Craig Blinderman's guest appearances

Craig Blinderman

GeriPal

John Newman

Scott Bauer

BJ Miller

Andy Cohen

Aaron Kesselheim

Louise Aronson

Haider Warraich

Lewis Cohen

Stephanie Rogers

Tim Anderson

Jessica Zitter

Susan Block

John Mills

Katie Fitzgerald

John Nelson

OwlTail

Matt Loscalzo

Vickie Leff

Health care professionals are human, and as humans we experience loss both in and out of work.  You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses.  Turns out, it’s maybe not. That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals”.  It’s a collection of personal stories of a small number of health professionals, including Craig Blinderman and Susan Block, who have been struck by personal illness and loss. On today’s podcast, we’ve invited Matt Loscalzo and Craig Blinderman to talk about their book and the process they used to create these stories, which all stood out for their openness in talking about things that we as healthcare professionals often keep so very private.   We also brought in Vickie Leff to talk about the work she does with Wellness Debriefings.  These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.  Vickie worked with  CAPC to create tools, including a facilitator guide, to encourage clinicians and their organizations to adopt debriefings.  So take a listen and check out some of these resources for healthcare provider loss, grief, and wellness:   Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals  Dates &amp; registration info about debriefings offered by CAPC The CAPC Debrief Facilitator Training Manual we developed: PDF Download. Jared Rubensteins' "Token of Appreciation" video A great website for dealing with loss and grief: refugeingrief.com   SPONSOR: This episode of the GeriPal Podcast is sponsored by UCSF’s Division of Palliative Medicine, an amazing group doing world class palliative care.  They are looking for physician faculty to join them in the inpatient and outpatient setting.  To learn more about job opportunities, please click here: https://palliativemedicine.ucsf.edu/job-openings

Health care professionals are human, and as humans we experience loss both in and out of work.  You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses.  Turns out, it’s maybe not. That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “<a href="https://www.amazon.com/Loss-Grief-Personal-Healthcare-Professionals/dp/0197524532" rel="nofollow" target="_blank">Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals</a>”.  It’s a collection of personal stories of a small number of health professionals, including Craig Blinderman and Susan Block, who have been struck by personal illness and loss. On today’s podcast, we’ve invited Matt Loscalzo and Craig Blinderman to talk about their book and the process they used to create these stories, which all stood out for their openness in talking about things that we as healthcare professionals often keep so very private.   We also brought in Vickie Leff to talk about the work she does with Wellness Debriefings.  These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.  Vickie worked with <a href="https://www.capc.org/blog/debriefing-with-staff-during-covid/" rel="nofollow" target="_blank"> CAPC to create tools, including a facilitator guide, to encourage clinicians and their organizations to adopt debriefings</a>.  So take a listen and check out some of these resources for healthcare provider loss, grief, and wellness: <ul> <li><a href="https://www.amazon.com/Loss-Grief-Personal-Healthcare-Professionals/dp/0197524532" rel="nofollow" target="_blank"> Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals</a></li> <li><a href="https://www.capc.org/events/virtual-office-hours/wellness-debriefings-open-talk-about-the-challenges-of-our-work/?clickthrough_doc_id=events.eventpage.2327&amp;clickthrough_req_id=px2CbG4pQDKIMzXSFN5ZTw&amp;clickthrough_query=debrief" rel="nofollow" target="_blank"> Dates &amp; registration info about debriefings offered by CAPC</a></li> <li><a href="https://www.capc.org/documents/929/" rel="nofollow" target="_blank">The CAPC Debrief Facilitator Training Manual we developed: PDF Download</a>.</li> <li><a href="https://youtu.be/feEp66owg4E" rel="nofollow" target="_blank">Jared Rubensteins' "Token of Appreciation" video</a></li> <li><a href="https://refugeingrief.com/" rel="nofollow" target="_blank">A great website for dealing with loss and grief</a>: <a href="http://refugeingrief.com" rel="nofollow" target="_blank">refugeingrief.com</a></li> </ul> SPONSOR: This episode of the GeriPal Podcast is sponsored by <a href="https://palliativemedicine.ucsf.edu/" rel="nofollow" target="_blank">UCSF’s Division of Palliative Medicine</a>, an amazing group doing world class palliative care.  They are looking for physician faculty to join them in the inpatient and outpatient setting.  To learn more about job opportunities, please click here: <a href="https://palliativemedicine.ucsf.edu/job-openings" rel="nofollow" target="_blank">https://palliativemedicine.ucsf.edu/job-openings</a>

Loss, Grief, and Wellness Debriefings: A Podcast with Matt Loscalzo, Vickie Leff, and Craig Blinderman

