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
Well, what I'll say is that the culture of cardiology can change from institution to institution.
I have moved.
I was in a different place for med school, for residency, for fellowship, and now as faculty.
And I will say that I've seen varying...
I've seen variation even within my own sort of end of one experience from one place to another.
I will say that, for example, right now I'm at Brigham and Women's and at the VA.
And at the Brigham, we have a integrated heart failure palliative care service called HeartPal.
And this is a service that is dedicated for patients with chronic heart failure.
And we work very closely with them.
We will co-round with them.
And I feel like that level of integration, I've not seen anywhere else.
And then there are other places that I work with where really you couldn't... And I've not been out of training for long.
I was a fellow until last year.
And as a trainee, you could not get a palliative care consult without...
essentially having approval from the entire chain of command, if you may.
And so there is different levels of integration across communities.
But if you look at the national data, it would suggest that by and large, you're essentially using palliative care as a, you know, what Tony Bach recently said, a brink of death consult, if you may.
That by the time someone thinks that, oh, this patient is seriously ill, they may benefit from having
a palliative care consultation, we're so far down and so close to the patient being close to the end of life that I worry that they don't get the real benefit of having that additional service.
So fantastic question.
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