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Host Rachel Neufeld, speaks with Dr. Nusrat Jahan in Bangladesh, exploring her career choices, and her passion for the pediatric palliative care fellowship and what it means for her practice in the future.
This episode is sponsored by Invivyd, Inc.Marc Elia is a biotech investor, the Chairman of the Board at Invivyd, and a Long COVID patient who decided to challenge the system while still stuck inside it. He's not here for corporate platitudes, regulatory shoulder shrugs, or vaccine-era gaslighting. This is not a conversation about politics, but it's about power and choice and the right to receive care and treatment no matter your condition.In this episode, we cover everything from broken clinical pathways to meme coins and the eternal shame of being old enough to remember Eastern Airlines. Marc talks about what it means to build tools instead of just complaining, what Long COVID has done to his body and his patience, and why the illusion of “choice” in healthcare is a luxury most patients don't have.This conversation doesn't ask for empathy. It demands it.RELATED LINKSMarc Elia on LinkedInInvivyd Company SiteMarc's Bio at InvivydFEEDBACKLike this episode? Rate and review Out of Patients 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.
Doctors often use euphemisms to dance around the 'C' word. But for oncologist Dr Ranjana Srivastava, how you talk to someone with cancer goes beyond "shadows, lumps and lesions". It's all about compassion and clarity, even when honesty is difficult.Ranjana Srivastava was a young doctor in regional Australia, accompanying her consultant on his late night rounds when she heard a patient say something that stopped Ranjana in her tracks.It was in that moment that she finally knew what her speciality was going to be: oncology. Ranjana now works in Melbourne as an oncologist and an author.She often writes about the need for clarity and compassion in doctor-patient conversations, to deliver good news, bad news and everything that falls between.Ranjana had her own experience of being at the receiving end of devastating news when she was pregnant with twins.Ranjana has carried the lesson she received from her own doctor forward, into her work as an oncologist, where bearing witness to the attitudes of her patients has changed the way she sees the world and has helped put her own life in perspective.Further informationRanjana's latest book, Every Word Matters, is published by Simon & Schuster.She has published seven books about cancer and end of life care, including A Better Death, Tell Me the Truth, Dying for a Chat, So It's Cancer: Now What, and After Cancer: A Guide to Living Well.Ranjana also writes a regular column for The Guardian.In 2017, Ranjana was awarded an Order of Australia medal for her work as an oncologist and in improving doctor-patient communication.This episode of Conversations was produced by Meggie Morris. Executive producer is Nicola Harrison.It explores cancer, oncology, the big C, cancerland, breast cancer, bowel cancer, how to survive cancer, incurable cancer, end of life care, palliative care, honest doctors, refusing treatment, chemotherapy, radiation, how to be honest with patients, doctor patient relationship, geriatric oncology, India, migration, motherhood, late term miscarriage, pregnancy, writing, books, origin story, journalism.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.
In this episode of Room 64 - A Palliative Care Podcast, we are joined by Jess Bosnjak who is sharing her experience with palliative care when her mum Vicki was diagnosed with cancer. Jess is interviewed by Amanda Myring who is a spiritual care worker in the Barwon Health Palliative Care team.This is an insightful conversation with Jess about her mum – her sense of humour, her compassion for others, their love and the importance of those brutal conversations. Jess also shares her experiences of turning 30 while her mum was in the Palliative Care ward at the McKellar Centre, the caring staff and how they went out of their way to make it a memorable month.Jess talks openly about the fear of dying and the importance of education and conversations to help ease the stress and deal with the decision making.This episode was recorded during Dying to Know Week, so please take the opportunity to listen to this episode and share through your networks to keep these important conversations happening.
Marian says Palliative Care can make all the difference in heartbreaking circumstances and explains how a hospice can go the extra mile to make last days special"Goodbye My Son" by Marian O'Mahony available here and here “Building a Career in Palliative Care” 5-7pm Mon Sep 8th at Marymount University Hospital & Hospice Hosted on Acast. See acast.com/privacy for more information.
PJ hears about the explosion of interest in ADHD in Cork, learns about a jobs revolution in offshore wind, talks to Marian who lost her son at 18 to cancer about the Hospice staff who were so kind. And more.... Hosted on Acast. See acast.com/privacy for more information.
Samuel Theiler ist Dharma-Lehrer, Vater, Grossvater – und ein Mensch mit einem ungewöhnlichen Weg vom Werkzeugmacher zur spirituellen Begleitung. Schon in der Jugend spürte er, dass das Leben, wie es gewöhnlich läuft, für ihn nicht stimmte. Auf der Suche nach Sinn begegnete er LSD, Bioenergetik, Meditation – und später dem buddhistischen Weg. Er praktiziert seit über 30 Jahren vorwiegend in der Vipassana-Tradition, geprägt von südostasiatischen Lehrer*innen und intuitiv wahrnehmenden Frauen.Im Gespräch erzählt Samuel, wie sich aus frühem Unmut eine tiefe Praxis entwickelt hat – getragen von psychonautischen Erfahrungen, langen Retreats und der schrittweisen Integration von Trauma, Angst und Nichtwissen. Er spricht über spirituelle Lehrerinnen ohne Tradition, seine Arbeit in der Sterbebegleitung, über Mitgefühl als Folge von Nicht-Ich und über die Kraft, die darin liegt, sich dem Leben ganz hinzugeben.Wir sprechen über:
Episode NotesWhat Health Connectors are and why they matter.The danger of a provider-centered workflow—and how to avoid it.Real examples of how proactive home visits catch problems early.Why vital signs can be the key to preventing 50% of heart attacks.The culture shift needed: salaried roles with responsibility, not clock-in/clock-out mindsets.Scott's challenge to all healthcare workers: “Go see your damn patients.” www.YourHealth.Org
Father Dave welcomes author Michael Carlon to discuss his new novel “The Waiting Room” which reframes how we journey with those close to death.
