Who Should Deliver Palliative Care in Liver Disease? Chris Woodrell, Manisha Verma, Marie Bakitas

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GeriPal - A Geriatrics and Palliative Medicine Podcast 50 min 3 speakers 3 chapters transcribed 10 hours ago
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What is the PAL‑LIVER trial and why was it conducted?

Eric Widera 0:00
This podcast is not CME eligible. If people do want to learn more about CME eligible podcast, Alex, what do they do?
Alex Smith 0:07
They can go to cherrypal.org backslash CME.
Eric Widera 0:13
And on to the show. Welcome to the Jerry Pal podcast. This is Eric Widera. This is Alex Smith. And Alex, we've done now several episodes, I believe, on liver palliative care or palliative care and liver disease. Today, we're going to be talking about a JAMA article titled Palliative Care Intervention for Patients with End-Stage Liver Disease, a Cluster Randomized Controlled Trial. With three of its authors, who do we have with us today?
Alex Smith 0:36
We have Manisha Verma, who is an internist and researcher and director of research in the Department of Medicine at Thomas Jefferson University. Manisha, welcome to the Jerry Powell podcast.
Manisha Verma 0:50
Thank you. Thank you for having us.
Alex Smith 0:52
We have Chris Woodrell, who is a palliative care doctor and researcher and associate professor at the Icahn School of Medicine at Mount Sinai. Chris, welcome back to the Jerry Pal podcast. Hi, thank you. And we have Marie Bakaitis, who is a nurse researcher and is retired professor and associate director of the Center for Palliative and Supportive Care at the University of Alabama, Birmingham. Welcome back to Jerry Pal, Marie.
Eric Widera 1:20
Hey. So before we talk about this article and in general how we think about palliative care and liver disease, who has a song request for Alex? Manisha, is it you?
Manisha Verma 1:32
Yeah. So first of all, thank you right again, Alex, for having us. The song request we have today is Slipping Through My Fingers by ABBA.
Eric Widera 1:42
Why did you pick this song?
Manisha Verma 1:44
I felt this song is really resonating with what we have accomplished so far, and particularly the advisory board members. The study involved patients and caregivers. Those advisory board members really reflected on the passage of time, cherished relationships, and moments they wished to kind of be together. And above all, I really want to dedicate this to my father, who I really lost before I entered medical school. So it was a really tragic event, but his motivation, his passion, his way of living has really shaped me. So I really want to dedicate this to him because I'm sure he's really happy with the outcomes and where we are at this point in life. Thank you.
Eric Widera 2:24
And are you an ABBA fan?
Manisha Verma 2:25
Not too much, but okay.
Jarmo Kekalainen 2:28
I
Alex Smith 2:29
think this might be the first ABBA song in over 400 requests. No way. Yeah. Congratulations, Manisha. I think you've hit upon a new artist that we haven't done before. Here's a little bit.
Unknown 2:46
School bag in hand, she leaves home in the early morning Waving goodbye with an absent-minded smile I watch her go with a surge of that well-known sadness And I have to sit down for a while The feeling that I'm losing her forever And without really entering her world I'm glad whenever I can share her laughter The funny little girl Slipping through my fingers all the time I try to capture every minute The feeling in it slipping through my fingers all the time Do I really see what's in her mind each time I think I'm close to knowing? She keeps on growing, slipping through my fingers all the time.
Eric Widera 4:11
Wonderful. Now we've got to have more ABBA on the podcast. Careful,
Alex Smith 4:16
dear listeners. Those are tough to play with solo guitar, but you can request. It'll probably sound a little different than the original. All right. Thank you. Thanks, Manisha.
Eric Widera 4:25
Marie, Chris, either of you ABBA fans? Hello, Waterloo? Casual ABBA fans. Casual ABBA fans.
Marie Bakitas 4:34
I like Australia.
Eric Widera 4:35
Okay. We'll have to have you back on. Well, we're not going to be talking about Abbott this podcast. We're going to be talking about, really want to talk about the study that you did. So Manisha, I'm going to turn to you. Why did you decide to do a study looking at palliative care specialists versus hepatologists trained in someone in palliative care? Why did you decide to do this study?
Manisha Verma 4:59
I think that takes me back to like six years ago when we proposed this study, right? You're like, why this study is the first important question for any grant application. So we really honored this study despite really because I think the really important part is the symptom burden and the psychosocial challenges among patients with advanced liver diseases is under-recognized.

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