Healthcare System And Dying public
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Dr. Karen Wyatt, hospice physician and author of "7 Lessons for Living from the Dying," interviews experts on all aspects of the end-of-life, including: caring for the dying, funeral and burial practices, planning for the end-of-life, conscious dying, grief and loss, caregiver support, afterlife, death and the arts, and community initiatives to improve end-of-life care. Access show notes at www.eolupodcast.com
 
Redefining Reality represents the intersection between Wellness, Business, and the birth of a Global Tribe. It is where we explore what it means to be holistically healthy and offer practical tips on how to get there. I am a Bio-hacking Certified Nutritional Practitioner and Wellness Coach who after nearly dying from a ruptured appendix in 2010 discovered my passion for natural health and awakened my purpose to help others solve their own health challenges. I consider this podcast to be a ed ...
 
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"As we enter a year and a half into a worldwide pandemic, many of us working in health care are fatigued, over-worked, and burned out on compassion. Burnout has been so widespread that the CDC published guidelines on how to cope with the stresses of the job as COVID-19 cases persist. As the Delta variant continues to spread and individuals remain u…
 
Learn about a helpful and humorous workbook for funeral planning. My guest Kathy Benjamin is a freelance writer whose work has appeared on various sites including Uproxx, Playboy’s The Smoking Jacket, and Cracked.com. She is the author Funerals to Die For and the recently released It’s Your Funeral: Plan the Celebration of a Lifetime Before it’s To…
 
"As a practicing surgeon for 30 years in the super-specialized field of otology, neurotology and skull base surgery, I have been privy to some of the most disturbing realities of surgical care. Often, these realities are bleaker than most people expect. One thing physicians, and the general population, need to be more aware of is the very real raci…
 
"The same question could be asked about the joy and meaning in medicine. Where does it dwell? And the answer may be the same. It dwells wherever we choose to let joy and meaning in medicine into our physician-healer lives. As I look back upon my career, it saddens me to know that those doors to my dwelling were closed shut so often. For so often, I…
 
"I am a proud science-trained medical doctor and concerned mother. I am not going to remain silent when the biggest tragedies are yet to hit earth yet. Like seriously, I do not want to become like the dinosaurs. History wasn’t too kind to them. Just saying. Scientists say the worst is yet to come if America doesn’t listen. What do scientists know a…
 
Rabia Khedr is the national director of Disability Without Poverty and has a big personal stake in the upcoming federal election. Rabia and her sister are visually impaired. One brother with an intellectual disability lives in long-term care. Her other brother died of complications following surgery during the pandemic. With more than six million p…
 
"This is where we are: Hospitalizations rising, new variants that are more infectious, and many people believing that this is all a hoax, or that millions of people have conspired together to make injections that harm people rather than helping them. Patients leaving AMA and dying because there’s no trust anymore. This is where we should be: People…
 
"What can we control? Our behavior and our responses to circumstances. Focusing on what is in our power to control and putting all our energy and efforts in the right places and for the right reasons seems to be a step in the right direction to make positive changes and avoid burnout. Now, imagine not only surviving medicine but also enjoying it, u…
 
"Some may say that we all come into this world with our own luck, and if we end up having to endure a disability, then other people in society should not be held financially responsible. To that I say, do we not have a moral imperative to ensure that we create a society that we would be proud to live in? Humankind has only come so far on the basis …
 
Learn why being present and quiet can be the best way to help people at the end of life. Deanna Cochran, hospice nurse, EOL doula, and founder of the CareDoula® School of Accompanying the Dying returns in this episode for Part 2 of our “deep dive” conversation (check out Part 1 here.) We talk about the impact of COVID on end-of-life work and how it…
 
"Attending physicians struggling with a mental health issue should consider contacting a counselor first, rather than a department head or employer resource. A counselor can assess the mental health issue, offer treatment recommendations, and provide therapy that meets the physician’s needs – all while protecting that person’s privacy. Mental healt…
 
"I called my wife of 31 days, anxious and dazed. I told her that the pace I was on was crushing me. I told her I had done seven admits since 5 p.m. and taken floor calls, too. It was not yet midnight. I told her I don’t know if I can do this job. But I soldiered on. It was the first of July. I picked up my first chart of the shift and began to walk…
 
"Chiefs, remember, one of those interns is going to fill your shoes in a few years. They may model you in that role, so you want to raise them well! As a former chief resident, I have lots of pearls for those entering residency. However, what I will tell you now is different from what I would have told you then. I have since learned that there are …
 
"In January of 1991, at twenty-two months old, Nick had another heart catheterization. Andy and I had started thinking about the next stage of surgery to finish the heart repair. Just before Nick was discharged, I discussed it briefly with Dr. Kanter. 'Tell me when you would like to do the surgery,' he said. 'Never, if it’s up to me.' We were in no…
 
