Dr. G at the Heart of Healthcare

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Liana Shahijani, MSN, RN, FNP-BC- Raised in Los Angeles, California 100% Armenian 🇦🇲 - Wife & Mother of 3 daughters (athletes)- 19 years of nursing experience- ADN achieved at Rio Hondo College- BSN achieved at University of San Diego, Hahn School of Nursing- Experienced a life changing Medical Mission in the Dominican Republic 🇩🇴 - MSN/FNP achieved at UCLA School of Nursing w/ subspecialty in vulnerable populations (2011 Class speaker “Believe to Achieve” https://youtu.be/C-aHIUEw73c?si=FxivkWM7PoQPox-a)- Spent 5 years as a Hospice Nurse Practitioner - Experience in Pulm/Crit, Allergy & Immunology, currently works in CVICU- Business owner of Reverence Home Health since 2021Podcast Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Happy Nurses Week!!! #ThePowerOfNurses 💥https://pages.nursingworld.org/nursesweek26 Liana’s origin story began while sitting 1-day in 🧮 calculus class as a premed student. She faced this WALL, then pivoted her studies by deciding to go into NURSING. In that moment she harnessed her POWER, which opened the door for a POWERFUL nursing career🚪⚡️🔋2. Educate -Teaching points - Home Health REHABS patients at home for a limited time, keeping them out of the hospital🏥 - If patients are in & out of the hospital, disease is progressing and it’s likely time to talk about hospice care. 🗺️ “MAPPING THE END” https://closler.org/lifelong-learning-in-clinical-excellence/mapping-the-endLiana’s charge to NURSES 🪫💥➡️⚡️🔋⚡️You are NOT working for a business, you ARE the business! (Healthcare is business)⚡️NEVER stop learning! KEEP LEARNING. (If you know everything, QUIT)⚡️You are THE voice of the patient and the family!⚡️Know your worth! Dont let one thing stop you, there are so many different opportunities.🎤”Nurses are the first to hold a baby or the last hand held when someone is dying. It is the passion of caring and the commitment to be the BEST that sets nurses apart.” ​3. Empower -A valuable a resource Reverence Home Health https://reverencehh.com ​Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/saLVBPiHeio?si=0JXH_Ay0ZoI0mUms #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #HealthcareRoadMap #ThePowerOfNurses

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Happy Global POWER FOR PARKINSON’S DAY! 🟢GuestNina Mosier, MD- Wife & Mother- Grew up in Philadelphia- Retired physician, trained in Internal Medicine & Geriatrics - Executive Director & Co-Founder of Power for Parkinson’s (2013)Podcast MISSION-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. Nina Mosier was a family caregiver for her father. She was a presenter at the 42nd ALCA Annual conference in Austin, Texas which raised Dr. G’s awareness about how exercise slows progression of Parkinson’s disease. Dr. Mosier’s late father could not walk nor feed himself until instituting regular exercise. (A different conference session discussed speech and swallowing struggles affect 90% of people diagnosed with Parkinsons Disease. Yet only 3-4% utilize speech therapy ST https://parkinsonvoiceproject.org/program/speak-out/?srsltid=AfmBOopMryMNavJEmAYIMY0fvzJjlTNo9DpsKRyUAVpMoAIv7QyoKPMh)2. Educate -Teaching points: Dr. G’s Mnemonics from medical school (First Aid USMLE Step 1, 2013)“Body becomes a TRAP” (Tremor at rest, cogwheel Rigidity, Akinesia or bradykinesia, Postural instability)“Get DOPe at the PARK” (Dopamine neurotransmitter decreases from loss of substantia nigra pars compacta neurons) Also associated with Lewy Bodies 🟢 FACTS? Fastest growing neurodegenerative disease, caused by environmental & genetic factors https://www.parkinson.org/parkinsons-awareness-month🟢Symptoms include constipation, loss of smell, anxiety, depression, apathy. EVERYTHING gets smaller (writing, walking, speaking)🟢Diagnosed by a neurologist https://parkinsonsdisease.net/diagnosis/rating-scales-staging🟢Treatments? medication, surgery, speech therapy, EXERCISE 🟢How exercise helps? Neuroplasticity reverses immobility. See FREE YouTube channel for classes ​⁠ 3. Empower -A valuable a resource https://www.powerforparkinsons.org/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/9uQPyO3SF-Y?si=rpS5N_OL8o3iBQx_#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #parkinsonsawarenessmonth

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Catherine Wicker, Esq - Founder and Principal attorney of Wicker Law- Houston, Texas native - Lived in Hawaii- Masters of public health with emphasis in social determinants of health- Based in San Diego since 2009Previous NHDD podcasts 🔗#NHDD2023 The Conversation Project resources https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs #NHDD2024 Interdisciplinary discussion with Founder Nathan Kottkamp, Esq in collaboration with The Heart of Hospice podcast https://youtu.be/Bp0h1sDqPYs?si=gL2VvIaTWHhxKQHn#NHDD2025 Discussed How to Age and Die in Bliss with a Healthcare RoadMap https://youtu.be/1azmcZvVlMU?si=xwXdlnkcVa4bkF5OMission of this podcast-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G is often called upon to evaluate individuals for capacity and write a letter of capacity when families are in crisis (needing to access funds for care, etc.). NHDD is about preserving individuals AUTONOMY with an advance directive. Let’s normalize the necessary conversations about advance care planning. Mapping the end   - CLOSLER https://closler.org/lifelong-learning-in-clinical-excellence/mapping-the-end2. Educate -Teaching points- What is CAPACITY?- California's Health Care Decisions Law, Probate Code section 4600 https://leginfo.legislature.ca.gov/faces/codes_displayexpandedbranch.xhtml?tocCode=PROB&division=4.7.&title=&part=&chapter=&article=&nodetreepath=7 - Framework (avenues of preserving rights to make medical decisions) POA, Healthcare proxy, conservator - Contrast capacity with COMPETENCY (a judicial determination)- How can individuals ensure that’s outsiders will not challenge their advance directive? - Iron clad Advance Directive? (Date, witnessed)- Values worksheet Source: End of Life Choices California - EOLCCA Values Worksheet https://endoflifechoicesca.org/wp-content/uploads/2019/04/CC_Values_Worksheet.pdf - Estate Planning for the End of Life podcast: https://youtu.be/RJGlfbf8abw?si=wrgom8wTF4m0T5B53. Empower -A valuable a resource https://wickerlaw.com “Where Law and Healthcare Align”This discussion is not medical or legal advice, it’s for educational purposes ONLY. Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/JNo_5jxpboI?si=PM0DIuEZxzOh1fpn#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #NHDD2026

