WTF Is Palliative Care? (w/Dr. Sunita Puri) | Incident Report 241

Dr. Sunita Puri is Medical Director for Palliative Care at the Keck Medical Center of USC and author of the remarkable book "That Good Night" - a visceral ride that gives readers a true feel for what palliative medicine and hospice means to the vision of Health 3.0.
Links to the book, the audio podcast, and more at zdoggmd.com/po...

[@hz3917]

It's like watching a brother and sister talking with each other.. beautiful

[@PinkThing-m5j]

1:13:28 bruh - I thought Dr Dre went to Cedar Sinai for his aneurysm The Diddy comments did not age well- he is no ohm

[@terrik.5325]

This is the most beautiful, flowing interview I have ever heard! Thank you ZDoggyMD! Your Content is incredible!! ❤

[@KTravRuNEr]

This This THIS. Cure sometimes and Care always ❤️❤️❤️

[@ericla8591]

Dr. Puri was my moms palliative care director. She took so much upon herself to help my mom and family. This woman is beyond a genius and i hope many more people get to hear what she has to say ❤️ so much love for her

[@karistownsend8292]

I’ve read Dr. Puri’s book twice. The 2nd time while talking care of my Mom is Hospice. It was even better the 2nd time. I wanted to see her mannerisms. I loved your channel also!!! So glad to know of you both!!!❤

[@CompassionateConsulting]

Absolutely loved all 75 min & 10 sec. I read Sunita's book earlier this year and loved it enormously. Now watching you two together... omg.. you must be siblings! what a riot listening to you. I will check out more of you ZDogg since I didn't know you before today. I've been eating up all the Sunita interviews I can find this year since I have this passion for serving the dying as well (13+ yrs Hospice RN in NYS; 30 yr career all told.) I enjoyed everything you said. Thanks so much!!! xoxox

[@CosmicFox808]

Great interview! Dr. Puri is amazing. Her book is fascinating and so moving, I couldn't put it down. Truly a life changing book for me.

[@ribbonyobski5881]

great people you both are

[@cinnie63]

What a wonderful conversation. Dr Puri is a beautiful human being.

[@galaxytrio]

That was fun and touching. Nice that Sunita showed her humanity.

[@sarahcrain8083]

Palliative care is the most merciful form of medicine. Affording a patient a good death. Is as important as affording a patient a healthy life. When families embrace letting go verses do whatever it takes to keep their loved one alive...the family starts to heal. The family can focus on saying goodbye verses regret. Those families in turn help unburden the doctors caring for their loved ones. I just told the hospitalist taking care of my 88 year old father at the VA Hospital. My Dad is at the point that I no longer desire heroic measures to keep him alive. But giving him the best quality of life, for the time he has left. The VA doctor looked at me in awe. I explained, please understand that I don't look at death as the end. I embrace death as eternal healing. The doctor smiled as he humbly said, "Thank you".

[@leesog3203]

God have mercy on him. And your father.

[@BoomerKeith1]

Well said Sarah. I went through a similar experience with my mother. She was diagnosed with brain cancer after having an MRI because of passing out. We had no idea anything like that was even a remote possibility. She died 22 days after diagnosis. I feel extremely fortunate that the hospital she was in had an amazing palliative care doctor and they worked with the in hospital hospice program we chose. It was too late to 'cure' my mom, but allowing her to have a good death was the best thing we could do for her. Death, especially of a parent, is difficult. If we can help our loved ones die as well as they lived then I feel we've done the best possible job of taking care of them. My condolences are with you!

[@sarahcrain8083]

@@BoomerKeith1 thank you. I lost my mother 4 years ago. I will be keeping the faith with you. God bless.

[@BoomerKeith1]

@@sarahcrain8083 I lost mine 2 years ago. You never really "get over it", you just learn to live a new normal. God bless you too!

[@sarahcrain8083]

@@BoomerKeith1 I have a question. Is the name Sooner a nod to Oklahoma? If so, you have a lot of Alabama fans rooting for your new quarterback, Jalen Hurts. Roll Tide!

[@sandrat66]

1yr later ... loved this!

[@haileypeterson8789]

I have a newborn twin that we are choosing palliative care (it was offered while I was pregnant). She has microcephaly, polymicrogyria of most of her brain, small AP pons, small cerebellum, decreased white matter, a left frontal lobe cyst. The children hospital’s palliative care team that follows families like mine have been a huge help for us. It even started while I was pregnant even though she wasn’t a patient yet. It’s not giving up. It’s giving her the best quality of life she can have and giving us the tools, resources and support we need to live our lives.

[@bjbarden2070]

I worked as a hospice nurse 2 years. And as crazy as it sounds I truly loved every moment of it.