In this week's episode, Brain & Life Podcast co-host Dr. Katy Peters is joined by Kristin Flanary, AKA Lady Glaucomflecken. Kristin has advanced training in both cognitive neuroscience and social psychology and now is active on social media, podcasts, and comedy shows with her husband, Dr. Glaucomflecken. Kristin shares her unique perspective on the healthcare system, having been a patient, a caregiver, and a co-survivor of her husband's medical challenges, including his two cancer occurrences and a sudden cardiac arrest that led to a stay in the Neurological Intensive Care Unit. Dr. Peters is then joined by Dr. Jessica McFarlin, is an associate professor of neurology at the University of Kentucky Department of Neurology and Chief of the Division of Palliative Care who is trained in both neurocritical care medicine and palliative care medicine. Dr. McFarlin explains how Neurological Intensive Care Units provide life-saving care for patients with severe neurologic injuries, such as strokes and brain trauma. Come back next week for part two to hear more about the term “co-survivor” and the importance of thoughtful doctor/patient communication. Additional Resources Lady Glaucomflecken What is the Difference Between Coma, Minimally Conscious State, Persistent Vegetative State, and Brain Death? How to Keep Loved Ones Safe in the Hospital Other Brain & Life Podcast Episodes on These Topics What is an ICU and Neurologic Critical Care? Tips and a Guide for Everyone Nora McInerny on Moving Forward with Grief Advocating for a Multiple Sclerosis Diagnosis with Comedian Kellye Howard We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? · Record a voicemail at 612-928-6206 · Email us at BLpodcast@brainandlife.org Social Media: Guests: Kristin Flanary @ladyglaucomflecken; Dr. Jessica McFarlin @ukadultneuro Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD
Rabbi Dr. Jason Weiner joins the podcast to discuss a new paradigm in palliative care, one that redefines the conversation around end-of-life decisions. This episode explores how two of today's most respected halachic authorities, Rav Asher Weiss and Rav Hershel Schachter, have provided rulings that completely change the game. Rabbi Dr. Weiner unpacks these "never-before-seen" piskei halacha, which allow for a more nuanced approach. The discussion delves into the ethical and practical implications of these rulings for patients, families, and medical professionals. Rabbi Dr. Weiner shares powerful stories from his work as a hospital chaplain, illustrating how this new approach can enable patients to find comfort and dignity in their final days. The episode offers a crucial and timely conversation for anyone grappling with end-of-life care decisions.To learn more about Rabbi Dr. Wiener and what he offers, please view his website: rabbiweiner.com
Listen in as Zev A. Wainberg, MD; Paul E. Oberstein, MD; and Mark O'Hara, MD, discuss the evolving treatment landscape for metastatic pancreatic cancer, including:How patients often present with disease-related symptomsTreatment selection considerations for the first-line and second-line settingHow to approach palliative care discussions with patientsEmerging therapies that are showing promise in this settingPresentersPaul E. Oberstein, MDAssociate Professor of MedicineSection Chief, GI OncologyPerlmutter Cancer CenterNYU Langone HealthNew York, New YorkMark O'Hara, MDAssociate Professor of MedicineDivision of Hematology and OncologyUniversity of PennsylvaniaPhiladelphia, PennsylvaniaZev A. Wainberg, MDProfessor of Medicine and SurgeryCo-Director of GI OncologyDirector, Early Phase Clinical Research ProgramJonsson Comprehensive Cancer CenterUCLA School of MedicineLos Angeles, CaliforniaLink to full program: https://bit.ly/45NdBTx
In this Vital Health Podcast, host Duane Schulthess speaks with two leading European voices on oncology and health economics: Andreas Charalambous: Chair of Nursing at Cyprus University and Executive Board Member at MASCC, former President of the European Cancer Organization, Director of the Research Center for Oncology and Palliative Care at eOncoRise Lieven Annemans: Professor of Health Economics at Ghent University, past President of ISPOR Together, they unpack why the EU’s Beating Cancer Plan and Cancer Mission remain only partially implemented and what it will take to turn commitments into action. Key Topics Centralized vs. National Action: Why Europe still needs coordinated cancer strategies alongside national execution, and how fragmentation drives inertia. Costs, Rarity, and Value: The economics of small patient populations, return on investment, and why rare cancers demand inclusion in national plans. Prevention & Early Detection: How shifting budgets from treatment to prevention and screening offers long-term impact but little short-term political payoff. Equity & Access: Unequal survival rates between and within EU member states, limited medicine availability in countries like Greece, and the role of patient engagement. Data & Accountability: Calls for plan-do-check-act cycles, stronger measurement, and better digital health training for Europe’s cancer workforce. Financing & Long-Term Policy: Whether EU-level financing instruments should support health infrastructure, and why tackling social and commercial determinants could reshape outcomes over decades. This episode offers a candid look at the complexity of cancer policy in Europe, exploring prevention, financing, innovation, and political realities that will define cancer care over the next decade. Opinions expressed are those of the speakers, not the institutions listed. Podcast created with the support of Merck Sharp & Dohme. Recorded July 2025.See omnystudio.com/listener for privacy information.
After years of carrying the weight of lead, Shannon and Cooper find a path out from under the darkness and into the sunlight.LEAD: how this story ends is up to us is an audio docudrama series that tells the true story of one child, his mysterious lead poisoning, and his mother's unwavering fight to keep him safe. A true story written by Shannon Burkett. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett.Lead was produced by Shannon Burkett. Co-produced by Jenny Maguire. Featuring Amy Acker, Tom Butler, Dennis T. Carnegie, James Carpinello, Geneva Carr, Dann Fink, Alice Kris, Adriane Lenox, Katie O'Sullivan, Greg Pirenti, Armando Riesco, Shirley Rumierk, Thom Sesma, and Lana Young. Music by Peter Salett. “Joy In Resistance” written by Abena Koomson-Davis and performed by Resistance Revival Chorus. Casting by Alaine Alldaffer and Lisa Donadio. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Why is palliative care so important in ILD, especially in early diagnosis? How would you define palliative care, especially in the context of ILD? Dr. Gillian Love of the Division of Palliative Care with Jefferson Health joins Crockett to discuss these questions and more in the 'Pulmonary Fibrosis' podcast! Brought to you by the Wescoe Foundation for Pulmonary Fibrosis -- and the PAIPF Support Network -- visit PAIPFsupportnetwork.org!See omnystudio.com/listener for privacy information.
The deficits from the lead poisoning continue to intensify, Shannon channels her anger and grief into holding the people who hurt her son responsible.LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett.EP4 features Eboni Booth, Sasha Eden, Kevin Kane, April Matthis, Alysia Reiner, and Mandy Siegfried. Casting by Alaine Alldaffer and Lisa Donadio. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
THE GOOD DEATH VIRTUAL BOOK TOUR: Suzanne B. O'Brien RN in Conversation with Jennifer A. O'Brien. Discover the powerful journey of caregiving with Jennifer, a seasoned healthcare administrator with nearly 40 years of experience, whose personal losses and the tender care of her late husband, a hospice doctor battling cancer, shaped her profound perspective on end-of-life care. In this heartfelt conversation, Jennifer shares the wisdom behind her books The Hospice Doctor's Widow and Care Boss, offering invaluable insights into the true meaning of presence during life's most precious moments. Together, we explore the misunderstood nuances of hospice and palliative care, the importance of advanced care planning, and the moral challenges faced by healthcare professionals. This episode invites us to reframe death not as an adversary but as a natural part of life, empowering caregivers and families to lead with compassion, clarity, and courage in the face of life's final chapter. (00:02) Navigating the End-of-Life Care Journey (13:01) Clarifying Hospice and Palliative Care (27:41) Exploring Advanced Care Planning Options (32:10) Empowering Caregivers Through Leadership and Vision Register to join us for FREE: THE GOOD DEATH BOOK CLUB EXPERIENCE: 12 MONTH FREE DEATH AND DYING COURSE Or visit our website here! GET THE GOOD DEATH BOOK Here Meet our guest: Jennifer A. O'Brien Interim Healthcare CEO, Author Website: www.jenniferaobrien.com LinkedIn: Jennifer O'Brien Facebook Group: Hospice Doctor's Widow - Jennifer A. O'Brien, MSOD Instagram: @hospicedoctorswidow Please Share! Know someone who is a caregiver, healthcare worker, or spiritual seeker? Share this episode and invite them to join this sacred and supportive experience. Listen & Subscribe: Available on Apple Podcasts • Spotify • Google Podcasts • YouTube JOIN MY FREE TRAINING AND MEMBERSHIP SITE This is a community-supported group hosted by Suzanne B. O'Brien RN, founder of the International Doulagivers Institute for training those who want to be professional End of Life Doulas, Doulagiver Practitioners and for anyone wanting more EOL education Join Here: 4491664174178077 ⚑ SUBSCRIBE TO MY CHANNEL ⚑ If you want to do great things you need to have a great environment. Create the life you want by surrounding yourself with positivity and watching daily. Click here to subscribe! ツ CONNECT WITH ME ツ Leave a comment on this video and it'll get a response. Or you can connect with me on different social platforms too: Instagram Facebook TikTok Website Podcast #deathdoula #deathdoultraining #dyingwell #death #life #deatheducation #doulagivers #hospice #hospicecare #hospicenurse #deathdoula #soulmidwife #deathmidwife #endoflifeplanning #healthcareproxy #funerals #fearofdeath #endoflifedoula #thegooddeath #hospice #grief #deathawareness #birth #endoflife #deathpositivity #consciousdying #dying #advanceplanning #deathpositive #gooddeath #consciousliving #endoflifedirective #palliativecare #advancedirective #livefully #suzannebobrien. #lifecafe #consciousness #awarenes
In the premiere episode of Outside the OR, host Dr. Russell Berman sits down with surgical oncologists Dr. Bridget Fahy and Dr. EeeLN Buckarma for an insightful conversation on the critical role of palliative care in surgical oncology. Whether you're a surgical oncologist, trainee, or healthcare professional, you'll gain valuable perspectives on why good palliative care is truly good surgical care.
