Dr. Bill Richards has been researching the therapeutic uses of psychedelic substances for 60 years and he believes there's a legitimate role for them in the treatment of depression, anxiety, and interpersonal withdrawal. He believes these substances behave in a novel way among psychiatric medications: it's the memory of an experience that's therapeutic and that you carry with you. You don't have to keep taking medication every day to have the effect. You experience something so profound, that it changes your whole concept of who you are.

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William Richards Ph.D.

Research Psychologist

Center for Psychedelic and Consciousness Research

Johns Hopkins University

Baltimore, Md.

author: Sacred Knowledge: Psychedelics and Religious Experiences

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Ira Byock, M.D., FAAHPM

Founder/Senior Vice President for Strategic Innovation

Providence Institute for Human Caring

Missoula, Mont.

author: The Four Things That Matter Most and The Best Care Possible

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JOIN US ONLINE ON JUNE 16th

HUMANIZING HEALTHCARE EXPERT SERIES

For information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, visit this link. Registration is now open.

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Twenty percent of Americans live in a rural setting and full access to some medical care is limited: often requiring long drives or temporary relocations. That includes specialty palliative care -- the interdisciplinary services of physicians, nurses, social workers, and chaplains aimed at helping patients control symptoms of a serious illness.

On today's podcast, we explore a demonstration project underway in rural Stevens County, Washington undertaken by the Palliative Practice Group at the Providence Institute for Human Caring.

The in-person nursing and chaplaincy providers in two rural hospitals are being joined by physicians and social workers through a Tele-PC video connection or by phone, allowing patients to avoid 70-100 mile drives to seek consultations. And the Tele-PC connection allows far-flung family members to be involved in bedside conversations about the goals of care.

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JOIN US ONLINE ON JUNE 16th

HUMANIZING HEALTHCARE EXPERT SERIES

For information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, featuring a number of guests heard on this episode of the podcast, visit this link. Registration is now open.��

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Gregg VandeKieft, M.D., MA, FAAFP, FAAHPM��

Executive Medical Director,��

Palliative Practice Group and Tele-PC

Providence Institute for Human Caring

Olympia, Wash.

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Kevin Murphy, M.D., MSW��

Executive Director,��

Palliative Practice Group

Providence Institute for Human Caring

Seattle, Wash.

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Adie Goldberg, Ph.D., LICSW��

Palliative Care Social Worker

Spokane, Wash.

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Amber Moody, RN

Palliative Care Nurse

Providence Mount Carmel Hospital

Colville, Wash.

(LISTEN to extended conversation)

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Kelly Corcoran

Chief Mission Officer

Providence Mount Carmel Hospital

Colville, Wash.

(LISTEN to extended conversation)

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Matthew Gonzales, M.D., FAAHPM��

Associate Vice President,��

Chief Medical and Operations Officer

Providence Institute for Human Caring

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Ira Byock, M.D., FAAHPM

Founder/Senior Vice President for Strategic Innovation

Providence Institute for Human Caring

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The days of medical robots, scanners, and bots are upon us ��� but do not fear! ��� these tools of digital health may be exactly what the doctor ordered to regain the personalism that's at the heart of caring.

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Dr. Bertalan Mesk�� is the director of The Medical Futurist Institute.

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The indiscriminate targeting of civilians as the Russian military prosecutes its illegal war on Ukraine has caused an unprecedented humanitarian crisis: more than a quarter of Ukraine's forty million citizens are displaced.��

In this episode, using a lens of whole person care, we talk with people reaching out to others in wartime,��making connections, and countering the darkness with (in the words of W.H. Auden) "ironic points of light."

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NGOs PROVIDING UKRAINIAN RELIEF

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Catholic Relief Services

Medical Teams International

Assist-Ukraine

UNHCR (United Nations High Commissioner for Refugees)

M��decins Sans Frontieres (Doctors Without Borders)

UNICEF (United Nations Children's Fund)

JDC (American Jewish Joint Distribution Committee)

Episcopal Relief & Development

BGR (Buddhist Global Relief)

Voices of Children��

Save the Children

International Committee of the Red Cross

CARE (Cooperative for Assistance and Relief Everywhere)

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GUESTS

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Inna Pashniak

Digital Marketing Manager

Providence Digital Innovation Group

San Francisco, Calif.

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Oleksyi Kurka (internally displaced)

Communications Manager

British Embassy to Ukraine

Kiev, Ukraine

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Orest Holubec

EVP/Chief Communication and Community Engagement Officer

Providence

Renton, Wash.

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Caroline Brennan

Emergency Communications Director

Catholic Relief Services

Chicago, Ill.

