Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious

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GeriPal - A Geriatrics and Palliative Medicine Podcast 49 min 3 speakers 3 chapters transcribed 9 hours ago
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Eric Widera 0:00
This episode of the Jerry Pell Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine, which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine.
Alex Smith 0:16
They are recruiting for a medical director of palliative care services to lead and grow innovative outpatient and inpatient palliative care programs. This is a unique opportunity to join UCSF's vibrant and renowned faculty, teach and mentor future doctors and make a lasting impact at one of the nation's leading safety net hospitals. For more details, click on the links in the show notes associated with this podcast. And on to the
Eric Widera 0:46
show. Welcome to the Jerry Pell Podcast. This is Eric Wadera. This
Alex Smith 0:50
is
Eric Widera 0:50
Alex Smith. And Alex,
Alex Smith 0:51
who do
Eric Widera 0:51
we have
Alex Smith 0:52
with us today? We are delighted to welcome first-time guest, Brent Gaius, who is Associate Professor of Psychiatry at the Huntsman Mental Health Institute at the University of Utah. He's both a psychiatrist and a philosopher. Brent, welcome to the Jerry Pell Podcast. Thanks for having me. Really happy to be here. And we're delighted to welcome back Danny Shamas, who is a palliative care psychiatrist at UCSF. Danny, welcome back.
Dani Chammas 1:17
Always a pleasure.
Eric Widera 1:18
It's like your 100th time, Dani, being on the podcast.
Dani Chammas 1:21
Something around that.
Alex Smith 1:22
And not enough still. Not
Eric Widera 1:26
enough. When are you going to launch the Pally Psych Pally podcast?
Dani Chammas 1:30
Maybe it can be a shoot-off, like under the umbrella of Jerry
Eric Widera 1:35
Pally. Oh, I love that.
Dani Chammas 1:36
More to talk about there.
Eric Widera 1:37
Well, we have a lot to talk about today because today we're going to be talking about palliative care and mental illness. But before we jump into that topic, Brent, I think you have a song request for Alex.
Brent Kious 1:48
Yeah, I do. It is Only Children by the famed Americana artist Jason Isbell.
Eric Widera 1:57
Why did you pick this
Brent Kious 1:58
song,
Eric Widera 1:59
Brent?
Brent Kious 2:00
Yeah, because it's a really moving song and I think relevant to the stuff we're talking about today because it talks about how... the problems of substance abuse and mental illness can affect a person's life. There's a secondary reason, which is that I play guitar a little bit too, but not nearly as well as Alex. And I definitely don't sing as well as him. So I wanted to hear him do it so I could learn something.
Dani Chammas 2:28
There's
Brent Kious 2:28
a
Dani Chammas 2:28
tertiary reason, too, which is that Alex said no to the first, like, ten
Unknown 2:34
things. Well, that's because A, we'd done them, or B, Danny was suggesting, like, three songs from Frozen 2. Unfortunately, Brent rescued me from having to do a song from Frozen 2. Walking around at night Fighting my appetite Every kid in cutoffs could be you remember when we used to meet at the bottom of mobile street and do what the broken people do are you still taking notes the holy ghost could get inside you you do whatever you put your mind to will you read me what you wrote When we were locked outside the building, over-encouraged only children.
Eric Widera 3:35
That was wonderful. Brent, who sings that again?
Alex Smith 3:37
Jason Isbell. Jason Isbell. He's a great folk, yeah, Americana kind of... I think the last time we had a request was from Bob Arnold for something about vampires. Oh? Yeah. Yeah. Good artist. Really tasteful. Thank you.
Eric Widera 3:52
Well, we got a lot to cover today. So we're going to be talking about palliative care for individuals with mental illness. And, you know, Danny, when I think about this topic and think about what we're going to be talking about, you know, I see a lot and I hear a lot about integrating psychiatry into palliative care. It's one of the core things that we think about palliative care is you got the physical, psychological, social, and spiritual symptoms. So combining those things. I don't think I see a lot about integrating palliative care into psychiatry. When you think about the word palliative psychiatry, is that what we're talking about?
Dani Chammas 4:32
Yeah, it's an important distinction. And I think the evolving terms that try to get at what you're talking about, there's palliative care psychiatry, which you started by referencing. We're pretty familiar with that in palliative care.

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