Coping with Serious Illness: Danielle Chammas and Amanda Moment

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GeriPal - A Geriatrics and Palliative Medicine Podcast 50 min 4 speakers 6 chapters transcribed 9 hours ago
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What is the purpose of this episode and who are the guests?

Eric Widera 0:00
This episode of the JerryPal Podcast is CME eligible.
Alex Smith 0:04
To claim credit, please go to the CME tab on jerrypal.org.
Eric Widera 0:09
Welcome to the JerryPal podcast. This is Eric Guidara.
Alex Smith 0:12
This is Alex Smith.
Eric Widera 0:14
And Alex, who do we have with us today?
Alex Smith 0:16
We are delighted to welcome back Danny Shamas, who is a psychiatrist and palliative care doc at UCSF in the Division of Palliative Medicine. Danny, welcome back to JerryPal.
Danielle Chammas 0:25
Excited to be back.
Alex Smith 0:27
And we're delighted to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women's Hospital in Boston. Amanda, welcome to Jerry Pal.
Amanda Moment 0:35
Thanks for having me.
Eric Widera 0:37
We are going to talk about coping. And part of this came up and we'll get into it was a New England journal piece that Danny wrote, Should I Laugh at That? Coping in the setting of serious illness. But before we jump into that topic, which is a pretty hefty topic, Danny, I think you have a song request for Alex.
Danielle Chammas 0:57
Indeed, I'm gonna request It's Okay by Nightbird.
Eric Widera 1:01
Why did you pick this up?
Danielle Chammas 1:03
By this song. Um, I I love this song as a piece of art, but I also chose it because the artist was a young woman who wrote and sang this song during her journey with terminal cancer and She has since died, but the song lives on and it was, in my opinion, a big piece of her unique coping to create and share this song. So it felt very fitting to today's discussion.
Eric Widera 1:26
How did you find this song? This isn't not on pop radio, right?
Danielle Chammas 1:31
Uh I didn't know I was gonna get outed this early. I watch America's Got Talent with my children and Nightbird auditioned with this song and got Simon Cowell's Golden Buzzer and my kids love watching the moment when the glitter falls on her face. So we watched it a lot of times.
Eric Widera 1:50
Oh wow.
Alex Smith 1:51
Yeah. I watched American Idol for years, my wife and I, and it was I have to say I watched this video of America's Got Talent and I was bawling. My wife was like, What's going on over there? It's like all No
Eric Widera 2:05
garlic. It's it's the onions.
Alex Smith 2:10
It was great. So here's a little bit.
Alex Smith 2:21
I moved to California in the summertime. I changed my name thinking it would change my mind. Thought that all my problems they would stay behind. I was a stick of dynamite, and it was just a matter of time. Oh dang oh my now I can't hide said I knew myself but I guess
Unknown 2:54
I lied It's okay it's okay it's okay it's okay If you're lost we're all little lost It's alright it's okay it's okay it's okay it's okay If you're lost, we're all little lost, it's alright, it's alright, it's alright, it's alright, it's alright, it's alright.
Eric Widera 3:25
Thank you, Alex. Nice song, Danny. Thank you. Beautiful choice.
Danielle Chammas 3:30
Thanks. Yeah, I could feel the America's Got Talent glitter dropping on us all.
Eric Widera 3:38
Okay, Danny, I gotta ask a question. So you just published not too long ago, I forget exact when it was, New England Journal. Should I laugh at that? Coping in the setting of a serious illness about a patient encounter you had with somebody who used an a coping style that we see not infrequently. Do you wanna describe kind of in your own words? Again, I you probably haven't read it in a while. What that patient encounter was like.
Danielle Chammas 4:06
Yeah. Yeah, I r I I remember it well because on paper it was A very sad case, young man terminal cancer coming in for the first time. And I remember reading the chart and expecting Happiness, expecting a lot of heaviness. It's really hard for us all when someone so young is going to die and he came in. And started cracking jokes, these dark humor, pseudo appropriate, pseudo inappropriate jokes from the start. And I was taken aback. And then he was just so cracking up at how taken aback I was. And so he kept him coming and
Eric Widera 4:46
What was his sticker? What did his sticker say again?
Danielle Chammas 4:49
It was metast he gave me stickers that said it was metastasized when I got here. Yeah. Or the first thing he said when I met, he was like, What's the dat the difference between my dad and cancer? I was like, What? He was like, Well, at least my dad didn't beat me. I was like So taken aback. It was not what I was expecting to see in the room. And I was wondering, like, what do I do right now? Do I

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