show episodes
 
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
 
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Pomegranate Health

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Pomegranate Health

the Royal Australasian College of Physicians

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Pomegranate Health is an award-winning podcast about the culture of medicine, from the Royal Australasian College of Physicians. We ask how doctors make difficult clinical and ethical decisions, how doctor-patient communication can be improved, and how can health delivery be made more equitable. Find out more at the website of www.racp.edu.au/podcastGet in touch via podcast@racp.edu.au
 
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Patients at Risk

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Patients at Risk

Rebekah Bernard MD and Niran Al-Agba MD

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Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for ...
 
As our policy makers, medical experts, and first responders grapple with the choices forced upon us by the novel Coronavirus, doctors and hosts Dr. Zeke Emanuel and Dr. Jonathan Moreno will guide us on the codes of ethics that are the backbone of modern medicine. They will answer the key questions raised by COVID – 19 including “How do we decide who gets a ventilator?” “Who, if anyone, can force you to stay home in the interest of public health” and “When there’s a vaccine, who will get it f ...
 
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show series
 
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…
 
Seven-year-old Betty died just 15 hours after she was evaluated by a pediatric nurse practitioner in a pediatric urgent care without any physician on site. Betty's father, Jeremy Wattenbarger discusses the efforts he has made to seek accountability and ensure that other children receive physician-led care. Get the book: https://www.amazon.com/Patie…
 
The COVID-19 pandemic has brought to public attention, like never before, the work of public health physicians as well as epidemiologists, statisticians and computer modelers. The crisis also shown how hard it is to take decisions affecting the lives of millions when there is so little evidence to go on. Models of viral spread and interventions to …
 
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…
 
Many of our critics accuse us of exaggerating the risks that patients face when physicians are replaced by lesser trained members of the healthcare team. We are often told that we are engaging in a ‘turf war’ with nurse practitioners and physician assistants and that we should support these nonphysicians practicing ‘to the full extent of their lice…
 
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 …
 
In part 2 of our discussion about healthcare politics, Dr. Kermit Jones, a California internal medicine physician, attorney, and military veteran discusses his run for California's 4th Congressional District. Learn more about Dr. Jones at his website - https://kermitjonesmdjd.com/ Donate to Dr. Jones' political campaign here - https://secure.actblu…
 
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…
 
More than ever, healthcare and politics are intertwined. Decisions made by politicians and have a major impact on not only healthcare policy, but on the day-to-day practice of medicine by physicians. Today we are excited to be talking about healthcare politics with Dr. Kermit Jones, a California internal medicine physician, attorney, and military v…
 
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 …
 
In part 2 of this discussion with Dr. Marion Mass, a pediatrician and the co-founder of Practicing Physicians of America, we learn about the impact of group purchasing organizations (GPOs) on the high cost of healthcare. In 1987, the federal legislature granted GPOs safe harbor from anti-kickback statutes, allowing them to reap millions of dollars.…
 
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…
 
We all know that the health care system in the United States is expensive, with the U.S. spending more than any other developed nation. Although it’s convenient to scapegoat doctors as the reason for high medical costs, the truth is that physician compensation makes up just 20% of total health spending. So, who is really responsible for the astrono…
 
Learn why hope is a powerful tool that can be harmful or helpful at the end of life. In this solo episode I share some thoughts, concerns, studies, quotes and clips on hope and why it isn’t always a good thing at the end of life. From doctors who refuse to refer patients to hospice and palliative care because they don’t want to take away their hope…
 
On our last podcast, advocacy experts Dr. Purvi Parikh and Linda Lambert discussed steps that physicians can take to advocate for their patients and for the profession of medicine. In part 2, we learn from the legislative successes of the nursing profession. We discuss how to write a resolution for your medical society to help influence policy, and…
 
Learn how Kevin Hines survived jumping off the Golden Gate Bridge to become a global speaker on suicide, mental illness, and finding hope in life. My guest Kevin Hines is a storyteller, best-selling author, global public speaker, and award-winning documentary filmmaker. In the year 2000 Kevin attempted suicide by jumping off the Golden Gate Bridge …
 
Physicians are usually so busy taking care of patients that we sometimes ignore the political aspects of healthcare, leaving the decisions to legislators and policymakers, many of whom do not truly understand what it is like to deliver medical trenches in the trenches. Unfortunately, the old adage, “if you’re not at the table, you’re on the table,”…
 
Learn how his sister’s illness and death made this neurosurgeon a better doctor. My guest Dr. Joseph Stern is a partner in the country’s largest neurosurgical group practice in Greensboro, North Carolina. While he has frequently worked with patients and families facing life-limiting illness, his experiences at the bedside of his sister during her n…
 
