized controlled trials have shown that routine perioperative palliative care does not improve outcomes for patients undergoing curative-intent cancer surgery. No, that wasn't a typo. Regardless of how the data were analyzed, the findings remained consistent: perioperative palliative care DID NOT improve outcomes in the only two randomized controlled trials conducted in this area—the SCOPE and PERIOP-PC trials. Null trials like these often receive less attention in academic and clinical settings, but they can be profoundly practice-changing. Consider the Shannon Carson study on palliative care for chronically critically ill patients. While some have argued it "wasn't a palliative care study," I've always regarded it as one of the most significant studies for understanding not what works—but what doesn't—for palliative care in specific patient populations. The same holds true for the SCOPE and PERIOP-PC trials. Both were null, but their findings are deeply relevant to clinical practice. That's why we invited the lead authors, Rebecca Aslakson (PERIOP-PC) and Myrick "Ricky" Shinall (SCOPE), to share insights into what they did in their studies and why they think they got the results that they did. One key takeaway for me from this discussion was the idea that patients undergoing curative-intent surgery might simply be too early in their cancer trajectory to derive meaningful benefits from palliative care, and maybe the focus should be more on geriatrics. I especially appreciated the closing discussion about the future of research in this area: if routine perioperative palliative care doesn't improve outcomes, what should the next generation of studies focus on? Eric Widera   Studies we talk about during the podcast Aslakson et al. Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer: A Randomized Clinical Trial. JAMA Netw Open. 2023 Shinall et al. Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer: A Randomized Clinical Trial. JAMA Surg. 2023 Carson et al. Effect of Palliative Care–Led Meetings for Families of Patients With Chronic Critical Illness: A Randomized Clinical Trial. JAMA. 2016 Holdsworth et al. Patient Experiences of Specialty Palliative Care in the Perioperative Period for Cancer Surgery. JPSM. 2024 Williams et al. Patient Perceptions of Specialist Palliative Care Intervention in Surgical Oncology Care. Am J Hosp Palliat Care. 2025  Yefimova et al. Palliative Care and End-of-Life Outcomes Following High-risk Surgery. JAMA Surg. 2020   

Elizabeth Stovicek ('13) joins Beyond the Bubble to share her experience at Hillsdale as a Biology Major, Spanish Minor and her campus involvement, in addition to what her day looks like as she works in Emergency Medicine and Palliative Care. See omnystudio.com/listener for privacy information.

In this episode, Catrina Simbe-Geriak shares the story behind the creation of Tyler's Grace Foundation, a mission born from a critical meeting where the conversation shifted to home care and the difficult reality of dying.Our discussion explores the profound moments experienced by patients, caregivers, and families as they navigate end of life visions, serious illness, and the compassionate role of palliative care at the end of life. Catrina reflects on how faith, presence, and service can bring dignity and peace during life's most vulnerable chapters.This conversation offers insight into how loss can be transformed into purpose and how compassionate care can create meaning, comfort, and connection even at the end of life.Please learn more about Tyler's Grace Foundation or connect with Catrina:Website: https://tylersgracefoundation.org/Catrina's LinkedIn: https://www.linkedin.com/in/catrina-simbe-geriak-4355131/0:00 Preview: Hospice, the Ocean, and the Birth of a Mission0:39 Introduction: Meet Catrina Simbe-Geriak2:12 Early Life, Grit, and a People-First Calling3:47 Tyler's Diagnosis: A Childhood Cancer Journey Begins6:38 Two Surgeries, Treatment, and a Family Under Pressure7:40 A Second Diagnosis: Fighting Cancer on Two Fronts15:16 “Best Day Ever”: Tyler's Mindset and Life Lessons18:00 The Hardest Meeting: Hospice, Palliative Care, and Letting Go20:07 The Beach House: Making the Final Months Count22:56 Grief, Faith, and Healing After Compound Loss27:40 Tyler's Grace Foundation: Creating Protected Memories31:24 The Future: Lake Almanor Home, Never Saying No, and Legacy______________________________________________________________If this episode inspires you to be part of the movement, and you believe, like me, that entrepreneurs are the answer to our future, message me so we can join forces to support building truly great companies in our region. -Subscribe to my channel here: https://www.youtube.com/channel/UCom_​... -  Mark Haney is a serial entrepreneur that has experience growing companies worth hundreds of millions of dollars. He is currently the CEO and founder of HaneyBiz -  Instagram: http://instagram.com/themarkhaney​ Facebook: www.facebook.com/themarkhaney LinkedIn: https://www.linkedin.com/in/markehaney​ Website: http://haneybiz.com​ Audio Boom: https://audioboom.com/channels/5005273​  Twitter: http://twitter.com/themarkhaney-This video includes personal knowledge, experiences, and opinions about Angel Investing by seasoned angel investors.  This content is for informational purposes only and should not be construed as legal, tax, investment, or financial advice.  Nothing in this video constitutes a solicitation, recommendation, or endorsement.#thebackyardadvantage #themarkhaneyshow #entrepreneur #PowerOfWith #SacramentoEntrepreneur #Sacramento#SacramentoSmallBusiness #SmallBusiness #GrowthFactory #Investor#Podcast

