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Summary
Dr. Ann Berger, a pioneer in the field of palliative care, discusses the importance of whole person care and the misconceptions surrounding palliative care. Palliative care is not just for end-of-life patients, but should be implemented from the time of diagnosis for anyone with a life-threatening illness. Dr. Berger emphasizes the need for personalized, integrative approaches to care that address physical, psychological, social, and spiritual symptoms. She also highlights the role of spirituality in healing and the development of the NIH HEALS measure to capture the spiritual component of care. Despite the proven benefits of palliative care, it is still not widely adopted, and Dr. Berger calls for better education and integration of whole person care in medical training.
Takeaways
Chapters
00:00 Introduction to Palliative Care
06:12 Integrative Approaches in Palliative Care
29:02 The NIH HEALS Measure
36:53 Challenges and Barriers to Implementing Palliative Care
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
Dr. Monique Gary, a breast surgeon, educator, and advocate for wellness, discusses the connection between mind, body, and spirit in promoting overall wellness. Dr. Gary emphasizes the importance of a wellness-centered approach to surgery, focusing not only on removing the tumor but also addressing other factors that contribute to disease. She advises patients to prepare for surgery by incorporating movement, sleep, and nutrition into their daily routines. She highlights the significance of effective communication and partnership between surgeons and patients, as well as the importance of a multidisciplinary team in providing comprehensive care. She shares her experiences in educating medical students and patients, as well as her work in creating a wellness community for cancer patients at Still Rise Farm.
Takeaways
Chapters
00:00 Introduction and Background of Dr. Monique Gary
02:26 The Connection Between Surgery and Whole Person Care
04:04 Preparing for Surgery: Incorporating Movement, Sleep, and Nutrition
06:05 Complementary Modalities for Healing
08:32 Effective Communication and Partnership in Surgical Care
12:40 The Importance of a Multidisciplinary Team in Comprehensive Care
23:07 Exploring Innovative Approaches in Cancer Care
28:32 Addressing Gaps in Cancer Care
29:38 Educating Medical Students and Patients in Holistic Approaches
31:14 Creating a Wellness Community for Cancer Patients
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
Dr. Wayne Jonas and Dr. Ray Wadlow, a gastrointestinal oncologist specializing in pancreatic and gastrointestinal cancers, discuss the topic of financial toxicity in cancer treatment and its impact on whole person care. They highlight the need to address the financial harm that patients may experience during cancer treatment and the adverse effects it can have on their wellbeing. The conversation emphasizes the importance of listening to patients, asking questions about their individual context, and proactively addressing financial toxicity in cancer care. Financial toxicity disproportionately affects communities of color and there is a need to measure social drivers of health and assess targeted interventions.
Takeaways
Chapters
00:00 Introduction to Financial Toxicity and Whole Person Cancer Care
09:28 The Importance of Addressing Financial Harm in Cancer Care
16:07 Mitigating Financial Toxicity: Frameworks and Resources
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Guest Background
Evangeline C. Andarsio, MD is a Clinical Professor of Medical Education and Obstetrics & Gynecology at Wright State University Boonshoft School of Medicine (WSU-BSOM). Dr. Andarsio is the Director of the Remen Institute for the Study of Health and Illness (RISHI) at Pure Healthcare and Director of the National Healer’s Art Program and Tending the Flame Program.
Summary
Dr. Vange Endarsio, discusses the concept of clinical wellbeing and the importance of addressing burnout in healthcare professionals. She shares her personal journey of becoming a doctor and how she transitioned from practicing medicine to focusing on burnout and wellbeing. Dr. Endarsio explains the Tending the Flame workshop, which is designed to help clinicians restore their passion for their profession and find a sense of community and purpose. She emphasizes the need for self-care and the integration of meaning, medicine, and resiliency in healthcare. The workshop teaches mindful practices, rituals, and storytelling as tools for maintaining meaning and promoting self-care.
Takeaways
Chapters
00:00 Introduction and Background
04:08 The Importance of Meaning and Relationships in Medicine
09:14 Addressing Burnout: Systemic Changes and Social Support
14:02 The Three S's: System Issues, Social Support, and Simple Techniques
28:00 Professional Identity Formation Continues After Medical School
30:00 Conclusion and Appreciation
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
Dr. Randall Oyer discusses the Cancer Survivorship and Wellness Program at Penn Medicine's Ann B. Barshinger Cancer Institute. The program supports cancer survivors beyond the treatment phase by helping to manage side effects and the emotional impacts of the cancer diagnosis. Dr. Oyer emphasizes the importance of listening to the patient and meeting them where they are in their survivorship journey. The program includes a team of healthcare professionals who address various aspects of survivorship, such as sleep disturbance, weight management, mobility, and emotional health. The goal is to provide holistic, patient-driven care and bridge the gap between oncology and primary care.
Takeaways
Chapters
00:00 Introduction to the Cancer Survivorship and Wellness Program
06:40 The Unique Approach of the Cancer Survivorship and Wellness Program
11:40 Addressing the Psychological Toll of Cancer
24:26 Screening for Distress and Providing Support
29:05 Final Thoughts and Patient-Centered Care
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Dr. Namita Seth Mohta serves as an advisor to ianacare and is Executive Editor at NEJM Catalyst.
