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HPM TALK is the podcast of NHPCO's MyNHPCO Physician and Advanced Practice Provider Community. This podcast connects you with leaders in the field to discuss issues pertinent to our practice and to bring you the voices of other physicians and advanced practice providers who will share their experiences in the field. A rotating team of hosts will address topics of interest to the hospice medical director, hospice physician, advanced practice provider in hospice and palliative care and the pal ...
A monthly podcast about pediatric palliative care, hosted by two pediatric palliative care docs, Sarah Dabagh, MD, and Daniel Eison, MD, MS. Sharing the insights, opinions, narratives, commentaries, and invectives of #pedpc.
Preching and songs Cover art photo provided by Erol Ahmed on Unsplash: https://unsplash.com/@erol
In this weekly web feature, St.John Flynn and Eric Skelly provide a quick, fun overview of the opera to be heard Saturday afternoon on HPM Classical and houstonpublicmedia.org.
Amanda, Carissa and Steve discuss provider burnout, its recognition, prevention, and treatment. [let us know if you like this more informal format!]By HPM Talk MyNHPCO Physician/Advance Practice Provider Community
A social worker, a nurse practitioner, and three physicians walk into a podcast... There's no punchline, just the latest episode of PediPal, where Dan and Sarah interview three of the interprofessional fellows from the Boston Children's interprofessional fellowship program--Jennifer Donovan, Amy Porter, and Thomas Haire--and challenge ourselves to …
How do you talk to a child about illness and death? For a field that deals with these challenging topics every day, we don't always feel comfortable helping our young patients and their families engage with them. For guidance, Dan and Sarah turn to Elena Lister (@elenalistermd1) and Michael Schwartzman (@schwartzmanma), authors of Giving Hope: Conv…
The holiday season is ending and boy are we stuffed... with educational and entertaining content about one of pediatric palliative care's more misunderstood and controversial topics: overfeeding. Sarah and Dan round out 2022 talking with skeletal dysplasia expert Ricki Carroll (@RickiCarroll), hospice guru Glen Komatsu, and the inimitable Julie Hau…
Steve and Amanda discuss the etiology, evaluation and treatment of fatigue
Does practicing pediatric palliation promote positive parenting? Does parenthood put palliative practitioners in a preferable position? Dan and Sarah partner up to ponder these profound puzzles and palaver with Jessica Casas and Daniel Mahoney (@DanielMahoneyMD), and Claire Crawford (@PalliativClaire), all from the Pediatric Advanced Care Team at T…
In our final international episode, Sarah and Dan speak with Doctora Rut Kiman (@KimanRut) about pediatric palliative care in Argentina and throughout Latin America.By PediPal
Curative therapy and hospice... at the same time?! Since the Affordable Care Act, pediatric patients don't have to give up one to benefit from the other. But does this model really work, and does it make sense for the realities of pediatric palliative care and hospice as in 2022? To figure it all out, Sarah and Dan have a concurrent conversation wi…
Steve and Amanda discuss the ins and outs of capacity evaluation.By HPM Talk
Where in the world is PediPal? South Africa! Sarah and Dan interview Julia Ambler (@AmblerJulia), the pediatric palliative care physician for Umduduzi Hospice Care for Children (https://umduduzi.co.za/) in Durban, KwaZulu-Natal.
032 - ACHPN Certification Steve and Amanda discuss the process and benefits of ACHPN Certification for Advance Practice Nurses in Hospice and Palliative Medicine
How do medical marijuana and pediatric palliative care fit together? In this episode, Sarah and Dan seek some clarity about cannabis, interviewing two experts on the topic, Dr. Bonni Goldstein and Dr. Dustin Sulak. Listen to learn more about the endocannabinoid system and the impact that this much-maligned medicine has on it and on patients, often …
PediPal International steams onward, and we now find ourselves in Tokyo, Japan. In this episode, Sarah and Dan interview Nobuyuki Yotani 余谷 暢之, Head of the Department of Palliative Medicine at the National Center for Child Health and Development.By PediPal
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031 - Collaboration and Compassionate Extubation in the Home
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Steve and Amanda discuss in-home compassionate extubation and the difficulties inherent in managing nontraditional situations.By HPM Talk
Welcome to Pediatrics. The first rule is, "Children are not just Little Adults." The second rule is also, "Children are not just Little Adults." But how does this trope fit into Pediatric Palliative Care? And is it possible that, instead, Adults are actually just Big Children?? In this episode, Sarah and Dan explore this idea with three different g…
Our world tour continues with this next stop in Wellington, New Zealand. Dan and Sarah interview paediatric palliative care specialist Amanda Evans (@amaevans), who teaches them a bit of New Zealand history, some Maori concepts of health and illness, and a lesson on just how cool Jacinda Ardern really is.…
As Sarah and Dan continue their international tour in 2022, they find themselves surprisingly close to home in Phoenix, Arizona... by way of England, and by way of an inspiring story of community, advocacy, and ingenuity. In this Episode your PediPal crew hears the story of the Cottor family and the founding of Ryan House, as well as the hopes for …
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030 - Lyberarchelulo: An Interview with a Hospice Chaplain
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Lyberarchelulo: An Interview with a Hospice Chaplain Steve and Amanda discuss the necessarily ecumenical role of the hospice chaplain with musician, farmer and chaplain Andrew Gibbens, MDiv. Check out his music at https://lyberarchelulo.bandcamp.com
PediPal is going international! In this inaugural episode of our new series, Dan and Sarah interview Dr. Spandana Rayala (@SpandanaRayala), a pediatric palliative care physician in Hyderabad, India.
