{"version":"1.0.0","segments":[{"speaker":"Beth Brown","startTime":10.05,"endTime":14.13,"body":"Welcome to Q\u0026A with"},{"speaker":"Beth Brown","startTime":10.05,"endTime":14.13,"body":"Dr. K, a podcast by Mountain"},{"speaker":"Beth Brown","startTime":14.13,"endTime":17.73,"body":"Pacific Quality Health, where we"},{"speaker":"Beth Brown","startTime":14.13,"endTime":17.73,"body":"sit down with Dr. Doug"},{"speaker":"Beth Brown","startTime":17.76,"endTime":21.9,"body":"Kuntzweiler and get your health"},{"speaker":"Beth Brown","startTime":17.76,"endTime":21.9,"body":"questions answered. Because on"},{"speaker":"Beth Brown","startTime":21.9,"endTime":25.47,"body":"Q\u0026A with Dr. K, the doctor is"},{"speaker":"Beth Brown","startTime":21.9,"endTime":25.47,"body":"always in."},{"speaker":"Beth Brown","startTime":35.07,"endTime":37.74,"body":"Hello, everyone, this is Beth"},{"speaker":"Beth Brown","startTime":35.07,"endTime":37.74,"body":"Brown, your host, and I'm here"},{"speaker":"Beth Brown","startTime":37.74,"endTime":39.78,"body":"as always with our very good"},{"speaker":"Beth Brown","startTime":37.74,"endTime":39.78,"body":"friend, Dr. Kuntzweiler."},{"speaker":"Dr. Doug Kuntzweiler","startTime":39.78,"endTime":40.2,"body":"Hello."},{"speaker":"Beth Brown","startTime":41.17,"endTime":44.35,"body":"Hi. Today's patient"},{"speaker":"Beth Brown","startTime":41.17,"endTime":44.35,"body":"question comes from someone I"},{"speaker":"Beth Brown","startTime":44.35,"endTime":47.35,"body":"happened to be talking with who"},{"speaker":"Beth Brown","startTime":44.35,"endTime":47.35,"body":"wanted to ask about hospice care"},{"speaker":"Beth Brown","startTime":47.35,"endTime":50.86,"body":"and really understanding what"},{"speaker":"Beth Brown","startTime":47.35,"endTime":50.86,"body":"hospice is about, specifically,"},{"speaker":"Beth Brown","startTime":50.86,"endTime":54.67,"body":"when do you decide it's time for"},{"speaker":"Beth Brown","startTime":50.86,"endTime":54.67,"body":"hospice, and then understanding"},{"speaker":"Beth Brown","startTime":54.67,"endTime":58.21,"body":"what Medicare will cover and"},{"speaker":"Beth Brown","startTime":54.67,"endTime":58.21,"body":"won't cover. So this person had"},{"speaker":"Beth Brown","startTime":58.21,"endTime":61.78,"body":"a loved one in hospice, and they"},{"speaker":"Beth Brown","startTime":58.21,"endTime":61.78,"body":"were confused about being told"},{"speaker":"Beth Brown","startTime":61.81,"endTime":64.87,"body":"that they couldn't go to the"},{"speaker":"Beth Brown","startTime":61.81,"endTime":64.87,"body":"emergency room, or get certain"},{"speaker":"Beth Brown","startTime":64.87,"endTime":69.04,"body":"care that this loved one wanted"},{"speaker":"Beth Brown","startTime":64.87,"endTime":69.04,"body":"or thought they needed, because"},{"speaker":"Beth Brown","startTime":69.07,"endTime":73.57,"body":"it was quote outside of hospice"},{"speaker":"Beth Brown","startTime":69.07,"endTime":73.57,"body":"care. So Dr. K, you've had"},{"speaker":"Beth Brown","startTime":73.57,"endTime":77.44,"body":"experience caring for hospice"},{"speaker":"Beth Brown","startTime":73.57,"endTime":77.44,"body":"patients, right, in your long"},{"speaker":"Beth Brown","startTime":77.44,"endTime":81.46,"body":"career. So did you get these"},{"speaker":"Beth Brown","startTime":77.44,"endTime":81.46,"body":"kinds of questions from folks"},{"speaker":"Beth Brown","startTime":81.49,"endTime":82.72,"body":"when you cared for them?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":82.75,"endTime":87.61,"body":"Sure, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":82.75,"endTime":87.61,"body":"hospice is sort of nebulous. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":87.61,"endTime":92.05,"body":"I think most people don't have a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":87.61,"endTime":92.05,"body":"really good idea of, of what it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":92.05,"endTime":95.65,"body":"is. But it basically started"},{"speaker":"Dr. Doug Kuntzweiler","startTime":92.05,"endTime":95.65,"body":"becoming popular, I think,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":95.65,"endTime":100.57,"body":"around the 1970s. And it's just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":95.65,"endTime":100.57,"body":"end of life care. And so if you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":100.57,"endTime":109.03,"body":"have a person who has a fatal"},{"speaker":"Dr. Doug Kuntzweiler","startTime":100.57,"endTime":109.03,"body":"illness, and they decide that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":109.03,"endTime":113.23,"body":"they are tired of treating it,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":109.03,"endTime":113.23,"body":"tired and fighting it, you can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":113.26,"endTime":118.93,"body":"still have care under hospice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":113.26,"endTime":118.93,"body":"and hospice treats, you know,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":118.96,"endTime":123.01,"body":"whatever symptoms you have, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":118.96,"endTime":123.01,"body":"helps you stay socialized and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":123.01,"endTime":126.79,"body":"helps the family take care of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":123.01,"endTime":126.79,"body":"the patient, it can address your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":126.79,"endTime":131.11,"body":"spiritual concerns, every aspect"},{"speaker":"Dr. Doug Kuntzweiler","startTime":126.79,"endTime":131.11,"body":"of end of life care is covered"},{"speaker":"Dr. Doug Kuntzweiler","startTime":131.11,"endTime":135.88,"body":"by hospice. And when we think"},{"speaker":"Dr. Doug Kuntzweiler","startTime":131.11,"endTime":135.88,"body":"about well, who delivers this?