Haider Warraich
speaker
683 appearances
3 recordings
1 series
first heard Oct 2020
last heard Dec 2021
Haider Warraich’s voice in public audio — every appearance, attributed to the second.
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Appearances
And essentially, it is the story of this Sufi mystic who's now essentially reached some sort of existential crisis where he's speaking to his
lord and savior and he's completely lost between the real world and this sort of spiritual world that he exists in and i and i i the songs always resonated with me so just that's one of the reasons why i picked it the other was just to have you sing in urdu it is just great
Sure.
When I was in residency, I went to the Beth Israel, which is really if you're someone who's interested in palliative care and having a thoughtful approach to taking care of patients, I can't think of a better place to train in.
And one of the things I was struck by was that patients... There was this one particular case I remember, and it was an older woman who had hypertrophic cardiomyopathy.
And she was undergoing this high-risk procedure, and she didn't end up having a good outcome.
And I felt that I had personally failed her because even though we had planned for what would happen if this goes well, I always felt like I never...
you know, mentally prepared her to think about, well, what if things don't go to plan?
What if, you know, what are sort of other things that might happen?
And I personally felt like I had failed her.
But when I looked beyond that case, I felt that that was, you know, in some ways, I don't want to say emblematic, but I said it was very prevalent in patients who had advanced heart disease that a lot of times we didn't have palliative care integration the way that we had for
patients with oncology.
And I was drawn to both of these fields.
In fact, after residency, I worked for a year as an oncology hospitalist because I love taking care of patients with cancer so much.
And so this initially began as a clinical interest, but then kind of blossomed into a research interest as well, where I started to more formally study some of the gaps in the care that patients with advanced cardiovascular disease experience, especially as they approach the end of life.
You know, I think if you look at, there's gaps that you'll all, you know, see, you know, perhaps at the bedside.
But, you know, if you look at the data, we know that
Patients with cardiovascular disease are in fact the least likely amongst all major diseases to die at home, which again may not be the preferred site for everyone, but certainly if you survey patients, most patients would like to be able to die at home.
We know that palliative care referrals are put in less frequently for patients with cardiovascular disease, and when they are placed, they're placed very late during their trajectory.
And eventually, when these patients are being discharged to hospice, that's when really some of these gaps become very, very clear.
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