When it comes to discussing the differences between physician assistants (PAs) and physicians, there is no one better to address the issues than someone who has trained and worked in both professions. Christin Giordano MD was a PA before deciding to return to medical school to become a physician. She has since completed residency training and a fel…
 
In 2017, Victoria was the first state in Australia to pass voluntary assisted legislation and has been followed by Western Australia, Tasmania and now South Australia. Aotearoa-New Zealand passed its End-of-life Choice Bill two years ago and that will go live in November. This podcast draws on the experience of some very committed Victorian clinici…
 
Learn about a new book for children that gently introduces the idea of loss and cherishing our memories. My guest Francesca Lynn Arnoldy is a community doula and educator who developed the University of Vermont Larner College of Medicine’s End-of-LIfe Doula training programs. She is also a bereavement researcher with the Vermont Conversation Lab, a…
 
One of the biggest issues in medicine today is physician burnout, with almost 50% of all physicians reporting making active plans to leave the practice of medicine. We are joined by an expert on the subject of physician wellness, psychiatrist Wendy Dean. Dr. Dean and her co-author have singlehandedly changed the dialogue away from ‘burnout’ and tow…
 
We are joined by Eric Starkman, an investigative journalist who works to shed light on dangerous corporate practices in healthcare. Mr. Starkman is relentless in exposing the work of bad actors in the medical-industrial complex and discusses how the replacement of physicians by nonphysician practitioners is contributing to the decline of the U.S. h…
 
Learn how an EOL doula and funeral director in the UK have teamed up to creatively shift the conversation around death and dying. My guests Anna Lyons and Louise Winter are the creative team behind the popular Life.Death.Whatever initiative to redesign the dialogue around death and dying. Anna is an end-of-life doula and Louise is a progressive fun…
 
Learn how a retired hospice director turned a failing hospice home into a thriving charitable organization providing housing for homeless people at the end of life. My guest Penny Davis is a former hospice nurse who went on to get degrees in business, leadership and wellness management. She served as the executive director of a hospice for a number…
 
About 42% of physicians report feeling burned out, and about half of all doctors are making active plans to leave the practice of medicine. Unfortunately, some doctors turn to drugs and alcohol to cope with the stressors of medicine, which may result in the loss of their professional licenses. Today, we are talking with Dr. Daniel Hochman, a psychi…
 
Learn how Becky created The Death Dialogues Project after a lifetime of experiences with death gradually called her to this work. My guest Becky Aud-Jennison is the creator and host of The Death Dialogues Project and Podcast, which she created to help bring conversations surrounding death, dying and the aftermath out of the closet. Trained as a nur…
 
On May 24, 2021, JAMA, or the Journal of the American Medical Association, published a viewpoint entitled: “Advanced Practice Clinicians—Neurology’s Underused Resource.” The article was authored by nurse practitioner Calli Cook and Dr Heidi Schwarz, a neurologist with the University of Rochester and argued that due to a shortage of neurologists acr…
 
Learn how men grieve differently than women and about an online community where men can find support. My guest Karl Shackelford is a board-certified chaplain who spent many years working with hospice patients. He is also a certified HeartMath® trainer who helps those struggling with the effects of stress, anxiety and adversity to build resilience. …
 
One of the ways that corporations have been successful in replacing physicians with lesser-trained medical practitioners is by creating a sense of equivalence so that patients think that the care they will receive is “the same.” For example, both physicians and nurse practitioners and physician assistants wear white coats, have similar-appearing ba…
 
Learn how a “soul companion” for the dying helps ease the fear of death. My guest Judy Hilyard worked as an ICU nurse during her 47-year career and now serves as an Anam Cara, or “soul friend” to the dying. In addition she also fulfills the role of an Anam Aira by accompanying people through the process of death to “the other side of the Veil.” She…
 
One of the differences between physicians and nurse practitioners is that physicians are regulated by a state Board of Medicine, while in most states, nurse practitioners are regulated by a state Board of Nursing. This distinction is important, because while nurse practitioners are functioning in the same capacity as physicians—ordering and interpr…
 
Acute Kidney Injury makes a greater contribution to early mortality than acute myocardial infarction and it's been argued we should consider the concept of “kidney attack” to give it the weight that it deserves. But the presentation of kidney injury isn’t as overt or timely as a heart attack often is. While serum creatinine is a pretty good reporte…
 
Learn new tools for dealing with the pain of trauma, loss and grief through an innovative therapy process. My guest Andrew Hahn is a psychologist who has long sought to help people live more contented and healthier lives by blending Eastern and alternative philosophies with his traditional training. He developed Life Centered Therapy based on resea…
 