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":135.88,"endTime":140.74,"body":"Well, there are nonprofit"},{"speaker":"Dr. Doug Kuntzweiler","startTime":135.88,"endTime":140.74,"body":"hospice associations, there are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":140.74,"endTime":144.88,"body":"for-profit hospice associations,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":140.74,"endTime":144.88,"body":"you have to look around in your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":144.88,"endTime":147.64,"body":"community and see what's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":144.88,"endTime":147.64,"body":"available. But it can be"},{"speaker":"Dr. Doug Kuntzweiler","startTime":147.64,"endTime":150.34,"body":"delivered in the hospital, it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":147.64,"endTime":150.34,"body":"can be delivered in a nursing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":150.34,"endTime":153.31,"body":"home, it can be delivered in the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":150.34,"endTime":153.31,"body":"patient's own home."},{"speaker":"Beth Brown","startTime":153.85,"endTime":156.25,"body":"And that was my"},{"speaker":"Beth Brown","startTime":153.85,"endTime":156.25,"body":"mom's experience. We did hospice"},{"speaker":"Beth Brown","startTime":156.25,"endTime":160.66,"body":"in the hospital, which I think"},{"speaker":"Beth Brown","startTime":156.25,"endTime":160.66,"body":"it maybe can be trickier there"},{"speaker":"Beth Brown","startTime":160.66,"endTime":163.84,"body":"or not, I'm not sure. But when"},{"speaker":"Beth Brown","startTime":160.66,"endTime":163.84,"body":"we talk about this patient's"},{"speaker":"Beth Brown","startTime":163.84,"endTime":167.74,"body":"question of what care you can"},{"speaker":"Beth Brown","startTime":163.84,"endTime":167.74,"body":"get and what care you can't get,"},{"speaker":"Beth Brown","startTime":168.1,"endTime":169.15,"body":"what does that mean?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":169.99,"endTime":172.18,"body":"I think"},{"speaker":"Dr. Doug Kuntzweiler","startTime":169.99,"endTime":172.18,"body":"people get confused, because"},{"speaker":"Dr. Doug Kuntzweiler","startTime":172.24,"endTime":175.45,"body":"they feel like if the doctor"},{"speaker":"Dr. Doug Kuntzweiler","startTime":172.24,"endTime":175.45,"body":"says you've only got six months"},{"speaker":"Dr. Doug Kuntzweiler","startTime":175.45,"endTime":178.42,"body":"to live, and we're gonna put you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":175.45,"endTime":178.42,"body":"on hospice, then you have to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":178.42,"endTime":181.87,"body":"stay at home, and you don't have"},{"speaker":"Dr. Doug Kuntzweiler","startTime":178.42,"endTime":181.87,"body":"any medication or any active"},{"speaker":"Dr. Doug Kuntzweiler","startTime":181.87,"endTime":186.28,"body":"treatment. And that's, that's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":181.87,"endTime":186.28,"body":"not true. Medicare, you can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":186.28,"endTime":189.28,"body":"always call and see what what is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":186.28,"endTime":189.28,"body":"Medicare is going to pay for"},{"speaker":"Dr. Doug Kuntzweiler","startTime":189.28,"endTime":193.72,"body":"them, they often will pay for it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":189.28,"endTime":193.72,"body":"in home care, or some skilled"},{"speaker":"Dr. Doug Kuntzweiler","startTime":193.72,"endTime":198.28,"body":"nursing care in home, or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":193.72,"endTime":198.28,"body":"non-skilled help in the home,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":198.61,"endTime":202.75,"body":"they will pay for medications."},{"speaker":"Dr. Doug Kuntzweiler","startTime":198.61,"endTime":202.75,"body":"Now, sometimes you will get into"},{"speaker":"Dr. Doug Kuntzweiler","startTime":202.75,"endTime":206.74,"body":"situations where if it's an"},{"speaker":"Dr. Doug Kuntzweiler","startTime":202.75,"endTime":206.74,"body":"active, say cancer treatment,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":207.46,"endTime":210.67,"body":"they may say, well, that's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":207.46,"endTime":210.67,"body":"really not what hospice is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":210.67,"endTime":214.3,"body":"about. And so they may not pay"},{"speaker":"Dr. Doug Kuntzweiler","startTime":210.67,"endTime":214.3,"body":"for that. But they're always"},{"speaker":"Dr. Doug Kuntzweiler","startTime":214.3,"endTime":218.41,"body":"open to discussion, actually."},{"speaker":"Dr. Doug Kuntzweiler","startTime":214.3,"endTime":218.41,"body":"And you can talk about what they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":218.41,"endTime":220.9,"body":"will be willing and what they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":218.41,"endTime":220.9,"body":"won't pay for, but in general,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":220.9,"endTime":224.77,"body":"they will pay for everything"},{"speaker":"Dr. Doug Kuntzweiler","startTime":220.9,"endTime":224.77,"body":"except active treatment that is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":224.83,"endTime":228.4,"body":"aimed at extending someone's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":224.83,"endTime":228.4,"body":"life. And sometimes there are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":228.4,"endTime":233.56,"body":"gray areas and your primary"},{"speaker":"Dr. Doug Kuntzweiler","startTime":228.4,"endTime":233.56,"body":"caregiver can sometimes convince"},{"speaker":"Dr. Doug Kuntzweiler","startTime":234.16,"endTime":238.36,"body":"Medicare or whoever is paying"},{"speaker":"Dr. Doug Kuntzweiler","startTime":234.16,"endTime":238.36,"body":"for it to cover things that are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":238.36,"endTime":241.78,"body":"maybe in a little bit of a gray"},{"speaker":"Dr. Doug Kuntzweiler","startTime":238.36,"endTime":241.78,"body":"area. And you can get other care"},{"speaker":"Dr. Doug Kuntzweiler","startTime":241.78,"endTime":244.75,"body":"if you need to go to the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":241.78,"endTime":244.75,"body":"emergency room, that hospice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":245.02,"endTime":250.42,"body":"doesn't stop at at your door,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":245.02,"endTime":250.42,"body":"they can cover emergency stuff,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":250.42,"endTime":252.1,"body":"especially if it has to do with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":250.42,"endTime":252.1,"body":"comfort."