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029 - Palliative Performance Scale and Prognostics
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Steve and Amanda discuss prognostication with various tools, especially the Palliative Performance Scale
Webster's dictionary defines "liminality" as... Just kidding. But not really. In this episode, Dan and Sarah put on novice anthropologist hats and start to explore the role that ritual plays in Pediatric Palliative Care: in bereavement, in the day to day flow of the team, and in things as mundane as stapling your morning list. Social worker Caitlin…
"So, what kind of work do you do?" When you're in pediatric palliative care, what answer do you give? And how do you respond to the inevitable follow-ups? "That's so sad," "You must be so special," "I could never do that..." We've all been there. So in this final episode of 2021, Dan and Sarah interview three peds palliative physicians—Allison Silv…
Music therapy, art therapy, child life, and pediatric palliative care resonate with each other in a lot of important ways. In this episode, Dan and Sarah chat with.... Dan and Sarah?! Yep, that's music therapist Dan Stafford and art therapist and child life specialist Sarah Yazdian Rubin. The Dans and Sarahs discuss creativity and loss, the roles e…
If there's something long-acting that targets multiple receptors and has a variable equianalgesic dose ratio in your neighborhood, who you gonna call? Eduardo Bruera (@edubru) and Kevin Madden (@madden_kevin), of MD Anderson Cancer Center! Get ready for chills and thrills as they take Sarah and Dan on a haunted tour of that spooky old opioid, metha…
In this episode, the final in the series, RS3PE syndrome is discussed. Diagnosis, differential and treatment.By HPM Talk
Was starting this podcast academic suicide for Sarah and Dan? That remains to be seen, but interviewing Joanne Wolfe (@WolfePPC) and Chris Feudtner was definitely a good choice! In this episode, hear two of the founding figures of pediatric palliative care in the USA discuss the rocky roads they traveled, individually and together, to establish the…
Do you like my hat? No? How about this one? In this episode, Sarah and Dan talk with three physicians who each wear two hats: palliative care and another specialty. Wynne Morrison (Children's Hospital of Philadelphia) dons and doffs a PICU chapeau, Natasha Henner (Lurie Children's Hospital) wears a NICU cap, and Elisabeth Dellon (UNC Children's Hos…
Hola, somos el equipo de cuidados paliativos! نحن مجموعة من الأطباء والممرضات والأخصائيين الاجتماعيين والقساوسة ، هنا لتقديم ... ...wait, how do you say "extra layer of support" in Arabic? And can I scan this POLST form into Google Translate? Welcome to Episode 5, in which Sarah and Dan interview two medical interpreters about the challenges and jo…
027 - Don't Miss this Diagnosis #2 Dr Baumrucker discusses Hypertrophic Pulmonary Osteopathy a rare but important syndrome palliative medicine caregivers are likely to encounter in their careers, References: Pourmorteza M, Baumrucker SJ, Al-Sheyyab A, Da Silva MA. Hypertrophic Pulmonary Osteoarthropathy: A Rare But Treatable Condition in Palliative…
How lovely it would be if everyone were as thoughtful and palliative-minded as we are! Palliative care providers are meticulous about language when talking to patients and families, but are we as thoughtful about the words we use to talk about our patients and families? In Episode 4, Sarah and Dan talk to Gitanjli Arora, MD (@pedsworld), and Rachel…
Dr. Steven Baumrucker and Amy Vandenbrouke, JD, Director of National POLST, discuss Physician Orders for Life Sustaining Treatment (POLST) and the push for a national standard.
