Podcasts about Palliative care

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: 

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.

Acknowledgement of Country// Headlines:Ramadan in occupied Palestine Maribyrnong council to transition away from six-month private security trialGovernment responds to Victorian healthcare workers strike with 12% pay rise offerAustralian Human Rights Commission publishes results of Racism@Uni StudyVictorian government bill set to dismantle key environmental institutions We rebroadcast part of an exclusive Michael West Media interview with human rights lawyer Chris Sidoti on israeli president Isaac Herzog's recent visit to australia, discussing australia's legal and moral duties. This interview originally aired on the 4th of February, and you can listen to the rest of it here.// Matt Ruchel, Executive Director of Victorian National Parks Association, joined us for part 2 of an interview on how the Victorian Government has introduced legislation to dismantle key institutions that protect habitats and wildlife, which will silence expert voices and strip away independent safeguards for nature. These institutions provide independent, evidence-based advice that underpins how Victoria's parks and habitats are planned for and protected. In part 1, broadcast yesterday on 3CR's Wednesday Breakfast show, Marty and Matt spoke about the history and value of these organisations, and in part 2 we discussed the impact of these cuts and how we can fight against it.// Dr Islam Elhabil, a Gazan engineer and Malaysia-based microplastics specialist, spoke with Priya about the silent, cumulative harm caused by the breakdown of plastic waste in Gaza during the ongoing genocide. In this discussion, Dr Elhabil elaborated on a piece she recently authored for the Electronic Intifada titled 'The toxic legacy of genocide'. Beyond the immediate destruction of Israel's bombardment, Dr Elhabil spoke about the everyday environmental and health impacts of a total breakdown in Gaza's waste management and plastic recycling capacities.// Josh Fear, National Policy Director at Palliative Care Australia, spoke with us about backing the latest calls to expand the Commonwealth Prac Payment and end placement poverty for medical and allied health students. The Commonwealth Prac Payment commenced on 1 July 2025 for nursing, midwifery, teaching and social work students. Josh unpacks why we need to expand the Prac payment, remove barriers to access and education, and why this is particularly in palliative care. This comes after a recent survey showed that 42 per cent of health students went hungry while on placement.// Cassie Derrick, Media Director at the Media, Entertainment & Arts Alliance (MEAA), joined us to discuss the protracted campaign by ABC staff to win job security, fair pay, and improved conditions from the national broadcaster. ABC staff are set to vote on potential strike action after yet another failure by ABC management to table a reasonable offer last week, with staff calls for action on ethical and accountable use of AI, respect for the MEAA Journalist Code of Ethics, and an audit into racial and disability pay gaps going unheard. Cassie Derrick has worked alongside MEAA members for over five years in the positions of Media Organiser, Organising Director and Deputy Director of the Media Section, as well as organising workers at Professionals Australia, the CFMEU and Unions NSW. She was appointed Director of Media in October 2022.//

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/

Healthcare didn't get expensive because patients got worse — it got expensive because the system got fragmented. In this episode of The Disruptive Podcast, Scott Middleton breaks down why hospice can't live “over there,” separate from primary care, nursing, therapy, and care management.Scott explains the Your Health Hospice rollout, the staffing reality that determines whether integration is real, and the math behind a new model: caseload reductions for nurses when hospice patients are added, plus incentives that acknowledge the complexity of end-of-life care.This conversation is about building a care system where the patient doesn't have to juggle providers, phone numbers, and handoffs — because they shouldn't have to. One team. One plan. One umbrella. www.YourHealth.Org

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.

Thy O' Donnell PhD study about end-of-life and palliative care for TGD+ people email thy.odonell@anu.edu.au

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...

Wir sprechen über Ernährung in der Palliative Care und gedenken dabei unserer Diätologin Andrea Hähn. Seit der Stationsgründung 2010 war Andrea Teil des Palliative Care Teams im AKH. Ende des Jahres 2025 ist sie leider plötzlich verstorben. In dieser Folge erinnern wir uns an unsere "Futterhexe", wie sie sich gerne selbst nannte.