Shannon Burkett has lived about six lives. Broadway actor. SNL alum. Nurse. Filmmaker. Advocate. Cancer survivor. And the kind of person who makes you question what you've done with your day. She wrote and produced My Vagina—the stop-motion musical kind, not the cry-for-help kind—and built a global movement after her son was poisoned by lead dust in their New York apartment. Out of that came LEAD: How This Story Ends Is Up to Us, a documentary born from rage, science, and maternal defiance. We talked about everything from The Goonies to Patrick Stewart to the quiet rage of parenting in a country that treats public health like a hobby. This episode is about art, anger, resilience, and what happens when an unstoppable theater nerd turned science geek Jersey girl collides with an immovable healthcare system.RELATED LINKSShannon Burkett Official SiteLEAD: How This Story Ends Is Up to UsEnd Lead PoisoningLinkedIn: Shannon BurkettBroadwayWorld ProfileFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

"I just want to say one word to you.  One word.  Plastics… There's a great future in plastics." This iconic line from the movie The Graduate is at the top of my mind when I think about where we are heading in healthcare. I've interpreted "plastics" as symbolizing a dystopian, mass-produced future of medicine—where artificiality and inauthenticity dominate in the pursuit of efficiency and profit margins. After listening to today's podcast on the growth of community-based palliative care, I find my perspective shifting on this quote. Perhaps the advice given for a future in plastics reflects the past generation's established worldview, failing to recognize a countercultural revolution seeking transformation and meaningful change, even if it may come across as a little brash. In this thought-provoking episode of the GeriPal podcast, we are joined by Alan Chiu (Chief of Palliative Care at Monogram Health), Mindy Stewart-Coffee (National Vice President of Palliative Care at Optum Home and Community), and Ben Thompson (National Medical Director for Hospice and Palliative Care at Gentiva) to discuss this revolution happening in palliative care. The conversation centers around the rapid growth and investment in community-based palliative care, which has emerged as a key area of innovation and opportunity to meet the largely unmet needs of patients living with serious illnesses. With a focus on expanding access, improving outcomes, and addressing workforce shortages, the guests explore how value-based care models are reshaping palliative care delivery. The discussion highlights the differences between traditional fee-for-service models and newer value-based care approaches, including how they incentivize care. We take a deep dive into the risks and benefits of these models, emphasizing the importance of maintaining high standards of care while fostering innovation. We also delve into the role of for-profit organizations and private equity in driving change, acknowledging concerns about motivations while recognizing that these entities can help spur innovation and improve access when led by clinicians committed to patient-centered care. Ultimately, this podcast serves as a call to action for the palliative care community to help shape not just the "Wild West" of community-based care, but palliative care 3.0 as a whole. Do we sit back and wait for a future dominated by a plastic version of palliative care, or do we help lead this revolution to ensure it maintains the authentic heart of what brought us to this field?  As Diane Meier aptly warns, "if you are not at the table, you're on the menu." Eric Widera Of Note: the views expressed in this podcast are our guests' own opinions and not representative of their organizations.

Sometimes you just have an especially bad day. If you are a caregiver who cares for a mom, dad, or spouse with a serious illness like cancer, Alzheimer's disease, other dementia illnesses, or ALS you may be familiar with caregiver stress and you've probably had multiple especially bad days.How do you handle them? What works to reduce your suffering?On this week's episode of The Integrative Palliative Podcast Dr. Delia discusses 6 approaches to reducing your suffering when you are facing an especially bad day.#caregiver #caregiving #badday #palliativeWww.DoctorDelia.com Coping Courageously: A Heart-Centered Guide for Navigating a Loved One's Illness Without Losing Yourself is available here: www.copingcourageously.com Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!Sign up to stay connected and learn about upcoming programs:https://trainings.integrativepalliative.com/IPI-stay-in-touchI'm thrilled to be listed in Feedspot's top 15 palliative podcasts!https://blog.feedspot.com/palliative_care_podcasts/