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Stefanie Elkins, MA, MM- LA native - 2019 FOUNDED Be Present Care https://www.bepresentcare.com- End-of-Life Doula trained at the  University of Vermont and Bridging Transitions- Member of the Aging Life Care Association®, Foundation for Senior Services, and Valley Chevra Kadisha, - Worked with Compassion & Choices- Double MA in Management specializing in Human Services and an MA in Jewish Communal Service from Brandeis University- BA in Social Relations from UC Riverside Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Stefanie’s expertise as Family Caregiver Consultant, Aging Life Care Manager & End-of-Life Doula inspired her to create Death over Draftsfor “brewing conversations and drafting a new conversation about death.” Dr. G attended her first pre-End Well DoD in 2023 with Nurse Sharon💜💕, and has since co-crafted with other community members. Enjoy the origin story of DoD🍻2. Educate -Teaching point: Few types of DoD events can occur with the signature tools created by former NHDD 2024 podcast guest, Lisa Pahl, LCSW, APHSW-C https://thedeathdeck.com* The Death Deck- Neighborhood* EOL Deck- Networking for hospice care professionals or promoting advance care planning * Dementia Deck- ALCA adjacent, memory care outreach 3. Empower -A valuable a resource (become crafters and how DoD can be utilized with or part of other events like End Well)  https://www.deathoverdrafts.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/KC3yxnH1eNk?si=4C6OKwHCIeHINyF1#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #DeathOverDrafts #DeathPositive #BrewingConnection #DeathAndDying #DeathCurious

Show notes-Worldwide Hospice and Palliative Care Alliance (WHPCA) observes World Hospice and Palliative Care Day on October 11, 2025 ⁠ The theme for #WHPCDay25 is “Achieving the Promise: Universal Access to Palliative Care. This theme builds on last year’s campaign where we marked 10 years since the World Health Assembly (WHO’s Governing Body)” ⁠ Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Dalyce Kelley- Marketing Specialist - Four time family caregiverMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dalyce experienced three deaths in her family this year. We dedicated Season 3 to her grandmother “Mama Dee” one of the nineteen victims killed in the January 2025 Eaton Fire (see Season 3 Premiere). The second was her 44 year old sister, Ebony Williams, which hit especially hard after losing her grandmother tragically. She was only on hospice care for 2 weeks. Brother then died after being a paraplegic on long term care.2. Educate -Teaching points- When you or your loved one is facing a serious illness diagnosis, it may feel like there’s a fight against the clock. To optimize quality of life and maximize decision making options, advanced care planning and early palliative care are important tools. Patients and families need time to research the best hospice agency in their own neighborhoods, when no further curative treatment is available. - Delays due to insurance authorizations, complications from disease progression and complications of treatment can make the journey even more difficult. Ask for a palliative care consult. - These video show notes have important links: “What do we mean by GOALS OF CARE?” https://youtu.be/LxYfid3xZ3Y?si=nTuTT7i-H6ho1ZpA“Five Simple Steps to Find and Choose the BEST hospice agency” https://youtu.be/K9XNnARH5-A?si=51vT0m_Wra3z-LzV3. Empower -A valuable a resource New AAHPM CEO on Ensuring Widespread Access to Hospice and Palliative Care - Hospice News https://hospicenews.com/2025/09/25/new-aahpm-ceo-on-ensuring-widespread-access-to-hospice-and-palliative-care/Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/KtFaVoYZMS0?si=K5vrhhhk2XtgtISl#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #WHPCDay25

Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Tracey Piparo, PA- President of Physician Associates in Hospice and Palliative Medicine PAHPM- PA for 24 years: started in ER, then became a hospitalist - 1st PA to work in specialty palliative care - Married to fire fighter with two children 15, 12- From Brooklyn New York, lives in New Jersey Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1) Story (theme) PAs have been around since 1967 and were an integral part of of the healthcare team during Dr. G’s medical school training: Performing CABG with Cardiothoracic surgeon, harvesting veins for coronary artery bypass graft CABG; Rounding independently in the CABG “cabbage” patch post op 2) Educate -Teaching points- PA Training: Follows same Medical model as MDs/DOs, graduating as generalists. - Name changed from physician assistant to associate AAPA https://www.aapa.org/about/history/- PA Education Association https://paeaonline.org/our-programs- National Commission on Certification of Physician Assistants (NCCPA) https://www.nccpa.net- Scope of practice is determined at the team level and with the collaborating physician. Fellowships available for advanced training. HPM Certification established in 2023. Core Values PRACTICE https://www.nccpa.net/about-nccpa/3) Empower -A valuable a resource https://pahpm.mypanetwork.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/BtLR3V9NtIw?si=z_j3kpKLihfK3X6H #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife #PAweek #physicianassociate #physicianassistant #PAsGoBeyond

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKen Gorczyca- Veterinarian and Death Doula- Artist https://kengorczyca.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. Ken’s work began during the AIDS crisis. He now brings Spirit to Veterinary medicine with the movement towards in-home euthanasia. He believes in the important sacred moment of releasing our beloved animal companions at the end of their short lives. Dr. G correlates some insights to hospice care but has anxiety about this topic as a pet parent. A Clinical Ethicist Reflects on the Life and Death of a Beloved Pet - Ryan J Dougherty - ehospice https://ehospice.com/editorial_posts/a-clinical-ethicist-reflects-on-the-life-and-death-of-a-beloved-pet-ryan-j-dougherty/2. Educate -Teaching point How in home euthanasia works. - Before: learn love story- During: sedation, favorite food, toys- After: ceremonial ritual to acknowledge love. Cremation vs burial 3. Empower -Valuable resources - Adopt an older pet https://muttville.org/ - A gentle rest https://www.agentlerest.com- Become a pet death doula https://learn.uvm.edu/program/companion-animal-end-of-life-doula-professional-certificate-online/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/5AF7YauCZmc?si=Flnph50F__qpbX0p#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #PetLoss #Euthanasia #Dog #Dogs #Cat #Cats