},{"speaker":"Beth Brown","startTime":252.25,"endTime":254.26,"body":"Yeah, that's great."},{"speaker":"Beth Brown","startTime":252.25,"endTime":254.26,"body":"And I think the biggest message"},{"speaker":"Beth Brown","startTime":254.26,"endTime":256.87,"body":"there is if you don't"},{"speaker":"Beth Brown","startTime":254.26,"endTime":256.87,"body":"understand, ask questions."},{"speaker":"Dr. Doug Kuntzweiler","startTime":257.44,"endTime":259.42,"body":"Yeah,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":257.44,"endTime":259.42,"body":"absolutely. And your primary"},{"speaker":"Dr. Doug Kuntzweiler","startTime":259.42,"endTime":262.57,"body":"caregivers should know something"},{"speaker":"Dr. Doug Kuntzweiler","startTime":259.42,"endTime":262.57,"body":"about it. But there are also"},{"speaker":"Dr. Doug Kuntzweiler","startTime":262.81,"endTime":268.27,"body":"other resources. You can you can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":262.81,"endTime":268.27,"body":"call any hospice providers in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":268.27,"endTime":272.29,"body":"your community. And the other"},{"speaker":"Dr. Doug Kuntzweiler","startTime":268.27,"endTime":272.29,"body":"thing that people I think get"},{"speaker":"Dr. Doug Kuntzweiler","startTime":272.29,"endTime":275.53,"body":"confused about is, once you're"},{"speaker":"Dr. Doug Kuntzweiler","startTime":272.29,"endTime":275.53,"body":"on hospice, you don't have to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":275.56,"endTime":279.22,"body":"stay on it. If you decide that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":275.56,"endTime":279.22,"body":"there's a new development and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":279.22,"endTime":282.13,"body":"you feel like maybe you want to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":279.22,"endTime":282.13,"body":"start doing some more active"},{"speaker":"Dr. Doug Kuntzweiler","startTime":282.13,"endTime":286.84,"body":"treatment, again, you can always"},{"speaker":"Dr. Doug Kuntzweiler","startTime":282.13,"endTime":286.84,"body":"go off of hospice. And to start"},{"speaker":"Dr. Doug Kuntzweiler","startTime":286.84,"endTime":291.16,"body":"on it your physician or your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":286.84,"endTime":291.16,"body":"provider usually certifies that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":291.16,"endTime":293.89,"body":"you have a condition that is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":291.16,"endTime":293.89,"body":"likely to be fatal within the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":293.89,"endTime":298.3,"body":"next six months. And so people"},{"speaker":"Dr. Doug Kuntzweiler","startTime":293.89,"endTime":298.3,"body":"think, well, six months is what"},{"speaker":"Dr. Doug Kuntzweiler","startTime":298.3,"endTime":301.36,"body":"I have to go back on active"},{"speaker":"Dr. Doug Kuntzweiler","startTime":298.3,"endTime":301.36,"body":"treatment. No, your doctor just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":301.36,"endTime":304.99,"body":"has to certify again that, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":301.36,"endTime":304.99,"body":"know, we expected that that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":305.05,"endTime":309.16,"body":"would be six months, but you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":305.05,"endTime":309.16,"body":"know, they're still alive. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":309.31,"endTime":312.82,"body":"we expect that sometime within"},{"speaker":"Dr. Doug Kuntzweiler","startTime":309.31,"endTime":312.82,"body":"the next six months, then they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":312.82,"endTime":316.84,"body":"will die. So it's it's fairly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":312.82,"endTime":316.84,"body":"fluid, but you have to talk to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":316.84,"endTime":319.48,"body":"people and don't hesitate to ask"},{"speaker":"Dr. Doug Kuntzweiler","startTime":316.84,"endTime":319.48,"body":"questions."},{"speaker":"Beth Brown","startTime":320.17,"endTime":322.33,"body":"People probably hear"},{"speaker":"Beth Brown","startTime":320.17,"endTime":322.33,"body":"the term hospice, they hear"},{"speaker":"Beth Brown","startTime":322.33,"endTime":325.87,"body":"palliative care, they hear"},{"speaker":"Beth Brown","startTime":322.33,"endTime":325.87,"body":"comfort care, what's the"},{"speaker":"Beth Brown","startTime":325.87,"endTime":328.87,"body":"differences between those or are"},{"speaker":"Beth Brown","startTime":325.87,"endTime":328.87,"body":"they all kind of the same?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":329.65,"endTime":332.32,"body":"They're"},{"speaker":"Dr. Doug Kuntzweiler","startTime":329.65,"endTime":332.32,"body":"all similar. Palliative care is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":332.35,"endTime":337.03,"body":"is strictly treating symptoms to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":332.35,"endTime":337.03,"body":"make people as comfortable as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":337.03,"endTime":341.56,"body":"possible. Hospice is really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":337.03,"endTime":341.56,"body":"broader than that. And it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":341.56,"endTime":344.44,"body":"doesn't mean if you have other"},{"speaker":"Dr. Doug Kuntzweiler","startTime":341.56,"endTime":344.44,"body":"chronic conditions, you don't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":344.44,"endTime":346.81,"body":"stop treating those under"},{"speaker":"Dr. Doug Kuntzweiler","startTime":344.44,"endTime":346.81,"body":"hospice. You can still treat"},{"speaker":"Dr. Doug Kuntzweiler","startTime":346.81,"endTime":349.3,"body":"your high blood pressure, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":346.81,"endTime":349.3,"body":"can still treat your diabetes,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":350.44,"endTime":354.58,"body":"chronic lung disease, you can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":350.44,"endTime":354.58,"body":"still be on oxygen and do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":354.58,"endTime":357.58,"body":"breathing treatments, and all of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":354.58,"endTime":357.58,"body":"that. Palliative care"},{"speaker":"Dr. Doug Kuntzweiler","startTime":357.73,"endTime":363.07,"body":"specifically addresses the very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":357.73,"endTime":363.07,"body":"end of life care and keeping"},{"speaker":"Dr. Doug Kuntzweiler","startTime":363.07,"endTime":363.97,"body":"people comfortable."