Steiner's Resilience

04/18/22 • 47 min

Dr. Jill Steiner, an Adult Congenital Heart Disease (ACHD) cardiologist at UW Medicine, sits down this week to talk about what palliative care really means, understanding and supporting resilience for a unique patient population, and how she has created resiliency for herself.
Timestamps:
0:30 - Career at a glance
2:40 - All things ACHD
3:54 - Palliative Care and ACHD
4:36 - "I just think it's cool."
6:00 - Impact of palliative care in ACHD patients
8:49 - Palliative care research
11:00 - What is Resilience
16:00 - Multi-morbidity and Frailty
20:32 - Transitions from pediatrics to adult
25:10 - An ACHD's cardiologist special sauce
34:47 - ACC Cardiology Palliative Care Working Group and CMEs
38:47 - Tools for tough conversations
40:50 - Supporting yourself after
45:43 - "Life is not worth surviving, it's worth living"
You may find resources mentioned in the episode below:

Palliative Care Work Group: https://www.acc.org/Membership/Sections-and-Councils/Geriatric-Cardiology-Section/Get-Involved/Pallitive-Care-Work-Group
Dr. Steiner's Bio: https://www.uwmedicine.org/bios/jill-steiner
Dr. Steiner's Twitter: https://twitter.com/steiner_md
Dr. Steiner's email: [email protected]

Palliative Care Work Group: https://www.acc.org/Membership/Sections-and-Councils/Geriatric-Cardiology-Section/Get-Involved/Pallitive-Care-Work-Group
Dr. Steiner's Bio: https://www.uwmedicine.org/bios/jill-steiner
Dr. Steiner's Twitter: https://twitter.com/steiner_md
Dr. Steiner's email: [email protected]

Previous Episode

Levy's Models

This week the creator of the Seattle Heart Failure Model and Seattle Proportional Risk Model, Dr. Wayne Levy, joins us to discuss how the models were built, the continued evolution of the models, and future of these tools to support clinical decision making with guideline directed therapy.
1:20 - Seattle Heart Failure Model from the beginning
7:30 - Working with Statisticians
8:37 - Making Life Expectancy easier to understand
10:40 - Clinical Applications of the Model
11:35 - Feedback from Clinicians
16:00 - Challenges and successes in building a global model
19:10 - Upkeep and Evolution
22:22 - Barriers to new clinical datesets
23:50 - Future vision of the Model
25:11 - Why not the Levy Model
27:50 - Clinical Insights for risk prediction
33:40 - Defibrillator Paradox
36:15 - Seattle Proportional Risk Model
42:06 - Guideline directed therapy
46:50 - Play with the model
48:44 - Where is the model's future
53:40 - Use across the globe
57:45 - Access the tool and information - See below
Seattle Heart Failure Model
Seattle Proportional Risk Model
Dr, Levy can be reached at [email protected]

Next Episode

Linker's Mastery

In this week's episode we sit down with David T. Linker MD, FACC, FESC, FASE.
Dr. Linker's career has uniquely tied his engineering background with cardiology to help design the future of cardiac diagnostic technologies. His commitment is to ensure these critical tools are accessible to everyone who needs it. From speaking 6 languages to building new technologies, the common thread is his aspiration of mastery. This aspiration is now focused on his mastery of teaching complex topics like transesophageal echocardiography with his recently published book High-Quality Transesophageal Echocardiography.
Timestamps:
0:40 - Cardiology & Engineering
4:08 - Development of Ultrasound Imaging
7:45 - European and American Models
8:30 - Icelandic, English, Spanish, French, Norwegian, & Dutch
9:44 - World-wide Collaboration
14:10 - Aspiring for Mastery * High-Quality Transesophageal Echocardiography
18:30 - The why rather than just the how
19:45 - Learning how to teach better "Cognitive Load"
21:20 - Detection of Atrial Fibrillation
26:35 - Democratization of Diagnosis
27:25 - Contributions to the Seattle Heart Failure Model
32:10 - Commercialization without preventing access
34:14 - David Linker's television travelogue series available on Smithsonian Digital Catalog
39:00 - Impact of Legacy
42:15 - Mental Health through the outdoors
Please feel free to reach out to Dr. David T. Linker directly here:
[email protected]
Others Mentioned:
Bjorn Angelsen
Dr. Wayne Levy