Articles from the medical literature are digested, abstracted, and discussed by our AI hosts, with topics in symptom management, diagnosis, ethics and others.
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Welcome to the official free Podcast site from SAGE Publications for Palliative Medicine & Chronic Care. SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore.
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A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!
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Hosted by integrative palliative medicine physician, Dr. Delia Chiaramonte, The Integrative Palliative Podcast helps physicians and clinicians guide families facing serious illness to physical and emotional wellbeing. Listeners will find insights, skills and knowledge in evidence-supported integrative symptom management, as well as attention to their own self-care, because you can't pour from an empty cup! Everyone who cares for seriously ill people will find something for themselves and the ...
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A podcast on pearls in hospice and palliative medicine
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Guest speakers, researchers and University of California faculty explore palliative care and managing chronic pain.
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Palliative Care Chat - University of MD Baltimore
Palliative Care Chat - University of MD Baltimore
Brought to you by the online Master of Science and Graduate Certificates in Palliative Care from the University of Maryland, Baltimore. graduate.umaryland.edu/palliative
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GetPalliativeCare.org's podcast, A Quality Life, tells the real-life stories of people living with a serious illness, and their families. Each episode explores how palliative care specialists have helped to manage the symptoms and stress of their serious illness, and improve quality of life
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AmiPal is a podcast about palliative care, technology, innovation and research. If you want to learn more about palliative care, hospice care, research, innovation and health technology - this podcast is for you! This podcast will be of interest to healthcare professionals and students with an interest in palliative medicine. The podcast is hosted by Dr Amara Nwosu MBChB, MRCP, PhD, who is a Academic Clinical Lecturer in palliative medicine in the University of Liverpool, UK. Come and join t ...
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The Surgical Palliative Care Podcast features interviews with the founders and the leaders of the surgical palliative care community, a diverse group of surgeons, dedicated to providing high quality palliative medicine to all surgical and trauma patients. Tune in to learn the rich history of the surgical palliative care movement as well as to stay up to date on the latest research in the field. Hosted by Dr. Red Hoffman, the Surgical Palliative Care Podcast aims to educate, foster community ...
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Welcome to Life: Compassionate conversations around advanced illness and the end-of-life journey. This podcast is intended to provide insight and education into how hospice & palliative care services can help patients and families through the end-of-life journey. It is not intended to replace professional medical advice or diagnoses. We encourage you to seek advice from your physician for questions regarding a medical condition. Hosted by Hospice & Palliative Care of Iredell County’s Develop ...
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Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas
47:19
47:19
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47:19In today’s podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine (AAHPM) and the Hospice and Palliative Medicine Nurses Association (HPNA). Eric and I interviewed these presenters at the meeting on Thursday (before the pub crawl, th…
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013 - Symptom Management: Dronabinol for Neuropathic Pain
18:22
18:22
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18:22Questions? Comments? Send us a message! I. Introduction This briefing document synthesizes key findings from several sources exploring the potential of cannabinoids in managing neuropathic pain. The sources include pre-clinical investigations, clinical trial reviews, and decision analysis models, offering a multifaceted view of the topic. We will e…
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Advance Directive Dos and Don'ts: Key Advice for Your Patients, Your Family and Yourself
21:21
21:21
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21:21Everyone should have an advanced directive. Full stop. You, your parents, your partner, your adult kids - everyone. Most people know that having an advance directive is important but they feel awkward or anxious about actually making it happen. I've seen patients with stroke have a terrible outcome from a poorly done advance directive. And I've see…
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Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: A mixed methods analysis
4:58
4:58
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4:58This episode features Amy Brown (Marie Curie Research Centre, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK. Swansea University Medical School, Swansea University, Swansea, UK) What is already known about the topic? The third World Health Organization Global Patient Safety Challenge ‘Medication without harm’, …
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How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin
47:52
47:52
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47:52Things are changing quickly in the Alzheimer’s space. We now have biomarkers that can reasonably approximate the degree of amyloid build-up in the brain with a simple blood test. We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. So, the question becomes, what, if anythin…
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Definition and recommendations of advance care planning: A Delphi study in five Asian sectors
4:32
4:32
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4:32This episode features Dr Masanori Mori (Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan) What is already known about the topic? As in Western countries’ health-care systems, advance care planning is being increasingly implemented in Asian ones, but consensus on its definition and recommendations base…
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What is Holding You Back? Five Steps for Finally Doing What You've Been Avoiding
19:07
19:07
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19:07What have you been avoiding? Is there a courageous conversation you should be having? A boundary you should be setting? A household task that needs to be completed? I wrote Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself about a year ago and I never recorded the audio book! I meant to. I want…