},{"speaker":"Beth Brown","startTime":364.54,"endTime":367.84,"body":"Let's talk about"},{"speaker":"Beth Brown","startTime":364.54,"endTime":367.84,"body":"caregivers. You've mentioned all"},{"speaker":"Beth Brown","startTime":367.84,"endTime":369.94,"body":"the different settings where"},{"speaker":"Beth Brown","startTime":367.84,"endTime":369.94,"body":"people might be able to get"},{"speaker":"Beth Brown","startTime":369.94,"endTime":373.66,"body":"hospice, but a lot of people do"},{"speaker":"Beth Brown","startTime":369.94,"endTime":373.66,"body":"get that care in their homes,"},{"speaker":"Beth Brown","startTime":373.66,"endTime":376.57,"body":"and they have family or people"},{"speaker":"Beth Brown","startTime":373.66,"endTime":376.57,"body":"who love them around them. What"},{"speaker":"Beth Brown","startTime":376.57,"endTime":377.38,"body":"should they know?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":377.0,"endTime":379.97,"body":"Well, they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":377.0,"endTime":379.97,"body":"should know that it really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":379.97,"endTime":382.88,"body":"shouldn't be a team effort,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":379.97,"endTime":382.88,"body":"taking care of somebody who's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":382.88,"endTime":388.13,"body":"dying in your home is it's a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":382.88,"endTime":388.13,"body":"monumental task. And people"},{"speaker":"Dr. Doug Kuntzweiler","startTime":388.13,"endTime":391.85,"body":"shouldn't be attempting to do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":388.13,"endTime":391.85,"body":"that alone. So you know, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":391.85,"endTime":395.96,"body":"should put together a team of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":391.85,"endTime":395.96,"body":"family members of friends,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":396.05,"endTime":402.56,"body":"volunteers, and then the hospice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":396.05,"endTime":402.56,"body":"team can come in and advise you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":402.56,"endTime":406.25,"body":"as to what other resources there"},{"speaker":"Dr. Doug Kuntzweiler","startTime":402.56,"endTime":406.25,"body":"are. If you are going to be the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":406.25,"endTime":408.89,"body":"primary caregiver, you really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":406.25,"endTime":408.89,"body":"need some respite and there are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":408.89,"endTime":412.1,"body":"respite services available"},{"speaker":"Dr. Doug Kuntzweiler","startTime":408.89,"endTime":412.1,"body":"through hospice so that you can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":412.1,"endTime":416.09,"body":"get away because it's, it takes"},{"speaker":"Dr. Doug Kuntzweiler","startTime":412.1,"endTime":416.09,"body":"a real toll on you physically"},{"speaker":"Dr. Doug Kuntzweiler","startTime":416.09,"endTime":417.62,"body":"and mentally and spiritually."},{"speaker":"Beth Brown","startTime":417.89,"endTime":420.05,"body":"Yeah, that is so"},{"speaker":"Beth Brown","startTime":417.89,"endTime":420.05,"body":"important. And people tend to"},{"speaker":"Beth Brown","startTime":420.05,"endTime":422.15,"body":"neglect doing that, because"},{"speaker":"Beth Brown","startTime":420.05,"endTime":422.15,"body":"they're more worried about the"},{"speaker":"Beth Brown","startTime":422.15,"endTime":424.1,"body":"person who's sick than about"},{"speaker":"Beth Brown","startTime":422.15,"endTime":424.1,"body":"themselves."},{"speaker":"Dr. Doug Kuntzweiler","startTime":424.1,"endTime":425.51,"body":"If you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":424.1,"endTime":425.51,"body":"wear yourself out, then you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":425.51,"endTime":429.26,"body":"can't be any good to anybody"},{"speaker":"Dr. Doug Kuntzweiler","startTime":425.51,"endTime":429.26,"body":"else. So really, it takes a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":429.26,"endTime":432.08,"body":"team. And that's how you should"},{"speaker":"Dr. Doug Kuntzweiler","startTime":429.26,"endTime":432.08,"body":"think about it. What are my"},{"speaker":"Dr. Doug Kuntzweiler","startTime":432.08,"endTime":436.28,"body":"resources, who I know that I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":432.08,"endTime":436.28,"body":"trust that can help and then put"},{"speaker":"Dr. Doug Kuntzweiler","startTime":436.28,"endTime":439.91,"body":"that together? And that's a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":436.28,"endTime":439.91,"body":"reason to talk about hospitals"},{"speaker":"Dr. Doug Kuntzweiler","startTime":439.91,"endTime":444.29,"body":"earlier, so that you can do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":439.91,"endTime":444.29,"body":"that. Most people are pleased"},{"speaker":"Dr. Doug Kuntzweiler","startTime":444.29,"endTime":447.83,"body":"with their hospice experience,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":444.29,"endTime":447.83,"body":"but they almost universally say"},{"speaker":"Dr. Doug Kuntzweiler","startTime":447.83,"endTime":449.51,"body":"we wish we had done this sooner."},{"speaker":"Beth Brown","startTime":450.56,"endTime":452.45,"body":"So you mentioned the"},{"speaker":"Beth Brown","startTime":450.56,"endTime":452.45,"body":"breathing treatment, for"},{"speaker":"Beth Brown","startTime":452.45,"endTime":455.87,"body":"example, for someone who has a"},{"speaker":"Beth Brown","startTime":452.45,"endTime":455.87,"body":"chronic lung disease. Are there"},{"speaker":"Beth Brown","startTime":455.87,"endTime":459.17,"body":"certain medications people can"},{"speaker":"Beth Brown","startTime":455.87,"endTime":459.17,"body":"or cannot take once they've gone"},{"speaker":"Dr. Doug Kuntzweiler","startTime":459.0,"endTime":461.73,"body":"Well, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":459.0,"endTime":461.73,"body":"talked about that a little bit"},{"speaker":"Dr. Doug Kuntzweiler","startTime":459.17,"endTime":459.98,"body":"on hospice?