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Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri

GeriPal

GeriPal post on “fast food” style palliative care in chronic critical illness. Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

Illness 110
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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. ” Very specific, rare circumstance. Alex: Okay.

IT 126
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. What words to use?

Families 112
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. And the other thing is that verbatim question for research, that’s fine, but that might not be the way to enter into a spiritual relationship with a patient with that kind of question.

IT 99
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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. They have a special skill, and when they see someone who needs it, they need to use it. That makes it really special for them and for me. And I was.

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Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. And that included scheduling a visit with a, with a facilitator who had been specially trained. Like, how close to the end of life is it all just in seriously ill patients, I guess. Like if somebody just drops.