Palliative Care rund um die Geburt – multiprofessionell beraten, ergebnisoffen begleiten In dieser Folge spreche ich mit Dr. Thomas Strahleck, Kinderarzt und Ansprechpartner eines multiprofessionellen Teams am Katharinenhospital Stuttgart, über Palliative Care rund um die Geburt. Im Mittelpunkt des Gesprächs stehen die Herausforderungen, vor denen Eltern stehen, wenn sie während der Schwangerschaft mit der Diagnose einer Behinderung oder einer lebensbegrenzenden Erkrankung ihres Kindes konfrontiert werden. Dr. Strahleck macht deutlich, wie entscheidend eine multiprofessionelle Aufstellung des Teams ist, um Familien in dieser Situation gut zu begleiten. Wir sprechen darüber, warum ergebnisoffene Beratung ein zentrales Element palliativer Begleitung ist, weshalb Entscheidungen unter Zeitdruck häufig nicht tragfähig sind und wie wichtig es ist, Eltern Zeit zu geben, Informationen zu verstehen und emotional zu verarbeiten. Ein weiterer Schwerpunkt liegt auf der gemeinsamen Verantwortung: Gute Begleitung bedeutet, Entscheidungsprozesse nicht bei den Eltern allein abzuladen, sondern sie als Team mitzutragen. Eine Folge über Haltung, interdisziplinäre Zusammenarbeit und eine Versorgung, die Würde, Zeit und Beziehung in den Mittelpunkt stellt. Haben Sie Ideen oder möchten ihre eigene Geschichte erzählen? Dann schreiben Sie und gerne unter info@landesstelle-bw-wegbegleiter.de Keine Episode von Wegbegleiter verpassen? Hier gehts zum Newsletter - https://landesstelle-bw-wegbegleiter.de/newsletter Hintergrundinformationen zur Landesstelle Baden-Württemberg – Wegbegleiter für Familien mit einem schwer kranken Kind am Hospiz Stuttgart (Träger Ev. Kirchenkreis Stuttgart): Die Diagnose einer unheilbaren Erkrankung, verändert das Leben einer Familie nachhaltig. Wir sind eine wichtige Anlaufstelle für betroffene Eltern und Fachkräft. Wir hören zu, vernetzen, informieren über individuelle Unterstützungsangebote und Möglichkeiten in ganz Baden-Württemberg. Unser Angebot ist kostenfrei und für alle Menschen zugänglich. Weitere Informationen finden Sie unter: www.landesstelle-bw-wegbegleiter.de Wir freuen uns auf Sie! In diesem Podcast teilen wir Informationen, Einschätzungen und Meinungen nach bestem Wissen. Wir übernehmen jedoch keine Gewähr für die Richtigkeit oder Vollständigkeit der Inhalte.

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.

In a conversation with CancerNetwork®, Ram Prakash Thirugnanasambandam, MBBS, discussed the evolving roles that artificial intelligence (AI)–based tools may play in palliative care and the management of different hematologic malignancies. He spoke in the context of a publication he authored, The Role of Artificial Intelligence in Palliative Oncology: Zeroing in on Hematologic Malignancies,which was featured in the November/December 2025 issue of the journal ONCOLOGY®.Thirugnanasambandam, a fellow of Internal Medicine, Hospice and Palliative Medicine, and Geriatric Medicine at the University of Miami, outlined the paper's aim to explore how AI can assist with patient-centric goals of care like symptom management as well as decision-making support among clinicians. In the context of palliative medicine, AI has demonstrated utility as a supportive tool that can help with marking patients who may benefit from a palliative care conversation. Such tools have also assisted with identifying symptoms such as pain, dyspnea, anxiety, or psychosocial distress, allowing providers to form a more proactive approach to patient care.According to Thirugnanasambandam, implementing AI into one's workflow may help accurately predict disease subtypes and burdens among patients with leukemia, lymphoma, or multiple myeloma. He noted that predictive analytic capabilities may also facilitate effective management of cytopenias, transplant-related needs, infections, and other treatment-related toxicities.Thirugnanasambandam also discussed some of the ethical considerations surrounding the growth of AI-based tools, highlighting information privacy concerns and potentially biased datasets as notable issues with these platforms. Although AI may assist with decision-making, Thirugnanasambandam stated that it ultimately cannot replace a human's nuanced clinical judgment and empathy.“I want readers to take away a sense of balance,” Thirugnanasambandam said regarding his publication. “We've done the article to help clinicians be more comfortable in engaging with AI. We need to apply it critically, not as replacing judgment or decision-making skills, but more as an adjunct.”

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.