[@SGregersen]

Wow. Just WOW! Two super delightful humans, connecting on a higher level and spreading joy, information, compassion by courageously being perfectly mortal (the wounded healers) in a world in need of JUST MORE of this. What exemplary display of amazing human connection addressing such a (medically) unglamorous field of compassion and love for humanity. Please make these two super humans “ride shotgun” on this program as a set feature. I would PAY the subscription (and I think even “punjabi dad” would too then - or we will find him a sponsor!!)...THANK YOU. (From a non-Punjabi, palliative care veterinarian in the UK) ❤️🙏 (ps never watched this awesome programme before and have no idea what it’s OTHERWISE about but I am NOW a BIG FAN!)

[@cherylshort5005]

episode. Is inspiring to me. Both of you doctors. But now a writer abd Dr. Z, you're communicating laughter, intelligence and doing it via support, fully, by your audience. I think its lovely you get both medicine and your inner dreams!

[@kennorthunder2428]

I loved watching and listening and learning from you two. I felt myself opening up and embracing your humanity.

[@ODLife]

Great interview!!!!

[@morganjacks3293]

I just graduated from pharmacy school last week and also completed a palliative care certificate. The patients and families I worked with on my palliative care rotation provided me with some of the most memorable and meaningful experiences. Thank you for bringing more attention to palliative care!

[@cw2gtc]

Morgan Jacks 🍾🎉🎊🍾Congratulations 🍾🎉🎊🎈 Morgan!

[@Promeethious]

Incredible interview. It was like having an unfiltered conversation with a friend.

[@healthcareplanforus1246]

Never seen a show in the old studio so this'll be interesting!:).

[@RobertSzasz]

Sadness, compassion, and a gift that can never fully be repaid.

[@cnbrauns]

What a fabulous interview. Absolutely loved it. Thank you for all the great content!

[@nightsky4132]

This is beautiful. Thank you.

[@jennykim5247]

Thank you both for keeping it so real. Thank you.

[@CamilleStickel]

Hospice RN for two years here. I have learned so much over the past two years but have so much more to learn about end of life. I ordered the book 15 minutes into this video and got chills when she read from her book.

[@toddklopfenstein6409]

Thanks for the props to RT

[@jenniferberry120785]

Omg yes living with chronic incurable illness thank god someone gets it’s about quality of life not quantity of life. I have Gastroparesis and neurogenic bladder along with cerebral palsy with mobility decreasing with the medical conditions.❤️ thank you thank you thank you both of you holy crap😭 of relief

[@leesog3203]

Sweetheart, please please begin listening to Dr Robert Morse who knows the ins and outs of all the things you mentioned, why you have them, what caused them, and how to heal them. I bet for a start you don't live on a all natural, raw food diet, high in fruit and herbs? Right? But rather, dead chemistry, like corn, wheat and diary + dead animal tissue. What you need is... Fruits, berries and melons, only! 🍇🍒🍎🍉 + herbs to give real strength to the body. Living foods! And detoxification! Are the golden key for helping the body cleanse the great lymphatic system and start to strengthen tissue again.. God Bless you, and all the best on your road to wellville! :) :)

[@TimelessjewelbyDebra]

I am a hospice vigil care volunteer..(I love it so much, I do it for free )...there is nothing more humbling then being there for the patient and their families at the end of life.i did peds and had to pull back and go back to adults..

[@bethmiller1672]

This was fantastic! Thank you.

[@lindseycrabtree849]

I have GOT to read her book. It had me so drawn in

[@meganbrogan9359]

Dr. Puri Doesn't need to be your fly girl... maybe she'll let you be her hype man. I appreciate this interview; it was really thoughtful and i've already ordered the book. Can't wait to read it.

[@cherylshort5005]

room. Both make medicine accessible to thise of us who are patients non medical humans. Through sensitive writing, humor and just truth.

[@adaboul18]

Her book is amazing highly recommend it

[@vanessac5402]

I enjoyed listening to the very deep and meaningful conversation. Communication is key and I want to better my communication skills with patients and after listening to this, and I want to teach others once I know how. This was great!

[@arthurbrunelle9828]

I have been helping img's.... Primarily older Chinese medical graduates... Prepare for step 2 cs, residency. Fellowship and faculty position interviews for over 14 years. I am now recommending your videos to ALL my students.... Thank you so much Dr Z.... please keep up the great work!! God bless!!

[@listeninglicence]

So memorable so proud to serve for rise and shine

[@cherylshort5005]

At 58 with MS. CKD, diabetes...dying us not a fear personally. Ying badly IS.

[@debbiereeves642]

Love, Love,Love! Dr Puri was amazing. Just recently discovered you. Thanks for the Nurse song! Looking for more of your videos. I am an RN of 30+ years and practicing retirement. Anxious to read her book.

[@WishIwasinItaly]

Met her in Portland at her book signing. Really nice Dr. Great book it is a must read.