What up, Beasts. Welcome back to the show! In this episode, I had the absolute pleasure of talking with Dr. Jeannie May, whose story blew me away. She shared her near-death experience during the birth of her first child, which completely shifted how she saw life, medicine, and what it means to truly heal. That moment cracked her open to the fact that there's more to this world than the rigid, scientific lens she had been living through as a physician. Years later, on what she thought was just a casual breathwork training, she discovered a practice that allowed her to process emotions and traumas in a way years of talk therapy and medication never could. Hearing her describe how a single session felt like five years of therapy gave me chills.What I loved about our conversation is how she made something as simple as breathing feel like the most underutilized superpower we all have. We talked about everything from anxiety, depression, and stress, to how shallow chest breathing actually keeps our bodies stuck in “danger mode.” Dr. May shared practical tips like box breathing, 4-4-6 breath, and even the surprising sleep hack of taping your mouth at night to help your body rest and heal. And no, before you let your brain go there, this isn't some kinky thing. It's about better sleep, less snoring, and clearer sinuses. Honestly, this episode felt like an invitation to stop white-knuckling our way through stress and start using the power we already carry inside us.As always, I hope something lands with you today. I hope something you hear tugs at your heart strings and/or I hope you laugh.Bio: Dr. Jeannie May is a board-certified physician helping people regulate emotions and heal through the power of breath. With certifications in Internal Medicine, Geriatrics, Hospice and Palliative Care, and Addiction Medicine, she bridges Western science with ancient wisdom to combat chronic stress and its health effects. Based in Nashville, she shares breathwork globally through her platform, TheBreathMD, and her book Breath: The Remote Control to Inner Calm.Music by Prymary: Sean Entrikin (my hot husband) on guitar, Chris Quirarte on drums, Smiley Sean on keyboards, Rob Young on bass, and Jaxon Duane on vocals.Connect with Dr. Jeannie May!Website: TheBreathMD.comFree gift: a 2 minute video called "90 Seconds to Calm" - to receive, text "Breath" to 26786Book: Breath: The Remote Control to Inner Calm - https://www.amazon.com/Breath-Remote-Control-Inner-Calm-ebook/dp/B0D79GC1FBFacebook: https://www.facebook.com/TheBreathMDLifewave patches (Live younger with less pain): LifeWave.com/DrJeannieWhere else can you find me?Linktree: https://linktr.ee/beautifulbeastwithinstudiosWhat if health wasn't about rules or restriction?What if it felt more like trust, ease, and actually liking the person in the mirror?I help people rebuild their relationship with food, movement, and themselves, so health becomes something you live, not something you chase.Ready for a different kind of conversation?Let's talk. No pressure.https://beautifulbeastwithinstudios.com/exploration-chat-schedulingAffiliate LinksBreakthrough Coaching Certification: If you feel called to help others heal or grow, Sean Smith's Breakthrough Coaching Certification is where that calling becomes real. https://coachseansmith.ontraport.net/t?orid=27037&opid=43Opus Clip: I use Opus Clip mostly for captions, and it's a game-changer for turning long videos into usable clips. If you use my link, it supports the show, and I appreciate you big time! https://www.opus.pro/?via=1118d2Mary Kay: Listen… I've been using Mary Kay since I was 17. I'm 40 now and people still ask me what college I go to. Not really, but you get the idea. Grab your faves here: https://www.marykay.com/kaitienoelleBeastly Merch: https://beautifulbeastwithinstudios.com/merchUnveil the Beautiful Beast Within YOU!Zoom Background:By Behr
The effects of the neurotoxin are taking their toll on Cooper as Shannon desperately tries to navigate the severity of their new reality.LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett.E43 features Jenny Maguire, JD Mollison, Laith Nakli, Deirdre O'Connell, Carolyn Baeumler, Zach Shaffer, and Monique Woodley. Casting by Alaine Alldaffer and Lisa Donadio. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode, Kelsi Sheren hosts Tammy Porisky, a former registered nurse, and Alex Schadenberg to discuss the troubling changes in the healthcare system, particularly regarding palliative care and the MAID (Medical Assistance in Dying) legislation. Tammy shares her experiences in nursing, the shift in the definition of palliative care, and the ethical dilemmas faced by healthcare professionals. The conversation highlights the lack of safeguards for nurses and patients, the misapplication of the term 'palliative,' and the broader implications of a healthcare system that seems to prioritize death over life. The episode serves as a call to action for listeners to be aware of these issues and advocate for better care and support for patients.Substack: https://substack.com/@kelsisheren - - - - - - - - - - - -SUPPORT OUR SPONSORS - - - - - - - - - - - -RHO Nutrition - Code: KELSI20 - https://rhonutrition.com/KELSIKetone IQ- 30% off with code KELSI - https://ketone.com/KELSIGood Livin- 20% off with code KELSI - https://www.itsgoodlivin.com/?ref=KELSIBrass & Unity - 20% off with code UNITY - http://brassandunity.com - - - - - - - - - - - - -SHOPB&U Jewelry & Eyewear: https://brassandunity.com - - - - - - - - - - - - -Follow #thekelsisherenperspective- - - - - - - - - - - - -CHARITYHeroic Hearts Project - https://www.heroicheartsproject.orgAll Secure Foundation - http://allsecurefoundation.orgDefenders of Freedom -https://www.defendersoffreedom.usBoot Campaign - https://bootcampaign.org
Jonathan Cottor and his family were living in England when his son Ryan was diagnosed with Spinal Muscular Atrophy when he was 9 months old in 2001. Ryan was not expected to live past his 2nd birthday but lived 15 years longer than expected, passing away in December of 2018. While in England , Jonathan and his wife Holly saw a Respite Home that was common in England but was unheard of in the United States. Jonathan moved his family to his original roots in Phoenix Arizona in 2003, where he and Holly created the Ryan house, which was similar to the home that they saw and that Ryan lived in on occasion in London. After Ryan's passing, Jonathan has dedicated his life to coming up with programs that would lead to the building of these Palliative Care Respite homes across the United States and hopes to have 50 programs completed and 50 houses built, one in each state within 5 years.
Hello Sweet Friend,
LOGAN HEALTH PALLIATIVE CARE JOHN ERICKSON TRT: 24:30
As the lead wreaks havoc on Cooper's development, Shannon searches for answers. Desperate to get a handle on what was happening to her son, she grabs onto a lifeboat - nursing school. Andy tries to piece together the past to make sense of the present.LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper BurkettEP2 features Keith Nobbs and Frank Wood. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes. Casting by Alaine Alldaffer and Lisa Donadio.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Medicinal Marijuana & the Medical Field | Understanding the Endocannabinoid System with Dr. Janice MakelaIn this episode of the Cannabis Truth Podcast, educator, host, and author Honey Smith Walls welcomes Dr. Janice Makela, a physician with over 20 years of experience. Board-certified in Internal Medicine, Hospice & Palliative Care, and Geriatric Medicine, Dr. Makela brings trusted medical expertise and a deep understanding of medical marijuana and plant therapy. This is part one of a powerful two-part conversation on how physicians and patients alike can navigate cannabis as a legitimate therapeutic tool.We are so different in body and chemical makeup—it's no wonder cannabis affects each of us uniquely. With hundreds of cannabinoids, each offering wonderfully medicinal benefits, understanding how they work with your Endocannabinoid System can transform your approach to relief.Walls, now a published author with her August 2025 release Healing Beyond High: Cannabis Truth (Amazon or your favorite bookstore), invites you to deepen your cannabis knowledge, connect in community, and explore personalized plant-based solutions.
Pippa speaks to Sister Dale Heim, a palliative care nurse who recently shared some of this accrued wisdom in a book called Dying Ways, which officially launches today. Lunch with Pippa Hudson is CapeTalk’s mid-afternoon show. This 2-hour respite from hard news encourages the audience to take the time to explore, taste, read and reflect. The show - presented by former journalist, baker and water sports enthusiast Pippa Hudson - is unashamedly lifestyle driven. Popular features include a daily profile interview #OnTheCouch at 1:10pm. Consumer issues are in the spotlight every Wednesday while the team also unpacks all things related to health, wealth & the environment. Thank you for listening to a podcast from Lunch with Pippa Hudson Listen live on Primedia+ weekdays between 13:00 and 15:00 (SA Time) to Lunch with Pippa Hudson broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/MdSlWEs or find all the catch-up podcasts here https://buff.ly/fDJWe69 Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
The Path to the Future May be the Un-obvious - Top News Stories, July 2025 The future of hospice care hangs in the balance as providers navigate a perfect storm of challenges and opportunities. From financial pressures closing hospice houses to unprecedented Medicare fraud schemes, from technological disruption to changing consumer expectations – the hospice field stands at a critical inflection point that demands both reflection and action.Join hosts Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in Hospice and Palliative Care, discussing key trends, challenges, and innovations shaping the field. This episode covers a wide range of topics, including the impact of healthcare layoffs, disruptive innovations, and the importance of disaster preparedness. They also discuss the evolving landscape of Hospice Care, the role of technology, and the significance of maintaining an authentic brand in the field. Join us.HostChris Comeaux, President / CEO of TELEIOSCohostCordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analyticshttps://www.teleioscn.org/tcntalkspodcast/the-path-to-the-future-may-be-the-un-obvious-top-news-stories-july-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Wellness Rising from the Wellness House of Annapolis welcomes Palliative Care Physician and Author Dr. Delia Chiaramonte, who writes about why some people with cancer and their families cope better with the rigors of the disease than others.
