Sarguni Singh
speaker
92 appearances
1 recordings
1 series
first heard Oct 2023
last heard Oct 2023
Sarguni Singh’s voice in public audio — every appearance, attributed to the second.
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Appearances
Yeah, and I think just to add to that point, sometimes I think it's hard with all the shift work and the transitions and care teams to realize that your patient is in that cycle where you're going from hospital to SNF, maybe home for a few days back to the hospital.
It really requires like looking in their chart, seeing, you know,
spending time understanding what their experience has been the last three months or so.
And if you are just admitting someone on a swing shift or are just on service for a couple of days, you might not realize that this is the cycle your patient's been on.
And so kind of having those discussions as a team would really maybe help with knowing when that's happening.
Yeah, I think it's so tricky from the hospital side, you know, like it's very challenging because as soon as there's no kind of acute medical need that you're that you're you're treating.
then you kind of have these dilemmas of, well, the patient could medically go, but do I keep them another day or two for a pal care consult?
But then if the patient is saying, I want to go to SNF to get stronger and try to get more treatment, like I know your goals, I know your values.
We're not, you know, there's not a lot of, you know, I'm uncertain about what a palliative care consult would do at that juncture.
And so I think that it's tricky because
You know, we keep them there longer I don't know how that would necessarily help them, given kind of what their goals are at that time.
And so sometimes it feels like you have to wait until they get sick enough to change their mind and I hear how bad that sounds like.
But it's hard because at some point it feels like you're trying to encourage people to change their mind.
And so then I think that feels also not necessarily great.
at all.
It's always really remarkable to me.
I always tell the residents and med students I work with that as soon as a patient changes their mind, the way this stops is when the patient says, I'm done.
I want to go to hospice.
And it's remarkable how quickly it happens.
In the morning, we can be talking about, let's do chemo.
Showing 41–60 of 92 · page 3 of 5
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