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Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson
51:14
51:14
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51:14It is a battle royale on this week’s GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out! Travel time can leave this champ vulnera…
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012 - Symptom Management: Gabapentin for Intractable Hiccups
15:32
15:32
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15:32Questions? Comments? Send us a message! Hiccups, while often seen as a minor inconvenience, can become a significant health issue when they are persistent or intractable. This episode explores the science behind hiccups, their potential medical causes, and treatment options, particularly the use of gabapentin as an off-label solution. • Discussion …
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Palliative Care Updates with Dr. Janet Abrahm
44:53
44:53
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44:53Dr. Janet Abrahm is a Fellow of the American Academy of Physicians, Fellow of the American Academy of Hospice and Palliative Medicine, and a Fellow of the American Society of Clinical Oncology. She is a Professor of Medicine at Harvard Medical School, a former practicing oncologist, and an internationally recognized expert in supportive and palliat…
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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden
49:49
49:49
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49:49It’s another deprescribing super special on today's GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. In our first segment, we discuss a study led by…
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011 - Diagnostics: Remitting Seronegative Symmetrical Synovitis with Pitting Edema (RS3PE) - An easily missed diagnosis in palliative medicine
10:15
10:15
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10:15Questions? Comments? Send us a message! This case report details a patient with chronic lymphocytic leukemia whose initially misdiagnosed joint pain was ultimately attributed to the rare syndrome of remitting seronegative symmetrical synovitis with pitting edema (RS3PE). The report discusses RS3PE's characteristics, often overlooked due to its rari…
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The Physician Entrepreneur: An Inspiring Interview with Dr. Una
52:01
52:01
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52:01Physicians are expert learners, yet many have the feeling that they can't be entrepreneurs. This week, Nneka Unachukwu, MD (affectionately known as "Dr. Una") will convince you that you can learn the skills to become a physician entrepreneur or a physician "intrapreneur" and create the life that you want. If you have a tiny voice inside that dreams…
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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig
47:27
47:27
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47:27Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. These individuals may become “unrepresented,” meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to h…
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010 - Data: Palliative Medicine Consultation and Hospital Readmissions
12:03
12:03
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12:03Questions? Comments? Send us a message! This retrospective study from a 21-hospital system analyzed the effect of palliative medicine consultations on 30-day hospital readmission rates for patients with six diagnoses (heart failure, sepsis, pneumonia, COPD, AMI, and stroke). The research found statistically significant reductions in readmissions fo…
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009 - Ethics: Life Support after Brain Death
21:02
21:02
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21:02Questions? Comments? Send us a message! This article presents an ethics case study concerning a 52-year-old male declared brain dead, whose family refuses to remove life support. Multiple perspectives—medical, nursing, chaplain, social work, legal, and ethical—are offered, exploring the conflict between the family's emotional denial of death and th…
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How to Start the Conversation: 5 Tips for Initiating Talks About End-of-Life Wishes
14:24
14:24
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14:24Talking about advance directives, goals of care, and end-or-life wishes can be scary. Even if the conversation doesn't scare you, finding the right time and the right way to bring it up can be a challenge. This week I share my own recent experience of having a goals of care conversation with a loved one, and give practical guidance for how to get s…
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008 - Diagnostics: Post-radiation Lichen Planus
14:44
14:44
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14:44Questions? Comments? Send us a message! This case report details a rare instance of post-radiation lichen planus in a 64-year-old male, following radiation therapy for squamous cell carcinoma. The report examines the patient's medical history, clinical presentation, and treatment response to topical triamcinolone. The authors review existing litera…
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007 - Diagnostics: Posterior Reversible Encephalopathy Syndrome (PRES) - Don't Miss This Diagnosis!
13:49
13:49
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13:49Questions? Comments? Send us a message! This case report and accompanying discussion detail Posterior Reversible Encephalopathy Syndrome (PRES), a neurological condition presenting with seizures, visual disturbances, and altered mental status. Often misdiagnosed as more severe conditions like intracranial hemorrhage, PRES demonstrates reversible br…
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006 - Symptom Management: BJR Method for Methadone Conversion
16:05
16:05
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16:05Questions? Comments? Send us a message! The BJR method is a novel mathematical approach to methadone conversion that aims to improve upon existing methods by providing a smoother, less discontinuous, and less linear output for a reasonable and safe methadone dose. Here's how it improves upon existing conversion approaches: Addresses Limitations of …
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005 - Cultural: The Therapeutic Baptism : A Case of Missed Cultural Cues in a Terminally Ill Patient
27:27
27:27
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27:27Questions? Comments? Send us a message! The case study underscores the potential for misinterpreting spiritual distress as psychiatric illness, resulting in inappropriate treatment. Clinicians should learn several key lessons from the case of Mr. G, primarily emphasizing the importance of addressing patients' spiritual needs alongside their physica…
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004 - Ethics: Suicide and Self Determination - what are the limits to autonomy when a patient lacks capacity?
