State of Heart Failure & Palliative Care: Podcast with Haider Warraich
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
48 min
4 speakers
8 chapters
transcribed 6 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the focus of the State of Heart Failure and Palliative Care podcast?
The Jerry Powell Podcast is brought to you by Archstone Foundation, preparing society and meeting the needs of an aging population.
And now, here are your hosts. Welcome to the Jerry Powell Podcast. This is Eric Widera. This is Alex Smith. And Alex,
who's with us today. Today, we are delighted to be joined by incredibly prolific young writer, cardiologist. This is Heder Vareich, who is Associate Director of the Heart Failure Service at the Boston VA and Associate Physician at the Brigham and Women's Hospital. He has two books, about heart failure. The first one is Modern Death. It has a longer title and it's more palliative care focused. We're going to focus a little bit more on the second one, which is titled State of the Heart, Exploring the History, Science, and Future of Cardiac Disease. Welcome to the Jerry Powell Podcast header.
Thank you so much. I know it's overused, but it's truly an honor to be on this podcast with you, Eric, and Anne.
Thank you. Anne is our other guest, Anne Rolfing. She is a palliative care fellow at UCSF. And last year, she worked on the Advanced Heart Failure Service as a hospitalist at UCSF. Welcome to the Jerry Pell Podcast, Anne.
Thank you, guys. So excited to be here.
So we're going to be talking about palliative care and heart failure and a little bit about what you've talked in your books and your numerous publications. But before we do, we always go into a song request. Do you have a song request for Alex?
I do. And this is a song I grew up listening to a lot when I was in Pakistan, which is where I went to med school as well. And this is a song by the band Janoon. And the song is called Buleyat.
And there's a wonderful moth episode where the... What was the name of the lead singer? Sultman Ahmed. Oh, incredible story about, um, how he went, he grew up in part in the United States, went to a Led Zeppelin concert, got inspired to play, went back to Pakistan and was, uh, you know, playing guitar there, had an encounter with a Taliban who cracked his guitar and then went on to form this band, um, June, which was like the most bestselling band of all time in, um, Southeast Asia or something like that at one point. And he's a physician, right?
He is a physician. And actually, I met him briefly when I was at med school. And when I met him, I told him I write. And he said, oh, here's another confused med student.
Like him. That's funny. All right, here we go. A little bit of boolean.
That
was amazing. Thank you.
How close did Alex get to actually saying
those words correctly?
Murder the
Pakistani. It's pretty good. I mean, the music is great. I love it.
I love that. I love that. There's so many good things about that song. He starts off with these chords, which are kind of like Sufi mystic on guitar. And then he goes into this funk, like this chord here. That's James Brown. I love it. It's great.
I still remember where I was when I heard this song. I was driving with my brother and my dad early in the morning. We heard this song for the first time at seven in the morning.
How did Dr. Haider Warraich become interested in combining palliative care with heart failure?
We were going to attend this event and it still stuck with me. And essentially, it is the story of this Sufi mystic who's now essentially reached some sort of existential crisis where he's speaking to his lord and savior and he's completely lost between the real world and this sort of spiritual world that he exists in and i and i i the songs always resonated with me so just that's one of the reasons why i picked it the other was just to have you sing in urdu it is just great
um well thank you let's dive into this topic for today and you want to kick us off with some questions
Yeah, sure. Well, thanks again so much for being on and for having me as well. I just wanted to start off by asking how you got interested in the overlap of the fields of palliative care and heart failure, specifically with your advanced heart failure training. I just start off there.
Sure. When I was in residency, I went to the Beth Israel, which is really if you're someone who's interested in palliative care and having a thoughtful approach to taking care of patients, I can't think of a better place to train in.
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Chapters
8 chapters
1
What is the focus of the State of Heart Failure and Palliative Care podcast?
0:01–4:06
2
How did Dr. Haider Warraich become interested in combining palliative care with heart failure?
4:06–11:04
3
Why are heart‑failure patients less likely to receive timely palliative‑care referrals?
11:04–18:18
4
What cultural barriers in cardiology limit integration of palliative‑care services?
18:18–24:35
5
How can clinicians better prognosticate survival in advanced heart‑failure patients?
24:35–30:48
6
Which heart‑failure medications should be prioritized or discontinued in hospice care?
30:48–36:29
7
What are the best practices for dosing diuretics in advanced heart‑failure patients on hospice?
36:29–42:21
8
What key takeaways should listeners apply to improve heart‑failure and palliative‑care integration?
42:21–48:20
Speakers
4 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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