[@evelynsnyder5866]

Thank you for the captions! :D

[@Azel247]

When I laughed out loud at the diclofenac joke, I knew that I had passed the point of no return in geekdom...

[@SisterCaliGal]

this is amazing, thank you Dr. Puri! i can't wait to listen to the book. i did my post-grad in palliative care, and i'm so glad i attended the AAHPM/HPNA annual conventions that hosted both ZDoggMD, and Dr. Natul Gawande. i turned from teaching new physicians to the hospital as a palliative care nurse in a "random non-teaching hospital", to becoming a palliative care advance practice provider, now to palliative care patient. i use the youtube video "you're sick, it's serious" to start great conversations. yes. yes. yes. more please in 3.0. a new PSA is needed for Palliative Care. pick me. pick me.

[@sandrafrazier7967]

Do not go gentle into that good night Dylan Thomas, 1914 - 1953 Do not go gentle into that good night, Old age should burn and rave at close of day; Rage, rage against the dying of the light. Though wise men at their end know dark is right, Because their words had forked no lightning they Do not go gentle into that good night. Good men, the last wave by, crying how bright Their frail deeds might have danced in a green bay, Rage, rage against the dying of the light. Wild men who caught and sang the sun in flight, And learn, too late, they grieved it on its way, Do not go gentle into that good night. Grave men, near death, who see with blinding sight Blind eyes could blaze like meteors and be gay, Rage, rage against the dying of the light. And you, my father, there on the sad height, Curse, bless, me now with your fierce tears, I pray. Do not go gentle into that good night. Rage, rage against the dying of the light.

[@johnmartorella4721]

Just like healthcare. You truly can't please everyone. How the hell could there be 1 thumbs down on this? Let alone 14. Very informative and you two are great people. Thank you

[@draconicfeline6177]

Oh my god, I heard the phrase "Word Vomit" and as a writer, I relate SO MUCH. Take my upvote, friends!

[@BoomerKeith1]

I lost my mom very unexpectedly (she was diagnosed with brain cancer after having an MRI because she passed out, and died 22 days later). I had very little knowledge of palliative care going in and had to learn on the fly. I feel very fortunate that the hospital she was in had a well established program that worked seamlessly with in hospital hospice care. While the situation was absolutely horrible, having that end of life care was vitally important for us as a family. Thank you Dr. Puri for what you do!

[@kymberlyp4056]

On my Twitter page I often discuss my experiences as a pediatric Hospice and palliative care RN. The word I most often use is that I companion patients and families, more than treat them. I rely on a team to help me understand where they are AND where the patient and family is. It’s so important to understand that there is no “set of rules” when providing palliative care or implementing Hospice care. There are no standard of care when delivering care for palliative patients or Hospice patients, and their families. I’m doing a lot more teaching about this now. I originally got my BSW and MSW degrees before becoming a BSN while working in Hospice home care. Thank you so much for putting this podcast out there. ❤️

[@leesog3203]

What you need love is a major dose of Dr Robert Morse who understands all the wrongs of palliative care. And on top of that, how you're supposed to live so you don't end up there!

[@kymberlyp4056]

Lee SOG ~ Dr. Robert Morse practices herbal remedies for chronic or terminal illnesses. That makes him null-and-void to this scientific mind. Furthermore, one of his biggest peddling schemes is selling his own concoctions as “cures”. www.drmorsesherbalhealthclub.com/ Are you a “health club member”?

[@C5drummer]

In-house CRT status, realistic medical outcomes, realistic medical expectations for patients who are compliant AND non-compliant with appropriate medical practice regarding acute and chronic illness, as well as end-of-life discussions need to be part of EVERY physician's practice, both inpatient and outpatient. It should NOT be difficult, as it IS part of our MEDICAL CARE we provide! Frustrating. It doesn't help that T.V. shows factitiously reveal patients making miraculous recoveries with NO SEQUELAE despite a truly un-recoverable condition. The same thing happens in real life, and families are "appalled" that their loved one's condition or outcome isn't like what they see on T.V...Just baffles me. Palliative care physicians should be an INTEGRAL part of health care, as are physiatrists after injury or illness! OH, but I see that M.D. Anderson is "Making Cancer History!" FANTASTIC!! The world can now go back to smoking 3 packs of cigarettes per day, drink 2-4 pints of whatever liquor daily, not get yearly mammograms, not get their pap smears, no colonoscopies at 50, or prostate checked, because, well--->M.D. Anderson will cure me...Or maybe they are all making us all into SHARKS! (Sharks have never been documented to have cancer, by the way). THEY SAY SO DIRECTLY IN THEIR KZbin ADS!!! M.D. Anderson doesn't just give "hope," they're "Making Cancer History! ....uh, wait...Do they mean they're documenting the history of cancer? OK, I'm confused. One thing is for certain...False hope has NO PLACE in medical care. Realistic expectations regarding ongoing medical management and outcome regarding acute and chronic severe illness do. I wish ALL clinicians would involve their patients in this discussion EARLY as an outpatient or new inpatient, and not just gloss it over, hoping someone else would "do the dirty work." I guess we'll leave that to the Palliative care physician...and the GI doctor, because, well, there is shit involved!