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestDavid Patrick Paget- Canadian moved to the USA as one of eight kids in 1960s - Previously a Coca Cola truck driver- Real estate experience from Rancho Cucamonga to French Valley in 1999- Enjoys wine touring in Temecula https://gogrape.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) David is on a fixed income as a senior citizen collecting social security, he supplements by hosting wine tours. Money matters during the late stages of life. Many seniors have a nest egg built by the equity of their family home, a portion is an asset for funding care. 2. Educate (Teaching points)- How to find brokerage- Timing 25-30 years (small or no mortgage) - Paid when house sells- Home equity is paid out by investors - Misconception you will loss your house - If married one spouse must occupy the property - Consider creating a living trust - Counseling required for senior citizens, before the process begins - Better than an equity line of credit3. Empower -A valuable a resource https://www.c2financial.comWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/ZtMP5Of5ZS4?si=Mr_eKRonOfM27aUl #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKevin D. Stuart, MD, MS, HMDC, AGAF- Owner and Founder of Partner For Care- Gastroenterologist- Palliative Care and Hospice Master of Science- Professional Study of Narrative Medicine - New Yorker Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Dr. Stuart while working in San Jose, then learned about the Partner for Care platform at the 2025 Annual Assembly of Hospice and Palliative Care in Denver. He cared for his own Dad with hospice 8 years ago and realized there is a gap in understanding even as a seasoned physician and son. Hospice pamphlets and binders have limitations. 2. Educate -Teaching pointsPartner For Care:- is customized for each hospice agency, regardless of size.- empowers family caregivers with information to navigate symptoms the patient may experience.- is an easily accessible resource hub to help provide care at home and can improve the experience of patients and family caregivers- could reduce hospice revocation rates- helps improve hospice nurses’ work flow since common info is easily accessible to caregivers. - Clarifies when to call the hospice nurse, what to expect from hospice medications, supplies- Symptom Management: breathing, pain, anxiety, constipation, nausea, vomiting, belching, hiccups3. Empower -A valuable a resource https://partnerforcare.com Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/NBx6cNpypsw?si=bcTGS8aaBI9A6ieF#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #CaregiverSupport #Caregiving #FamilyCaregiver

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Gabriela Brown, CSA- Certified Senior Advisor- Referral Agency Owner/Operator of Constant Companions since 2003- Previously worked Hospice Palliative HH - Texas Native Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. - 1. Story (theme) Gabriela started working with seniors since first job as nursing assistant before there was a certification. - 2. Educate -Teaching points- People typically look for home care after a CRISIS like a FALL and out of necessity during the LATE STAGES OF LIFE- Licensing for non-medical HOME CARE is governed by the California Department of Social Services https://www.cdss.ca.gov/inforesources/community-care/home-care-services to provide assistance with ADLs (Six activities of daily living)- Private pay $40-50/hour Veteran Aid & Attendance and Long Term Care Insurance - The Home Care Services Branch (HCSB)- Home Care Services Bureau ✔️Registered - Franchise or Private may be a factor - Previously minimum wage home care workers now demand more pay for their services - Going rate for homecare $35 $40-50 (split by company who vets home care workers)- 3. Empower -A valuable a resource https://constantcompanions.netWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/7dJsZh5DCg0?si=f16UQFNNBn9x1tab#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #HomeCare

Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Sonia Malhotra, MD,MS,FAAP,FACP,FAAHPM- CONGRATULATIONS on new FACP honor!- Wife & Mother of 3 sons- Works at Tulane School of Medicine: Assistant Professor of Internal Medicine; Associate Professor of Medicine and Pediatrics; Associate Section Chief, GIM, Geri, Palliative Medicine- Grew up in “The LBC” Long Beach, California ⚠️Deadline to claim CME is 05/06/2025 Standard registration Previous coverage: ACP IRL #IM2023 Highlights in San Diego https://open.spotify.com/episode/73mkY1QJuqpmaF4rj6FWjA?si=nv8XoSTDTT6j9iHJCekxCAIM2024 Highlights in Bostonhttps://open.spotify.com/episode/5BfBzhGGSpidGyrUu6kkxO?si=1RqhXBycQHOrfe_ZP36oJQMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G & Dr. Malhotra last saw each other in Denver at #hapc25 in February Dr. Sonia with the Palli session on Day1️⃣ “Care for the Medical Inpatient: When and How?” Symptom Management Communication, Emotional Support and Dr. G plans to join her for Mardi Gras 20262. Educate -Teaching points- Wednesday Emeril’s- Highlights: I attend updates- Thursday Professionalism in a Time of Crisis; Convocation process of fellowship; Chapter Award- Friday Hot Topics in Ethics (organ transplant) Plenary Networking Luncheon for Women Physicians JOMO is the Joy of Missing Out. Work-Life Balance, Integration or Rhythm? - Saturday Judging Med Student posters of interesting case reports - Mask at Wellness Center Love a humble life; Attitude of Gratitude 3. Empower -A valuable a resources: - American College of Physicians Combats Medical Misinformation https://www.acponline.org/about-acp/who-we-are-what-we-do/fighting-medical-misinformation-and-disinformation- SENIOR HEALTH https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/Pages/Senior-Health.aspx Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/dyVdZB9QhSc?si=qy1P3EKCyz-5hSAO #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife #IM2025