Shunichi Nakagawa

Ana Berlin

In the latest in our series of talking with front line providers in the midst of the COVID pandemic, we talk with Drs. Craig Blinderman, Shunichi Nakagawa, and Ana Berlin of the palliative care service at Columbia University Irving Medical Center. We cover a host of topics, including the urgent need to conduct advance care planning with our outpatients (including Craig's new Epic dotphrase below, and guide to COVID advance care planning); the need to be flexible to suit shifting demands; to stock up on iPads to engage patients/family members in goals of care discussions from outside the room. We mention the new JAMA papers on "informed assent" to DNR/I orders by Randy Curtis and colleagues (and Craig's prior JAMA paper), and on rationing scarce resources by Doug White and Bernie Lo (see also our prior podcast on rationing with Doug with links to the practical framework). I cried after this one. Maybe it was Ana talking about how hard it was have an agenda when discussing goals of care with the family of a 90 year old woman with dementia. We're taught in palliative care to match patient/family goals, and to not bring an agenda. But we do have an agenda now, as Ana says. The patient will not survive a code or prolonged intubation. Coding her would expose Ana's colleagues to COVID, and use scarce PPE and ICU resources, including a ventilator. We can't check that agenda at the door anymore. This is hard. You can hear their moral distress as they talk through these experiences. Maybe it was the three of them talking about the pace of change. Last week they felt "impotent" as they awaited the coming storm. Then the ICU called; they want palliative care. Then the ED called; they want palliative care. Today Shunichi spent the entire day having goals of care conversations with likely COVID patients and their families in the crowded ED. Today they say they want a new inpatient palliative care service, ASAP, maybe even tomorrow. They thought they would have until next week. The tsunami hit Wednesday. Maybe it was Ana saying her daughter had a fever and might have COVID, and that one thing she is thankful for is that kids are spared serious illness. Maybe it was the song choice, the Ghost of Tom Joad by Bruce Springsteen, with its inspirational and haunting message. Craig says he chose this song because the lyrics are about standing up to meet the challenges faced by the most vulnerable. As he notes, COVID is the AIDS crisis of our day. We're all in this together. -@AlexSmithMD FYI - for links to referenced material, please visit our website at GeriPal.org

In the latest in our series of talking with front line providers in the midst of the COVID pandemic, we talk with Drs. Craig Blinderman, Shunichi Nakagawa, and Ana Berlin of the palliative care service at Columbia University Irving Medical Center. We cover a host of topics, including the urgent need to conduct advance care planning with our outpatients (including Craig's new Epic dotphrase below, and guide to COVID advance care planning); the need to be flexible to suit shifting demands; to stock up on iPads to engage patients/family members in goals of care discussions from outside the room. We mention the new JAMA papers on "informed assent" to DNR/I orders by Randy Curtis and colleagues (and Craig's prior JAMA paper), and on rationing scarce resources by Doug White and Bernie Lo (see also our prior podcast on rationing with Doug with links to the practical framework). I cried after this one. Maybe it was Ana talking about how hard it was have an agenda when discussing goals of care with the family of a 90 year old woman with dementia. We're taught in palliative care to match patient/family goals, and to not bring an agenda. But we do have an agenda now, as Ana says. The patient will not survive a code or prolonged intubation. Coding her would expose Ana's colleagues to COVID, and use scarce PPE and ICU resources, including a ventilator. We can't check that agenda at the door anymore. This is hard. You can hear their moral distress as they talk through these experiences. Maybe it was the three of them talking about the pace of change. Last week they felt "impotent" as they awaited the coming storm. Then the ICU called; they want palliative care. Then the ED called; they want palliative care. Today Shunichi spent the entire day having goals of care conversations with likely COVID patients and their families in the crowded ED. Today they say they want a new inpatient palliative care service, ASAP, maybe even tomorrow. They thought they would have until next week. The tsunami hit Wednesday. Maybe it was Ana saying her daughter had a fever and might have COVID, and that one thing she is thankful for is that kids are spared serious illness. Maybe it was the song choice, the Ghost of Tom Joad by Bruce Springsteen, with its inspirational and haunting message. Craig says he chose this song because the lyrics are about standing up to meet the challenges faced by the most vulnerable. As he notes, COVID is the AIDS crisis of our day. We're all in this together. -@AlexSmithMD FYI - for links to referenced material, please visit our website at <a href="http://GeriPal.org" rel="nofollow" target="_blank">GeriPal.org</a>

COVID in New York 2: Podcast with Craig Blinderman, Shunichi Nakagawa, and Ana Berlin