Behind every dying person is a network of quiet caregivers. In this special series devoted to widening our circle of empathy for people who often feel marginalized or misunderstood, watch this deeply moving episode featuring Dr. Anita Mehta, a family therapist and Director of Education & Knowledge Exchange at the Teresa Dellar Palliative Care Residence.Drawing on decades of experience in end-of-life care, Anita shares the lessons she has learned about upholding human dignity and fostering connection at life's most vulnerable moments. She also reflects on her personal journey of caring for her mother and ultimately losing her to dementia, and how this lived experience of loss has shaped—and deepened—her professional practice.Together, we explore:The myths and realities of palliative careStrategies for supporting family members through illness and anticipatory griefMoments of hope, joy, and connection even during end-of-life careReflections on meaning-making, legacy, and living fullyHow to bring empathy and compassion to a palliative bedside.If you are caring for someone you expect to lose, this conversation explores how care, dignity, love, and loss can coexist.00:00 Preview00:29 Introduction 02:23 About Dr. Anita Mehta06:21 Anita's backstory10:42 Why family support is central to palliative care14:38 Why every family experiences illness (and loss) differently19:51 What is Family Systems Theory?25:06 Making meaning in the face of death: What the dying teach us about living29:17 Life lessons from the frontlines of palliative care34:34 How personal loss has shaped Anita's work as a therapist40:36 Why empathy is the heart of palliative care44:11 Dr. Anita Mehta's Purposeful Empathy storyCONNECT WITH ANITA NOWAK✩ Email purposefulempathy@gmail.com ✩ Website https://www.anitanowak.com✩ Buy a copy of Purposeful Empathy http://tiny.cc/PurposefulEmpathyCA✩ LinkedIn https://www.linkedin.com/in/anitanowak/✩ Instagram https://tinyurl.com/anitanowakinstagram✩ Podcast Audio https://tinyurl.com/PurposefulEmpathyPodcast✩ Bluesky https://bsky.app/profile/anitanowak.bsky.socialCONNECT WITH ANITA MEHTA✩ LinkedIn https://www.linkedin.com/in/anita-mehta-292220180/✩ Website https://www.anitamehta.com/ SHOW NOTES✩ Teresa Dellar Palliative Care  https://residencesoinspalliatifs.ca/en/ ✩ Being Mortal by Atul Gawande https://atulgawande.com/book/being-mortal/Video edited by Jad Misri, Green Horizon Studio

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.

Send us a textOncoPTs are part of a patient's oncology team during the most vulnerable moments of life, including the end of life. However, many clinicians feel unprepared to hold conversations about death and dying and manage the emotional toll that comes with this work.In this APTA CSM Preview episode, I'm joined by Drs. Adam Matichak and Lori Boright for a grounded, compassionate conversation about what PTs need to know to show up confidently in hospice and palliative care settings.We talk about:The OncoPT's role when the goal is no longer “getting better,” but living fullyHow to navigate difficult conversations about functional decline, goals of care, and quality of lifeWhy “Death is not a dirty word”… and how normalizing these conversations can transform patient careNo matter your previous experience, this episode will help you understand the landscape, communicate more clearly, and care for yourself as you care for others.If you're headed to CSM 2026, add this session to your schedule:Death Is Not a Dirty Word: The What's What of Hospice and Palliative CareAI Research TodaySerious Conversations About Real AI Research; decoding the ArXiv into your headphones. Listen on: Apple Podcasts SpotifyFollow TheOncoPT on Instagram.Follow TheOncoPT on LinkedIn.

The conversation delves into the complexities of end-of-life care, emphasizing the importance of thoughtful training and education in healthcare. It highlights the potential moral injuries that can arise from decisions made in this sensitive area, particularly when medics are tasked with determining the futility of care without adequate resources.TakeawaysThere's a ripple effect from each one of these decisions.We have to be very thoughtful about how we train and educate.Moral injury can result from poor decision-making in healthcare.Medics determining early futility may not have the necessary resources.Championing certain ideas can lead to operational inefficiencies.End-of-life care requires a balance of ethics and practicality.Training should encompass both education and practical skills.Healthcare decisions impact not just patients but the entire system.Moral injury is a significant concern in medical ethics.Operational effectiveness can be compromised by hasty decisions.Chapters00:00 Introduction to Palliative Care in Combat Medicine00:29 Operational Effectiveness vs. Palliative Care MessagingFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠⁠

At 39, Hollye Jacobs went in for a routine mammogram and received a life-changing breast cancer diagnosis—suddenly moving from caregiver to patient. In this deeply human conversation, Hollye, a nurse, social worker, and resilience coach, shares how she navigated treatment with intention rather than panic, drawing on both clinical expertise and lived experience.We talk about advocating for yourself, assembling the right medical team, why a cancer diagnosis feels urgent (and often isn't), and the importance of palliative care, nutrition, psychosocial support, and psychosocial support. Hollye also explains why children should be included—not shielded—in a family's cancer journey, and how honest, developmentally appropriate communication can reduce fear.At the heart of the episode is Hollye's concept of “silver linings”—not forced positivity, but small moments of balance that help carry us through hard days. From reframing language like “yet” to redefining resilience as adaptation and transformation, Hollye offers practical tools for navigating life's hardest seasons.Whether you're navigating illness, caregiving, or a major life transition, this conversation offers tools you can return to again and again. Tune in to hear how resilience can be practiced—and how even the smallest silver linings can make a meaningful difference.Hosted on Ausha. See ausha.co/privacy-policy for more information.

