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To Care Or Not

StorytellERdoc

Recently, due to the stress that several of my dearest friends have been experiencing in caring for their elderly parents, I am even more appreciative and respectful of my privilege in caring for elderly patients who have attentive and loving adult children who accompany them to our ER. And the ripples from these relationships travel far.

ER 100
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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

I’m originally an ER physician. I’d been doing ER medicine for over a decade when I went back to palliative fellowship. Theresa 28:12 In 20 years, I have once seen somebody deliberately choose a song that was so traumatic, I had to actually put in my very first adverse event report. At a standstill in rooms.

IT 98
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

I felt like more often than not, we erred towards dialysis because there it is. Take a stab, Alex, in one sentence, I think more total time bias is when the start time for one group doesn’t begin until some event happens and therefore they have to survive until that event. Is it delirium from something else?

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Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman

GeriPal

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. Alex 00:12 I’m Alex Smith, and usually you ask me who we have with us today.

IT 108
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PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. And this is really traumatic event for his street family and the street community that he knew. Eric 17:52 What do you hear?

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

GeriPal

In the same way that no one’s going to fight you or no one’s going to say, yes, do that colonoscopy because George Clooney did it on ER. But I think what I didn’t know was that when somebody makes a decision to get to a certain event that the work isn’t done then. And that person came back to life.

Illness 136
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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

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. I mean, obviously nobody fed her the pill with the intention of choking her, but it wasn’t like suddenly she had another event out of the blue because she had a bad heart.