Prognostication with Christian Sinclair
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
34 min
4 speakers
3 chapters
transcribed 3 days ago
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Transcript generated automatically by AI and may contain errors.
What is the background and expertise of guest Christian Sinclair?
Welcome to the Jerry Powell Podcast. This is Eric Guidara. This is Alex Smith. And Alex, who is our guest today?
We have a hospice in Palliative Medicine Visionary with us today. Joining us via Skype. We have Christian Sinclair. Christian Sinclair is a man who needs no introduction. He has many titles. Most recently he was president of AHPM. Uh Christian, welcome to the Jerry Powell Podcast.
Ah, thanks for having me on you guys. I this is exciting. I'm glad to be here.
So we start off every podcast with a request for a song. You got a request for Alex to sing.
I do. Uh Casimir Pulaski Day uh by Sufjan Stevens. Um not many people probably know this song, but it is very, very palliative in that it it hits on topics of serious illness, spirituality. Um it's and it it's just a great song too.
Golden rod and the 4-8 stone, the things I brought you, and I found out you had cancer of the bone. All the glory that the Lord has made and the complications you could do without when I kissed you on your mouth.
So Christian, um w what what was the title again and w what's the significance of the song?
Yeah, so it's Kasimir Pulaski Day, which is a celebration in Chicago, maybe the whole state of Illinois, I'm not quite sure on that. But uh it is uh celebrating a Polish general who came and helped the um United States in the Revolutionary War. And um but the that doesn't have so much to do with the song except for Sufjan Stevens made a whole record about Illinois songs and that was one of 'em and it's it's a just a great song about how uh someone deals with illness of a friend and um I find it so real in listening to the words of the song and the end is so majestic. I it's um it's sad but uplifting at the same time and it's one I go back to a lot when I'm Thinking about palliative care issues and maybe a tough day at work, I can listen to that.
It it helps me get to a better place about about a day.
Yeah, it's such beautiful lyrics. I I love the specificity of this song. You can really imagine his relationship with this girlfriend. Yes. And the the the trueness of it, the struggle with um his spirituality and uh he says, uh went to Bible study, we put our hands all over your body and prayed, but nothing happened. Questioning. It's just so real. It's vivid. It is. It is. It is
at the end of this podcast, Alex, you can play a couple more verses. At
the end of the podcast. But the end will not be majestic and uplifting, I warn you. I don't have a full choir to do that ending.
No no big orchestra. We had to
round up some of our team outside.
I would I would recommend he did play this at Austin City Limits, and uh if you can find that online, it's it's uh pretty entertaining and and a beautiful watch.
Well, we invited you on to talk a little bit something near to dear to Alex in my heart, which is which is prognostication. Uh And thinking about prognostication, including like how to think around hospice eligibility and other issues. Um, maybe before we dive into it, um, how did you first get interested in prognostication? Is it
It's it's been It's been something that has um lured me and vexed me and uh made me think about so many different things philosophically in life ever since I I did my Hospice and Palliative Medicine Fellowship in Winston-Salem and uh Dick Stevenson, uh some of you may know, uh he was uh my fellowship director and He um I went to him one day, I was rounding at the inpatient hospice unit and I just had a day where like three or four family members in a row for different patients had come up to me and said, you know, how long is this going to be? Like how long do you think my loved one uh is going to live? And you know, this is a hospice house. We had pretty much all these were pretty open conversations about mortality and prognosis.
But I just found myself Um really struggling with why did why did I get all these questions? Like how am I supposed to know? I I've never really had the training and yes, I'm interested in this and I've done some, you know, self study and some research 'cause I'm I was interested in hospice and palliative medicine.
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Chapters
3 chaptersSpeakers
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