Topics in Palliative Medicine
Articles from the medical literature are digested, abstracted, and discussed by our AI hosts, with topics in symptom management, diagnosis, ethics and others.
Episodes
9 episodes
009 - Ethics: Life Support after Brain Death
This article presents an ethics case study concerning a 52-year-old male declared brain dead, whose family refuses to remove life support. Multiple perspectives—medical, nursing, chaplain, social work, legal, and ethical—are offered, exploring ...
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21:02
008 - Diagnostics: Post-radiation Lichen Planus
This case report details a rare instance of post-radiation lichen planus in a 64-year-old male, following radiation therapy for squamous cell carcinoma. The report examines the patient's medical history, clinical presentation, and treatment res...
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Episode 8
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14:44
007 - Diagnostics: Posterior Reversible Encephalopathy Syndrome (PRES) - Don't Miss This Diagnosis!
This case report and accompanying discussion detail Posterior Reversible Encephalopathy Syndrome (PRES), a neurological condition presenting with seizures, visual disturbances, and altered mental status. Often misdiagnosed as more severe condit...
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Episode 7
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13:49
006 - Symptom Management: BJR Method for Methadone Conversion
The BJR method is a novel mathematical approach to methadone conversion that aims to improve upon existing methods by providing a smoother, less discontinuous, and less linear output for a reasonable and safe methadone dose. Here's how it impro...
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16:05
005 - Cultural: The Therapeutic Baptism : A Case of Missed Cultural Cues in a Terminally Ill Patient
The case study underscores the potential for misinterpreting spiritual distress as psychiatric illness, resulting in inappropriate treatment. Clinicians should learn several key lessons from the case of Mr. G, primarily emph...
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27:27
004 - Ethics: Suicide and Self Determination - what are the limits to autonomy when a patient lacks capacity?
This ethics roundtable discussion centers on the case of JG, a 45-year-old man who attempted suicide and subsequently suffered severe brain damage. The article presents differing perspectives from medical, nursing, risk management, ethics, past...
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26:27
003 - Ethics: State-Erected Barriers to End-of-Life Care
This ethics roundtable discussion analyzes a case study where a patient's daughter-in-law, the primary caregiver, seeks to withdraw life support, but state law restricts surrogacy to blood relatives or spouses. The discussion e...
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Season 1
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Episode 3
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11:05
002 - Ethics: Surrogacy, Religious Beliefs, and Medical Treatment
Ethical and legal considerations surrounding a comatose Jehovah's Witness patient's need for a life-saving blood transfusion are debated. The patient's parents, also Jehovah's Witnesses, refuse consent, while her brother advocates for th...
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Season 1
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Episode 2
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23:28
001 - Ethics: Surrogate Decision Making at End of Life
Who makes the decision if the patient lacks capacity? Multiple healthcare professionals offer varying perspectives on the ethical and legal dilemma surrounding the care of a 93-year-old comatose patient (JH). A conflict exists
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Season 1
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Episode 1
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20:40