Happy National Healthcare Decisions Day 2025 and WELCOME TO SEASON 3!!!Season 3 Dedication💜 Dalyce “Momma Dee” Curryhttps://youtu.be/OesMd-2VilU?si=Np4FSMin8oV9CO2jMourning Dove Medical Presents Dr. G at the Heart of Healthcare Hosted by Mobile Concierge Physician, 2x Author, Healthcare Advocate, and newly honored Trailblazer Awardee by the American College of Physicians: Kaishauna Guidry MD, HMDCPodcast Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Heart Breaking News 💔Gene Hackman & family caregiver wife https://www.aarp.org/caregiving/health/info-2023/when-family-caregiver-cannot-work.html2. Educate -Teaching points - What is is a Healthcare RoadMap? Components DIAGNOSES & Medications(Functional, Nutrition, Cognitive Statuses) - Who needs a Healthcare RoadMap? People in the LATE STAGES OF LIFE must understand and share the destination of your health conditions. More specifically, know the diagnosis driving you to your final destination so that you may exercise your right to live, age, and die in BLISS.- Share Healthcare RoadMap with Adult children and/or family caregivers who may not have insight about your health since you have lived independently longer than raising children. - Platinum Rule: POA & surrogates should treat others the way THEY want to be treated. (As specified in THEIR advance directive)To Age & Die in Bliss:- 🛑STOP crashing into hospice care. (Learn the Real Deal About Hospice https://a.co/d/9VyHKsN Watch https://youtu.be/n-8hq5KF1oY?si=kSB96Cz4PBlZ_vIu) - 🩺🗺️ Get a Healthcare RoadMap (reverse engineered CTI-certification of terminal illness)- Advance Directives must be SPECIFIC (instead of awaiting capacity declarations and/or CRISIS to invoke end-of-life wishes) - Who will speak for you❓- Where will you live❓- Who will take care of you❓- How will your care be funded❓- 💵Who will control your money?- 💍Simplify home and belongings such as heirlooms.- 🚘Plan when you will retire from driving instead of a physician having to report you to DMV for revocation. It’s devastating. - 🏡Plan where you will live and who you will live with? children ? (Age limit to live alone?? 80-90)3. Empower -A valuable a resource The Conversation Project helps you be a conversation champion for your health and end of life wishes https://theconversationproject.org/nhdd/Website info https://mourningdovemedical.comVideo podcast https://youtu.be/1azmcZvVlMU?si=agBTLWIX5dsMaBwD #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #AdvanceCarePlanning #NHDD2025 #HealthcareRoadMap

2025 National Doctors Day Guide - NationalDoctorsDay.org https://nationaldoctorsday.orgShow notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Hosted by Kaishauna Guidry, MD, HMDC- Author of Dr. G’s H.O.S.P.I.C.E. Pocket Guide: 7 Things Hospice Physicians Need to Know to be Ready for Work https://a.co/d/j0HsZZp Guest Dr. Lauren Templeton, DO, FAAHPM, HMDC- Member of the Physician Council for the Pennant Group- Weatherbee Resources Physician Consultant - Multiple time podcast guest https://youtube.com/playlist?list=PLfn1iYrwn-DVzXetqbN8IcTQtICaRSXyo&si=BHJGKlpLY9r5lzJ8Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. ​ Story (theme) Potential client complained about their Hospice Medical Director, Dr. G’s response “Because you allowed it” Non-clinical hospice agency owners can compromise clinical care we are obligated by CoPs to provide AND jeopardize the agency’s viability. Hospice Physician Compliance Conference - April 2025 https://education.hospicecompliance.com/products/hospice-physician-compliance-conference-april-2025​Educate -Teaching points- Consumers: HCI, HVLDL, cold call the hospice to evaluate communication, ask PCP, check online reviews- Hospice Agency: PEPPER Report, LLOS, CAP, Audits- Physicians who want to be engaged in hospice (side gig or Pure Hospice physicians by way of HPM Fellowship) 3. Empower -A valuable a resource -Hospice Medical Director Certification Board HMDCB https://hmdcb.org/- Hospice Physician and Medical Director Manual, 4th edition https://learn.aahpm.org/content/hospice-physician-and-medical-director-manual-4th-editionWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/XZvF_ac4MvE?si=IEUjsLai4N_B2_dM #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #DoctorsDay

Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestJulie McFadden, RN ​⁠​⁠ - Started nursing career in the ICU- Social media influencer “Alleviating the fear around death and dying”- NYT Best Selling Author of Nothing to Fear- Celebrating 9 years of sobriety TWELVE STEPS (years, months, days, hours)Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) The Annual Assembly of Hospice & Palliative Care is hosted by our professional organizations (AAHPM , HPNA) was in Denver, Colorado this year https://aahpm.org/education-events/annual-assembly/ Dr. G ran into ​⁠ Matthew Tyler, MD, FAAHPM and Hospice Nurse Julie in the halls of the convention center. First timer Julie shared a breakfast encounter with someone who was instrumental in her early career development: Dr. Ana Cartmel, DO2. Educate -Teaching points (favorite sessions or moments) - Opening reception: 🆕 book in print https://learn.aahpm.org/content/hospice-physician-and-medical-director-manual-4th-edition ; HPM fellows visited the HMDCB table ​⁠ - Thursday: 🇮🇹PalliCOVID dinner & GeriPal pub crawl ​⁠ 🍺 ☘️🇮🇪🇩🇪- Friday: IDG Business meeting 2025-2026 New Executive Committee President Arif Kamal. When patients express anger; 2nd dinner Italian restaurant Tavernetta 🇮🇹 with mentee- Saturday: Voices of HAPC 💥3. Empower -A valuable a resource https://www.hospicenursejulie.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/DrpGsDbuJTw?si=gmoat2wcCH8218B0#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife

Show Notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestsJennifer Proudian- Community Liaison for Nurse Next DoorAndrew Montoya- General Manager Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Jennifer and Andrew at POM networking group. Jennifer shared 8 year experience of being a caregiver for her grandmother, who lived with Alzheimer’s. Rest In Peace Sallee Proudian 12/31/20232. Educate -Teaching points- What’s a deathiversary? https://www.funeralbasics.org/9-ways-to-cope-with-a-loved-ones-deathiversary/- Fun Fact: Hospice Care bereavement lasts 1 year after patient death to support deathiversary. https://www.caringinfo.org/types-of-care/bereavement-care/-Nurse Next Door helped during The Late Stages of Life:- 2015 Jennifer became long distance caregiver while grandmother aged in place at home in Los Angeles; - 2017 Jennifer’s Grandmother hospitalized then moved to Independent Living in San Diego - After 1-2 years there was a fall (CRISIS) Grandmother moved into Jennifer’s home;- 2020 Jennifer needed help and hired private duty caregivers for up to 16hours daily.- Frequent hospitalizations 4x ED 5 days due to symptoms of pain, terrified by pandemic quarantine - Moved to Memory Care- Switched medical insurance to use a mobile physician. - Hospice Care3. Empower -A valuable a resource, home care agency http://www.nursenextdoor.com/locations/south-san-diego-ca/Website info https://mourningdovemedical.comVideo podcast https://youtu.be/4nCW_fk71gQ?si=T4x16p3uJRt4sIes #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #Deathversary #Deathiversary #GriefDuringTheHolidays #Grief #Alzheimers #MemoryCare #HomeCare #Caregiver #Caregiving #Homecare

