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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GeriPal - A Geriatrics and Palliative Medicine Podcast · State of Heart Failure & Palliative Care: Podcast with Haider Warraich · 22 Oct 2020 podcast

I saw this just two weeks ago.

We had this, we had a patient with end-stage heart failure.

We had, we spent more time on that patient than any of our patient, other patients on service because it's such a difficult decision.

Patient eventually went to home hospice, was back after a week in the hospital getting IV diuresis.

So, you know, the way I think about this is that I, you know, I think hospice serves a lot of our patients very well.

But if you look, and we had this recent paper in JBSM, in which we looked at how proportion of patients with specific disease states and how many of them died in hospice facilities.

So you could argue that hospice facility might actually be better for heart failure patients because you can provide more intensive treatments there.

I want to say the 10 most common causes of death.

Patients with cardiovascular disease were the least likely to die, even in a hospice facility.

So no matter how you look at it, the current system is just for whatever reason, for a multitude of reasons, it's just not meeting the needs that these patients have.

So I definitely think this is an area that is ripe for disruptive innovation.

I think there's a huge need.

And I think that unless we start partnering with the different sort of specialists and clinicians who are part of the ecosystem of these patients, we'll just never know.

I mean, I'll give you a small example.

I did a small survey of hospice nurses in North Carolina, which is where I was at that

point.

And I asked them a question.

Part of the survey was getting to that exact same question that you asked.

How comfortable are, say, hospice nurses, for example, in that case, comfortable taking care of patients with heart failure?

So the first question I asked them was, what are the most common symptoms that your heart failure patients have?

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