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
29 episodes
023 - GLP-1 Agonists and Addiction: Surprise!
Recent research indicates that GLP-1 receptor agonists, originally developed for diabetes and obesity, show significant potential in treating substance use disorders (SUDs) and serious mental illnesses. Clinical trials and preclin...
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Episode 23
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23:07
022 - A 10 Minute Treatment for Depression : DMT in a Phase 2a Study
We discuss a Phase 2a clinical trial investigating the use of intravenous DMT (SPL026) as a fast-acting treatment for major depressive disorder. The research demonstrates that a single dose, paired with psychotherapeutic...
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22:59
021 - Ethics Roundtable: Prescribing Controlled Substances in a Terminally Ill Patient With Suspected Substance Abuse Disorder and Opioid Agreement Violations
This is an interdisciplinary ethics roundtable centered on a terminal lung cancer patient suspected of diverting methadone and violating his controlled substance agreement. Various experts, including physicians, a lawyer, a...
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Episode 21
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17:22
ACHPN Board Exam Review Part 6: Leadership
The ACHPN Prep (Advanced Certified Hospice and Palliative Nurse) series on the Topics in Palliative Medicine podcast consists of several parts designed to help clinicians prepare for board certification.Description:
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Season 2
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Episode 6
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35:15
020 - The Surrogate vs the Advance Care Plan
This episode presents an "Ethics Roundtable" discussion, focusing on the complex case of a 68-year-old female veteran, LK, whose advanced directive conflicts with her family's wishes regarding life-sustaining treatment. The source explor...
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Episode 20
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17:45
019 - DPD Deficiency: To Screen or Not To Screen?
This academic article explores the complexities surrounding dihydropyrimidine dehydrogenase (DPD) deficiency screening in patients receiving 5-fluorouracil (5-FU) based chemotherapy. The authors present a case study of a fatal ...
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16:33
ACHPN Board Exam Review Part 5: Ethics and the Law
The ACHPN Prep (Advanced Certified Hospice and Palliative Nurse) series on the Topics in Palliative Medicine podcast consists of several parts designed to help clinicians prepare for board certification.Description:
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Season 2
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Episode 5
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33:33
018 - Is there a role for Cuirass Ventilation (e.g., Iron Lung) in palliative medicine?
Cuirass Ventilation: An Alternative Home-Based Modality for Chronic Respiratory Failure" explores biphasic cuirass ventilation (BCV), a portable, non-invasive "forgotten" mode of respiratory support. This article highlights...
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17:02
ACHPN Board Exam Review Part 4: Psych/Social/Spiritual
The ACHPN Prep (Advanced Certified Hospice and Palliative Nurse) series on the Topics in Palliative Medicine podcast consists of several parts designed to help clinicians prepare for board certification.Description:
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Season 2
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Episode 4
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20:37
ACHPN Board Exam Review Part 3: Pain and Symptom Management
The ACHPN Prep (Advanced Certified Hospice and Palliative Nurse) series on the Topics in Palliative Medicine podcast consists of several parts designed to help clinicians prepare for board certification.Description:
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Season 2
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Episode 3
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34:45
ACHPN Board Exam Review Part 2: Clinical Assessment and Physical Symptom Management
The ACHPN Prep (Advanced Certified Hospice and Palliative Nurse) series on the Topics in Palliative Medicine podcast consists of several parts designed to help clinicians prepare for board certification.Description:
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Season 2
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Episode 2
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24:34
ACHPN Board Exam Review Part 1: Core Principles
The ACHPN Prep (Advanced Certified Hospice and Palliative Nurse) series on the Topics in Palliative Medicine podcast consists of several parts designed to help clinicians prepare for board certification.Description:
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Season 2
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Episode 1
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21:40
017 - Suzetrigine - a non-opioid, non-NSAID sodium channel blocker for pain
In this episode we discuss suzetrigine, a novel, non-opioid pain medication that specifically targets the NaV1.8 sodium channel to manage acute pain. The document explores its pharmacological mechanisms, ...
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16:23
016 - Hypertrophic Pulmonary Osteoarthropathy in Palliative Medicine
This episode examines Hypertrophic Pulmonary Osteoarthropathy (HPO), a rare syndrome often associated with underlying pulmonary malignancies. It outlines HPO's clinical presentation, which includes digital clubbing a...
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19:29
015 - Ethics: A Mother in Jeopardy: The Ethics of Pregnancy and Chemotherapy
In this episode, we discuss a complex ethical dilemma concerning a pregnant woman diagnosed with advanced ovarian cancer who refuses recommended termination and chemotherapy due to prior fertility struggles. Several experts in medicine, ethics,...
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Episode 15
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17:17
014 - Symptom Management: Botulinum Toxin for Post Thoracotomy Pain Syndrome
This case report explores the use of botulinum toxin type A (BTX-A) injections for treating post-thoracotomy pain syndrome (PTPS), a chronic neuropathic condition affecting many patients after thoracotomy. The study highlights that tradi...
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19:06
013 - Symptom Management: Dronabinol for Neuropathic Pain
I. IntroductionThis briefing document synthesizes key findings from several sources exploring the potential of cannabinoids in managing neuropathic pain. The sources include pre-clinical investigations, clinical trial reviews, and...
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18:22
012 - Symptom Management: Gabapentin for Intractable Hiccups
Hiccups, while often seen as a minor inconvenience, can become a significant health issue when they are persistent or intractable. This episode explores the science behind hiccups, their potential medical causes, and treatment options, particul...
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Episode 12
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15:32
011 - Diagnostics: Remitting Seronegative Symmetrical Synovitis with Pitting Edema (RS3PE) - An easily missed diagnosis in palliative medicine
This case report details a patient with chronic lymphocytic leukemia whose initially misdiagnosed joint pain was ultimately attributed to the rare syndrome of remitting seronegative symmetrical synovitis with pitting edema (RS3PE). The report d...
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10:15
010 - Data: Palliative Medicine Consultation and Hospital Readmissions
This retrospective study from a 21-hospital system analyzed the effect of palliative medicine consultations on 30-day hospital readmission rates for patients with six diagnoses (heart failure, sepsis, pneumonia, COPD, AMI, and stroke). The rese...
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12:03
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