In our book, we dedicate several chapters to discussing the differences in training between physicians and non-physician practitioners. One of the most important elements of physician training is learning how to create a differential diagnosis, which is a list of all the possible causes of a patient’s symptoms. Today we are joined by Dr. Mercy Hylt…
 
Learn how dreams can be a powerful source of healing during grief. My guest Dr. Joshua Black is considered one of the world’s leading academic experts on grief dreams. He is on a mission to raise awareness about the prevalence of impactful dreams during grief and why we should pay attention to them. In this conversation he shares how he got interes…
 
In part 2 of this discussion with emergency physicians Dr. Robert McNamara and Dr. Mitch Li, we learn about the dangers that patients face due to the takeover of private equity in healthcare. Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/By Rebekah Bernard MD and Niran Al-Agba MD
 
Learn why and how to become an EOL Educator through a new program offered by WillowEOL. My guests Michelle Pante and Reena Lazar are co-founders of Willow End of Life Education and Planning and co-authors of 7 Tools for Making Sense of Life & Death, the workbook and the self-study online program. They have also created the Willow EOL Educator Progr…
 
When you are taken by ambulance to the nearest emergency department, you are completely vulnerable. This is not the time when you can research or negotiate prices. With the corporate takeover of hospitals, bills for emergency services have skyrocketed. Patients often receive enormous bills that can sometimes even bankrupt them. These corporate syst…
 
Learn some tools for experiencing grief in the physical body and moving it through to promote healing of ancestral trauma. My guest Oceana Sawyer is a death doula and funeral celebrant who utilizes earth-based spirituality, expressive arts and integral counseling psychology in her work. She teaches about the need to feel our emotions in the physica…
 
In recent years, there has been a massive increase in medical practitioners offering hormone therapy to patients. Since insurance doesn’t cover these treatments other than for very specific medical conditions, most patients end up paying cash, leading to big profits. These treatments are usually promoted as “wellness” products, intended to make pat…
 
Learn how for some of us it’s possible to experience grief without being sad and why that’s okay. My guest Jennifer Mathews is a founding member of the Ashland Death Cafe and the Living/Dying Alliance of Southern Oregon. She is on a mission to shift cultural messages that hold us back from joy and to help us rethink grief and how we respond to deat…
 
On the ninth of each month we have been called to hold space in our communities on life, death and transformation by ObservetheNinth.org. Today’s vigil will help us grieve the deaths of our own mothers on this Mother’s Day. May it bring you peace and comfort. Vigil to Honor and Grieve Our Mothers VIGIL-Script-May-2021Download “MOTHER” by NIKITA GIL…
 
Hospital organizations are increasingly replacing physicians with nurse practitioners and physician assistants who act as "hospitalists." John Chamberlain, the board chairman of Citizen Health and a former hospital CEO, discusses his wife's hospital stay, during which her care was supervised by a nurse practitioner. We also discuss the increasing c…
 
Learn how to increase your own capacity for compassion toward yourself and others and make the world a better place in the process. In this episode I share some of the research and articles I’ve been reading in the book Compassion: Bridging Practice and Science, edited by Tania Singer and Matthias Bolz. It seems to be that we are in need of greater…
 
In December, Patients at Risk aired two podcasts in which we discussed the case of Gerald “Jay” Baltz, a psychiatric nurse practitioner who was under investigation by the California board of nursing for engaging in an inappropriate sexual relationship and providing questionable treatment to a patient who subsequently took her own life. While we did…
 
Learn why and how to support patients who have transpersonal experiences at the end of life. My guest Scott Janssen has been a hospice clinical social worker for almost 30 years. During that time he has been gathering the stories and reports of hundreds of hospice patients who have had transpersonal experiences as death approached. He shares some o…
 
In our book, we discuss the case of Alexus Ochoa, a healthy 19 yr old woman who died when a nurse practitioner failed to properly diagnose her. What is particularly worrisome about this case is that when Alexus was taken to the emergency room by ambulance, the only medical practitioner working there was a nurse practitioner. Unfortunately, this sit…
 
Learn about the legal effort to make psilocybin available as a transformative therapy at the end of life. My guest Kathryn Tucker is a Special Counsel at Emerge Law Group where she co-chairs the Psychedelic Practice Group. She is also the Executive Director of the End-of-Life Liberty Project and served two decades as Director of Advocacy and Legal …
 
Nearly half the states in the Union have legislated the unsupervised practice of medicine by nurse practitioners and currently, one state allows physician assistants to practice without physician supervision. This legislative season we are seeing bills to allow independent practice for nurse practitioners and physician assistants in multiple states…
 
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