26:27
26:27
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26:27Questions? Comments? Send us a message! This ethics roundtable discussion centers on the case of JG, a 45-year-old man who attempted suicide and subsequently suffered severe brain damage. The article presents differing perspectives from medical, nursing, risk management, ethics, pastoral, social work, and legal professionals regarding the ethical i…
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003 - Ethics: State-Erected Barriers to End-of-Life Care
11:05
11:05
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11:05Questions? Comments? Send us a message! This ethics roundtable discussion analyzes a case study where a patient's daughter-in-law, the primary caregiver, seeks to withdraw life support, but state law restricts surrogacy to blood relatives or spouses. The discussion explores the ethical and legal implications of this restrictive law, highlighting th…
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002 - Ethics: Surrogacy, Religious Beliefs, and Medical Treatment
23:28
23:28
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23:28Questions? Comments? Send us a message! Ethical and legal considerations surrounding a comatose Jehovah's Witness patient's need for a life-saving blood transfusion are debated. The patient's parents, also Jehovah's Witnesses, refuse consent, while her brother advocates for the transfusion, claiming she wasn't a practicing member. The case highligh…
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001 - Ethics: Surrogate Decision Making at End of Life
20:40
20:40
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20:40Questions? Comments? Send us a message! Who makes the decision if the patient lacks capacity? Multiple healthcare professionals offer varying perspectives on the ethical and legal dilemma surrounding the care of a 93-year-old comatose patient (JH). A conflict exists between JH's legally appointed Power of Attorney (POA), his hired caregiver, who wa…
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From Cold Showers to Going Flat: Katie Duke's Empowering View of Breast Cancer From the Inside
38:24
38:24
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38:24In this episode, Katie Joy Duke (@katiejoyduke) shares her wisdom as a woman and life coach who experienced treatment for stage IV breast cancer. She shares the tough parts and the growth parts, including her decision to pursue an aesthetic flat closure rather than breast reconstruction. She is open and engaging and wise. I know you'll love learnin…
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We create much of our own suffering, and I suggest that we all cut that out! Life sends us enough stress and challenge - why would we add to our suffering for now good reason? Expectations can add to our suffering. Learning to modulate your expectations allows you to stay in the moment and enjoy your experiences, your people, and your moments. Holi…
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Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious
49:44
49:44
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49:44We’ve talked a lot before about integrating psychiatry into palliative care (see here and here for two examples). Still, we haven’t talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. On this week’s podcast, we talk with two experts about palliative psychiatry. We invited Dani Chammas, a pall…
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In the serious illness space, regret is rampant. Caregivers often regret what they did or didn't do when caring for their loved one with cancer, dementia, or other life-limiting illness. Physicians and other clinicians may regret the goals of care conversations that we meant to have but didn't get around to. Regret is terrible and its negative impa…
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AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender
47:52
47:52
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47:52Surrogate decision making has some issues. Surrogates often either don’t know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms. Can we do better? Or, to phrase the questi…
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Advance Directives & Emergency Medicine: Wisdom From the Front Lines with Dr. Dan Morhaim
46:34
46:34
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46:34Emergency Medicine physicians face life and death situations as part of their normal work day. They train for that! But what about when an ailing person with a very advanced cancer comes to the ED without an advanced directive? What if half the family wants aggressive care and half the family wants to let the patient die peacefully at home? This we…
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Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman
48:34
48:34
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48:34We’ve covered stories before. With Liz Salmi, Anne Kelly, and Preeti Malani we talked about stories written up in the academic literature, such as the JAMA Piece of My Mind series. We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories.…
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Managing the Holidays When Someone Important is Missing
20:04
20:04
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20:04Holidays can be joyful times that bring you together with the people that you love. But what if someone is missing? Maybe your loved one has died, or maybe someone important to you can't join you for the holidays this year. How do you balance grief with expectations of holiday joy? This week I discuss how to cope with the holidays when someone you …
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Coping with Serious Illness: Danielle Chammas and Amanda Moment
50:24
50:24
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50:24Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a …
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