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
was wondering, I know we've talked a little bit about palliative inotropes in the beginning, and we mentioned briefly in our other podcast a little bit about VADs too, but I think that's the other, you know,
major therapy that we think about for end stage heart failure patients.
And I think like you pointed out earlier, very different than inotropes in the sense that there is mortality benefit in a lot of ways, different quality of life benefits as well.
So I just wanted to get your thoughts sort of on
Particularly, just so everyone knows, thinking more about destination therapy for LVADs, you know, there are VADs that are bridge to transplant.
Yeah, BTT bridge to transplant ones where, you know, the goal is transplant and curative.
And then there are folks that won't be transplant candidates, but still get VADs as destination.
therapy with the intent that that is sort of their last heart failure therapy.
So I just wanted to get your perspective on, again, how you talk with patients about that, given how different it is compared to palliative inotropes.
you
Well, no, I don't, I was just doing so much thinking in my head about things I've seen this last year and thinking about, you know,
Most places, obviously, it's mandated now that palliative care is involved with initial LVAD consults.
But I just think about these folks that are destination therapy and thinking about it should be mandatory that there's palliative care following them throughout this and throughout this transition and thinking about talking about end of life and what it looks like even up front at that moment, too.
And I'm really glad you brought that up as something you share with your patients.
Couldn't agree more.
Pal.
It's been a pleasure.
The Jerry Powell Podcast is brought to you by Archstone Foundation, preparing society and meeting the needs of an aging population.
Thank you, guys.
So excited to be here.
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