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":461.73,"endTime":465.0,"body":"before, not so much. There are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":461.73,"endTime":465.0,"body":"some things that are very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":465.0,"endTime":469.26,"body":"specific, like cancer treatment"},{"speaker":"Dr. Doug Kuntzweiler","startTime":465.0,"endTime":469.26,"body":"drugs that hospice shies away"},{"speaker":"Dr. Doug Kuntzweiler","startTime":469.26,"endTime":473.1,"body":"from because their goal is to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":469.26,"endTime":473.1,"body":"prolong life. And hospice is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":473.49,"endTime":476.31,"body":"really not about so much"},{"speaker":"Dr. Doug Kuntzweiler","startTime":473.49,"endTime":476.31,"body":"prolonging life, it's about"},{"speaker":"Dr. Doug Kuntzweiler","startTime":476.34,"endTime":482.37,"body":"making life better in the final"},{"speaker":"Dr. Doug Kuntzweiler","startTime":476.34,"endTime":482.37,"body":"stages. So there are some drugs"},{"speaker":"Dr. Doug Kuntzweiler","startTime":482.37,"endTime":485.94,"body":"that are that are designed just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":482.37,"endTime":485.94,"body":"to prolong life and those who"},{"speaker":"Dr. Doug Kuntzweiler","startTime":485.94,"endTime":489.15,"body":"might not continue, treatments"},{"speaker":"Dr. Doug Kuntzweiler","startTime":485.94,"endTime":489.15,"body":"like radiation treatments, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":489.15,"endTime":492.57,"body":"might not necessarily but again,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":489.15,"endTime":492.57,"body":"there's gray areas if the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":492.57,"endTime":496.11,"body":"radiation is for comfort, so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":492.57,"endTime":496.11,"body":"that you can swallow better or"},{"speaker":"Beth Brown","startTime":496.0,"endTime":501.52,"body":"Okay, that makes"},{"speaker":"Beth Brown","startTime":496.0,"endTime":501.52,"body":"sense. Okay, so basically, you"},{"speaker":"Beth Brown","startTime":496.11,"endTime":496.98,"body":"that kind of thing."},{"speaker":"Beth Brown","startTime":501.52,"endTime":505.57,"body":"need to stop treating the"},{"speaker":"Beth Brown","startTime":501.52,"endTime":505.57,"body":"illness, and you're just trying"},{"speaker":"Beth Brown","startTime":505.57,"endTime":508.27,"body":"to help the person be"},{"speaker":"Beth Brown","startTime":505.57,"endTime":508.27,"body":"comfortable, anything that"},{"speaker":"Beth Brown","startTime":508.27,"endTime":511.36,"body":"treats the illness. That's what"},{"speaker":"Beth Brown","startTime":508.27,"endTime":511.36,"body":"you cross out, right? Okay,"},{"speaker":"Beth Brown","startTime":511.39,"endTime":515.44,"body":"perfect. So morphine, and those"},{"speaker":"Beth Brown","startTime":511.39,"endTime":515.44,"body":"kind of painkiller drugs, how do"},{"speaker":"Beth Brown","startTime":515.44,"endTime":518.35,"body":"they come into play that they"},{"speaker":"Beth Brown","startTime":515.44,"endTime":518.35,"body":"don't do anything to treat, they"},{"speaker":"Beth Brown","startTime":518.35,"endTime":519.61,"body":"just make the person"},{"speaker":"Beth Brown","startTime":518.35,"endTime":519.61,"body":"comfortable?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":519.75,"endTime":521.13,"body":"Right."},{"speaker":"Dr. Doug Kuntzweiler","startTime":519.75,"endTime":521.13,"body":"That's part of the paliative"},{"speaker":"Dr. Doug Kuntzweiler","startTime":521.46,"endTime":525.42,"body":"care, whatever it takes to make"},{"speaker":"Dr. Doug Kuntzweiler","startTime":521.46,"endTime":525.42,"body":"people more comfortable. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":525.42,"endTime":528.45,"body":"sometimes that can look like"},{"speaker":"Dr. Doug Kuntzweiler","startTime":525.42,"endTime":528.45,"body":"active treatment. I mean, there"},{"speaker":"Dr. Doug Kuntzweiler","startTime":528.45,"endTime":531.48,"body":"are drugs that we think of as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":528.45,"endTime":531.48,"body":"active treatment drugs, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":531.48,"endTime":536.22,"body":"know, and sometimes the patients"},{"speaker":"Dr. Doug Kuntzweiler","startTime":531.48,"endTime":536.22,"body":"themselves, negotiate this, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":536.22,"endTime":540.9,"body":"know, I had a hospice patient"},{"speaker":"Dr. Doug Kuntzweiler","startTime":536.22,"endTime":540.9,"body":"who had severe rheumatoid"},{"speaker":"Dr. Doug Kuntzweiler","startTime":540.9,"endTime":544.65,"body":"arthritis and was just tired of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":540.9,"endTime":544.65,"body":"being in pain all the time. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":544.65,"endTime":547.95,"body":"she got pneumonia and hospice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":544.65,"endTime":547.95,"body":"were paid to treat the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":547.98,"endTime":551.16,"body":"pneumonia, because dying of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":547.98,"endTime":551.16,"body":"pneumonia is uncomfortable and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":551.16,"endTime":554.52,"body":"not very pleasant. And she"},{"speaker":"Dr. Doug Kuntzweiler","startTime":551.16,"endTime":554.52,"body":"refused. She said, No. So we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.52,"endTime":557.04,"body":"didn't treat it, we could have"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.52,"endTime":557.04,"body":"but we didn't, because that was"},{"speaker":"Dr. Doug Kuntzweiler","startTime":557.04,"endTime":560.91,"body":"her wish. Nothing is really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":557.04,"endTime":560.91,"body":"written in stone when you're"},{"speaker":"Dr. Doug Kuntzweiler","startTime":560.94,"endTime":563.7,"body":"talking about hospice. Some"},{"speaker":"Dr. Doug Kuntzweiler","startTime":560.94,"endTime":563.7,"body":"things can be negotiated. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":563.7,"endTime":567.09,"body":"some things that you would think"},{"speaker":"Dr. Doug Kuntzweiler","startTime":563.7,"endTime":567.09,"body":"maybe wouldn't be paid for can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":567.09,"endTime":567.75,"body":"be paid for."},{"speaker":"Beth Brown","startTime":567.93,"endTime":570.06,"body":"Talking about"},{"speaker":"Beth Brown","startTime":567.93,"endTime":570.06,"body":"morphine. Specifically, I know"},{"speaker":"Beth Brown","startTime":570.06,"endTime":573.48,"body":"that some people are worried or"},{"speaker":"Beth Brown","startTime":570.06,"endTime":573.48,"body":"have read, and I think it is"},{"speaker":"Beth Brown","startTime":573.48,"endTime":576.3,"body":"partially true, but I just want"},{"speaker":"Beth Brown","startTime":573.48,"endTime":576.3,"body":"your expertise on this, that"},{"speaker":"Beth Brown","startTime":576.3,"endTime":579.21,"body":"morphine can expedite the dying"},{"speaker":"Beth Brown","startTime":576.3,"endTime":579.21,"body":"process."},{"speaker":"Dr. Doug Kuntzweiler","startTime":580.26,"endTime":583.44,"body":"Yeah, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":580.26,"endTime":583.44,"body":"that's usually very, at the very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":583.44,"endTime":590.28,"body":"end, morphine tends to depress"},{"speaker":"Dr. Doug Kuntzweiler","startTime":583.44,"endTime":590.28,"body":"your respiratory drive. And so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":590.28,"endTime":592.32,"body":"if you give people enough"},{"speaker":"Dr. Doug Kuntzweiler","startTime":590.28,"endTime":592.32,"body":"morphine, they stop breathing,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":592.32,"endTime":594.9,"body":"and that's how people die of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":592.32,"endTime":594.9,"body":"overdoses as they just stopped"},{"speaker":"Dr. Doug Kuntzweiler","startTime":594.9,"endTime":599.73,"body":"breathing. But for people who"},{"speaker":"Dr. Doug Kuntzweiler","startTime":594.9,"endTime":599.73,"body":"say have cancer they have you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":599.73,"endTime":603.18,"body":"know, severe pain, people's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":599.73,"endTime":603.18,"body":"tolerance for morphine goes up"},{"speaker":"Dr. Doug Kuntzweiler","startTime":603.18,"endTime":607.29,"body":"pretty quickly and you wind up,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":603.18,"endTime":607.29,"body":"you know, escalating the doses"},{"speaker":"Dr. Doug Kuntzweiler","startTime":607.29,"endTime":611.04,"body":"just to keep them comfortable."},{"speaker":"Dr. Doug Kuntzweiler","startTime":607.29,"endTime":611.04,"body":"The worry about well, I'm"},{"speaker":"Dr. Doug Kuntzweiler","startTime":611.1,"endTime":614.67,"body":"basically killing them is that's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":611.1,"endTime":614.67,"body":"not really what happens."},{"speaker":"Beth Brown","startTime":614.88,"endTime":616.71,"body":"Okay, good, because"},{"speaker":"Beth Brown","startTime":614.88,"endTime":616.71,"body":"I do think that can be a"},{"speaker":"Beth Brown","startTime":616.71,"endTime":618.6,"body":"person's concern. They want"},{"speaker":"Beth Brown","startTime":616.71,"endTime":618.6,"body":"their loved one to be"},{"speaker":"Beth Brown","startTime":618.6,"endTime":621.39,"body":"comfortable, but they also want"},{"speaker":"Beth Brown","startTime":618.6,"endTime":621.39,"body":"to make sure it's happening"},{"speaker":"Beth Brown","startTime":621.39,"endTime":621.6,"body":"naturally."},{"speaker":"Dr. Doug Kuntzweiler","startTime":621.6,"endTime":624.21,"body":"It's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":621.6,"endTime":624.21,"body":"possible with the narcotic"},{"speaker":"Dr. Doug Kuntzweiler","startTime":624.21,"endTime":627.18,"body":"medications we have today, it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":624.21,"endTime":627.18,"body":"possible to titrate things very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":627.18,"endTime":630.33,"body":"carefully and keep them"},{"speaker":"Dr. Doug Kuntzweiler","startTime":627.18,"endTime":630.33,"body":"comfortable and you're not"},{"speaker":"Dr. Doug Kuntzweiler","startTime":630.6,"endTime":632.37,"body":"necessarily ending their lives."},{"speaker":"Beth Brown","startTime":632.85,"endTime":635.28,"body":"Okay, good. That's"},{"speaker":"Beth Brown","startTime":632.85,"endTime":635.28,"body":"probably a relief for a lot of"},{"speaker":"Beth Brown","startTime":635.28,"endTime":638.25,"body":"folks. So you talked about if we"},{"speaker":"Beth Brown","startTime":635.28,"endTime":638.25,"body":"talked about, too, if you have"},{"speaker":"Beth Brown","startTime":638.25,"endTime":641.07,"body":"questions, ask them. What"},{"speaker":"Beth Brown","startTime":638.25,"endTime":641.07,"body":"questions should you ask for"},{"speaker":"Beth Brown","startTime":641.07,"endTime":643.74,"body":"people who are sort of in that"},{"speaker":"Beth Brown","startTime":641.07,"endTime":643.74,"body":"numb, like, I hear what you're"},{"speaker":"Beth Brown","startTime":643.74,"endTime":646.44,"body":"saying, but I don't know what I"},{"speaker":"Beth Brown","startTime":643.74,"endTime":646.44,"body":"should be doing? What are some"},{"speaker":"Beth Brown","startTime":646.44,"endTime":648.6,"body":"questions that you can give them"},{"speaker":"Beth Brown","startTime":646.44,"endTime":648.6,"body":"that they can have in their back"},{"speaker":"Beth Brown","startTime":648.6,"endTime":649.08,"body":"pocket?