Summary
Our guest, Dr. Namita Seth Mohta, discusses the Serious Illness Care Program at Ariadne Labs, which aims to ensure that all individuals affected by serious illness feel known and cared for on their own terms. The program utilizes the Serious Illness Conversation Guide, a set of structured questions that help clinicians elicit patients' goals, values, and priorities. The program also includes tools for patients to have conversations with their loved ones about what matters to them. The program has been implemented in over 50 healthcare systems and has had positive impacts on anxiety, depression, care experience, and cost. Trust and building relationships are key components of the program.
Takeaways
Chapters
00:00 Introduction to Dr. Namita Seth Mohta and the Serious Illness Care Program
06:02 Defining Serious Illness and the Importance of Conversations
10:08 The Serious Illness Conversation Guide and its Impact
26:12 Serious Illness Care in the Context of Cancer
32:26 How to Access the Serious Illness Care Program
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
In this episode, Dr. Channing Paller and Dr. Alyssa McManamon discuss shared decision-making in oncology and its relationship to whole person cancer care. She shares her journey to becoming an oncologist and her passion for studying natural compounds and whole person care. Dr. Paller emphasizes the importance of incorporating the patient's values and preferences into the treatment decision-making process. She provides examples of shared decision-making in different scenarios, including cases where patients choose to delay or decline certain treatments. Dr. Paller also highlights the role of the care team and resources in supporting patient engagement and encourages thinking outside the box to find compromises and alternative approaches.
Takeaways
Chapters
00:00 Introduction and Background
03:41 Defining Shared Decision-Making
09:13 Shared Decision-Making and Whole Person Cancer Care
16:10 Examples of Shared Decision-Making
23:15 Team-Based Care and Resources
25:19 Maintaining Muscle Mass during Hormone Therapy
26:19 Summary and Closing Remarks
Resources
Connection to Healing & Cancer book: Chapter Two: Engaging the Person in Cancer Care
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
Dr. Jeff Geller discusses the use of group medical visits as a treatment for loneliness and a way to provide healthcare in underserved areas. He shares his journey of starting group visits and the various types of groups he has facilitated. Dr. Geller emphasizes the importance of listening to patients and connecting their health to what matters to them. He also highlights the benefits of group visits, such as reducing loneliness, providing support, and improving outcomes. The conversation explores the definition of group visits, the role of facilitators, privacy and HIPAA considerations, and the potential of group visits in cancer care.
Takeaways
Chapters
00:00 Introduction and Background of Dr. Jeff Geller
02:12 Starting Group Medical Visits to Address Loneliness
04:35 Benefits of Group Visits: Reducing Loneliness and Improving Outcomes
08:00 Defining Group Visits and Shared Medical Visits
10:29 Different Types of Group Visits and Facilitation
17:28 Privacy and HIPAA Considerations in Group Visits
20:03 Group Visits in Addressing Social Determinants, Behavioral Change, and Mental Health
24:52 Benefits and Challenges for Providers in Group Visits
31:35 Group Visits in Cancer Care
38:17 Resources and Training for Implementing Group Visits
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
Jasmine Souers, founder and CEO of the Missing Pink Breast Cancer Alliance, discusses the need for collaboration and innovation in cancer care, particularly for minority communities. She emphasizes the importance of engaging patients as integral members of the care team and addressing the unique challenges they face. Souers highlights the lack of representation of minorities in clinical trials and the impact it has on access to the best treatment and care. She also emphasizes the need for effective communication, trust-building, and whole person care in cancer treatment. Souers provides advice for newly diagnosed patients, encouraging them to empower themselves, seek knowledge, and find community support.
Takeaways
Chapters
00:00 Introduction and Background
01:07 Collaboration and Innovation in Cancer Care
03:59 The Lack of Representation in Clinical Trials
08:03 Effective Communication and Trust-Building in Cancer Treatment
13:24 Engaging Patients as Integral Members of the Care Team
16:38 Empowering Newly Diagnosed Patients
Resources
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
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Summary
This conversation explores the concept of doing more or less in cancer treatment and the importance of evidence-based medicine and guidelines. We discuss the need for physicians to keep up with current science. The Choosing Wisely campaign is introduced as a way to de-implement low-value practices. The conversation also highlights the trend of doing less in oncology and the importance of person-centered care. It explores the concepts of precision oncology and personalized healthcare, as well as the importance of partnership and patient engagement in decision-making.
Takeaways
Chapters
00:39 Keeping up with Current Science and Guidelines
01:39 The Emergence of Evidence-Based Medicine
03:02 The Choosing Wisely campaign
05:28 Balancing Doing More and Doing Less
06:51 The Trend of Doing Less in Oncology
08:51 The Importance of Person-Centered Care
09:16 Precision Oncology and Personalized Healthcare
11:07 The Role of Palliative Care
14:23 The Importance of Shared Decision-Making
15:04 Precision Oncology vs Personalized Healthcare
18:13 The Importance of Communication and Avoiding the Nocebo Effect
19:43 The Importance of Palliative Care
24:42 Avoiding the Nocebo Effect in Communication
28:32 The Importance of Partnership and Patient Engagement
32:41 Conclusion
Resources
-ASCO/SIO Pain Management Guidelines
-Choosing Wisely campaign
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.
Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.
From the publisher's feed
In How Healing Works, practicing family physician, integrative health and whole person care expert, researcher, and author, Dr. Wayne Jonas, will connect with experts and innovators in the field of…
Connect with me on:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon
Visit Healing Works Foundation www.healingworksfoundation.org for more information.
Disclaimer: All information and stories stated are for information purposes only. The information is not specific medical advice for any individual. The content provided on this podcast, on Dr. Jonas’ social media channels and in his videos should not substitute medical advice from a health professional.