A mysterious dust fills a young family's apartment. The truth begins to unravel when the mother gets a call from the pediatrician - the monster deep within the walls has been unleashed. LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett. EP1 features Zak Orth, Jenny Maguire, Daphne Gaines, and Micheal Gaston. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes. Casting by Alaine Alldaffer and Lisa Donadio.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode, Shena Gazaway joins us in a discussion of her nurse-led research, providing primary palliative care in patients' homes— where this care is urgently needed but often overlooked. We explore how she leads serious illness conversations, manages complex chronic conditions, and builds trust with patients and families to ensure care aligns with their values. From qualitative studies to pilot-tested toolkits that empower patients and caregivers—especially in underserved Black communities—we explore what it truly means to lead with empathy, equity, and evidence. Whether you're a nephrology nurse wondering how to deepen your role or a provider curious about innovative palliative care pathways, this episode offers practical insights, personal stories, and a call for more providers in this vital space. Shena Gazaway PhD, RN, CHPN® Shena Gazaway PhD, RN, CHPN® is currently an Assistant Professor in the School of Nursing at the University of Alabama at Birmingham. As a registered nurse working within the community, her practice experience stimulated her research interest in supporting upstream decision-making of seriously ill patients and families, particularly those who live in built environments that limit access to specialty palliative care services. In addition, her work centers on the belief that individuals living with serious illness are the best navigators of their illness experience, and interventions must incorporate local knowledge, beliefs, and practices for long-term success. Specifically, her research is focused on developing and optimizing community-informed decision-support interventions for individuals living with advanced chronic kidney disease and their caregivers. Shena is currently funded on a K23 from the NIDDK and a pilot grant the Forge AHEAD center, a P50 center grant funded by NIMHD. She and Dr. Wells also serve as co-I's on a pain heart failure intervention funded by the Alex and Rita Hillman Foundation. She is a past recipient of the Palliative Care Research Cooperative Pilot Grant Program and multiple internal funding mechanisms. Above all Shena is a mother, wife, daughter, friend, and sister, and so excited to share the next hour with you all today. Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
Interview with David Hui, MD, and Eduardo Bruera, MD, authors of Proportional Sedation for Persistent Agitated Delirium in Palliative Care: A Randomized Clinical Trial. Hosted by Vivek Subbiah, MD. Related Content: Proportional Sedation for Persistent Agitated Delirium in Palliative Care
Dr. Joseph McCollom and Dr. Ramy Sedhom discuss precision palliative care, a new strategy that aims to align palliative care delivery with patient and caregiver needs instead of diagnosis alone. TRANSCRIPT ADN Podcast Episode 8-22 Transcript: What Is Precision Palliative Care? Rethinking a Care Delivery Problem Dr. Joseph McCollom: Hello and welcome to the ASCO Daily News Podcast. I'm your guest host, Dr. Joseph McCollom. I'm a GI medical oncologist and palliative oncologist at the Parkview Packnett Family Cancer Institute here in Fort Wayne, Indiana. So, the early benefits of palliative care for patients with cancer have been well documented, but there are challenges in terms of bandwidth to how do we provide this care, given the workforce shortages in the oncology field. So today, we'll be exploring a new opportunity known as precision palliative care, a strategy that aims to align care delivery with patient and caregiver needs and not just diagnosis alone. Joining me for this discussion is Dr. Ramy Sedhom. He is the medical director of oncology and palliative care at Penn Medicine Princeton Health and a clinical assistant professor of medicine at the University of Pennsylvania Perelman School of Medicine. Our full disclosures are available in the transcript of this episode. Dr. Sedhom, it's great to have you on the podcast today. Thank you so much for being here. Dr. Ramy Sedhom: Thank you, Joe. It's a pleasure to be here and lucky me to be in conversation with a colleague and friend. Yes, many of us have heard about the benefits of early palliative care. Trials have shown better quality of life, reduced symptoms, and potentially even improved survival. But as we know, the reality is translating that evidence into practice, which is really, really challenging. So Joe, both you and I know that not every patient can see palliative care, or I'd even argue should see palliative care, but that also means there are still many people with real needs who still fall through the cracks. That's why I'm really excited about today's topic, which we'll be discussing, which is precision palliative care. It's a growing shift in mindset from what's this patient's diagnosis or what's this patient's prognosis, to what matters most for this person in front of me right now and what are their individual care needs. I think, Joe, it's very exciting because the field is moving from a blanket approach to one tailored to meet people where they actually are. Dr. Joseph McCollom: Absolutely, Ramy. And I think from the early days when palliative care was kind of being introduced and trying to distinguish itself, I think one of the first models that came to clinicians' eyes was Jennifer Temel's paper in The New England Journal of Medicine in 2010. And her colleagues had really looked at early palliative care integration for patients with advanced non–small cell lung cancer. And in that era – this is a pre-immunotherapy era, very early targeted therapy era – the overall prognosis for those patients are similar to the population I serve as a GI medical oncologist, pancreatic cancer today. Typically, median overall survival of a year or less. And so, a lot of her colleagues really wanted her to track overall survival alongside quality of life and depression scores as a result of that. And it really was a landmark publication because not only did it show an improvement of quality of life, but it actually showed an improvement of overall survival. And that was really, I think, revolutionary at the time. You know, a lot of folks had talked about if this was a drug, the FDA would approve it. We all in GI oncology laugh about erlotinib, which got an FDA approval for a 2-week overall survival advantage. And so, it really kind of set the stage for a lot of us in early career who had a passion in the integration of palliative care and oncology. And I think a lot of the subsequent ASCO, NCCN, COC, Commission on Cancer, guidelines followed through with that. But I think what we realized is now we're kind of sitting center stage, there's still a lot of resource issues that if we sent a referral to palliative care for every single patient diagnosed with even an advanced cancer, we would have a significant workforce shortage issue. And so, Ramy, I was wondering if you could talk a little bit about how do we help center in on who are the right patients that are going to have the greatest benefit from a palliative care specialist intervention? Dr. Ramy Sedhom: Thanks, Joe. Great question. So you mentioned Dr. Temel's landmark 2010 trial published in the New England Journal of Medicine. And it is still a game changer in our field. The results of her work showed not only improved quality of life and mood, but I think very surprisingly at the time, a survival benefit for patients with lung cancer who had received early palliative care. That work, of course, has helped shape national guidelines, as you've shared, and it also helped define early, as within 8 weeks of diagnosis. But unfortunately, there remains a disconnect. So in clinical practice, using diagnosis or stage as the only referral trigger doesn't really match the needs that we see show up. And I think unfortunately, the other part is that approach creates a supply demand mismatch. We end up either referring more patients than palliative care teams can handle, or at the opposite extreme, we end up referring no one at all. So, I actually just wanted to quickly give, for example, two real world contrasts. So one center that I actually have friends who work in, tried as a very good quality improvement incentive, auto-refer all patients with stage IV pancreas cancer to palliative care teams. And while very well intentioned, they saw very quickly that in a two-month period, they had 30 new referrals. And on the palliative care side, there were only 15 available new patient slots. On the other hand, something that I often see in practice, is a situation where, for example, consider the case of a 90-year-old with a low-grade B-cell lymphoma. On paper, low-risk disease, but unfortunately, when you look under the microscope, this gentleman is isolated, has symptoms from his bulky adenopathy, and feels very overwhelmed by many competing illnesses. This is someone who, of course, may benefit from palliative care, but probably doesn't check the box. And I think this is where the model of precision palliative care steps in. It's not really about when was someone diagnosed or what is the prognosis or time-based criteria of their cancer, but it's really fundamentally asking the question of who needs help, what kind of help do they need, and how urgently do we need to provide this help? And I think precision palliative care really mirrors the logic and the philosophy of precision oncology. So just like we've made strides trying to match therapies to tumor biology, we also need to have the same attention and the same precision to