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This podcast can help anyone dealing with serious illness. Over the years, we have cared for and interviewed thousands of patients and families who tell us they felt overwhelmed and ‘in the dark’ during their illness journey. Yet we sometimes heard stories where individuals felt prepared, in control and ‘in the know.’ What was the difference between these experiences? The answer is the 7 keys. Join your hosts Dr. Samantha Winemaker, palliative care doctor, and Dr. Hsien Seow, health care res ...
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A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!
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Urinary Incontinence Revisited: George Kuchel & Alison Huang
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I have to start with the song. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Someone else suggested, “Under Pressure,” but we’ve done it already. We settled on, “Oops…I did it again,” by Britney Spears. In some ways the s…
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Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera
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48:37
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I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. In today's podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Eduardo establ…
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Sexual Function in Serious Illness: Areej El-Jawahri, Sharon Bober, and Don Dizon
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As Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. How long they might have to live. Their declining cognitive abilities. What makes their lives meaningful, brings them joy, a sense of purpose. But one issue we’re not as good at discussing with our patients is sexual health. On today’s podcast Areej …
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This episode we chat with Dr. Julien Abel, retired palliative care physician, Director of Compassionate Communities UK, author and podcaster. In this episode we talk about what compassionate communities are, what a public health palliative approach looks like and what community support of serious illness should look like. To learn more about Compas…
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Palliative Care for Kidney Failure: Sam Gelfand, Kate Sciacca, and Josh Lakin
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The landscape of options for treating people with kidney failure is shifting. It used to be that the “only” robust option in the US was dialysis. You can listen to our prior podcast with Keren Ladin talking about patients who viewed dialysis as their only option, and structural issues that led to this point (including this takedown of for profit di…
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This episode we chat with Dr. Diah Martina, an internal medicine doctor in Indonesia. Diah also has per PhD focusing on culturally sensitive advance care planning in Asia. In this episode we talk about what culturally sensitive palliative care looks like in Indonesia, what her research has shown about adapting conversations about dying and planning…
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This episode features Dipti Purbhoo, Executive Director of the Dorothy Lea Hospice, one of Ontarios oldest Hospices. We chat about the synergy between hospice services and the Waiting Room Revolution, innovative ways hospices partner with community agencies and how Dororthy Lea Hospice is working to be truly integrated upstream in an illness journe…
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How Pharma Invents Diseases: A Podcast with Adriane Fugh-Berman
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Who gets to decide on what it means to have a disease? I posed this question a while back in reference to Alzheimer's disease. I’ll save you from reading the article, but the main headline is that corporations are very much the “who” in who gets to define the nature of disease. They do this either through the invention of disease states or, more of…
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This episode features our conversation wtih Lisa Levin, CEO of Advantage Ontario. We chat about how Advantage advocates for seniors quality of life, housing policy that promotes aging in place and what other countries are doing to innovate aging. Learn more about Advantage Ontario here: https://www.advantageontario.ca/ For more information visit: w…
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Public Facing Education via Social Media: A Podcast with Julie McFadden, Matt Tyler, Sammy Winemaker and Hsien Seow
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47:51
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On today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!), all of whom focus their efforts on educating the general public about living and dying with a serious illness. Their work is pretty impressive in both reach (some of their posts are seen by millions of viewers) and breadth of work. We…
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Happy Caregivers Month! This episode features our conversation with Amy Coupal, the CEO of the Ontario Caregiver Organization. We chat about the services and resources OCO offers, Amy's own caregiving experience and the essential role caregivers have within the healthcare system. Learn more about the Ontario Caregiver Organization here: https://ont…
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S8: Episode 88: Kelly Clark & Eliza Munro
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This episode features our conversation with Eliza Munro and Kelly Clark, who are palliative care educators and consultants on IPEPA. IPEPA stands for Indigenous Program of Experience in the Palliative Approach, which is a grass roots approach to breaking down barriers to palliative care for Aboriginal and Torres Strait Islander peoples across Austr…
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Palliative Care Nursing: Podcast with Betty Ferrell about ELNEC
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As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. Who spends the most time with the patient in the infusion center? Doing home care? Hospice visits? In the ICU at the bedside? Nurses. ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. We talk tod…
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This episode features our conversation with Daniel Nowoselski, Advocacy Manager for Hospice Palliative Care at the Canadian Cancer Society. We discuss being a lobbyist for the palliative care community, policy issues and challenges in the health care system that the Canadian Cancer Society are trying to address, where his passion for palliative car…
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The Promise and Pitfalls of AI in Medicine: Bob Wachter
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Eric asks the question that is on many of our minds - is the future of AI more Skynet from Terminator, in which AI takes over the world and drives humanity to the brink of extinction, or Wall-E, in which a benevolent and empathetic AI restores our humanity? Our guest today is Bob Wachter, Chair of Medicine at UCSF and author of the Digital Doctor: …
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This episode features our conversation with Dr. Kerrie Noonan, clinician psychologist, social researcher, founder and innovator. We talk about death and grief literacy in Australia and around the world, what it is and why it is important and how it really is a community endeavor. Learn more about Kerries work here: https://www.deathliteracy.institu…
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Ambivalence in Decision-Making: A Podcast with Joshua Briscoe, Bryanna Moore, Jennifer Blumenthal-Barby & Olubukunola Dwyer
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Ambivalence is a tough concept when it comes to decision-making. On the one hand, when people have ambivalence but haven't explored why they are ambivalent, they are prone to bad, value-incongruent decisions. On the other hand, acknowledging and exploring ambivalence may lead to better, more ethical, and less biased decisions. On today's podcast, J…
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This episode features Dr. Red Hoffman, a trauma surgeon who is board certified in hospice and palliative medicine from Asheville, North Carolina. We talk about her upcoming TEDTalk, her life experiences and how she got to where she is now and experiencing emotions as a surgeon alongside caring for your patients. Learn more about Reds work here: htt…
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand
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48:30
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In 1983, a 25 year old Nancy Cruzan was thrown from her car while driving home in Missouri, landing in a water filled ditch. She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that…
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This episode features the Hon. Lisa Raitt, former Cabinet Minister and Member of Parliament from 2008 to 2019 and caregiver to her husband Bruce. Bruce was diagnosed with young onset Alzheimer's disease during the pandemic. We talk about their experience with diagnosis, how the seven keys can be used for caregivers and what policies can help caregi…
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen
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One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. Well, as a kick off to this ye…
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Electronic Frailty Indexes: Kate Callahan, Ariela Orkaby, & Dae Kim
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44:21
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What is frailty? Kate Callahan relates a clear metaphor on today’s podcast. A frail person is like an origami boat: fine in still water, but can’t withstand a breeze, or waves. Fundamentally, frailty is about vulnerability to stress. In 2021 we talked with Linda Fried about phenotypic frailty. Today we talk with Kate Callahan, Ariela Orkaby, & Dae …
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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia
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46:49
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Almost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.” This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. The rules of the challenge were simple: fluids must be thickened to “honey consistency” using a beverage thic…
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End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane
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In the last several years, I’ve seen more and more articles about end-of-life doulas (like this NY Times article from 2021). Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild. I’m unsure what they do, how often they’re used, and who pays for their work. So, on today’s podcast, we try to g…
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