Anne Rohlfing
speaker
86 appearances
2 recordings
1 series
first heard Oct 2020
last heard Jun 2021
Anne Rohlfing’s voice in public audio — every appearance, attributed to the second.
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Appearances
The Jerry Powell Podcast is brought to you by Archstone Foundation, improving the health and wellbeing of older Californians and their caregivers.
Thanks.
So good to be back.
Sure.
Yeah.
I think compared to our first podcast with Heather, when we talked sort of more broadly about heart failure and palliative care, this time we wanted to dive a little more into some of the complex therapies such as inotropes and VADs and sort of how we should think about those therapies in our palliative care world.
Though I know before we do that, we start with the sign request.
Well, I think, um, and starting off this podcast, I was thinking a lot about, um, patients that I had taken care of when I was on the heart failure service, um, as a hospitalist at UCSS.
And, um,
And thinking about palliative inotropes in particular, there is one patient case that stuck in my head with an older patient with end-stage heart failure, too old for transplant, admitted in the hospital, eventually went through the process to work up for an LVAD, was declined for LVAD, and they decided with his cardiologist to go home on palliative dobutamine.
And when they left the hospital, still had an active ICD in place.
And in our area, we don't have any hospices that support palliative inotropes.
So went home with just home health nursing, a PICC line in place, etc.,
And so the plan was we would refer to outpatient palliative care as sort of some ongoing continuity of care in addition to the cardiology team and discharged on a Saturday.
And then the next week I actually heard from the outpatient palliative care nurse who does the screening calls for clinic referrals.
And she was like, did you know your patient had passed away?
And I was like, no, I had no idea.
But she had called to follow up on the referral and to make an appointment.
And the partner was really distressed.
Apparently they had passed away that night after discharge.
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