Dr. G at the Heart of Healthcare

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Jennifer A. O'Brien, MSOD - 35 years in healthcare - Author of award winning book “The Hospice Doctor’s Widow: A Journal” an art journal she kept as a form selfcare during her late husband's 22-month illness - Previous practice management consultant to physicians, served as CEO for two large medical practices, and held administrative positions in three academic medical centers - Authored 50+ articles in professional publications and peer reviewed journals Happy National Hospice and Palliative Care Month (HAPCM) Theme- Courageous Conversations: engaging in “meaningful dialogue on dying a good death” https://www.nhpco.org/nhpco-recognizes-national-hospice-and-palliative-care-month-2/ End Well 2023 “It’s About Time” Live Stream Replay 11/16/2023 https://youtu.be/MyzQyvWJGtc?si=cdsmEWOmqMgHU84K Imagine being in a room full of people who are sick and tired of the healthcare system not doing death well and they said I’m gonna do something about it and they did, they each did something HUGE. That’s what End Well was. Former first lady Rosalynn Carter, wife of the 39th president and advocate for mental health, has died. She was 96. abcn.ws/3MQg8CG National Family Caregiver’s Month #NFCMonth Theme: Caregivers Connect #CaregiversConnect Caregiver Action Network CAN https://www.caregiveraction.org/national-family-caregivers-month Administration for Community Living https://acl.gov/news-and-events/events-and-observances/national-family-caregivers-month-2023 November is National Alzheimer's Disease Awareness Month https://www.alz.org/events/nadam (See Episode 19 https://anchor.fm/kaishauna-guidry-md/episodes/EPISODE-19--Alzheimers-disease-A-Husband-Navigates-the-Caregiver-Lifestyle-as-a-Nurse-e27orfr) In this podcast episode we will learn: Courageous Conversations help people use their Precious Time to End Well💜 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G won Jen’s book at NHPCO ALC opening key note in Little Rock, Arkansas 10/01/2023 and was most struck by the job description (correlated with anxiety and fatigue of residency’s PGY-1 experience of in hospital on-call life) of family caregivers and their two identity transitions over 4.9 years (average): Life sustaining work to End-of-Life caregiver. Compassion & Empathy by healthcare professionals can save EOL care, perhaps motivate timely Courageous Conversations about dying a good death. Position Description of Family Caregiver: https://mailchi.mp/68c81a8b78db/family-caregiver-position 2. Educate -Teaching point Jen’s late husband would say “You are into PRECIOUS Time” which has a dual meaning for patients and family caregivers: “death is likely, if not imminent” AND “when you say what you need to say and don’t say the things you will later regret” “Precious Time Implementation Guide” is an excellent resource for healthcare professionals who want to be more effective in communicating the reality of the end-of-life situation to patients and their families. Get yours here: https://mailchi.mp/c24fe6fef197/precious-time-implementation-guide 3. Empower -A valuable a resource https://www.hospicedrswidow.com Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/1FUz9AVXFhw?si=LH6pisMlhBuTJ-Ky #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #PreciousTime #EndWell #HAPCM#CourageousConversations #NFCMonth #CaregiversConnect

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Dr. Renee Drolet, MD, MA - Founder of Drolet Psychiatry, holistic mental health services. A new outpatient private practice in the Bay Area specializing in psycho-oncology; concierge-level mental health care; medication management and psychotherapy. - Her mission is to expand access in California to patients Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Former Oncology nurse told Dr. G the work was depressing, and she “felt more like a nurse” once working with hospice. For the patient DISTRESS can occur anytime during a cancer journey: Pre-diagnosis (biopsy, imaging), Treatment (surgery, chemotherapy, radiation), Post-treatment, Remission (new identity), Survivorship (guilt), End-of-Life (existential) 2. Educate -(Teaching point) Dr. Drolet is a psychiATRIST not a psychOLOGIST. Her specialty is psycho-oncology which is collaborative with oncology and palliative care to provide mental healthcare for patients with cancer. Pre-diagnosis can cause initial trauma. Patients can suffer from ANTICIPATORY ANXIETY when a lump is found in the breast or after receiving abnormal mammogram results. The language physicians use can cause “Medical trauma” and PTSD. Battle language has an effect on the psyche of patients. EVERYONE does not respond to treatment or cancer is found at a late stage. When they get to Dr. G they’re often exhausted and frustrated with the healthcare system, many times express feeling abandoned by PCPs and oncologists. PSYCHOLOGY TODAY https://www.psychologytoday.com/us EOLA in California 🔗 https://www.cdph.ca.gov/Programs/CHSI/pages/end-of-life-option-act-.aspx 3. Empower -A valuable a resource: Dr. Drolet’s mission to expand access to psycho-oncology, “mental health care for patients from cancer diagnosis, through treatment, and into survivorship.” https://www.droletpsychiatry.com Website info https://mourningdovemedical.com Video podcast https://youtu.be/60K40OssObs?si=sV_U2wtL3EX1v0iI #hapc #EducateAndEmpower #PeaceOfMind #WomenInMedicine #October #BreastCancerAwareness #BreastCancerAwarenessMonth #PrivatePractice #Motherhood #Healing #Psychology #Psychiatry

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Special returning guest Lauren Templeton, DO, FAAHPM, HMDC is here to help Demystifying GOC. (previously on EPISODES 9 & 10) - Hospice Medical Director of Hendrick Health https://www.hendrickhealth.org/services/hospice-care/ - Consultant of Weatherbee Resources https://education.hospicecompliance.com This episode is for Caregivers, Patients, and Clinicians 💜 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) TGIF! Dr. G told Dr. T about series curating resources for caregivers and revisiting their myth busting video https://youtu.be/H08LUtdSj2U Dr. T mentioned a term "energy conservation" and we wanted to learn more. Dr. Templeton coined the term to define a goal-oriented mindset that aligns with the patient’s wishes. 2. Educate (Teaching point) Goals of Care GOC is prioritizing what matters most, it’s shared decision making, choosing what creates the BEST quality of life for the limited time remaining. It is a new identity, pivoting to symptom-based management with the support of hospice care. Examples discussed: - Dialysis 3-5years pop - AICD/Pacemaker deactivation - Medication deprescribing—simplify - Monitoring devices: pulse ox, frequent BP monitoring, finger sticks 3. Empower- Valuable a resources FOR CLINICIANS: Article “Perceptions of Barriers and Opportunities to Discussing Advance Care Planning with Hospice Patients and Their Families” https://www.cuanschutz.edu/graduate-programs/palliative-care/blog/palliative-care-blog/barriers-to-acp CAPC Symptom Management is FREE training https://www.capc.org/training/symptom-management/?utm_source=Center+to+Advance+Palliative+Care&utm_campaign=25504941a6-Symptom+Management+7.24.22&utm_medium=email&utm_term=0_31106acbde-25504941a6-378863377 5 courses for better symptom management in seriously ill patients: Anxiety, Constipation, Depression, Dyspnea, Nausea FOR CAREGIVERS: NHPCO CaringInfo https://www.caringinfo.org/planning/caregiving/ SYMPTOM MANAGEMENT INFO: CAPC Get Palliative Care https://getpalliativecare.org Great articles on the home page and “Disease Types” tab to help understand symptoms of various diseases that can benefit from palliative care https://getpalliativecare.org/whatis/disease-types/Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/LxYfid3xZ3Y #hapc #EducateAndEmpower #PeaceOfMind #GoalsOfCare #SharedDecisionMaking #Caregiving #Caregiver #Mindset #Simplify #Pivot