Who Should Palliative Care See? Diane Meier, Bob Arnold, and Justin Sanders
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
53 min
3 speakers
8 chapters
transcribed 10 hours ago
Transcript
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What is the historical evolution of palliative care from “brink‑of‑death” consults to outpatient services?
This podcast is not see me eligible. If people do want to learn more about see me eligible podcasts, Alex, what do they do?
They can go to JerryPal dot org backslash CME.
And on to the show. Welcome to the JerryPow Podcast, is Eric Quadera. This is Alex Smith. Alex, I'm a little intimidated by the guests on our podcast today. What a lineup.
What a lineup. We are delighted to welcome back three returning guests today. First, we have Justin Sanders, who is a palliative care doc and researcher and director of palliative care at McGill University in Quebec. Justin, welcome back to the JerryPoul Podcast. Thank you so much for having me. And we're so thrilled to welcome back Diane Meyer, who's a palliative care doc and geriatrician, founder of the Center to Advance Palliative Care or CAPC. And is now director emered of Capsy. And Diane practices at Mount Sinai in New York City. Diane, welcome back to JerryPal.
It's great to be here.
And we're delighted to welcome Bob Arnold, who is a palliative care doctor and co-founder of VitalTalk. And Bob is also at Mount Sinai in New York. Welcome back to JerryPel, Bob.
Thanks. It's great to be here. So our listeners may be wondering why include three eminent leaders in palliative care in one podcast. And that's because we're gonna be tackling one of the big questions in palliative care. Which patients should see a palliative care specialist?
Mm-hmm.
We've had a lot of podcasts on specific disease type palliative care, liver disease palliative care, renal disease, palliative care. We've done podcasts on palliative care and opioid use disorder, palliative care in survivorship model. People don't even have any more a life limiting condition or advanced illness or a serious illness. And the question is, is there any risk for uh you know, diffusing palliative care to all of these different patient populations versus risk keeping ourselves too narrow? And that's what we're gonna be talking about today. But before we tackle that heavy, heavy subject. Diana, I think you have a song request for Alex.
I do have a song request, and it's Stand By Me by Tracy Chapman, one of my favorite all-time singer-songwriters. And why for this podcast? Yeah. I think when you hear the song, you'll know why. But it opens uh when the night is dark and the moon is the only light I see. I won't be afraid, just as long as you stand by me.
Yeah. Beautiful song. It's not
subtle. Not subtle.
Not subtle. Yeah, first written by Benny King based on a traditional song and then recorded by a number of artists, including John Lennon and Tracy Chapman, uh more recently. She performed it. At one of David Letterman's last shows, and I think I saw her perform it a few times in the nineties. Just a beautiful rendition. I will uh give it my own spin here. And for those of you who are listening to the audio only, my younger son Ren recorded the upright bass, uh snap, a finger snap, and the triangle backing parts to this song. So enjoy.
When the night It's come And the land is dark. And numou Is he okay? Line will see. No I won't. Be afraid I won't. Be afraid. Just as long. As you stay Stand by me. So darling, darling stand. By me hosting. Bam me. What's the now? Stand by me. Stand by me. If the sky That we look upon Should tumble lame fall? O' the mountain. Should crumble. To the sea. I won't cry, I won't cry no I won't cry. Shed a tear. Чистя зло. As you stare.
Why did the hosts play “Stand By Me” and how does it set the tone for the discussion on patient vulnerability?
Stand by me. And darling, darling stand by me boasting. Bammy. Oh stand now. Stand by me. Stand by me. Stand by me.
That was wonderful. Great song selection. Yeah.
Thank you, Alex. That was lovely.
And thank you, Diane. Oh yeah. You know, before we tackle the big subject of who do we think should be seeing palliative care specialists now? Maybe we can go down kind of history lane a little bit and just think about w what we've seen in our time as Powell Care specialists. Has there been any evolution of who we have seen over time? And then I'm gonna start off with you. No, thinking back to when you actually helped create this field to now, like what what have you seen as far as the evolution?
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Chapters
8 chapters
1
What is the historical evolution of palliative care from “brink‑of‑death” consults to outpatient services?
0:00–4:41
2
Why did the hosts play “Stand By Me” and how does it set the tone for the discussion on patient vulnerability?
4:41–12:51
3
How have specialist palliative‑care services changed their patient mix over the past two decades?
12:51–21:33
4
What are the current workforce shortages and how do they affect eligibility criteria for specialist referrals?
21:33–28:16
5
How is “serious illness” defined and does prognosis need to be part of that definition?
28:16–36:29
6
Should palliative care see patients with chronic pain, opioid use disorder, or mental illness who lack a clear life‑limiting diagnosis?
36:29–43:38
7
What are the arguments for and against including sickle‑cell disease, survivorship clinics, and frail older adults in palliative‑care scope?
43:38–50:00
8
What is the vision for palliative care in the next ten years—population health versus one‑visit healing, and how might fellowship training change?
50:00–53:57
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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