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.

Jason Gilley walked into adulthood with a fastball, a college roster spot, and a head of curls that deserved its own agent. Cancer crashed that party and took him on a tour of chemo chairs, pediatric wards, metal taste, numb legs, PTSD, and the kind of late night panic that rewires a kid before he even knows who he is.I sat with him in the studio and heard a story I know in my bones. He grew up fast. He learned how to stare down mortality at nineteen. He found anchors in baseball, therapy, and the strange friendships cancer hands you when it tears your plans apart. He owns the fear and the humor without slogans or shortcuts. Listeners will meet a young man who refuses to let cancer shrink his world. He fights for the life he wants. He names the truth without apology. He reminds us that survivorship stays messy and sacred at the same time. This conversation will stay with you.RELATED LINKS• Jason Gilley on IG• Athletek Baseball Podcast• EMDR information• Children's Healthcare of AtlantaFEEDBACKLike 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.

Dr. Marissa Russo trained to become a cancer biologist. She spent four years studying one of the deadliest brain tumors in adults and built her entire research career around a simple, urgent goal: open her own lab and improve the odds for patients with almost no shot at survival. In 2024 she applied for an F31 diversity grant through the NIH. The reviewers liked her work. Her resubmission was strong. Then the grant system started glitching. Dates vanished. Study sections disappeared. Emails went silent. When she finally reached a program officer, the message was clear: scrub the DEI language, withdraw, and resubmit. She rewrote the application in ten days. It failed. She had to start over. Again. This time with her identity erased.Marissa left the lab. She found new purpose as a science communicator, working at STAT News through the AAAS Mass Media Fellowship. Her story captures what happens when talent collides with institutional sabotage. Not every scientist gets to choose a Plan B. She made hers count.RELATED LINKSMarissa Russo at STAT NewsNIH F31 grant story in STATAAAS Mass Media FellowshipContact Marissa RussoFEEDBACKLike 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.

Scott Capozza and I could have been cloned in a bad lab experiment. Both diagnosed with cancer in our early twenties. Both raised on dial-up and mixtapes. Both now boy-girl twin dads with speech-therapist wives and a lifelong grudge against insurance companies. Scott is the first and only full-time oncology physical therapist at Yale New Haven Health, which means if he catches a cold, cancer rehab in Connecticut flatlines. He's part of a small, stubborn tribe of providers who believe movement belongs in cancer care, not just after it. We talked about sperm banking in the nineties, marathon training during chemo, and what it means to be told you're “otherwise healthy” when your lungs, ears, and fertility disagree. Scott's proof that survivorship is not a finish line. It's an endurance event with no medals, just perspective.RELATED LINKSScott Capozza on LinkedIn: https://www.linkedin.com/in/scott-capozza-a68873257Yale New Haven Health: https://www.ynhh.orgExercising Through Cancer: https://www.exercisingthroughcancer.com/team/scott-capozza-pt-msptProfiles in Survivorship – Yale Medicine: https://medicine.yale.edu/news-article/profiles-in-survivorship-scott-capozzaFEEDBACKLike 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.

Dr. MaryAnn Wilbur trained her whole life to care for patients, then left medicine behind when it became a machine that punished empathy and rewarded throughput. She didn't burn out. She got out. A gynecologic oncologist, public health researcher, and no-bullshit single mom, MaryAnn walked straight off the cliff her career breadcrumbed her to—and lived to write the book.In this episode, we talk about what happens when doctors are forced to choose between their ethics and their employment, why medicine now operates like a low-resource war zone, and how the system breaks the very people it claims to elevate. We cover moral injury, medical gaslighting, and why she refused to lie on surgical charts just to boost hospital revenue.Her escape plan? Tell the truth, organize the exodus, and build something that actually works. If you've ever wondered why your doctor disappeared, this is your answer. If you're a clinician hiding your own suffering, this is your permission slip.RELATED LINKSMaryAnn Wilbur on LinkedInMedicine ForwardClinician Burnout FoundationThe Doctor Is No Longer In (Book)Suck It Up, Buttercup (Documentary)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.

A German palliative care nurse administered lethal doses of morphine and midazolam to elderly patients simply to reduce his workload during night shifts.READ or SHARE: https://weirddarkness.com/nurse-killed-patients-easier-shifts WeirdDarkness® is a registered trademark. Copyright ©2025, Weird Darkness.#WeirdDarkness #TrueCrime #SerialKiller #GermanCrime #HealthcareHorror #NurseMurderer #MedicalCrime #PalliativeCare #TrueCrimeStory #CriminalNurse