For those of you who are watching on YouTube, I’m going to play the piano. Yeah, broke my hand.Įric: That’s his podcasting hand too. Anne, welcome back.Įric: Alex is a little off his game because what happened to your arm, Alex?Īlex: I broke my hand. I’m really excited to be here.Īlex: And joining us as she has many times, Anne Kelly is a social worker at the San Francisco VA. So Liz Dzeng is a sociologist and hospitalist, associate professor of medicine at UCSF, and she’s our guest today. Oh, I think we’re in for a treat.Īlex: We’ve got a lot to talk about. This is Eric Widera.Įric: And Alex, I see two people with us, one in the room with me also.Īlex: One in the room with you and one joining us by Zoom.Įric: What’s going on in your background? That’s not your usual room too. JPSM aggressive care: (17)30425-6/fulltextĮric: Welcome to the GeriPal podcast. Eric and I are joined today on this podcast by Anne Kelly palliative care social worker to discuss these issues with links:įrom Liz: “policies that are too restrictive can actually have an opposite of hindering ethically and clinically appropriate practices whereas policies that allow for flexibility and transparency to act ethically can promote high quality end-of-life care” At the end we also pay tribute to Randy Curtis, senior author on this paper and mentor to Liz. We discuss the moral distress that clinicians felt including, as one physician put it, a sense of your soul being ripped out. On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. Having trained in different institutions within the United States and in the United Kingdom, and as both a sociologist and a hospitalist physician, Liz brings a unique perspective and set of skills to this issue. Today Liz Dzeng discusses her journey towards studying this issue in detail. Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying. One of the things I love about Liz Dzeng’s work is the way in which it draws upon, echoes, and advances our understanding of the influence of culture on the end of life experience.
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