Michael Kramer was 19 when cancer ambushed his life. He went from surfing Florida beaches to chemo, radiation, and a bone marrow transplant that left him alive but carrying a chronic disease. He had necrosis in his knees and elbows, lost his ability to surf for years, and found himself stuck in hospitals instead of the ocean. Yet he adapted. Michael picked up a guitar, built Lego sets, led support groups, and started sharing his story on Instagram and TikTok.We talk about masculinity, identity, and what happens when the thing that defines you gets stripped away. He opens up about dating in Miami, freezing sperm at a children's hospital, awkward Uber-for-sperm moments with his brother, and how meditation became survival. Michael lost his father to cancer when he was a teen, and that grief shaped how he lives and advocates today. He is funny, grounded, and honest about the realities of survivorship in your twenties. This episode shows what resilience looks like when you refuse to walk it off and choose to speak it out loud instead.RELATED LINKSMichael Kramer on InstagramMichael Kramer on TikTokMichael and Mom Inspire on YouTubeAshlee Cramer's BookUniversity of Miami Sylvester Comprehensive Cancer CenterStupid Cancer FEEDBACKLike this episode? Rate and review Walk It Off on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

So many of our choices are shaped less by desire and more by expectation. We chase prestige, status, or recognition, only to arrive and realize we were climbing the wrong ladder. Beneath burnout and the friction, there's often the truth that we were never pursuing what we truly wanted. In this episode, we explore the concept of mimetic desire, how it misguides our ambitions, and how to reclaim our decisions. Finally, we examine how fear of judgment and shame shape our careers more than we think, and what it takes to break free.Guest bio: Josh Russell, MD, is double board-certified in Emergency Medicine and Palliative Care. He's held leadership roles as a Chief Medical Officer in telehealth, artificial intelligence, and urgent care systems. He's an experienced clinician, writer, educator, and medical editor with a passion for making complex topics accessible. LinkedIn article that spurred this podcastJosh's WebsiteWe Discuss:Mimetic Desire: Chasing What Others WantThe Trap of “Should”: Internalized ShameThe Concentric Circles of StressorsFinding What You Really WantThe Ladder Against the Wrong WallActionable Reflection PracticesMentioned in this episode:Awake and Aware | March 1-4, 2026Our annual retreat. Scottsdale, AZ. If you want to recalibrate and reset, this is for you. Registration closes Feb 14, 2026.Learn More HereDoctoring Done Well | Bite-Sized WinsEvery other week, a few minutes of career-elevating insight delivered straight to your inbox. The Doctoring Done Well Newsletter is never lame, never spammy, and always fresh.Sign up for our Newsletter

Only around 18% of inherited metabolic diseases have disease-specific treatments, yet palliative care remains strikingly underused. In this episode, Anja Lee and Trine Tangeraas discuss a pan-European survey exploring access, barriers, and how earlier integration of palliative care can transform support for people living with IMDs. Palliative Care for Children and Adults With Inherited Metabolic Disease in Europe: An Underutilised Service for Supportive Treatment and Care Anja Lee, et al https://doi.org/10.1002/jimd.70095