As Pediatric Palliative Care grows, new programs are started and restarted, often by recent fellowship graduates. This leaves the landscape of PPC dotted with islands of solo providers or tiny teams in various stages of growing pains. In this third episode of Pedipal, Sarah and Dan indulge their pandemic-thwarted wanderlust, island hopping among th…
Ketamine: a no-drama drug? Hard to believe when so many clinicians seem scared to use it, but maybe we've all been thinking about this NMDA antagonist the wrong way. In this episode of Pedipal, Sarah and Dan pour themselves a heaping bowl of Special K as they sit down with two ketamine aficionados, Dr. Stephen Long and Dr. Anu Agrawal, from UCSF Be…
025 - Bowel Management Dr Linda Tavel National Medical Director, Hospice Division, Accent Care discusses bowel assessment and management
How do we name our pediatric palliative care teams? Is the word "palliative" just a liability? Why does Justin Baker regularly cosplay as a marsupial? In this inaugural episode of Pedipal, Dan and Sarah interview colleagues from around the US about the names of their teams and how they introduce themselves to families: Dr. Jared Rubenstein (Texas C…
The first episode of @PediPal is coming! So listen to this trailer as a starting dose before titrating up to full strength. If the side effects are tolerable, then watch this space for the official release VERY soon... Theme music: "Sneaky Adventure," by Kevin MacLeod (2009)By PediPal
Dr. Steven Baumrucker discusses an unusual case that stretched the envelope when it comes to the role of the palliative medicine consultant.
Drs Burkarth and Baumrucker discuss the ins and outs of publishing your research, case studies, literature reviews and even poetry in this month's episode. Check out the companion article: The 4-Step Guide That Will Get Your Research PublishedBy HPM Talk
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022 - Telemedicine vs Telehealth- Some Answers
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Join Dr. Steven Baumrucker, Medical Director of Ballad Health Palliative Medicine Associates and Associate Editor in Chief of the American Journal of Hospice and Palliative Medicine, as he speaks with Debbie Voyles, Corporate Director of Virtual Health for Ballad Health System about telemedicine in the age of COVID-19.…
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021 - Enhanced Family Communication in the Age of COVID-19
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Dr. Baumrucker discusses an innovative program for virtual visitation during the coronavirus lockdown with Jordan Harrington, from Ballad Health system.By HPM Talk
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020 - Hospice Medical Director Certification
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Dr Baumrucker discusses hospice medical director certification with Dr Tommie Farrell from the HMDCB.By HPM Talk
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019 - Journal Club - Intractable Singultus
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Join Dr. Steve Baumrucker as he reviews the literature and solutions to chronic hiccoughs. Be sure to listen in – there may be something to that “spoon full of sugar”!By HPM Talk
This is Part 2 of a two-part series on the Aid to Capacity Evaluation instrument, capacity evaluation in general, and surrogacy.
This is Part 1 of a two-part series on the Aid to Capacity Evaluation instrument, capacity evaluation in general, and surrogacy.By MPT Talk
Join Dr. Amjad Riar as he reviews the hospice benefit periods and live discharges.By HPM TALK
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015 - Face to Face Visits and Physician Narratives
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Join Dr. Riar as he discusses the face to face encounter visits and the physician narrative in the hospice recertification process.
Join Dr. Amjad Riar as he embarks on the first in a series of discussions reviewing the roles and responsibilities of the Hospice Medical Director and Hospice Physician in the setting of the Hospice Medicare Benefit.By HPM Talk
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013 - Present and Future of Palliative Medicine
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Join Bernice Burkarth as she as she speaks with Dr. Balu Natrajan, CMO of Season’s Hospice and the Chair of the Palliative Care Council. Dr. Natrajan highlights what the Palliative Care Council has been doing since it’s inception.By HPM Talk
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012 - Pain in Dementia - Terminal Dyspnea
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Episode 12 - Pain in Dementia - Terminal Dyspnea Steve and Laura discuss assessment of pain in patients with cognitive deficits, and review current concepts in terminal dyspnea management.
There will be no HPM Talk this month, but please head on over to the Physician/Advance Practice Practitioner myNHPCO community site to see a presentation of Easy Opioid Conversion, presented by Dr. Steven Baumrucker, MD, FAAFP, FAAHPM. Also, visit the MyNHPCO Physician/ Advance Practice Provider Community (NHPCO member sign-in required)…
