Dr. G at the Heart of Healthcare

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest-Mitsuo Tomita, MD

- Father was from Japan and his mother from Hawaii

- Born and grew up in Los Angeles

- Attended Dorsey High School

- UCLA First Gen, graduated cum laude, Phi Beta Kappa, with highest honors, majoring in Zoology

- UCSF School of Medicine, Fresno

- Board certified Family Medicine

- Joined Kaiser Permanente, San Diego in 1975

- Appointed Assistant Clinical Professor at the UCSD School of Medicine

- Retired in 2008 after 33 years of full-time practice, which he very much enjoyed

- Served on the boards of Planned Parenthood in San Diego, Arthritis Foundation, Lupus Society

- Post-retirement work in FQHCs federally-qualified community health centers in the San Joaquin Valley, Washington State

- Co-chairs the San Diego County Medical Society's Bioethics Commission and the Retired Physicians section of the Medical Society

- Serves on the board of the San Diego Chapter of the Japanese American Citizens League

- Volunteers with Compassion & Choices

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G heard Dr. Tomita’s insightful talk about EtOH & Dementia at the 12th Annual Brain Health Forum SD Dementia Consortium hosted by Oasis Senior Advisors and The Elizabeth Hospice

2. Educate -Teaching points

- Article: Clinical Guidelines for Voluntarily Stopping Eating and Drinking (VSED) by Hope Wechkin, MD https://pubmed.ncbi.nlm.nih.gov/37352942/

- VSED or terminal fasting leads to death by dehydration in 1-3 weeks. It is an option of addressing quality of life for an adult, with decision-making capacity, who does not qualify for Medical Aid in Dying MAiD, and have severe pain & suffering from a non-psych serious health condition.

- ADVANCE CARE PLANNING: Consider if Hand Feeding is important for you at the end-of life. While creating your Advance Directive consider the QUESTION “If I can NOT feed myself, DO I WANT TO BE HAND FED❓” Some conditions, such as end stage dementia, people forget how to feed self.

- Article, COMFORT FEEDING https://www.cuanschutz.edu/graduate-programs/palliative-care/palliative-care-blog/blog/palliative-care-blog/the-dilemma-comfort-feeding-presents

- Fast Fact Number 470 “Counseling Adult Patients and Caregivers on Nutrition During the Dying Process”https://www.mypcnow.org/fast-fact/counseling-adult-patients-and-caregivers-on-nutrition-during-the-dying-process/

3. Empower -A valuable a resource to define your own quality of life https://compassionandchoices.org/our-issues/vsed/

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/vwiZb7JQf8A?si=x6WGJQtdt91fMWEA #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #AdvanceDirective #AdvanceCarePlanning #VSED #MAiD #GoalsOfCare

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest

Francesca Lynn Arnoldy, Contemplative Doula

- Started as child birth educator & postpartum doula

- Founded and ran an End of Life Doula program in Vermont

- Author. Educator, Researcher

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G and Francesca swapped books in Vegas where they were both speaking at The City of Hope Interdisciplinary End of Life Symposium

2. Educate -Teaching points

AAP report: Childhood grief more complicated due to pandemic, marginalization https://publications.aap.org/aapnews/news/29164/AAP-report-Childhood-grief-more-complicated-due-to

“Map of Memory Lane” https://a.co/d/8NbUSz5

- Helps adults have conversation with kids in advance of loss, coping

- Memory Lane curates 3 special times

- Facilitates grief literacy, death awareness

- pdf available

3. Empower -A valuable a resource https://francescalynnarnoldy.com

Video podcast 🔗 https://youtu.be/IdZ1nwy4HgA?si=LZJtbTAHQq_JvGP- https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MemoryLane #Legacy #Children #Grief #EOLDoula #DeathDoula

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guests

Dr. Gobi Paramanandam

Chip Mitros, Medtronic

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G learned about intrathecal therapy (cancer pain pump) during the Annual Assembly of Hospice and Palliative Care in Phoenix, Arizona. Discussed a case of cancer symptoms intractable nausea vomiting and the oral medication caused gagging.

2. Educate -Teaching points

Intrathecal therapy usage in the Palliative Care is potentially LIFE CHANGING for patients. Article https://pubmed.ncbi.nlm.nih.gov/21587327/

Dr. G challenges specialists to facilitate broader PATIENT ACCESS to this pain pump:

- Oncologists

- Palliative Care

- Hospice agencies

Economic savings for healthcare, improves pain scores and function ECOG score; able to use less medication since it is delivered to CNS. Interventional pain and palliative care physicians can help.