"After my last promotion, my institution adopted new guidelines and criteria for incorporating social media into promotion. I understand several other academic institutions have taken similar approaches, and it is enlightening to learn that academic medicine is evolving to match the current state of medical education. I encourage anyone considering…
 
"Imagine this scenario: a busy mom struggles to balance work and parenting during the pandemic when suddenly her teenage son begins to anger. He gets out of control, screams threats, and kicks a hole in the wall. Neighbors call the police, who recommend the family go to the emergency department (ED). When the family arrives at the ED, the stresses …
 
How does a physician become a thriller author? Where do his stories come from? How long does it take to go from idea to finished product? How did his experience as a physician influence his books? John Bishop is a retired orthopedic surgeon. He shares his story and discusses his transition from physician to medical thriller author.…
 
"Feedback in the assessment stage is always useful for improving the design of a device — especially as it relates to improving long-term aspects, such as patient outcomes or cost-effectiveness. This kind of feedback can only come after a device has been on the market and in use for a while, and after doctors have had a chance to see the long-term …
 
Learn the “long-view” of end-of-life care and how hospice care has changed over time to now include death doulas. My guest Deanna Cochran is a registered nurse with certification in hospice and palliative care who has served as a private EOL doula since 2005, so she is truly a pioneer in the movement. She is the founder of the CareDoula® School of …
 
"As I approach this last stretch of residency, still entrenched in the rigors of training and the intensity of raising three young children under five years old, I am in a unique position of being able to reflect on the years and look ahead at what I want to build at the same time. It has been a lonely, emotional, seemingly endless journey at times…
 
"While the COVID-19 pandemic exposed and normalized the need for increased mental and behavioral health services over the last year and a half, addressing mental health issues as a regular form of their wellness will persist beyond the pandemic. However, as the adoption of virtual technologies continues to open up more access to care, the potential…
 
"I’m smart enough to be a physician. As if being the smartest person in the room makes you the best physician in the room. Hint, it doesn’t. Being a good physician is a culmination of knowledge, skills, and strengths that you, as an individual physician, uniquely brings to the field. It’s taken some rewiring to pull shame out of my professional nar…
 
"In times of uncertainty, human behavior often makes people resort to less-than-stellar behaviors; unhealthy personal environments can become manifest as well. Often, these coincide with health care being used more frequently and the safe haven of health care delivery being sought. With all physicians being leaders, it is incumbent upon us to demon…
 
"I implore you — even if it’s difficult — if you don’t like your doctor, take the time and find a new one! How do you do that? Check your insurance for who they cover, and then ask your friends who they see and like. Google the physician. Google the practice. Google the hospital. Put as much effort into this as you would buying a car. This person n…
 
"We focus on ensuring our solution works equally well for English speakers with any accent. We regularly hear from doctors how much of a difference this makes in their ability to deliver high-quality patient care. It’s our hope that more health tech vendors will take a good look at what they’ve chosen to prioritize and how that may contribute to in…
 
Learn why focusing on your mortality opens the door to finding deeper meaning in life. My guest Kate Manser is the inspiring visionary creator of YOU MIGHT DIE TOMORROW, a movement to help people really live before they die. She is the author of the book You Might Die Tomorrow and The ALIVE Workbook, which she talks about today. She shares what she…
 
"I bring this to your attention because, in 1971, I took an oath to impart precept, oral instruction, and all other instruction to all indentured pupils who have taken the Healer’s Oath. Having done so, if it strikes you that, during the aforementioned trial, an opportunity was missed, only to be rectified by the Court of Special Appeals, then I le…
 
"The first step to hospital recovery is the collection and analysis of data. Organizations that effectively leverage data to optimize surgery can see rapid, quantifiable, and sustained improvements in metrics that directly link to operational efficiency and associated financial benefits. The current situation presents a unique opportunity for hospi…
 
"The dramatic uptick in mental distress, trauma, and substance use since last year has driven a corresponding rise in the use of virtual mental health therapy and psychiatric care, helping us, as a society, more effectively grapple with the fallout from the pandemic. According to one study, more than half of the people who used telehealth in May 20…
 
"When I teach medical students who rotate with me at my clinic, I ask them to write about the single most negative and single most positive emotional experiences they have had in their 3 to 4 years of training thus far. Commonly, I see fear as a negative emotion and pride in self-worth as the positive. When we break it down, their fear often stems …
 
"Just as Simone Biles has her detractors, there will always be physicians unable to empathize with their mentally ill colleagues, believing psychological struggles are a constant state of being human. But if taking care of oneself means temporarily leaving the workforce to receive professional treatment, then so be it. Physicians are beginning to f…
 
