Alex Smith
speaker
32,670 appearances
416 recordings
1 series
first heard Oct 2016
last heard 5d ago
Alex Smith’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 42 in all, peaking in Apr 2026 with 5.
Appearances
Or is this really medical paternalism in palliative care clothes?
podcast-host
And if you ask people with serious illness or surrogates of people with serious illness if they want to be offered a choice when it comes to potentially non-beneficial life-sustaining treatment, because it's potentially beneficial as well.
podcast-host
Well,
podcast-host
They will probably say yes.
podcast-host
And I would guess that there are studies that back them up.
podcast-host
And I know Doug White's done some studies uh around offering recommendation and that not all, you know, surrogates or seriously ill patients want or appreciate a recommendation, you know, and they worry about the the source of the recommendation and the reasons behind the doctor's recommendation.
podcast-host
And sometimes with with good reasons, given, for example,
podcast-host
Legacies of racism, unequal treatment, persistent inequalities in care.
podcast-host
And so there are really important reasons that we should and ought to engage patients in shared decision making in every single instance.
podcast-host
And when that fails, going to the institutional policy and not doing these shortcuts, workarounds, which are ethically problematic.
podcast-host
Мерик.
podcast-host
Yeah, and I don't think you need to list all twenty seven you don't have to say like you know, you're gonna omit somepressant or we you know, like you don't or this antibiotic or that antibiotic.
podcast-host
But I think that you violate the spirit and the uh the the intent of the guidelines when you're talking about leaving out major, major potential life sustaining treatments options.
podcast-host
Uh I do think the guidelines need to be revisited and that when you get to a situation where many or maybe even most doctors are doing something different than what the guidelines say, then we need to attend to that.
podcast-host
It's not just, hey, you need to adhere to the guidelines.
podcast-host
It's time to revisit the guidelines.
podcast-host
There we go.
podcast-host
There we go.
podcast-host
song is so good.
podcast-host
So singable.
podcast-host
Showing 881–900 of 32,670 · page 45 of 1634
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