match support to symptoms, to context of a patient situation and their caregiver, and also to their personal goals. So I think instead of a blanket referral, we really need to tailor care, the right support at the right moment for the right person to the right care teams. And I think to be more precise, there's really four core elements to allow us to do this well. So first, we really need to implement systematic screening. Let's use what we already have. Many of our centers have patient reported outcomes. The Commission on Cancer motivates us to use distress screening tools. And the EHR is there, but we do very little to flag and to surface unmet care needs. We have seen amazing work from people like Dr. Ethan Bash, who is the pioneer on patient-reported outcomes, and Dr. Ravi Parikh, who used to be my colleague at Penn, now at Emory, who show that you could use structured data and machine learning to identify some of these patient needs in real time. The second piece is after a systematic screening, we really need to build very clear referral pathways. One very good example is what the supportive care team at MD Anderson has done, of course, led by Dr. Eduardo Brera and Dr. David Huey, where they have, for example, designed condition-specific triggers. Urgent referrals, for example, to palliative care for severe symptoms, where they talk about it like a rapid response team. They will see them within 72 hours of the flag. But at the same time, if the unmet need is a caregiver distress, perhaps the social work referral is the first part of the palliative care intervention that needs to be placed. And I think this helps create both clarity and consistency but also it pays attention to that provider and availability demand mismatch. Third, I really think we need to triage smartly. As mentioned in the prior example, not every patient needs every team member of the palliative care team. Some benefit most from the behavioral health intervention. Others might benefit from chaplaincy or the clinician for symptom management. And I think aligning intensity with complexity helps us use our teams wisely. Unfortunately, the greatest barrier in all of our health care systems is time and time availability. And I think this is one strategic approach that I have not yet seen used very wisely. And fourth, I really think we need to embrace interdisciplinary care and change our healthcare systems to focus more on value. So this isn't about more consults or RVUs. I think it's really about leveraging our team strengths. Palliative care teams or supportive care teams usually are multidisciplinary in their core. They often have psychologists, social workers, sometimes they have nurse navigators. And I think all of these are really part of that engine of whole person care. But unfortunately, we still are not set up in care delivery systems that unfortunately to this day still model fee for service where the clinician or the physician visit is the only quote unquote real value add. Hopefully as our healthcare systems focus more on delivery and on value, this might help really embrace the structure to bring through the precision palliative care approach. Dr. Joseph McCollom: No, I love those points. You know, we talk frequently in the interdisciplinary team about how a social worker can spend 5 minutes doing something that I could not as a physician spend an hour doing. But does every patient need every member every time? And how do we work as a unified body to deliver that dose of palliative care, specialized palliative care to those right patients and match them? And I think that perfect analogy is in oncology as a medical oncologist, frequently I'm running complex next-generation sequencing paneling on patients' tumors, trying to find out is there a genetic weakness? Is there a susceptibility to a targeted therapy or an immunotherapy so that I can match and do that precision oncology, right patient to the right drug? Similarly, we need to continue to analyze and find these innovative ways like you've talked about, PROs, EHR flags, machine learning tools, to find those right patients and match them to the right palliative care interdisciplinary team members for them. I know we both get to work in oncology spaces and palliative and supportive spaces in our clinical practice. Share a little bit, if you could, Ramy, about what that looks like for your practice. How do you find those right patients? And how do you then intervene with that right palliative oncology dose? Dr. Ramy Sedhom: So Joe, when I first started in this space as a junior faculty, one thing became immediately clear. I think if we rely solely on physicians to identify the patients for palliative care, we're unfortunately going to be very limited by what we individually, personally observe. And I think that's what reflects the reality that many patients have real needs that go unseen. So over the past few years, I've really worked with a lot of my colleagues to really work the health system to change that. The greatest partnership I've personally had has been working with our informatics team to build a real time EHR integrated dashboard that I think helps us give us a broader view of patient needs. What we really think of as the population health perspective. Our dashboard at Penn, for example, pulls in structured data like geriatric assessment results, PHQ-4 screens, patient reported outcomes, whether or not they've been hospitalized, whether or not these hospitalizations are frequent and recurrent. And I think it's allowed us to really move from a reactive approach to one that's more proactive. So let me give you a practical example. So we have embedded in our cancer care team, psycho-oncologists. They share the same clinic space, they're right down the hall. And we actually use this shared dashboard to review weekly trends in distress scores and patient reported outcomes. And oftentimes, if they see a spike in anxiety or worsening symptoms like depression, they'll reach out to me and say, “Hey, I noticed Mrs. Smith reported feeling very anxious today. Do you think it'd be helpful if I joined you for her visit?” And I think that's how we could really use data and teamwork to offer and maximize the right support at the right time. Like many of our other healthcare systems, we also have real-time alerts for hospitalizations. And I think like Dr. Temel's most recent trial, which we'll discuss at some point, I'm sure, it's another key trigger for vulnerability. I think whenever someone's admitted or discharged, we try to coordinate with our palliative care colleagues to assess do they need follow-up and in what timeline. And we know that these are common triggers, progression of disease, hospitalizations, drops in quality-of-life. And it's actually surprisingly simple to implement once you set up the right care structures. And I think these systems don't just help patients, which is what I quickly learned. They also help us as clinicians too. Before we expanded our team, I often felt this weight, especially as someone dual trained in oncology and palliative medicine, as trying to be everything to everyone. I remember one patient in particular, a young woman with metastatic breast cancer who was scheduled for a routine pre-chemo visit with me. Unfortunately, on that day, she had a very dramatic change in function. We whisked her down to x-ray and it revealed a pretty large pathologic fracture in her femur. And suddenly what was scheduled as a 30-minute visit became a very complex conversation around prognosis, urgent need for surgery and many, many life changes. And when I looked at my Epic list, I had a full waiting room. And thankfully, because we have embedded palliative care in our team, I was able to bring in Dr. Collins, the physician who I work with closely, immediately. She spent the full hour with the patient while I was able to continue seeing other patients that morning. And I think that's what team-based care makes possible. It's not just more hands on deck but really optimizing the support the patient needs on each individual day. And I think last, we're also learning a lot from behavioral science. So many institutions like Penn, Stanford, Massachusetts General, they've experimented with a lot of really interesting prompts in the EHR. One of them, for example, is the concept of nodes or the concept of prompt questions. Like, do you think this patient would benefit from a supportive care referral? And I think these low-level nudges, in a sense, can actually really dramatically increase the uptake of palliative care because it makes what's relevant immediately salient and visible to the practicing physician. So I think the key, if I had to maybe finish off with a simple message: It's not flashy tech, it's not massive change against staffing, but it's having a local champion and it's working smarter. It's asking the questions of how can we do this better and setting up the systems to make them more sustainable. Dr. Joseph McCollom: I appreciate you talking about this because I think a lot of folks want to put the wheels on in some way and they don't know where to get started. And so I think some of the models that you've been able to create, being able to track patients, screen your population, find the right individuals, and then work within that team to be able to extend, I think when you have an embedded palliative care specialist in your clinic, they expand your practice as a medical oncologist. And so you can make that warm handoff. And that patient and that caregiver, when they view the experience, they don't view you as a medical oncologist, someone else as a palliative care specialist, they view that team approach. And they said, "The team, my cancer team took care of me." And I think we can really harness a lot of the innovative technological advancements in our EHR to be able to prompt us in this work. I know that Dr. Temel had kind