Show notes-Happy November! Happy National Family Caregivers Month! 2024 theme is I Care…Happy Birthday to Dr. G’s Son Elisha Guidry!Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKarla Thornton https://www.instagram.com/theoff_dutycaregiver?igsh=MzRlODBiNWFlZA==T-shirts https://www.instagram.com/teachshirtsandco?igsh=MzRlODBiNWFlZA==Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Karla is a previous guest of the podcast S1:E34. Last year she helped us to be mindful towards caregivers during the holidays https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs This year she is an off-duty caregiver reclaiming her identity as she grieves the loss of her mother. Rest in Peace🥰Yolanda “Yoli” Jones May 29, 1937 - May 20, 20242. Educate -Teaching points- Burdensome Cost of Caregiving 💵 - Grief & Relief: when loved one dies (distinction of grief for person before dementia)🕊️- Rebuilding marriage and career 💍 - Pets navigating loss: Maximus 🐾 - Truth telling: being kind to self 💜- The Holidays or Not! ❌🎄3. Empower -A valuable a resource https://www.caregiveraction.orgWebsite info https://mourningdovemedical.com#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #HOPE #FamilyCaregiver #Caregiving #Thanksgiving #ThanksgivingWithBlackFamilies #RealTalk #MikeTyson #NFCMonth2024 #Caregiver #NFCMonth #NationalFamilyCaregiversMonth

Show notes-It’s National Care at Home Month💜Happy Home Care & Hospice Month! Happy #NPweek ♥️New book available for preorder THE POCKET GUIDE FOR HOSPICE NURSE PRACTITIONERS: Vital Members of the Hospice Interdisciplinary Team”https://mourningdovemedical.com/nurse-practitionersMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Jonathan Louis - CEO of Alpha Comfort Care, Inc., a hospice and home care agency in Atlanta, Georgia - Director of Business Development at Eprine Home Care, a position he has held since 2021 growth New York City and Long Island https://eprine.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. ​ Story (theme) Met Mr. Lewis’ colleagues at ELEVATE during Hospice Action Week 2024 in DC.Educate -Teaching point “Agents of Change” in Home Care. This agency serves underserved populations such as minorities, those with disabilities, and/or funded by Medicaid. Empower -A valuable a resource https://www.comfortcarenow.comWebsite info https://mourningdovemedical.comVideo podcast https://youtu.be/IH3wlckGjHA?si=CWa-uUkiZV5HOMKV #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #NPweek #HospiceMonth #HomeCare #StrongerTogether

Happy World Hospice & Palliative Care Day 🌎🌍🌏2024 theme: “Ten Years Since the Resolution: How Are We Doing?“ https://ehospice.com/international_posts/world-hospice-and-palliative-care-day-theme-2024/#:~:text=Every%20year%20we%20mark%2C%20celebrate,on%20Saturday%2012%20October%202024.https://nationaltoday.com/world-hospice-and-palliative-care-day/Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guests-Judi Lund Person, MPH, CHC- Worked in hospice since 1980, social worker by trade- 1981 started working on the Medicare Hospice Benefit MHB- Photo on Capitol Hill September 1982 https://www.nhpco.org/panetta-reflects-on-hospice/ Lauren Templeton DO, FAAHPM, HMDC- Weatherbee Resources Consultant - Previous podcast guest: Hospice Regulatory Myth Busting S1E9 What do we mean by Goals of Care? S1E20 Recap & Highlights of #ALC2023 S1E36 The Holiday Season S1E35 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Judi was honored last NHPCO ALC 2023 https://www.nhpco.org/nhpco-annual-leadership-conference-celebrates-volunteers-and-awards-honorees/📸 https://flic.kr/s/aHBqjAWPHw- She took care of her mother who had COPD on hospice care; Interviewed Dane Cicely Saunders; Co-presents with Dr. Templeton 2. Educate -Teaching points - Individualized plan of care - Interdisciplinary team IDT care- Care for Patients AND Family- Symptom Management - Volunteers - Past keeps Passion- Communication - Hospice CARE Act https://www.congress.gov/bill/118th-congress/house-bill/9803-The end of life is a challenging time but you are not alone when a Hospice IDT is there for the dying until death occurs, and afterwards for 1 year of family bereavement - Medical Specialists: hospice can partner with you for difficult conversations - Avoid crashing into hospice by selecting best agency in your zip code S1E363. Empower -A valuable a resource Lund Person & Associates https://hospiceconsultant.com Website info https://mourningdovemedical.comVideo podcast 🔗https://youtu.be/n7BXTXkfqng?si=yTFF4dDFrBncUKGy #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MedicareHospiceBenefit #WHPCDay24

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest-Joe’l Simone Maldonado ​⁠ -Lives in South Carolina -Licensed funeral director since 2010-Fascinated during childhood by uncle who was a Mortician-In 2020 started creating courses from YouTube page and started The Multicultural Death & Grief Care Academy-Instagram page https://www.instagram.com/thegravewoman?igsh=MzRlODBiNWFlZA== (https://www.instagram.com/thegravewoman?igsh=MzRlODBiNWFlZA==)Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met the Grave Woman in Seattle at the Deathcare Superconference 2024 https://www.homefuneralalliance.org/conference.html (https://www.homefuneralalliance.org/conference.html) hosted by NHFA, NEDA, FCA, PMA 2. Educate -Teaching points -Deathcare has legal and cultural implications as we learned in Seattle; -Defined: Realization of mortality. -Sacred work, beyond the funeral home, includes spiritual community, hospice and palliative care, florist, etc. -What are the 3 steps of embalming? -Impact of culturally inclusive deathcare. 3. Empower -A valuable a resource https://www.thegravewoman.com Website info https://mourningdovemedical.com https://mourningdovemedical.com/Video podcast 🔗 https://youtu.be/SsEpmlAE9LM?si=P1k6TxTJz9ynMJ2N#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #TheGraveWoman #Deathcare #MortuaryScience #MortuarySchool

