Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
48 min
3 speakers
3 chapters
transcribed 9 hours ago
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What is the purpose of this episode and who is the guest expert?
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Welcome to the Jerry Pow podcast. This is Eric Quadera. This is Alex Smith. And Alex, this one's been a long time in the waking waking making. Who do we have with us today?
Today we're delighted and honored to welcome Eduardo Barrera, who is, you know, one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. He's a palliative care doc and oncologist. He's chair of the Department of Palliative Rehabilitation and Integrative Medicine at MD Anderson Cancer Center, among many other things. Eduardo created the Edmund. Symptom assessment scale or ESAS, which is probably the most widely used symptom assessment scale in palliative medicine. Eduardo, welcome to the Jerry Pell podcast.
Thanks. I'm so happy to be here. It's a great uh opportunity.
I am super excited because uh I gotta tell you, pretty much every time I I do a symptom talk to our fellows or our med students, inevitably I include one of your randomized control studies on this from like IV hydration from delirium to you know, the topic we'll be talking about is cachexia, kind of how we think about that, the meds that we use to try. Trials around delirium, um and uh you know, antipsychotics and benzos. So super excited. But before we jump into the topic at hand, we always have a song request.
How did Eduardo Bruera become a pioneer in palliative care and create the ESAS?
Do you have a song request for Alex, Eduardo?
Of course, CCR. C CR is from my from my time. And although they were born in your state, they sang about my part of the nation. So I would love to hear something from C Cr.
And your part's Texas?
Absolutely.
That's right. So this song we're gonna do Midnight Special, uh, which is from nineteen sixty nine. And I like this one because the introductory verse mentions food and the second verse we'll do at the end mentions Houston, which is where the NB Anderson Cancer Center is. So I thought this was a nice fit. So here's a little bit of the verse in the chorus. Well you wake up in the morning, you hear the church bell ring. and they march to the table To see the same old thing. Ain't no food upon the table. Ain't no pork up in the pan. But you better not complain, boy You get in trouble with the man I'll let the midnight spec show. Shall I Let them in that special Shut a lot on me. Oh, in the midnight's special shallow.
And I'm special. Shine never loving light on me. That was great, Alex. That was fun. Love C C R. Thank you. Thank you, Eduardo.
We'll do a little bit more of that at the end.
That's why.
All I can say is that the reason why I'm here is because I was a failed professional bass player. I did I did try CCR, but guess what? It wasn't coming out like that. Now, please be aware that this song is sang about a guy who's in jail. I'm not in jail. I'm an MP Anderson. Um the food is probably as bad, but uh but It's a it's a perfect choice.
Well, I I wanna get on the topic of Kakex, but before we do, Eduardo, I gotta ask, since you have been such a leader in our field in palliative care You know, I love kind of looking at the history of how people kind of went into the field and got interested in this. And you were one of the pioneers in palliative care, created one of the very first palliative care programs w way back in nineteen eighty four in Canada. How did that happen in nineteen eighty four? 'Cause I'm I'm guessing there wasn't a lot of palliative care going on back then.
No, they're right. There was no there was no specialty. There was um there were almost no programs and basically I I trained as an oncologist and I was shocked by the fact that we were Focused on the biomedical aspect and we were not even wanting to look at the person suffering experience. And so I got shocked, but but by seeing that we had so few resources and and so so few skills and we were normalizing pain and somebody said it hurts a lot doctor oh that's normal because you have metastasis to the bone but the patient would say well but it still hurts dog And then we had people who were losing a huge amount of weight and getting very sad and so on.
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Chapters
3 chaptersSpeakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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