"According to AAMC, the median debt for medical students in 2019 was $200,000. Unfortunately, fundraising for scholarships was difficult for many organizations due to the pandemic despite more students seeking out scholarships. Luckily, more anonymous generous donors have helped the next generations of physicians in recent years, but what happens i…
 
"Our country is facing a voting crisis with multiple layers: chronically low overall voter participation, even lower voter participation among physicians and — to add insult to injury — an increasing number of laws that make voting more difficult, especially for those with chronic health conditions. Voter registration in health care settings can be…
 
Learn about an innovative new smart phone app that provides connection and inspiration for people experiencing grief. My guest Reid Peterson is the creator of Grief Refuge, a website which provides tools, resources and support to help navigate grief’s lonely journey. He has also created the Grief Refuge mobile phone app that provides daily support …
 
"Currently working in a COVID ICU in a tertiary center in Kathmandu, I have experienced how difficult it is for the health system to manage the patient load. A month ago, ICU beds were fully occupied, ventilator alarms would set off time and again, indicating low flow as the hospitals faced shortages of oxygen supplies, emergency rooms were over-oc…
 
"Until recently, voice changes from menopause and aging have been almost unmentionable. If a woman talked about her challenges, especially if she was a professional singer, it could have meant decreased opportunities and even the end of her career. Most women have stayed silent, coping as best as they can, assuming that they have to deal with their…
 
"A rough career transition in 2019 followed by the pandemic highlighted how I was still financially tethered to my job — after 10 years of practicing as a subspecialty trained radiologist, saving, maxing out my retirement accounts, and investing in the stock market and in real estate. Looking around, I saw other physicians in a similar predicament.…
 
"With this single word, mom had now completely altered her willingness to see the deep suffering of her child. This single word watered all of this child’s five years of depression, crippling anxiety, history full of ACEs, and very significant struggle down to a simple, selfish, flippant choice. Furthermore, mom said that the nursing staff asked he…
 
To predict the future, some people look into crystal balls. And some peer into the past. Dr. Nicholas Christakis is a physician and medical sociologist who is a student of pandemics. His latest book is Apollo's Arrow: The Profound and Enduring Impact of Coronavirus on the Way We Live. This week on White Coat Black Art, he talks to Dr. Brian Goldman…
 
"While we still lack a complete cause and effect model of Alzheimer’s disease, there is no doubt that the etiology is multifaceted and nonlinear. This accounts for the fact that it takes an incredibly long time for Alzheimer’s disease to develop. I mention this because one of the major problems with FDA approval has always been that it insists on u…
 
"Dehumanizing patients can lead to indifference in physicians. It is a privilege to be trusted to take care of every patient we encounter, yet we can lose sight of this and begin to see our patients as a burden, or as units of work, rather than as individuals. When individual patients cease to matter, we cease to care. This is the precipice of burn…
 
"Toward the end of my clinical career, I didn’t feel like I had control over much at all. The patient safety issues loomed large. We used ridiculous workarounds for broken processes. The constant vigilance to provide excellent care in a suboptimal environment was exhausting. I didn’t see anything I could change. Based on my work with physicians as …
 
Learn the powerful lessons that come from a long career of service to others at the end of life. My guest Zenith Virago is a respected pioneer and acknowledged expert in the fields of holistic death and dying. With over 20 years of experience she provides comfort, information and guidance to assist people through the natural and the sacred, the inn…
 
"Physicians have had a rough century, so far. In addition to battling COVID-19, doctors have spent the past two decades fighting the health care industry’s fiercest players and losing, badly. Power in the industry now belongs to health insurance companies, major drugmakers, and hospital tycoons. Physicians feel beaten up, burned out, and abused by …
 
"Maybe it’s a testament to a hardy relationship that there was no resulting argument. Without thinking, I blurted out, 'You are so sexist!' I could immediately tell by my husband’s face, his upper eyelids and eyebrows lifted a bit, his mouth freeze-framed in a small 'o' — my exclamation surprised and insulted him. Maybe it was a completely unfair a…
 
"Suffering something similar in my career, I know the detrimental impact of not having a voice or being heard in the medical community. Medical professionals do not want to appear weak, so they continue until something breaks. As a pain physician, I understand where the frontline health care workers are coming from. The intense pain and suffering t…
 
"Extensive media coverage of the emotional and death tolls that COVID-19 inflicted on nursing homes has intensified concern for preserving the humanity of an often-overlooked population. There is an opportunity to re-examine the policies and practices that shape the nursing home experience and to add quality metrics that capture the aspects of life…
 
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