Daniel Garza had momentum. Acting roles, directing gigs, national tours lined up. Then anal cancer stopped everything. Radiation wrecked his body, stripped him of control, and left him in diapers, staring down despair. His partner, Christian Ramirez, carried him through the darkest nights, changed his wounds, fought hospitals, and paid the price with his own health. Christian still lives with permanent damage from caregiving, but he stayed anyway.Together they talk with me about masculinity, sex, shame, friendship, and survival. They describe the friendships that vanished, the laughter that kept them alive, and the brutal reality of caregiving no one prepares you for. We get into survivor guilt, PTSD, and why even rocks need rocks. Daniel is now an actor, director, and comedian living with HIV. Christian continues to tell the unfiltered truth about what it takes to be a caregiver and stay whole. This episode gives voice to both sides of the cancer experience, the survivor and the one who stands guard. RELATED LINKSDaniel Garza IMDbDaniel Garza on InstagramDaniel Garza on FacebookChristian Ramirez on LinkedInLilmesican Productions Inc (Daniel & Christian)Stupid Cancer FEEDBACKLike this episode? Rate and review Walk It Off on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What if grief isn't something to “get over” but something that can lead us toward meaning, connection, and healing? Jill interviews David Kessler, a leading expert on loss and healing. They discuss Kessler's background, his books, especially Finding Meaning: The Sixth Stage of Grief, and his journey through personal grief, including the loss of his son. David shares insights on the stages of grief, differentiates between practical and emotional grief, and stresses the importance of finding meaning and community in the healing process. He also touches on the role of children at funerals and the concept of continuing bonds with deceased loved ones. Tune in for invaluable perspectives on enduring and transforming through profound loss.Listen and Learn: How David's life was transformed by severe personal trauma and loss into a path devoted to assisting others in overcoming griefWhy grief is a natural consequence of choosing love and connection rather than a defect or failureDavid's more expansive definition of grief Challenging the idea that grief has a timeline and how healing isn't about “ending” grief, but learning how to carry it differentlyThe non-linear and deeply personal journey of loss and what it takes to show up for yourself in the hardest momentsHow facing grief head-on can transform pain into growth and reveal unexpected meaning in life's hardest momentsWhy some people seem to sail through grief while others struggle silentlyHow meaning often hides in the small, unexpected moments of life and lossResources: Finding Meaning: The Sixth Stage of Grief https://bookshop.org/a/30734/9781501192746 David's Website: http://Grief.com Grief Educator Certification with David Kessler: https://www.davidkesslertraining.com/certificationTender Hearts Online Grief Group: https://www.davidkesslertraining.com/tender-hearts-fb21 Connect with David on Social Media:https://www.youtube.com/@iamdavidkesslerhttp://instagram.com/iamdavidkesslerhttps://www.linkedin.com/in/david-kessler/http://www.facebook.com/pages/David-KesslerAbout David Kessler David Kessler is one of the world's foremost experts on loss and healing. His decades of experience with thousands of people on the edge of life and death has taught him the secrets to living a happy and fulfilled life, even after life's tragedies. He is the author of seven books including his latest bestselling book, Finding Meaning: The Sixth Stage of Grief, as well as a new Finding Meaning Companion Workbook. He co-authored two books with Elisabeth Kübler-Ross, Life Lessons and On Grief and Grieving. He co-wrote You Can Heal Your Heart with Louise Hay and also wrote Visions, Trips and Crowded Rooms: Who and What You See Before You Die. His first book, The Needs of The Dying received praise from Saint (Mother) Teresa.His article in the Harvard Business Review, titled, The Discomfort You Are Feeling is Grief went viral and was named one of “The Most Influential and Innovative Articles from Harvard Business Review's First Century. His talk with Brené Brown was the #1 podcast in the world. He also hosted his own Spotify Podcast called Healing with David Kessler.He has a unique place in pop culture as one of his books being the premise for the season premiere of The Walking Dead and he was a question on Alex Trebek's Jeopardy. His new online model of grief support, Tender Hearts, offers over twenty-five groups. Additionally, David leads one of the most respected Grief Educator Certification programs. He is the founder of Grief.com.Related Episodes:52. Palliative Care and Healing with Michael Kearney116. Building a Meaningful, Values-based Life with Jenna LeJeune117. Bearing Unbearable Loss: A conversation About Grief with Joanne Cacciatore157. The Art of Dying Well with Katy Butler351. You Only Die Once with Jodi Wellman384. Understanding Grief and Loss with Meghan Riordan Jarvis419. Break Up on Purpose with John KimSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Trevor Maxwell lived the archetype of masculinity in rural Maine. Big, strong, splitting wood, raising kids, and carrying the load. Then cancer ripped that script apart. In 2018 he was bedridden, emasculated, ashamed, and convinced his family would be better off without him. His wife refused to let him disappear. That moment forced Trevor to face his depression, get help, and rebuild himself. Out of that came Man Up To Cancer, now the largest community for men with cancer, a place where men stop pretending they are bulletproof and start being honest with each other.Eric Charsky joins the conversation. A veteran with five cancers, forty-nine surgeries, and the scars to prove it, Eric lays out what happens when the military's invincible mindset collides with mortality. Together, we talk masculinity, vulnerability, sex, shame, and survival. This episode is blunt, raw, and overdue.RELATED LINKSMan Up To CancerTrevor Maxwell on LinkedInDempsey CenterEric Charsky on LinkedInStupid Cancer FEEDBACKLike this episode? Rate and review Walk It Off on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The most anticipated annual tradition on Out of Patients returns with the 2025 Holiday Podcast Spectacular starring Matthew's twins Koby and Hannah. Now 15 and a half and deep into sophomore year, the twins deliver another unfiltered year end recap that longtime listeners wait for every December. What began as a novelty in 2018 has become a time capsule of adolescence, parenting, and how fast childhood burns off.This year's recap covers real moments from 2025 A subway ride home with a bloodied face after running full speed into that tree that grows in Brooklyn. Broadway obsessions fueled by James Madison High School's Roundabout Youth Ensemble access, including Chess, & Juliet, Good Night and Good Luck, and Pirates of Penzance holding court on Broadway. A Disneylanmd trip where the Millennium Falcon triggered a full system reboot. A New York Auto Show pilgrimage capped by a Bugatti sighting. All the things.The twins talk school pressure, AP classes, learner permit anxiety, pop culture fixation, musical theater devotion, and the strange clarity that comes with turning 15. The humor stays sharp, the details stay specific, and the passage of time stays undefeated. This episode lands where the show works best: family, honesty, and letting young people speak for themselves.FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.