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest-Cal Cates (they/them)-Healwell CEO founded in 2009-Serves on NHPCO committees (Diversity Advisory Council DAC, Integrative & Rehabilitative Therapies Steering) -Impacted by experience of massaging grandfather’s hand when he died Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Cal & Dr. G met at last year’s NHPCO ALC 2024. This year they recap the final NHPCO ALC held in Denver, Colorado. https://www.nhpco.org/alc2024/2. Educate -Teaching points- NHPCO + NAHC = The Alliance of Care at Home https://allianceforcareathome.org- Massage therapy is a discipline, not a modality. It’s more than “rubbing skin and muscles.” Cal discussed how human vulnerability allows massage therapist to inhabit full scope of a collaborative care provider. 3. Empower -A valuable a resource https://healwell.org Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/XvNDGStL998?si=UjOfmQNO3OhdF-SR #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MassageTherapist #Healwell

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest- Geraldine Jean Baptiste, LVN, COTA- Manager of family business Lone Oak Garden RCFE - Certified Occupational Therapy Assistant (COTA)Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Sue fell and broke hip while reaching for a coffee mug in her home. 2. Teaching points What is Occupational Therapy OT? https://www.aota.org/about/what-is-ot- When is OT necessary? Contrast with PT- What conditions benefit from an OT referral? - Significance of OT during the late stages of life?-Activities of Daily living ADLs: transferring, ambulating, toileting, showering, dressing, feeding- Legacy work (meaningful activities in addition to gardening, knitting, etc.) 3. Empower -A valuable a resource https://vistaassistedliving.comWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/2pyiJkysZ8s?si=djOn3nUf7YdULP8L #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #OccupationalTherapy #ADLs

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest- Rick Topete has served families at Silverado since 2011https://www.linkedin.com/in/rick-topete?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_appMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) When facing MCI Mild Cognitive Impairment there are many care options available if disease progresses to dementia. https://www.alzheimers.gov/alzheimers-dementias/mild-cognitive-impairment In your estate planning, consider selecting a place to live (home) that meets your healthcare needs. 2. Educate -Teaching point ​Nexus program (connections) Socialization and living with purpose while disease progresses​Clinical model: medical director and 24/7day nurses ​Social model: in house support groups ​Care planning with cognitive exercises​Enrich lives Educate & Encourage 3. Empower -A valuable a resource Silverado Memory Care https://www.silverado.com/nexus-at-silverado/nexus-living/Website info https://mourningdovemedical.comVideo podcast link 🔗 https://youtu.be/gNn8in1tqBQ?si=vPSPy2FsdFq6nyQ2 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MemoryCare #EstatePlanning

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guests- Finly Zachariah, MD FAAFP FAAHPM FAMIAChris Halsema Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. ​ Story (theme) Dr. G joined the Empower Hope platform to complete (Advance Care Planning) POLST with palliative care patients. This secures healthcare wishes online. Educate -Teaching point-POLST: Physician Orders for Life-Sustaining Treatment forms, integrated seamlessly into electronic health records (EHR) systems, making them accessible to healthcare providers when needed. -VIDEO https://www.empowerhope.ai/polst-portable-medical-orders-patient-education-video/3. Empower -A valuable a resource https://www.empowerhope.aiWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/UEBVzi8txGI?si=TZd8vCdwmqlA6p9f #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #POLST #AdvanceCarePlanning #AdvanceDirective

Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestJessica Guthrie, M.Ed- Lives in Fredericksburg Virginia - One of 53 million caregivers for a decade- Her mother, Constance Guthrie, is living with end stage Alzheimer’s disease and is receiving home hospice care.Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Jessica is a leader in the Instagram family caregiver community https://www.instagram.com/careercaregivingcollide?igsh=MzRlODBiNWFlZA== Jessica lived in Dallas, Texas before sacrificing her career to care for her mother over 10 years ago.2. Educate -Teaching pointsTips for Physicians:- Center the Caregiver - Slow down & Be Curious- They have a story, build trust with the family, have empathy - Be proactive in communicating with the family about trajectory of disease during the late stages of life.-Share information about the continuum of care Home Health (PT, OT, ST) Palliative Care, Hospice Care.3. Empower -A valuable a resource https://www.jessicacguthrie.com You are doing the BEST you can! Keep showing up! Give Dignity and respect to your loved one! Experience Joy, Laugher, Love while navigating your prioritiesWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/895RPlJhaWc?si=ukkjrXA3ad0574M9 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #FamilyCaregiver #Thrive #Alzheimers #Daughter #Joy

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare James Jones- Concierge Senior Living Advisor- 20 years of experience helping people find a new home - San Diego native- Originally from Puerto Rico- Musician, pilotMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met James at POM networking group. He transferred skills as realtor to be a guide for seniors needing a new home in a senior community. No home maintenance activities; Meals provided; socialization, surrounded by peers; better quality of life 2. Educate -Teaching points- Senior Living Advisor exist: - Assess & Tour senior living communities - Listen to needs - Understanding - Living Options: Independent Living, Assisted Living, Memory Care Center, Board and Care Home, Respite Care Center for Retired, Skilled Nursing Facility3. Empower -A valuable a resource https://goldenyearsseniorlivingadvisors.comWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/JTTe43_wHfQ?si=iUoSvbo1xGEkYjeP #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #SeniorLiving #AssistedLiving #MemoryCare