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":649.14,"endTime":651.81,"body":"Well, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":649.14,"endTime":651.81,"body":"think the first thing is to talk"},{"speaker":"Dr. Doug Kuntzweiler","startTime":651.81,"endTime":655.47,"body":"to the patient and say, How do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":651.81,"endTime":655.47,"body":"you feel about this? Are you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":655.5,"endTime":659.82,"body":"ready to kind of stop struggling"},{"speaker":"Dr. Doug Kuntzweiler","startTime":655.5,"endTime":659.82,"body":"with active treatment, and just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":659.82,"endTime":664.17,"body":"think about maximizing the time"},{"speaker":"Dr. Doug Kuntzweiler","startTime":659.82,"endTime":664.17,"body":"you have left, making that as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":664.17,"endTime":667.53,"body":"pleasant as possible, because"},{"speaker":"Dr. Doug Kuntzweiler","startTime":664.17,"endTime":667.53,"body":"once they make that decision,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":667.77,"endTime":670.47,"body":"then it's just a matter of, as I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":667.77,"endTime":670.47,"body":"said, getting your team"},{"speaker":"Dr. Doug Kuntzweiler","startTime":670.47,"endTime":674.61,"body":"together, talking to your local"},{"speaker":"Dr. Doug Kuntzweiler","startTime":670.47,"endTime":674.61,"body":"hospice, seeing what services"},{"speaker":"Dr. Doug Kuntzweiler","startTime":674.61,"endTime":678.24,"body":"they have available? Well, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":674.61,"endTime":678.24,"body":"kind of neglected to mention the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":678.24,"endTime":682.74,"body":"VA also has hospice services. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":678.24,"endTime":682.74,"body":"if you have a veteran who has a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":682.74,"endTime":686.58,"body":"terminal illness and is getting"},{"speaker":"Dr. Doug Kuntzweiler","startTime":682.74,"endTime":686.58,"body":"tired of fighting it, you should"},{"speaker":"Dr. Doug Kuntzweiler","startTime":686.58,"endTime":689.85,"body":"talk to the VA because they can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":686.58,"endTime":689.85,"body":"provide respite services, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":689.85,"endTime":691.71,"body":"they can provide hospice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":689.85,"endTime":691.71,"body":"services."},{"speaker":"Beth Brown","startTime":692.29,"endTime":694.54,"body":"And you can talk"},{"speaker":"Beth Brown","startTime":692.29,"endTime":694.54,"body":"about a care plan with the"},{"speaker":"Beth Brown","startTime":694.54,"endTime":696.55,"body":"hospice team as well, right?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":696.61,"endTime":697.96,"body":"Right,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":696.61,"endTime":697.96,"body":"absolutely. That's what they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":697.96,"endTime":702.97,"body":"will do. You know, and they are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":697.96,"endTime":702.97,"body":"used to doing this. So they will"},{"speaker":"Dr. Doug Kuntzweiler","startTime":703.0,"endTime":706.66,"body":"see what resources you have. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":703.0,"endTime":706.66,"body":"they will advise you what"},{"speaker":"Dr. Doug Kuntzweiler","startTime":706.66,"endTime":710.95,"body":"resources the hospice has, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":706.66,"endTime":710.95,"body":"together and and with the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":710.95,"endTime":713.5,"body":"patient, you will come up with a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":710.95,"endTime":713.5,"body":"plan of what you're going to do."},{"speaker":"Dr. Doug Kuntzweiler","startTime":714.01,"endTime":717.46,"body":"And it makes people feel a lot"},{"speaker":"Dr. Doug Kuntzweiler","startTime":714.01,"endTime":717.46,"body":"better. If you know you've"},{"speaker":"Dr. Doug Kuntzweiler","startTime":717.49,"endTime":720.58,"body":"you've thought it out ahead of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":717.49,"endTime":720.58,"body":"time and have a plan, you know,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":720.91,"endTime":723.91,"body":"if you need to go to the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":720.91,"endTime":723.91,"body":"hospital at the end, because"},{"speaker":"Dr. Doug Kuntzweiler","startTime":723.91,"endTime":726.16,"body":"it's just too difficult to keep"},{"speaker":"Dr. Doug Kuntzweiler","startTime":723.91,"endTime":726.16,"body":"them comfortable at home"},{"speaker":"Dr. Doug Kuntzweiler","startTime":726.16,"endTime":729.67,"body":"anymore. That's totally"},{"speaker":"Dr. Doug Kuntzweiler","startTime":726.16,"endTime":729.67,"body":"appropriate. And that's covered."},{"speaker":"Dr. Doug Kuntzweiler","startTime":729.67,"endTime":733.12,"body":"So just knowing ahead of time"},{"speaker":"Dr. Doug Kuntzweiler","startTime":729.67,"endTime":733.12,"body":"what the plan is how things are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":733.12,"endTime":737.62,"body":"going to go is a big relief."},{"speaker":"Dr. Doug Kuntzweiler","startTime":733.12,"endTime":737.62,"body":"I've seen so many people where"},{"speaker":"Dr. Doug Kuntzweiler","startTime":737.77,"endTime":741.46,"body":"they didn't go through this and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":737.77,"endTime":741.46,"body":"push came to shove and the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":741.46,"endTime":744.76,"body":"patient was dying. You know,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":741.46,"endTime":744.76,"body":"they come rushing into the ER"},{"speaker":"Dr. Doug Kuntzweiler","startTime":744.76,"endTime":748.96,"body":"and that's a chaotic scene. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":744.76,"endTime":748.96,"body":"it's not good for anybody,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":749.35,"endTime":752.59,"body":"particularly the patient, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":749.35,"endTime":752.59,"body":"not good for the family either."},{"speaker":"Dr. Doug Kuntzweiler","startTime":752.71,"endTime":755.89,"body":"So talking about it early on"},{"speaker":"Dr. Doug Kuntzweiler","startTime":752.71,"endTime":755.89,"body":"getting a plan, everything is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":755.89,"endTime":756.55,"body":"much better."