of set the stage for early palliative care intervention, and you did mention her stepped palliative care trial. Where do you see some of the future opportunities as we continue to push the needle forward as oncologists and palliative care specialists? What do you see as being the next step? Dr. Ramy Sedhom: So for those who are not familiar with the stepped palliative care trial, again, work by Dr. Temel, I think it's really important to explain not just the study itself, but I think more importantly, what it's representing for the future of our field. First, I really want to acknowledge Dr. Temel, who is a trailblazer in palliative oncology. Her work has not only shaped how we think about timing and delivery, but really about the value of supportive care. And more importantly, I think for all the young trainees listening, she had shown that rigorous randomized trials in palliative care are possible and meaningful. And I think for me, one quick learning point is that you could be an oncologist and lead this impactful research. And she's inspired many and many of us. Now let's quickly transition to her study. So in this trial, the stepped palliative care trial, patients with advanced lung cancer were randomized into two groups. One group followed the model from her landmark 2010 New England Journal of Medicine paper, which was structured monthly palliative care visits, again, within eight weeks of diagnosis. The second group, which is in this study, the intervention or the stepped palliative care group, received a single early palliative care visit. Think of this as a meet and greet. And then care was actually stepped up. If one of three clinical triggers happened. One, a decline in patient reported quality of life as measured by PROs. Two, disease progression, or three, hospitalization. And the findings which were presented at ASCO 2024 were striking. Clinical outcomes, very similar between the two groups. And this included quality-of-life, end-of-life communication, and resource use. But I think the take-home point is that the number of palliative care visits in the stepped group was significantly lower. So in other words, same impact and fewer visits. This was a very elegant example of how we can model precision palliative care, right sizing patient care based on patient need. So where do we go from here? I think if we want this model to take root nationally, we really need to pull on three key levers: healthcare systems, healthcare payment, and healthcare culture. So from a system alignment, unfortunately, as mentioned too often, the solution to gaps in palliative care is we need more clinicians. And while yes, that's partly true, it's actually not the full picture. I think what we first need to do and what's more likely to be achieved is to develop systems that focus on building the infrastructure that maximizes the reach of our existing care teams. So this means investing in nurse navigation, real-time dashboards with patient-reported outcomes and EHR flags, and again, matching triage protocols where intensity matches complexity. And the goal, as mentioned, isn't to maximize consults, but to really maximize deployment of expertise based on need. The second piece is, of course, we need payment reform. So the stepped palliative care model only works when it allows continuous patient engagement. But unfortunately, current pay models don't reward or incentivize that. In fact, electronic PROs require a very high upfront financial investment and ongoing clinician time with little to no reimbursement. Imagine if we offered bundled payments or value-based incentives for teams that integrated PROs. Or imagine if we reimbursed palliative care based on impact or infrastructure instead of just fee-for-service volume. There is a lot of clear evidence that tele-palliative care is effective. In fact, it was the Plenary at ASCO 2024. Yet we're still battling these conversations around inconsistent reimbursement, and we're always waiting on whether or not telehealth waivers are gonna continue. So I think most importantly is we really need to recognize the broader scope of what palliative care offers, which is caregiver support, improving navigation, coordinating very complex transitions. To me, and what I've always prioritized as a champion at Penn, is that palliative care is not a nice to have, and neither are all of these infrastructures, but they're really essential to whole person care, and they need to be financially supported. And last, we really need a culture shift. We need to change from how palliative care is perceived, and it can't be something other. It can't be something outside of oncology, but it really needs to be embraced as this is part of cancer care itself. I often see hesitancy from many oncologists about introducing palliative care early. But it doesn't need to be a dramatic shift. I think small changes in language, how we introduce the palliative care team, and co-management models can really go a very long way in normalizing this part of patient care. And I'm particularly encouraged, Joe, by one particular innovation in this space, which is really the growth of many startups. And one startup, for example, is Thyme Care, where I've seen them working with many, many private practices across the country, alongside partnerships with payers to really build tech-enabled navigation that tries to basically maximize triage support with electronic PROs. And to me, I really think these models can help scale access without overwhelming current care teams. So precision palliative care, Joe, in summary, I think should be flexible, scalable, and really needs to align based on what patients need. Dr. Joseph McCollom: No, I really appreciate, Ramy, you talking about that it really takes a village to get oncology care in both a competent and a compassionate way. And we need buy-in champions at all levels: the system level, the administrative level, the policy level, the tech level. And we need to change culture. I kind of want to just get your final impressions and also make sure that we make our listeners aware of our article. We should be able to have this in the show notes here as well to find additional tools and resources, all the studies that were discussed in today's episode. But, Ramy, what are some of your kind of final takeaways and conclusions? Dr. Ramy Sedhom: Before we wrap up, I just want to make sure we highlight a very exciting opportunity for residents considering a future in oncology and palliative medicine. Thanks to the leadership of Dr. Jamie Von Roen, who truly championed this cause, ASCO and the ABIM (American Board of Internal Medicine) have partnered to create the first truly integrated palliative care oncology fellowship. Trainees can now double board in just two years or triple board in three with palliative care, oncology, and hematology. And I think, Joe, as you and I both know, it's incredibly rewarding and meaningful to work at this intersection. To close our message, if there's one message I think listeners should carry with them, it's that palliative care is about helping people live as well as possible for as long as possible. And precision palliative care simply helps us do that better. We need to really develop systems that tailor support to individual need, value, and individual goals. Just like our colleagues in precision oncology mentioned, getting the right care to the right patient at the right time, and I would add in the right way. For those who want to learn more, I encourage you to read our full article in JCO, which is “Precision Palliative Care As a Pragmatic Solution for a Care Delivery Problem.” Joe, thank you so, so much for this thoughtful conversation and for your leadership in our field. And thank you to everyone for listening. Thank you all for being champions of this essential part of cancer care. If you haven't yet joined the ASCO Palliative Care Communities of Practice, membership is free, and we'd love to have you. Dr. Joseph McCollom: Thank you, Ramy, not only for sharing your insights today, but the pioneering work that you have done in our field. You are truly an inspiration to me in clinical practice, and it is an honor to call you both a colleague and friend. And thank you for our listeners for joining us today. If you value the insights that you've heard on the ASCO Daily News Podcast, please subscribe, rate, and review wherever you get your podcasts. Thanks again. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers: Dr. Joseph McCollom @realbowtiedoc Dr. Ramy Sedhom @ramsedhom Follow ASCO on social media: @ASCO on X (formerly Twitter) ASCO on Bluesky ASCO on Facebook ASCO on LinkedIn Disclaimer: Dr. Joseph McCollom: No relationships to disclose Dr. Ramy Sedhom: No relationships to disclose
Lexi Silver is 15 years old. She lost both of her parents before she turned 11. That should tell you enough—but it doesn't. Because Lexi isn't here for your pity. She's not a sob story. She's not a trauma statistic. She's a writer, an advocate, and one of the most emotionally intelligent people you'll ever hear speak into a microphone.In this episode, Lexi breaks down what grief actually feels like when you're a kid and the adults around you just don't get it. She talks about losing her mom on Christmas morning, her dad nine months later, how the system let her down, and how Instagram trolls tell her she's faking it for attention. She also explains why she writes, what Experience Camps gave her, how she channels anger into poems, and what to say—and not say—to someone grieving.Her life isn't a Netflix drama. But it should be.And by the way, she's not “so strong.” She's just human. You'll never forget this conversation.RELATED LINKS• Lexi on Instagram: @meet.my.grief• Buy her book: The Girl Behind Grief's Shadow• Experience CampsFEEDBACKLike this episode? Rate and review Out of Patients 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.