Las notas del programa/ Show notes-¡Feliz mes Nacional de la Herencia Hispana!/ Happy National Hispanic Heritage Month! https://www.hispanicheritagemonth.comhttps://www.whitehouse.gov/briefing-room/presidential-actions/2024/09/13/proclamation-on-national-hispanic-heritage-month-2024/#:~:text=NOW%2C%20THEREFORE%2C%20I%2C%20JOSEPH,as%20National%20Hispanic%20Heritage%20Month.Mourning Dove Medical presenta a Dr. G en el corazón de la asistencia médica Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest-Lisa Muller, DNP, FNP-BC, ACHPN, PMHNP-BC, PMGT-BC- Grew up in Downey, California - UMass- Dr. Lisa is working with the 🆕Essence Palliative Care team https://essencehospicecare.com Previously discussed on podcast Season 1 EPISODE 15 Essential Care Program https://youtu.be/tb37Innwt8s?si=m2VIUe5-FlqzwlFl Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. ​ Historia/ Story (theme) Dr. Lisa shared how challenging it was to be the only English speaker while her grandparents were facing end of life. https://hospicenews.com/2024/02/28/bilingual-patient-navigation-can-improve-palliative-care-outcomes-for-hispanic-patients/?euid=cb6408ccb4&utm_source=&utm_medium=email&utm_campaign=82daa9d9a6&mc_cid=82daa9d9a6&mc_eid=cb6408ccb4​Educar/Educate -Teaching points- ¿Qué es hospice?/ What is hospice? ¿Para quién es el cuidado de hospice?/Who is hospice care for? ¿Cuáles son los condiciones comunes?/ What are common conditions? - ¿Es el cuidado de hospice cubierto por el seguro?/ Is hospice care covered by insurance? - ¿Cuándo es el momento de inscribirse en hospice?/ When is it time to sign up for hospice?- ¿Qué es cubierto por el cuidado de hospice?/ What is covered by hospice care?- ¿Qué pasa si no estás listo?/ What if not ready? Palliative care- ¿Cómo encontrar la mejor agencia en tu zona?/ How to find the best hospice agency in your area? - Information about diseases: Enciclopedia médica: MedlinePlus en español https://medlineplus.gov/spanish/encyclopedia.html3. Empoderar/ Empower -A valuable a resource NHPCO CaringInfo en Español https://www.caringinfo.org/es/Website info https://mourningdovemedical.comHashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #HispanicHeritageMonth

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guests 🎭Erin Whalen- Professional actor, retired standardized patient - Founded Compassionate Coaching in Fall 2020, signature offering is Playback Theater https://www.compassionatecoaching.org/blog/what-is-playback-theatre- Sister’s death 2016 taught her about anticipatory grief John A. Johnson - Native Washingtonian - B.A in theater form the University of the District of Columbia- 2024 Artist in Residence at the Honfleur Art Gallery in Washington DC. Artist Fellow of the DC Arts Commission.- Founder and creator of Verbal Gymnastics Theater Company - Poet/Playwright: written and produced six plays- Published author of a book of poetry called “Love for Her"Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. ​Story (theme) Dr. G worked with standardized patients like Erin & John. They use their acting skills to help medical students learn clinical reasoning skills to diagnose & treat once they become physicians.​Educate -Teaching point- SELF CARE after workday “Don't let a difficult day at work negatively impact your time at home. If you work in the end-of-life field, you might be emotionally drained at the end of your work day. Listen to our 5-minute Transition Routine to help you transition from emotional overwhelm to peaceful presence.”- Hospice Leadership: Consider COMPASSIONATE COACHING for your team to combat burnout😓3. Empower -A valuable a resource https://www.compassionatecoaching.org Video podcast 🔗 https://youtu.be/TbBkVcW9R8I?si=Y300dAVxUCDDJxQz https://mourningdovemedical.com#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Burnout #Mindfulness #Compassion #Compassionate #Empathy #Stories

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestsHitomi GonzalesFrank Velasquez, CFO​1. Story (theme) Dr. G met Hitomi at a senior living event at Surnrise or Aegis. They recognize there is diversity among insurance plans and everyone does not have luxury ALF in their budget, others desire to age in place at home with support of caregivers. ​2. Educate -Teaching point CalAIM “CalAIM is a once-in-a-generation opportunity to improve care and outcomes for millions of Medi-Cal enrollees. It’s also complicated, given its incredible scope and reach and the fragmented system that it strives to improve. Over a span of five years, CalAIM will introduce a myriad of new programs and make important reforms to many existing programs. CHCF’s CalAIM Explained series provides an overviewof CalAIM’s goals, explains its importance, and breaks down the key changes and timeline for implementation.” https://www.chcf.org/resource/calaim-in-focus/calaim-explained/ ​3. Empower -A valuable a resource Coast Care’s brand promises fulfill “Caregiving reimagined“ https://coastcare.orgWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/g5UFtH4L0Lo?si=u3SY3zsLksqhbNIL#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #CalAIM #Caregiving #Caregiver #SeniorLiving

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest- Favorite Retired Hospice Nurse Gerard Soucy, RN, CHPN - BOSTON based - Previously on Season 1 EPISODE 19 https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs- BONUS EPISODE 36 https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDsMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. ​Story (theme) Family Caregiver/Daughter reported to the hospice nurse that her mother is “sundowning.” Sundowning = DELIRIUM is cyclic, waxes & wanes and is REVERSIBLE. Can happen in different settings. Confusion Assessment method for the ICU (CAM-ICU) https://www.icudelirium.org/medical-professionals/delirium/monitoring-delirium-in-the-icu ​Educate -Teaching points - Fast Fact #1 Diagnosis and Treatment of Terminal Delirium | Palliative Care Network of Wisconsin https://www.mypcnow.org/fast-fact/diagnosis-and-treatment-of-terminal-delirium/- New nurses advice: expect, prevent, manage environment, instruct family- Caregivers advice: Manage environment- Risk factors: illness, disrupted routine, sensory deprived (glasses, hearing aids), sleep disturbance, substance withdrawal, UNtreated PAIN - Nurse Gerards tips: step in early, prevention is the best treatment - Sedate or fix problem, AVOID disinhibiting benzodiazepines - Hospice Comfort kits have haloperidol, an antipsychotic for terminal delirium. Consider as recommendation in delirium SBARAssessment tools-RASS like temperature calm restless agitated very agitated combative ….use same language ; Richmond Agitation-Sedation Scale (RASS) https://www.mdcalc.com/calc/1872/richmond-agitation-sedation-scale-rass-Nursing Delirium Screening Scale (Nu-DESC) quick can be done from door https://www.jpsmjournal.com/article/S0885-3924(05)00053-9/fulltext ​Empower -A valuable a resource“Delirium in Advanced Disease” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2600115/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/3ZFXYcZqVhQ?si=CtJ4LJg1bUU_R7gg #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Delirium #Confusion #Agitation #Disoriented #Restlessness #Anxiety