},{"speaker":"Beth Brown","startTime":756.61,"endTime":760.27,"body":"So we talked about"},{"speaker":"Beth Brown","startTime":756.61,"endTime":760.27,"body":"respite care. What about once"},{"speaker":"Beth Brown","startTime":760.27,"endTime":762.52,"body":"the person has passed, because"},{"speaker":"Beth Brown","startTime":760.27,"endTime":762.52,"body":"obviously that's what we're"},{"speaker":"Beth Brown","startTime":762.52,"endTime":766.06,"body":"preparing for here. But grief"},{"speaker":"Beth Brown","startTime":762.52,"endTime":766.06,"body":"and kind of dealing with that"},{"speaker":"Beth Brown","startTime":766.06,"endTime":766.54,"body":"death."},{"speaker":"Dr. Doug Kuntzweiler","startTime":766.69,"endTime":770.23,"body":"Yeah, most"},{"speaker":"Dr. Doug Kuntzweiler","startTime":766.69,"endTime":770.23,"body":"hospices incorporate some,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":770.26,"endTime":775.24,"body":"either psychologists or clergy"},{"speaker":"Dr. Doug Kuntzweiler","startTime":770.26,"endTime":775.24,"body":"that are trained in grief"},{"speaker":"Dr. Doug Kuntzweiler","startTime":775.24,"endTime":779.59,"body":"counseling, and that's that's a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":775.24,"endTime":779.59,"body":"part of hospice is helping the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":779.59,"endTime":784.54,"body":"family grieve. And, again,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":779.59,"endTime":784.54,"body":"planning for that ahead of time"},{"speaker":"Dr. Doug Kuntzweiler","startTime":784.57,"endTime":786.94,"body":"also provides quite a bit of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":784.57,"endTime":786.94,"body":"relief."},{"speaker":"Beth Brown","startTime":787.3,"endTime":789.16,"body":"Hopefully we've"},{"speaker":"Beth Brown","startTime":787.3,"endTime":789.16,"body":"covered everything that the"},{"speaker":"Beth Brown","startTime":789.16,"endTime":791.98,"body":"person asked about, but just in"},{"speaker":"Beth Brown","startTime":789.16,"endTime":791.98,"body":"case somebody needs more"},{"speaker":"Beth Brown","startTime":791.98,"endTime":795.07,"body":"information, as always, let's"},{"speaker":"Beth Brown","startTime":791.98,"endTime":795.07,"body":"end with some great resources"},{"speaker":"Beth Brown","startTime":795.07,"endTime":795.76,"body":"for folks."},{"speaker":"Dr. Doug Kuntzweiler","startTime":796.27,"endTime":798.04,"body":"Well, it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":796.27,"endTime":798.04,"body":"turns out, there's a national"},{"speaker":"Dr. Doug Kuntzweiler","startTime":798.04,"endTime":802.33,"body":"hospice and palliative care"},{"speaker":"Dr. Doug Kuntzweiler","startTime":798.04,"endTime":802.33,"body":"Organization. So that's where I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":802.33,"endTime":806.02,"body":"would go first. And then I would"},{"speaker":"Dr. Doug Kuntzweiler","startTime":802.33,"endTime":806.02,"body":"talk to there may be more than"},{"speaker":"Dr. Doug Kuntzweiler","startTime":806.02,"endTime":809.98,"body":"one hospice available in your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":806.02,"endTime":809.98,"body":"community. So I'd go and talk to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":809.98,"endTime":813.43,"body":"them. And most hospices are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":809.98,"endTime":813.43,"body":"affiliated with a physician,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":813.43,"endTime":816.61,"body":"often as a primary care"},{"speaker":"Dr. Doug Kuntzweiler","startTime":813.43,"endTime":816.61,"body":"physician. Those people are very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":816.61,"endTime":820.0,"body":"knowledgeable. So even if that's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":816.61,"endTime":820.0,"body":"not, you know, your loved one's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":820.0,"endTime":824.47,"body":"primary caregiver, they will be"},{"speaker":"Dr. Doug Kuntzweiler","startTime":820.0,"endTime":824.47,"body":"involved with with the hospice"},{"speaker":"Dr. Doug Kuntzweiler","startTime":824.47,"endTime":826.96,"body":"association, so it's good to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":824.47,"endTime":826.96,"body":"talk to them and see what they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":826.96,"endTime":827.2,"body":"recommend."},{"speaker":"Beth Brown","startTime":828.47,"endTime":830.3,"body":"Everybody's"},{"speaker":"Beth Brown","startTime":828.47,"endTime":830.3,"body":"different. So sometimes just"},{"speaker":"Beth Brown","startTime":830.3,"endTime":833.18,"body":"talking about this specific"},{"speaker":"Beth Brown","startTime":830.3,"endTime":833.18,"body":"situation is your best bet."},{"speaker":"Beth Brown","startTime":833.33,"endTime":837.89,"body":"Yeah. All right, perfect. But we"},{"speaker":"Beth Brown","startTime":833.33,"endTime":837.89,"body":"will put those resources at the"},{"speaker":"Beth Brown","startTime":837.89,"endTime":840.38,"body":"bottom of our episode for folks"},{"speaker":"Beth Brown","startTime":837.89,"endTime":840.38,"body":"who would like to learn more"},{"speaker":"Beth Brown","startTime":840.38,"endTime":843.98,"body":"about hospice or understanding"},{"speaker":"Beth Brown","startTime":840.38,"endTime":843.98,"body":"hospice care. And thank you, Dr."},{"speaker":"Beth Brown","startTime":843.98,"endTime":847.1,"body":"K. Thank you. All right. And"},{"speaker":"Beth Brown","startTime":843.98,"endTime":847.1,"body":"thank you for listening. And if"},{"speaker":"Beth Brown","startTime":847.1,"endTime":849.56,"body":"you have a question for Dr. K,"},{"speaker":"Beth Brown","startTime":847.1,"endTime":849.56,"body":"please email us at"},{"speaker":"Beth Brown","startTime":849.56,"endTime":855.71,"body":"QandAwithDrK@mpqhf.org. And that"},{"speaker":"Beth Brown","startTime":849.56,"endTime":855.71,"body":"email address will be with this"},{"speaker":"Beth Brown","startTime":855.71,"endTime":858.65,"body":"episode as well. Please email us"},{"speaker":"Beth Brown","startTime":855.71,"endTime":858.65,"body":"your questions. The doctor is"},{"speaker":"Beth Brown","startTime":858.65,"endTime":859.25,"body":"always in."}]}