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
innovation.
And it shows how much even a few individuals can make a difference.
I will say that at a place like, for example, the Brigham, we have a fellow who finished cardiology fellowship, is now doing a palliative care fellowship, and is doing advanced heart failure fellowship next year.
And this mandated training was actually, she's spearheading it as a fellow.
So it goes to show that even though it may feel like, oh, we're decades behind, we can really make a difference.
And if we make the right pitch, I think people in leadership positions are now much more open, even within cardiology, which is still not there yet, to accepting more patient-centered ways of taking care of their patients.
So I'm very, very encouraged that we will continue to see a change, and the change is going to come from some of our newest fellows, from some of our youngest faculty members.
You know, one of the things that I say is that if you look at, for example, advanced heart failure, so if you go to a congestive heart failure service, you know, we'll have a census of about 16, 17 patients.
And for most of them, what we are essentially doing is we're providing palliative and supportive care.
We just don't call it that.
If you go to a heart failure service, let's say you have a census of 16 or 17 patients, most of the patients on that service will not be candidates for
an advanced heart failure therapy such as a heart transplant or an LVAD.
Then of those patients, many may not be patients who can tolerate your usual heart failure medications.
Many patients we're starting on inotropes essentially as a pure palliative therapy.
What I tell others is that a lot of what we do in routine advanced heart failure care is palliative care.
We just don't call it that.
And because we don't call it that, we don't think about it with intention.
We don't think about, well, how can we get better at this?
And so one of the things that I do is really to just open people's eyes so that they start thinking about, well, geez, this is a big part of what we do.
This is not a niche sort of field.
Showing 441–460 of 683 · page 23 of 35
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