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Author: PediPal

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A monthly podcast about pediatric palliative care, hosted by two pediatric palliative care docs, Sarah Dabagh, MD, and Daniel Eison, MD, MS. Sharing the insights, opinions, narratives, commentaries, and invectives of #pedpc.
9 Episodes
Episode 8: Dolor Finis

Episode 8: Dolor Finis


If there's something long-acting that targets multiple receptors and has a variable equianalgesic dose ratio in your neighborhood, who you gonna call? Eduardo Bruera (@edubru) and Kevin Madden (@madden_kevin), of MD Anderson Cancer Center!Get ready for chills and thrills as they take Sarah and Dan on a haunted tour of that spooky old opioid, methadone, and bust some of the myths about dosing, QT prolongation, and more.
Was starting this podcast academic suicide for Sarah and Dan? That remains to be seen, but interviewing Joanne Wolfe (@WolfePPC) and Chris Feudtner was definitely a good choice!  In this episode, hear two of the founding figures of pediatric palliative care in the USA discuss the rocky roads they traveled, individually and together, to establish themselves in a specialty that they were creating as they went. What's changed the most since the early days? What prognostications do they have for the future? Is Dan angling for a musical gig on GeriPal? Listen to Episode 7 to find out!---Chris Feudtner, MD, PhD, MPH, is the Division Chief of General Pediatrics, Attending Physician and Research Director of the Pediatric Advanced Care Team and Complex Care, Stephen D. Handler Endowed Chair and Director of the Department of Medical Ethics, and Director of the Academic General Pediatrics Fellowship Program at Children's Hospital of Philadelphia, as well as Professor of Pediatrics, Medical Ethics, and Health Policy at Perelman School of Medicine at the University of Pennsylvania. Chris is also the author of the recently published Light and Shadow: A Novel of Pediatric Internship.Joanne Wolfe, MD, MPH, is a Professor of Pediatrics at Harvard Medical School, Attending Physician in Population Sciences at Dana-Farber Cancer Institute, and Director of Pediatric Palliative Care and Medical Director of the Pediatric Advanced Care Team at Boston Children's Hospital. 
Do you like my hat? No? How about this one?In this episode, Sarah and Dan talk with three physicians who each wear two hats: palliative care and another specialty.Wynne Morrison (Children's Hospital of Philadelphia) dons and doffs a PICU chapeau, Natasha Henner (Lurie Children's Hospital) wears a NICU cap, and Elisabeth Dellon (UNC Children's Hospital) is ready to switch from palliative to pulmonology and back at the drop of a... well, you get it.So what's it like to practice two specialties concurrently? And is this millinery metaphor really a feather in our cap or could we have topped it? Hang on to your hats as we throw Episode 6 into the ring!
Hola, somos el equipo de cuidados paliativos!نحن مجموعة من الأطباء والممرضات والأخصائيين الاجتماعيين والقساوسة ، هنا لتقديم ......wait, how do you say "extra layer of support" in Arabic? And can I scan this POLST form into Google Translate?Welcome to Episode 5, in which Sarah and Dan interview two medical interpreters about the challenges and joys of interpreting in the pediatric palliative care setting. Daniela Obregón (@GetConnCare) is an independent Spanish language interpreter, translator, and cultural consultant, and Amani Zaki is an Arabic interpreter at Children's Hospital Los Angeles. What habits of clinicians drive interpreters crazy? What's it like to be the conduit for so much emotionally-charged language in family meetings? Listen and find out!
How lovely it would be if everyone were as thoughtful and palliative-minded as we are! Palliative care providers are meticulous about language when talking to patients and families, but are we as thoughtful about the words we use to talk about our patients and families? In Episode 4, Sarah and Dan talk to Gitanjli Arora, MD (@pedsworld), and Rachel Rusch, LCSW, MA (@RuschRachel), from the CHLA Comfort and Palliative Care Team. Inspired by Dr. Arora's essay, "A Lovely Family," in the Journal of Palliative Medicine (@PalliativeMed_j), we discuss how even the most lovely of words can prevent us from digging deeper, disrupt the productive tension where palliation dwells, and perpetuate our biases.
As Pediatric Palliative Care grows, new programs are started and restarted, often by recent fellowship graduates. This leaves the landscape of PPC dotted with islands of solo providers or tiny teams in various stages of growing pains. In this third episode of Pedipal, Sarah and Dan indulge their pandemic-thwarted wanderlust, island hopping among three different palliative islands, each with its own unique history: Our first stop is with Dr. Ami Mehta, founder of the first dedicated Palliative Care service at Children's Hospital of the King's Daughters in Norfolk, Virginia. Then we visit Dr. Max Lindeman, who has taken on the challenge of restarting and redefining the program at Columbia NYP's Morgan Stanley Children's Hospital on the actual island of Manhattan. Our last visit is with Dr. Jennifer Kett, who shares her experience on a shrinking Palliative Care team at Mary Bridge Children's Hospital in sunny Tacoma, Washington, and teaches us our new favorite mirror affirmation: "You're the only you, but you're not the only one."Theme music: "Sneaky Adventure," by Kevin MacLeod (2009)
Episode 2: Special K

Episode 2: Special K


Ketamine: a no-drama drug? Hard to believe when so many clinicians seem scared to use it, but maybe we've all been thinking about this NMDA antagonist the wrong way.In this episode of Pedipal, Sarah and Dan pour themselves a heaping bowl of Special K as they sit down with two ketamine aficionados, Dr. Stephen Long and Dr. Anu Agrawal, from UCSF Benioff Children's Hospital Oakland. Follow us down the k-hole as we discuss pharmacology, gastronomy, and how to convince your hospital that it's okay give a 1980s club drug to children.Links to things we mentioned in the show:UCSF Oakland Ketamine Infusion Protocol: music: "Sneaky Adventure," by Kevin MacLeod (2009)
How do we name our pediatric palliative care teams? Is the word "palliative" just a liability? Why does Justin Baker regularly cosplay as a marsupial?In this inaugural episode of Pedipal, Dan and Sarah interview colleagues from around the US about the names of their teams and how they introduce themselves to families: Dr. Jared Rubenstein (Texas Children's "PACT," @DrJRubenstein), Dr. Bob Macauley (OHSU's "Bridges"), Dr. Tricia Keefer (Michigan's "Stepping Stones," @KeeferMD), and Dr. Justin Baker (St. Jude's "QoLA," @justinnbaker) weigh in on these questions and more. Their answers may surprise, vindicate, or infuriate you, but we can all agree on one thing: We're the fire department, not the fire. Right?Links to things we mentioned in the show:Palliative Care PSA - We’re the fire department, not the fire: Baker celebrates his fellows' graduation: Baker's TEDTalk (in, um... fancy dress): music: "Sneaky Adventure," by Kevin MacLeod (2009)
Episode 1 Trailer

Episode 1 Trailer


The first episode of @PediPal is coming!So listen to this trailer as a starting dose before titrating up to full strength. If the side effects are tolerable, then watch this space for the official release VERY soon...Theme music: "Sneaky Adventure," by Kevin MacLeod (2009)
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