Barry Baines
๐ค SpeakerAppearances Over Time
Podcast Appearances
Yeah, the median, that's a 50% or less die in two weeks or less.
Yeah, the median, that's a 50% or less die in two weeks or less.
No, because for, I don't think so, because the majority of people, there is no cost to them to enroll in hospice.
No, because for, I don't think so, because the majority of people, there is no cost to them to enroll in hospice.
Yeah, yeah. I don't think it's not cost, okay? However, you make a good point. If someone is not aware of that... then they may think that there's a cost and that would keep them away. Generally speaking, hospice programs need to do evaluations from families after they deliver services. And for years again, I've been in the business for 25 years. The number one thing that families report
Yeah, yeah. I don't think it's not cost, okay? However, you make a good point. If someone is not aware of that... then they may think that there's a cost and that would keep them away. Generally speaking, hospice programs need to do evaluations from families after they deliver services. And for years again, I've been in the business for 25 years. The number one thing that families report
is I wish I had gotten my loved one into hospice sooner. That's the number one thing. Every doctor and nurse knows about hospice. Every long-term care facility, they know about hospice. Every hospital knows you know, knows about hospice and they certainly do talk about it. Okay. You know, when people are, you know, are in there, have you, you know, thought about that? Can I push you a little bit?
is I wish I had gotten my loved one into hospice sooner. That's the number one thing. Every doctor and nurse knows about hospice. Every long-term care facility, they know about hospice. Every hospital knows you know, knows about hospice and they certainly do talk about it. Okay. You know, when people are, you know, are in there, have you, you know, thought about that? Can I push you a little bit?
Yeah, and this- This is something that comes on, I'm speaking now as a physician. Okay. That's our fault. Okay. And there have been a number of studies to give you, this will explain why is it two weeks or less for 50%. Okay. Yeah. Studies have shown that in general, physicians overestimate prognosis by 500%. Wow. Wow. Okay. Wow. So, so if, if your prognosis is two months, okay.
Yeah, and this- This is something that comes on, I'm speaking now as a physician. Okay. That's our fault. Okay. And there have been a number of studies to give you, this will explain why is it two weeks or less for 50%. Okay. Yeah. Studies have shown that in general, physicians overestimate prognosis by 500%. Wow. Wow. Okay. Wow. So, so if, if your prognosis is two months, okay.
That, that realistically you're, you're going to live for 60 days. Okay. Most physicians will think that you're going to probably live about a year. And since hospice is six months or less. Okay. Well, you're not ready for, for a hospice because you know, and part of it, it's not, Like I say, it's on the physicians, but there's a dynamic.
That, that realistically you're, you're going to live for 60 days. Okay. Most physicians will think that you're going to probably live about a year. And since hospice is six months or less. Okay. Well, you're not ready for, for a hospice because you know, and part of it, it's not, Like I say, it's on the physicians, but there's a dynamic.
It's the doctor and the patient to get together for this because people want to live. So it's a hard conversation to have, but that's one of the things. So in fact, one of the things that has been done for hospice is to get doctors to to think if they have any patients, like if you say, do you have anybody that you know is going to die in six months or less?
It's the doctor and the patient to get together for this because people want to live. So it's a hard conversation to have, but that's one of the things. So in fact, one of the things that has been done for hospice is to get doctors to to think if they have any patients, like if you say, do you have anybody that you know is going to die in six months or less?
Well, if you overestimate by so much, you almost have nobody who meets that criteria. But we changed the question. We call it the surprise question. Doctor, do you have any patients where you would not be surprised if you open the paper in the next year and saw their name in the obituary that they had passed. Wow.
Well, if you overestimate by so much, you almost have nobody who meets that criteria. But we changed the question. We call it the surprise question. Doctor, do you have any patients where you would not be surprised if you open the paper in the next year and saw their name in the obituary that they had passed. Wow.