What happens when your palliative care program's budget is cut significantly? How do you evolve and survive when your institution isn't providing the support you need to meet patients in need? This episode of the Palliative Care Program Spotlight tries to tackle these very questions. Our guest is Jeanne Elnadry, MD who serves as Director of Supportive/Palliative Care at Yuma Regional Medical Center. Her role is to develop palliative care programs, systems, and initiatives throughout the institution, and to provide education in palliative care principles and practices. She is developing clinical programs to provide symptom management and supportive care for patients at Yuma Regional greater Yuma community.