AVOID recurrent hospitalizations (hospice revocations) for pain crisis NO NEED to switch medications along continuum of care, medication stable in pump months (Evidence Matrix available by request)

3. Empower -A valuable a resource

https://www.medtronic.com/us-en/patients/treatments-therapies/pain/cancer-pain-pump.html

Website info https://mourningdovemedical.com

#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Cancer #Pain #PatientAccess #Palliativecare

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest Tina Buchanan MSW, ALCP

-CEO of Visionary Care Consultants -Originally from Nevada

-Worked in Skilled nursing and Home Health

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 

1. Story (theme) ⚾️Dr. G enjoyed 1st Padres game night with Tina’s community partners and Right at Home-El Cajon. https://padres.mlblogs.com/happening-homestand-join-us-for-xanders-bobblehead-giveaway-beerfest-and-more-at-petco-park-cd89d1033db5?gi=11489f71cdab

2. Educate -Teaching point

Tina is an Aging Life Care Professional https://www.aginglifecare.org/ who saw GAPS in healthcare for seniors. Created this company to hold families hand through navigating healthcare processes to prevent them from falling through the cracks of the healthcare system.

😵‍💫SIGNS you need support of a Care Manager:

-Stressed

-Struggling

-Losing sleep

-Crisis mode

-Sandwich generation needing to help aging parents or disabled loved ones

VCC can help create a care plan for EVERYONE to “Age with Dignity & Integrity”

- Have conversations EARLY to plan and adjust (Solo ager, 50s & 60s, cognitive and physical declines)

3. Empower -A valuable a resource VCC serves community https://visionarycareconsultants.com/

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/byjLnMQarTI?si=PxjqEZAdJJ6aAwIh #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #CareManager #Advocate #Communication

Show notes

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Kevin Tutunijan, Administrator

In the Arms of Grace Hospice

-Owner-operator and administrator of a hospice agency in the Atwater Village neighborhood of Los Angeles, founded in 2011.

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G met Kevin at City of Hope Interdisciplinary End of Life Symposium, where they discussed advocating in Washington D.C. as a part of the California delegation for Hospice Action Week 2024 (HAW 2024) June 10th-13th. When Kevin’s Grandmother suffered a health decline, this became the impetus for a new hospice agency. By serendipity, the first Joint Commission survey was the day after she died. Years later it was a full circle moment when In the Arms of Grace cared for his other Grandmother.

2. Educate -Teaching points

☑️Clinicians need great ADMINISTRATIVE SUPPORT to provide needed REGULATORY COMPLIANCE with Medicare Hospice Benefit, and Conditions of Participation CoPs.

☑️ We don’t shy away from the business side of hospice care. We need strong infrastructure to provide quality healthcare at home.💜

☑️Hospice Action Network HAW 2024 priorities: https://hospiceactionnetwork.org/haw-2024-blog/

3. Empower -A valuable a resource https://inthearmsofgrace.com

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/etPkb9aZGqs?si=YugM-gBArV7pRlU6 #hapc #EducateAndEmpower #PeaceOfMind

#TheRealDealAboutHospice #HAW2024 #Advocacy #AdministrativeSupport #PatientAccess #JimmyCarter #CaliforniaLove #Education #Medicare

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest

Jon Duerden, Administrator

- Originally from Utah, wife is from San Diego (check socials Dr. G is holding baby at party👶🏼)

- Former white water rafting guide in Idaho’s Salmon River

- Interested in healthcare since childhood

-Been with PACS parent company since 2019

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G enjoyed a private tour and the ribbon cutting grand opening party on June 27, 2024✂️🎀

2. Educate -Teaching point

- No new nursing home in San Diego for nearly 30 years

- This new skilled nursing facility will service Oceanside and all of Southern California to help patients rehabilitate after a hospitalization (post-surgery, infections, wounds) and get back into the community.

- Care plans for high acuity care, with everything in house to help patients heal within a beautiful environment.

- Private & Semi-Private suites

- In room showers

- Services: Pulmonary rehab, IV management, pain management, PT, OT, ST, social workers, discharge planners, classically trained dietary supervisor, pharmacy, etc.

- Hospice care rooms available for GIP, Respite

- Stigma dispelled! PVPA, a skilled nursing facility SNF being a crossroads of healthcare to help plan next step in life for patients.