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Anne Garrels

Foreign Correspondent (retired)

NPR News��

Author

Putin Country: A Journey Into the Real Russia (Macmillan, 2016)

Connecticut

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The lullaby heard in this episode is titled "���� ������������" (Oh Moon)

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Se��n reads an excerpt from W.H. Auden's poem, "September 1, 1939" published in Another Time (Random House, 1940)

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Our guests this week bring tremendous expertise to the constellation of issues that surround family caregiving: from managing the expense of caregiving, to strategies for finding respite care, to enjoying the psycho-social benefits of being present and accompanying a loved one in a time of need.��

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In addition, we hear excerpts from interviews with two family caregivers who talk with producer Scott Acord about the family dynamics of providing care at home. To hear extended versions of these conversations, follow the links to Linda's Story and Marti's Story or look for these bonus episodes being published along with this podcast.

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Robin Henderson, Psy.D.

Chief Executive, Behavioral Health

Providence Health & Services, Oregon

Chief Clinical Officer

WORK2BEWELL

Portland, Ore.

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Nicholas Kockler, Ph.D.

VP System Ethics Services

Chair, Applied Health Care Ethics

Providence Center for Health Care Ethics

Portland, Ore.

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Maureen Nash, M.D.

Geriatric Psychiatrist

Medical Director

Providence ElderPlace

Portland, Ore.

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Linda's parents were both active long into their lives, but as they began to age, they began to need more and more help. Linda lived near them and initially was able to check in on them daily. But soon after her father died, a decision was made for Linda and her husband to move into her parents' home so she could provide more constant care of her mother. Linda talks about the importance of asking for help in caregiving and making changes in the physical layout of the home to remove potential obstacles and to improve safety.��

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This extended conversation is a bonus episode that accompanies a podcast on Family Caregiving. ��

Marti talks about coming to a realization that "this is Julia's life," rather than something that 'happened' to Marti. She talks about the way Julia has an impact on others, such as the childhood friends of her brother, whom Marti believes have grown up to be more compassionate simply because they have a relationship with Julia. ��Scott and Marti talk about the importance of taking breaks (and how difficult scheduling those breaks can be) and they discuss music Julia and Marti enjoy together.

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This extended conversation is a bonus episode that accompanies a podcast on Family Caregiving. ��

Susan Marks is a certified family nurse practitioner who focuses on the medical use of cannabis. She's also a daily user for essential tremor. She talks with host Se��n Collins about what she calls the treasure trove of medicinal benefits the cannabinoids in marijuana represent.��

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Susan Marks, CFNP

Website ��| ��Twitter ��| ��Facebook

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American Cannabis Nurses Association

Doctors for Cannabis Regulation

Medical Cannabis Laws by State �� (National Conference of State Legislatures)

WeedMap's directory of dispensaries

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Are you a healthcare professional with questions about the best practices for using social media? We're interested in hearing from you. ��Leave a voicemail message at +1 424-212-5436 or drop us an email at [email protected].

Daniela Lamas, M.D., is a critical care physician at Brigham and Women's Hospital in Boston and a faculty member at the Harvard Medical School. She's also a frequent opinion writer for The New York Times. The paper published her piece, "When Faced With Death, People Often Change Their Minds," earlier this year. ����

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"We need to shift the focus from talking to healthy people about what would happen should they stop breathing during a routine procedure, and toward improving conversations with people who are already seriously ill," Dr. Lamas wrote.

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Her op-ed piece comes on the heels of an essay the Journal of the American Medical Association published a few months earlier, "What's Wrong With Advance Care Planning?" by Drs. Sean Morrison, Diane Meier, and Robert Arnold, which argues that advance care planning has failed to accomplish its goals of aligning care and improving communication at the bedside.

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Joining Dr. Lamas in conversation is Ira Byock, M.D., a palliative physician, author, longtime advocate for advance care planning, and the founder of the Providence Institute for Human Caring, where this podcast is produced.��

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Dr. Byock holds that while there���s dire need to redesign advance directives, providers should talk with patients about who they trust to speak for them and their general healthcare goals ��� optimally long before onset of a medical crisis.��

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The podcast producers are interested in hearing from providers with questions or suggestions for an upcoming webinar on BEST PRACTICES FOR SOCIAL MEDIA USE FOR HEALTHCARE PROFESSIONALS. Have a story to share with us? Have suggestions? Write to us at [email protected] or leave a voicemail message on +1 424-212-5436. And thanks!

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Claire Zangerle, DNP, MBA, RN, NEA-BC, FAONL, FAAN

Chief Nurse Executive��

Allegheny Health Network��

Pittsburgh, Penn.

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David Marshall, JD, DNP, RN, FAAN

Senior Vice President,��

Chief Nursing Executive��

Cedars-Sinai

Los Angeles, Calif.

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Syl Trepanier, DNP, RN, CENP, FAONL, FAAN

Senior Vice President

Chief Nursing Officer

Providence

Renton, Wash.

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And we hear a nursing story from Jen Little-Reece, RN, an oncology nurse at the Providence Portland Medical Center in Oregon, in conversation with her partner Terran Williams. Their conversation is part of the HEAR ME NOW Storytelling Project and its growing oral history collection from healthcare workers, patients, families, and friends.

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David Marshall mentioned that he played Santa at Cedars-Sinai in December. Curious? Here's a link to a tweet with some pictures.��