[@laurahuston2187]

I'm a veterinarian and mich of this is actually parallel!

[@ODLife]

Agree 100%, so much room for improvement in both realms.

[@moodypurple]

Omg I watched ALL of this 😁. I'm a nursing assistant in a hospice & I have to say I completely get it, I often get emotionally involved with my patients, even sometimes taking it home with me when most colleagues leave work at the door. You two are amazing, so many laugh out loud moments throughout this video. Massive thumbs up from me 👍👍👍👍👍💓

[@Kiao1004]

Lou Malnatis is the best of all Chicago Deep Dish!!! And this was amazing, I loved the book! 💖

[@wearashirt]

When she talks it's like pages right out of a best selling autobiography

[@wearashirt]

Already got it in my kindle!

[@wearashirt]

woah the filipino references lmao

[@ForensicsLabwithDrDan]

Lol@ if we had any guts a lot fewer of us would be docs. There’s some truth to that

[@connier8620]

Hi, all the talk about the terrible call, lack of work/life balance...the best decision I made was to NOT enter medical school. While as an EEG tech I always had call I never worked the hours my neurologists did. Never regretted my career choice.

[@artgirl96]

😍

[@eliscanfield3913]

...I kind of like footnotes... Yes, I'm a dork

[@connier8620]

Ibid..from the same source...lol love Google

[@cherylshort5005]

God lolol y'all made me laugh out loud, at 3 am in my living rokm.

[@ccsmith2937]

Check yourself, before you... I was LMAO.👍🤣 Too bad no love for Cypress Hill. Damn she was marriage material before that. JK. She still is awesome.

[@papershadows9653]

Only 12 hours?! Most states allow nurses to work up to 20 hours. 16 is normal. Better suck it up buttercup ❤

[@stevebell4906]

So I need to ask..do you think it reasonable to think that a person...Indeed the person responsible for life and death decisions ...You life and death...in my example...Be just as sharp and competent at 20 hours on duty as a reasonably rested equally qualified person?...Because in other fields it as conventional wisdom that just the opposite is true.. For example Pilots are not allowed to fly without adequate rest...Truck drivers are even more restricted in the hours driving and hours on duty not driving and rest... The reason why is because because it is accepted behavioural science ....not my saying so...but credentialed experts...That when a person is tired they are just as impaired and impaired in the same way as being drunk or drugged.....

[@papershadows9653]

@@stevebell4906 To preface, I am a nurse. 26 years. The problem is a nurse shortage. The burn out rate is higher than the graduation rate. But the population is aging fast. There is also the natural attrition rate of nurses retiring.There are physically not enough nurses. This is the plain truth. We are hurting and have been for a long time. I'm the person on the receiving end of this abuse for years along with my fellow nurses. Nurses usually burn out around the 20 year mark. They just can't take the horrors anymore. Nurses are physically, mentally and emotionally abused on an almost daily basis. A nurse can and will be fired and reported to the board for abandonment if they leave shift without relief. The rules and regs are skirted on a regular basis.The pay is inadequate, the hours are horrendous and your home/family suffers along with you. I don't know the answer but something has to give eventually. One way or the other, something will. Whether that will be relief, the nurses or the system itself. Who's to know.

[@stevebell4906]

@@papershadows9653 One would think that if society wants or needs more of of something like nurses or chocolate sundays ...supply and demand in the beloved free market would with it's invisible hand make those things equal out...As in ...you just keep increasing the pay and benefits until you just naturally attract and retain enough qualified people?... Funny but that never seems to be a problem when we are talking about executive talent...conventional wisdom dictates that you simply have to pay whatever the market demands ...Yet somehow that logic breaks down when we are talking about labor or.."The Help"?...Tons of explanations of why it simply is not true or even a factor?...Of course you are not alone...I keep hearing the same argument in many fields....fields as diverse as Nursing...Truckers...Law Enforcement...There the conventional wisdom seems to be ....There is no need to pay a competitive wage to to attract...recruit ...train and retain talent...Just the opposite of the executive suite? Now it seems that there is simply no threshold to be met...any one can do "it"...what ever "it" is ...

[@pittiesmom10]

Thank you for doing this episode. I am almost 32 but I have severe Pulmonary Arterial Hypertension and ITP. I have been on the fence about connecting with a palliative care team. I’m going to have the conversation with my primary care.