In this episode of Compassion & Courage, Marcus Engel speaks with Beth Cavenaugh, a longtime hospice nurse, about her journey into nursing, the importance of compassionate communication, and the role of narrative medicine in healthcare. They discuss the challenges of end-of-life care, the significance of hospice support, and how to navigate difficult conversations with patients and families. Beth shares personal stories that highlight the power of being present for patients and the emotional impact of caregiving. The conversation emphasizes the need for humility, compassion, and understanding in healthcare.Resources for you: More communication tips and resources for how to cultivate compassion: https://marcusengel.com/freeresources/Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/ Connect with Beth on LinkedIn: https://www.linkedin.com/in/beth-cavenaugh/ Learn more about Beth and her Books: https://www.bethcavenaugh.comLearn more about Hopewell House: https://hopewellhousepdx.org/ Learn more about Marcus' Books: https://marcusengel.com/store/ Subscribe to our podcast through Apple: https://bit.ly/MarcusEngelPodcast Subscribe to our podcast through YouTube: https://bit.ly/Youtube-MarcusEngelPodcastAbout Beth Cavenaugh:I have been a nurse for 28 years and am certified in Hospice and Palliative Care (since 2009). I helped to take care of my mom when she died in 1998 and realized the profound nature of this work and the difficulties of caring for someone you love. I started working as a hospice nurse in 2006 and continue to feel a deep call to this work. Presently, I am studying at Columbia University to attain a Master's in Narrative Medicine.I write and educate about end-of-life care because I hope to demystify death and dying so that more people will walk toward this powerful life event rather than run away from it. I want everyone to exit this world knowing their wishes will be respected, they will be taken care of, and they will be comfortable in the final stage of their beautiful life.Date: 6/2/2025 Name of show: Compassion & Courage: Conversations in Healthcare Episode number and title: Episode 171 – Humility, Compassion, and Understanding in Healthcare. – With Beth Cavenaugh RN, BSN, CHPN
Prairie Doc Kelly Evans-Hullinger talks about grief, hospice, and palliative care and the many resources available to help individuals experiencing loss.
This is a special one-episode podcast: Holistic Approaches in Palliative CareSUMMARY: This episode explores the foundational elements of holistic palliative care, emphasizing the importance of addressing physical, emotional, and spiritual needs in patient care. Healthcare professionals will gain insight into assessing holistic needs, using non-pharmacological methods for pain management, and incorporating complementary therapies into care plans.This episode focuses on the emotional, psychological, nutritional, and spiritual aspects of holistic palliative care. Listeners will gain insight into how healthcare teams can support patients and families through diverse interventions, foster meaningful connections, and address challenges in implementing holistic care practices. ---Nurses may be able to complete an accredited CE activity featuring content from this podcast and earn CE hours provided from Elite Learning by Colibri Healthcare. For more information, click hereAlready an Elite Member? Login hereLearn more about CE Podcasts from Elite Learning by Colibri HealthcareView Episode TranscriptView this podcast course on Elite LearningSeries: Holistic Approaches in Palliative Care
A problem plagues modern healthcare: machines are setting the standard of care, and human clinicians are struggling to keep up. Artificial intelligence will only make this worse. The technical mindset fragments patient care and draws us further from shalom even as pursue surrogate markers that are meant to restore health. How can we, as Christian clinicians, respond wisely and well to this problem? One response is found in the story of the God's people in the Bible, specifically in the story of Israel's adoption into the family of God. The Theology, Medicine, and Culture Initiative (TMC) at Duke Divinity School and the Trent Center for Bioethics, Humanities & History of Medicine at Duke co-sponsored this seminar entitled "The Uncanny Valley: Remaining Human in Healthcare" on November 8, 2024 with Dr. Joshua Briscoe. Joshua Briscoe, MD is a Hospice and Palliative Care physician at the Durham VA Medical Center where he also serves on the Ethics Consultation Service. He's an assistant professor of Medicine and of Psychiatry and Behavioral Sciences at Duke University School of Medicine, and faculty associate with the Trent Center for Bioethics, Humanities and History of Medicine. He writes about issues at the intersection of medicine, technology, and moral formation in a monthly newsletter entitled Notes from a Family Meeting.
Over the years the types of health care offerings in the High Country have continued to evolve. On Friday, July 25th, AMOREM, formerly Caldwell Hospice and Palliative Care, will mark the opening of a state-of-the-art in-patient care facility in Watauga County, serving the needs of the entire High Country region.On this week's Mind Your Business, we visit with Kerri McFalls, Chief Growth & Development Officer with AMOREM, as we discuss what this type of facility can provide to patients and families in terms of end of life and respite care, and the types of jobs it takes to manage such an operation. We'll go over the details for a special community celebration of the dedication of this facility and we'll discuss ways to continue to fundraise toward the goals AMOREM has set for its growing Watauga campus. ** Special programming note -- there is a slight bit of digital noise during small portions of our interview that was caused by a passing summer storm here in the High Country. It's not your connection -- it's Mother Nature trying to insert herself in our conversation! **Mind Your Business is written and produced weekly by the Boone Area Chamber of Commerce. This podcast is made possible thanks to the sponsorship support of Appalachian Commercial Real Estate.Catch the show each Thursday afternoon at 5PM on WATA (1450AM & 96.5FM) in Boone.Support the showSupport the show
Is Hospice Care losing its soul? Dr. Ira Byock thinks so, and after months of soul-searching work, he's offering us the roadmap back to our roots.In this episode, Dr. Ira Byock discusses the current state of Hospice and Palliative Care, emphasizing the need for reform and improvement in the field. He and Chris spend time unpacking Dr. Byock's recently released seminal work, “A Strategic Path Forward for Hospice and Palliative Care: A White Paper on the Potential Future of the Field. This conversation tackles the uncomfortable truth: corporatization is eroding the core values of our field. Dr. Byock highlights the challenges posed by the corporatization of healthcare, particularly in hospice and palliative care, and emphasizes the importance of maintaining high-quality care for patients and their families. Dr. Byock presents a strategic framework that all of us in hospice and palliative care can draw from to chart a path forward. That framework includes:Publishing clear clinical and programmatic standardsMaking meaningful data readily availableDriving quality-based competitionEmbracing the field's authentic brand of expert care that fosters well-being for patients and their familiesThis episode is more than a discussion—it's a wake-up call for every leader, clinician, and team member in Hospice and Palliative Care. Listen now. Share it with your Board. And be part of the movement to safeguard the future of this essential work.Guest: Dr. Ira Byock, MD, FAAHPM, is a leading palliative care physician, author, and public advocate for improving care through the end of lifeHost: Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/a-strategic-path-forward-for-hospice-and-palliative-care-with-dr.-ira-byockTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Michelle Andrews built a career inside the pharma machine long before anyone knew what “DTC” meant. She helped launch Rituxan and watched Allegra commercials teach America how to ask for pills by name. Then she landed in the cancer fun house herself, stage 4 breast cancer, and learned exactly how hollow all the “journey” slide decks feel when you're the one circling the drain.We talk about what happens when the insider becomes the customer, why pill organizers and wheat field brochures still piss her off, and how she fired doctors who couldn't handle her will to live. You'll hear about the dawn of pharma advertising, the pre-Google advocacy hustle, and what she wants every brand team to finally admit about patient experience.If you've ever wondered who decided windsurfing was the best way to sell allergy meds—or what happens when you stop caring if you make people uncomfortable—listen up.RELATED LINKSMichelle Andrews on LinkedInTrinity Life Sciences – Strategic AdvisoryJade Magazine – Ticking Time Bombs ArticleNIHCM Foundation – Breast Cancer StoryFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Often misunderstood as end-of-life care, palliative care is actually about improving quality of life at any stage of serious illness. In this episode of BackTable Urology, Dr. Ashwin Kotwal, a geriatrician and palliative care physician at UCSF, and Dr. Pauline Filippou, a urologic oncologist at Kaiser Permanente in Northern California join hosts Dr. Gina Badalato and Dr. Lindsay Hampson to discuss the importance of palliative care in the field of urology. --- SYNPOSIS The episode covers how palliative care can improve quality of life for patients with serious illnesses, the challenges and opportunities of integrating palliative care into urology practice, and specific training resources and frameworks for effective communication and symptom management. From addressing common misconceptions to providing practical advice on implementing palliative care, this episode is an essential guide for trainees and urology professionals looking to deepen their understanding of palliative care and enhance their practice. --- TIMESTAMPS 00:00 - Introduction03:04 - Understanding Palliative Care04:43 - Misconceptions and Communication Strategies07:45 - Integrating Palliative Care in Urology10:26 - Collaborative Approaches and Multidisciplinary Teams15:48 - Training and Education for Trainees20:25 - Effective Communication Techniques28:18 - Impact of Palliative Care34:33 - Final Thoughts and Takeaways --- RESOURCES Center to Advance Palliative Care website:https://www.capc.org/ AUA White Paper: https://www.auanet.org/documents/guidelines/white%20papers/postoperative.pdf VitalTalk:https://www.vitaltalk.org/ Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters: https://link.springer.com/article/10.1007/s11606-018-4540-5 Family Meetings on Behalf of Patients with Serious Illness: https://www.nejm.org/doi/full/10.1056/NEJMvcm1913056