3. Empower -A valuable a resource for the community, a NEW Cutting-edge 120 bed Skilled Nursing Facility https://pacificvillaspa.com

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/F33Tx42eWOg?si=tui1lgOZ6meIaY2O #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #PostAcute #SkilledNursingFacility #PhysicalTherapy #hospice #GIP #Respite #NursingHome #Rehab #HighAcuity #Healing #Leadership #SocialWork #CaseManager #CarePlan

Show notes-

INTRO

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest Betsy Hall

- Executive Director of Four Their Thoughts Foundation, founded in 2020

- Cared for mother and grandmother who both suffered from frontotemporal dementia

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G participated in FTT training “👣 Walk in the shoes of someone with dementia 💕 Learn effective tips to empathize, communicate and improved the time spent with your loved one/client. FREE reTHINK with Dementia Happy hour using licensed AGE-u-cate equipment https://www.linkedin.com/posts/fortheirthoughts_quality-time-is-really-all-that-matters-at-activity-7178079096923385856-Oeew?utm_source=share&utm_medium=member_ios

2. Educate -Teaching point

- Origin of the foundation occurred in Italy, Betsy ran up the volcano Mt. Vesuvius to raise awareness about dementia. Now the non-profit organization empowers empathy and compassion for the person who has dementia, by training caregivers and other healthcare professionals.

- Inspiration comes from the painful 5-year, emotional journey after Betsy’s mother received a letter in the mail about her diagnosis, her mother suffered from the disease. She passed away in 2013.

- Movie “Still Alice”

- Future of FTT: Chapters all over country

3. Empower -A valuable a resource https://www.fortheirthoughts.org

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/etY7Klvlhtk?si=D_0y6W5HyzXHGNE9 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #BrainHealthMonth #Dementia #FrontotemporalDementia #NonProfit #Pompeii #MountVesuvius

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guests

Lenny Jensen, MSN, FNP-C

- CEO and Chief Clinical Officer

- In hospice industry since 2006 with wife

- 22 years of hospice experience

- Army veteran

Abbi Henstra

- Director of Partner Engagement

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G met the FireNote team in Little Rock, Arkansas NHPCO ALC exhibit hall. She learned about their favorite starburst color and “Blazing Fast Compliance” efficient ability of FireNote EMR that will save hospice staff time.

2. Educate -Teaching points

🔥Your patients get better care

Streamlined charting powered by our patent-pending RapidChart®technology dramatically reduces clinical charting time.

🔥Your team will be happier

They can spend more time focused on actually being caregivers rather than record keepers.

🔥You'll be less frustrated

Because you finally have an EMR platform that works for you instead of against you.

3. Empower -A valuable a resource https://firenote.health

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/jPf6ByH3lUY?si=7lZFrhfNUDA9pnbS #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #EMR #PlanOfCare #FireNote #DocumentationBurden #Technology #Compliance #Data #Burnout #Freedom #Intuition #ElectronicMedicalRecords #ICD #HospiceRegulations

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Ramon Sanchez is the Founder/CEO of HospiceWorks. He has been in the hospice industry since 2005 after realizing the Medicare hospice benefit could have helped his grandmother before she died. https://www.linkedin.com/in/ramon-sanchez-009689165?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G spoke with Jim Parker on ELEVATE podcast about the documentation burdens affecting hospice staff https://hospicenews.com/2024/01/26/elevate-podcast-dr-kaishauna-guidry-ceo-mourning-dove-medical/ Ramon listened to clinicians to build a user friendly EMR platform that does not lead to “death by clicks” that leads to burnout of hospice healthcare staff.

2. Educate -Teaching point HospiceWorks Is An Innovative Hospice EMR Software That Streamlines Your Workflow And Improves Patient Care. Manage Patient Information, Care Plans, Medications And Scheduling, All In One Easy-To-Use Platform. Built-in AI-powered Speech Recognition is included.

3. Empower -A valuable a resource https://hospiceworks.com

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/T-kqX6uUqJA?si=FpSBVzzFGU342PQo #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #EMR #PlanOfCare #HospiceWorks #DocumentationBurden #Technology #Compliance #Data #Burnout #AI #ArtificialIntelligence #Freedom #Intuition #QualityAssurance #ElectronicMedicalRecords

Show notes

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

June is Men’s Health Month

https://menshealthmonth.org

Guest Rev Brian Dunlop

- Lives in Philly, from New York

- Husband & Father

- Hospital chaplain

- Associate Minister at Enon Tabernacle Baptist Church

- PhD palliative student UMaryland Baltimore https://graduate.umaryland.edu/palliative/

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Fresh from Las Vegas City of Hope Interdisciplinary End of Life Symposium led by Dr. Chandana Banerjee https://cme.cityofhope.org/content/IEOL2024#group-tabs-node-course-default7

2. Educate -Teaching point

- Training of chaplaincy: Quiet inside voice to help others endure their storm.

- Chaplains help patients by reacquainting them with what’s sacred internally.

- Topic “Making a way out of no way” Believing in miracles to get through life in this society

-Faith informs life of most Black Americans, should lead to curiosity,

3. Empower -A valuable a resource https://minorityhealth.hhs.gov/mens-health-month-2024

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/zmCLiUSk3nk?si=Hc74cn6BTF4yW6kK #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #PalliativeCare #MensHealthMonth