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Underneath

StorytellERdoc

Walking into Room 33, my next patient, who had come to the ER complaining of cough and cold symptoms, seemed just as I had expected. What can I do to help you in our ER today?" Because of his torso scars, his thorax, when stressed with illness, couldn't expand as easily as yours or mine. I had a bad cold about two weeks ago.

Physicals 100
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To Care Or Not

StorytellERdoc

I dedicate this to each of you who have cared for or are currently caring for an ill parent or family member. Including them in providing more history and in discussions about testing and treatment plans for their parent benefits not only their parent, but also myself and my team. I am grateful for their presence and input.

ER 100
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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. Sunita: Honestly, I’d be happy to provide the vocals. Take for example the simple question: “If her breathing gets any worse, she will need to be intubated.”

Illness 136
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

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PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. And this is really traumatic event for his street family and the street community that he knew.

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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. I’m originally an ER physician. I’d been doing ER medicine for over a decade when I went back to palliative fellowship. Look for Jenny to potentially appear on the show Americas Got Talent (no lie).

IT 98
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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. So in some ways, it was an iatrogenic event. There was also a second event in that the pressures chosen weren’t the ideal ones.