Welcome back to The Superhumanize Podcast. I am so deeply honored to have you with me today for a conversation that is close to the very core of what it means to be human.My guest is Dr. Hsien Seow, Canada Research Chair in Palliative Care and Health System Innovation, Professor at McMaster University, and one of the foremost voices reimagining how we approach serious illness and end-of-life care. His work transcends the medical system, inviting us to see palliative care not as surrender, but as a path to reclaiming agency, dignity, and meaning, even, and perhaps especially, in life's most vulnerable chapters.Dr. Seow's book, Hope for the Best, Plan for the Rest, co-authored with Dr. Samantha Winemaker, is a guide to navigating life-changing diagnoses with clarity, courage, and grace. It offers seven keys to transform the illness journey from one of fear and disempowerment to one of hope and preparedness.In today's conversation, we explore the paradigm shifts needed in healthcare, the deeper truths mortality can teach us about life, and how we can each become active architects of our own experience, even when the path ahead feels out of our control.This episode is about much more than palliative care. It is about what it means to live fully awake to our finite nature, and to love, decide, and be present with the preciousness of this human life.Episode Highlights:02:30 – Realizing a disconnect: the moment Hsien noticed future doctors weren't trained to talk about dying, sparking his mission to change the system.04:00 – What palliative care really means: an approach that centers on the full human experience—emotional, spiritual, social—not just medical intervention.06:30 – Why timing matters: most people meet palliative care too late. Hsien and his colleague Dr. Sammy Winemaker push for earlier integration.07:15 – The key concept: “Hope for the best, plan for the rest” — balancing optimism with informed planning.08:30 – Reclaiming power from the medical system: how patients and families can move from passive to activated roles.10:00 – “Zooming out” to see the big picture: why asking what stage you're in is essential to living fully.12:15 – How to move from silence to agency: the role of courageous conversations in healing.14:45 – The ripple effect: illness doesn't just affect the patient—it shapes families and communities.16:30 – Family dynamics and understanding: how knowing someone's coping style reduces conflict and increases compassion.20:00 – What to do when the patient avoids discussion: using gentle invitations instead of confrontations.25:00 – Real-life application: how Hsien's own family used these principles to navigate care with love and tact.27:30 – Cultural myths and medical systems: how we've lost the communal experience of dying and what needs to change.30:15 – Reframing grief and loss: learning from everyday changes how to prepare for bigger transitions.32:30 – Dying as sacred: honoring diversity in spiritual beliefs and values through customized care.34:45 – The invisible load: recognizing and supporting family caregivers before burnout sets in.38:30 – Revisiting roles and expectations: how adaptability sustains families through long-term illness.40:00 – Everyday palliative care: acts of love like cooking, walking a pet, or simply being present.42:00 – Customize your order: bringing your whole self—values, beliefs, and personality—into your care.44:30 – One key question: “What do I need to know about you to give you the best...
The conversation delves into the complexities of end of life care in combat settings, emphasizing the need for palliative care discussions among military medical personnel. It highlights the challenges faced in recognizing non-survivable injuries, the decision-making process in resuscitation efforts, and the importance of compassionate care for both patients and their loved ones. The discussion also touches on the role of opioids in managing pain and anxiety during end of life care, advocating for a shift in focus from aggressive treatment to comfort and dignity for the patient.TakeawaysEnd of life care is a critical conversation in military medicine.Palliative care is often overlooked in combat settings.Recognizing non-survivable injuries is essential for effective care.Decision-making in resuscitation requires courage and leadership.Compassionate care benefits both the patient and their loved ones.Opioids play a significant role in managing pain in palliative care.Transitioning to palliative care is a necessary step in certain cases.Medical providers must educate themselves on end of life care.Patient autonomy should be respected in decision-making.Compassionate care can alleviate the emotional burden on medical providers.Chapters00:00 Introduction to End of Life Care in Combat02:34 The Challenges of Palliative Care in Military Settings09:57 Recognizing Non-Survivable Injuries19:08 Decision-Making in Resuscitation Efforts35:49 Transitioning to Palliative Care43:03 The Role of Opioids in Palliative Care53:18 Compassionate Care and Patient AutonomyThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Dr. Anne Marie Morse walks into the studio like a one-woman Jersey Broadway show and leaves behind the best damn TED Talk you've never heard. She's a neurologist, sleep medicine doc, narcolepsy expert, founder of D.A.M.M. Good Sleep, and full-time myth buster in a white coat. We talk about why sleep isn't a luxury, why your mattress does matter, and how melatonin is the new Flintstones vitamin with a marketing budget. We unpack the BS around sleep hygiene, blow up the medical gaslighting around “disorders,” and dig into how a former aspiring butterfly became one of the loudest voices for patient-centered science. Also: naps, kids, burnout, CPAPs, co-sleeping, airport pods, the DeLorean, and Carl Sagan. If you think you're getting by on five hours of sleep and vibes, you're not. This episode will make you want to take a nap—and then call your doctor.RELATED LINKSdammgoodsleep.com: https://www.dammgoodsleep.comLinkedIn: https://www.linkedin.com/in/anne-marie-morse-753b2821/Instagram: https://www.instagram.com/dammgoodsleepDocWire News Author Page: https://www.docwirenews.com/author/anne-marie-morseSleep Review Interview: https://sleepreviewmag.com/practice-management/marketing/word-of-mouth/sleep-advocacy-anne-marie-morse/Geisinger Bio: https://providers.geisinger.org/provider/anne-marie-morse/756868SWHR Profile: https://swhr.org/team/anne-marie-morse-do-faasm/FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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
One of the most overlooked but transformative tools in health care is the courage to face hard truths, especially at the end of life. In this episode, Dr. Jessica Zitter shares how burnout and a pivotal confrontation early in her ICU career led her to embrace the palliative care movement and shift toward more human-centered healing. Through her films Extremis, Caregiver: A Love Story, and The Chaplain and the Doctor, she uses storytelling to explore ethical dilemmas, systemic challenges, and the urgent need for holistic care and honest conversations about death. Tune in and learn how emotional honesty, empathy, and art can rehumanize health care, one story at a time! Learn more about your ad choices. Visit megaphone.fm/adchoices
Gigi Robinson grew up with Ehlers-Danlos syndrome, a disease that turns your joints into overcooked spaghetti. Instead of letting it sideline her, she built a career out of telling the truth about invisible illness. We talk about what it takes to grow up faster than you should, why chronic illness is the worst unpaid internship, and how she turned her story into a business. You'll hear about her days schlepping to physical therapy before sunrise, documenting the sterile absurdity of waiting rooms, and finding purpose in the mess. Gigi's not interested in pity or polished narratives. She wants you to see what resilience really looks like, even when it's ugly. If you think you know what an influencer does, think again. This conversation will challenge your assumptions about work, health, and what it means to be seen.RELATED LINKSGigi Robinson Website: https://www.gigirobinson.comLinkedIn: https://www.linkedin.com/in/gigirobinsonInstagram: https://www.instagram.com/itsgigirobinsonTikTok: @itsgigirobinsonA Kids Book About Chronic Illness: https://akidsco.com/products/a-kids-book-about-chronic-illnessFEEDBACKLike this episode? Rate and review Out of Patients 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.
In this week's episode, we dig into two deceptively simple questions: When does someone become a cancer survivor, and should palliative care be in the business of caring for them? Spoiler: It's more complicated than it seems. We've invited two palliative care doctors to talk about survivorship with us: Laura Petrillo, a physician-researcher at Mass General Hospital and Harvard Medical School, and Laura Shoemaker, an outpatient palliative care doctor at the Cleveland Clinic. This episode is a must-listen for those navigating the evolving landscape of cancer care, and asking not just how we treat cancer, but how we support people who are living with it. If you want some further reading on survivorship, check out some of these articles: A NEJM article titled “Time to Study Metastatic-Cancer Survivorship” A ASCO publication that includes a section on survivorship - Patient-Centered Palliative Care for Patients With Advanced Lung Cancer A webinar on survivorship - Blending Survivorship and Palliative Care (NCI)