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
Yeah, sure.
Well, thanks again so much for being on and for having me as well.
I just wanted to start off by asking how you got interested in the overlap of the fields of palliative care and heart failure, specifically with your advanced heart failure training.
I just start off there.
Just elaborate further on what some of those gaps are for our listeners.
Sure.
And I wanted to get back to one of the points that you had brought up too as well in thinking about the cultures that you mentioned of, I guess, culture in cardiology of referrals to palliative care and thinking about just understanding from your point of view as a cardiologist what that culture is currently like.
I just wanted to get back to one thing you mentioned, which is thinking about your training in that and that's training in those other symptom needs and thinking about other questions that as a training in cardiology and advanced heart failure is not something that's brought up.
And one of the things that I really liked in your article with Dan Meyer was thinking about how I think the quote exactly was education and palliative care could be mandated for cardiologists.
And thinking about the demand, the number of patients with heart failure, the number of patients who have palliative care needs far exceeds the number of palliative care specialists.
So how do we sort of narrow that gap and how do we train cardiologists in palliative care as well?
How do you talk about palliative care when you talk about it with your trainees and with your fellow cardiologists?
When I think about these patients too, I think there's that room for improvement.
These are just patients with end-stage regular heart failure who aren't even getting the advanced therapies that we're talking about.
And so thinking about that growing population as well of patients who are getting destination therapy, LVADs, and what does their care look like and what does their end-of-life care look like, trying to...
better understand that and like you know like what would you explain to a hospice provider i mean not all hospices can take lvads even to begin with but what you know what would your you know i wrote some articles about top tips but your top tips for listeners about thinking about those uh folks who have lvads
And on the question of prognostication, are there any models that you use?
Like, how do you prognosticate?
You actually just brought up a great point that I was thinking about too, which is how we talk about heart failure.
Some of those numbers of 2.1 years can be kind of shocking, I think, when you first hear it.
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