Palliative Care in Sickle Cell: Craig Blinderman, Stephanie Kiser, Eberechi Nwogu-Onyemkpa
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
2 speakers
8 chapters
transcribed 10 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the focus of this episode and who are the expert guests?
This episode of the JerryPal Podcast is CME eligible.
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Welcome to the Jerry PAL Podcast, is Eric Widera. This is Alex Smith. And Alex, we are going to be talking about the role of palliative care in sickle cell disease. Before we jump into that topic, who are our guests today?
We are delighted to welcome three guests today. First, Stephanie Kaiser, who's a palliative care doc at Massachusetts General Hospital and Harvard Medical School. Stephanie, welcome to the Jerry Powell podcast.
Thank you guys. I'm excited to be here.
And we're delighted to welcome back Craig Blenderman, who is a palliative care doc and chief of supportive care at Memorial Sloan Kettering Cancer Center. Craig, welcome back to the Jerry Pal podcast.
Thanks so much.
And we're delighted to welcome Eberechi Onyempa, who is a palliative care doc at Washington University in Saint Louis. Eberechi, welcome to JerryPoW.
Thank you. A pleasure to be here.
So Aberanti, I think you have a song request for Alex before we jump in the topic. What song did you request?
Yeah. Thank you for being a friend, which we all know as the theme song for the Golden Girls. I grew up with three older sisters, and growing up, we will binge on the Golden Girls. And this was just like a staple childhood memory for me. But kind of bringing back to palliative care, I think thinking about this, the work that we've done in palliative care and sickle cell disease really has been just fostered by the relationship. And the friendships that I've formed along the way. Um, from Craig, who was my former um program director for fellowship and also the the director of adult palliative care at Columbia, to Steph, who I met, and we've done so much work on this space. I think really the relationship that we form in palliative care has really fostered the work that we are going to talk about today.
So thank you for being a friend to everyone who.
I love it. Great choice. Here's a little bit.
Thank you for being a friend. Travel down the road and back again. Your heart is true, your pal and a confidant. I'm not ashamed to say I hope it always will stay this way. My hat is off, won't you stand up and take a bow? And if you threw a party Invited everyone you knew Well you would see the biggest gift would be from me And the card attached would say Thank you for being a friend
That is awesome. Thank you. That was a great song. And we were gonna be talking about palatal care and uh sickle cell disease, but I also I may ask some questions about what's the role in geriatrics as well. Um, but maybe just let that one simmer for a second since we're talking about the golden girls. Eberetia, I'm gonna actually take a big step back and ask you a question. Like this has been your research focus. What got you interested in sickle cell disease and the role of palliative care in that?
That's f that's a great question. So I was born in Nigeria and as a young girl growing up in Nigeria, there were two diseases I knew about from a very young age, malaria and sickle cell disease. Like from a very young age, everyone knew about those two. And we knew that people with m sickle cell disease often did not live past childhood. So a lot of my childhood friends who had sickle cell disease did not survive to adulthood. Um so I came to the US, went through my training. And then I came across Craig Blenderman. And uh during my my fellowship training, he had a pretty good panel of individuals with sickle cell disease that he saw in his outpatient practice. And I just saw the compassionate care that he provided to these patients and it sparked my interest in this um in this space.
And then fast forward to my first job in Lansing, Michigan, uh moved out from Washington Heights to Lansing, Michigan. And uh I was an attendant physician, we had a counsel for sickle cell. disease and I was like oh yeah sickle cell let me I want to see the patient they were like oh no sickle cell is outside the scope of practice of palliative kid I was like whatever do you mean by that and that just kind of sparked my interest in trying to say that
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Chapters
8 chapters
1
What is the focus of this episode and who are the expert guests?
0:00–5:16
2
How did each clinician become interested in palliative care for sickle cell disease?
5:16–15:58
3
What are the basic pathophysiology and clinical manifestations of sickle cell disease?
15:58–23:12
4
Why has palliative care historically been under‑utilized in sickle cell disease?
23:12–30:30
5
What outpatient and inpatient models are used to integrate palliative care for sickle cell patients?
30:30–37:36
6
How should acute vaso‑occlusive pain crises be managed with PCAs and opioid strategies?
37:36–41:35
7
What are the best practices for chronic pain, buprenorphine, ketamine, and opioid stewardship in sickle cell?
41:35–46:18
8
How do interdisciplinary teams, trust‑building, and cultural competence improve care for sickle cell patients?
46:18–47:56
Speakers
2 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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