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Kristen Lew-Byrne, RSW- Founded “Growing in Grief” 1 year ago 🥳 HAPPY Anniversary! - Lives in Hamilton, 1 hour west of Toronto, Canada - Provides 1:1 Grief & Loss counseling- Experienced in clinical consulting as social worker long-term care LTC facility, - Previous hospice agency manager of bereavement- Education & Support Groups “Honoring our grief as healthcare practitioners”- Artist, utilizes artistic modalities for grief counseling - Former fashion designer, Kristen drew logo herselfInstagram pagehttps://www.instagram.com/growing.in.grief?igsh=MzRlODBiNWFlZA==Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Fashion Designer for 7 years until maternal grandfather died and grandmother needed to live with Kristen and Mother. During grandmother’s health decline, gaps in care became evident. “Aha moment in life” happened when a 16-month fast track Social Services gerontology program “filled her cup. “2. Educate -Teaching points- A Definition of Grief: “When love meets loss”- What do we grieve? Defined personally: job, relationship, not just death https://www.ncbi.nlm.nih.gov/books/NBK518989/ - Stages of Grief: experts Dr. Elisabeth Kubler-Ross and David Kressler shock, denial, anger, bargaining, depression, testing, and acceptance. Bottom line, grief is NOT linear. One becomes a whole new person with new identity after grieving process. https://www.medicalnewstoday.com/articles/grieving-process- Creative approach to processing grief: water color, finger prints, seeds, transplanting pieces of garden. - Feeling Stuck? Wherever you’re at is okay💜 It’s okay to NOT BE OKAY💜3. Empower -A valuable a resource https://www.growingingrief.caWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/rcxx4MfRV5I?si=rZroca-Ek5kZ6tIO #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Grief #Counselor #Bereavement #Olympics #Toronto #SocialWork

Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare 
Guest- Penny Smith, BSN, RN, CHPN- Started nursing career as an LPN-40 years young started nursing school- Currently works as Hospice quality nurse- Lives in Washington State- Tik Tok Queen uses it for teaching about dying, death, end of life care https://www.tiktok.com/@hospicenursepenny?_t=8otVRsZMTNb&_r=1
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 
Story (theme) Dr. G met Nurse Penny in person ‘End Well 2023’ Hospice Table Talk https://youtu.be/MyzQyvWJGtc?si=xKX3fqw8YmlUe5p1
​ Educate -Teaching points- Death anxiety is common in our society. It’s IMPORTANT to have conversations about healthcare options as health changes. JAMA Internal Medicine article published online November 6, 2023 “Talking About Dying” https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2811178?utm_source=linkedin&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=110723- Penny helped raise money for a dying 25 year old named Amanda in 2022 (with bestie Hospice Nurse Julie) https://www.tiktok.com/@justsomecancerkid?_t=8nnfTcQDoHD&_r=1​- Strong emotional boundaries are needed for death workers to continue providing care for those in need. 
​ Empower -A valuable a resource https://www.hospicenursepenny.com
Website info https://mourningdovemedical.com Video podcast https://youtu.be/9lOTgcgT9RI?si=QFyUMRD0F7lpUPto #hapc #EducateAndEmpower #PeaceOfMind #Hope #TikTok #death #dying #HospiceNursePenny 






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

Show notes Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Jami Shapiro -Founder of Silver Linings Transitions -Certified Senior Move Manager -Hosts Grandma has ADHD Believes “ADHD is a superpower” Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Met through Oasis Senior Advisor networking tailgate event at Sunrise Senior Living where Jami co-hosted holding a magic wand 🪄 “Making moves magical” 2. Educate -Teaching point Jami specializes in helping seniors see Silver Linings Transitions. Her role as company founder is a professional and compassionate guide for clients when they are faced with transitions due to moving, downsizing or home organizing which often require tough decisions about what to do with a lifetime of belongings. Jami helps when families are challenged by the uncertainty of facing the final chapter: -Aging & death are difficult to address -People want to be remembered - Crisis doesn’t make an appointment - Weddings and funerals bring out the worst in people - Grief hoarding can happen when someone dies & wishes aren’t shared. 3. Empower -A valuable a resource Home organization, relocation, photo digitization & organization https://silverliningstransitions.com/ Website info https://mourningdovemedical.com Video podcast🔗 https://youtu.be/-x59-sPGxzU?si=aidxnNMSlIMnvS7G #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #home #homeorganization

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Sharon Harris, LVN, CHPLN, EOLD - Co-Author of The Real Deal About Hospice: Short Stories Highlighting the Advantages of Hospice Care for Patients and Families - Founder & Owner of Serenity End of Life Doula, LLC https://www.serenityendoflifedoula.com - NHPCO End of Life Doula Council https://www.nhpco.org/about-nhpco/committees-and-councils/end-of-life-doula-council/end-of-life-doula-council-roster/ Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) May is ALS Awareness Month! ALS is Amyotrophic Lateral Sclerosis https://medlineplus.gov/ency/article/000688.htm It’s the 10 year anniversary of ice bucket challenge. 2. Educate -Teaching points Sal’s ALS story in covered Chapter 1 of Dr. G and Nurse Sharon’s book, available on Amazon 🔗 The Real Deal About Hospice: Short Stories Highlighting the Advantages of Hospice Care for Patients and Families https://a.co/d/2TyySen Amyotrophic lateral sclerosis, or ALS, is a disease of the nerve cells in the brain, brain stem and spinal cord that control voluntary muscle movement. https://medlineplus.gov/ency/article/000688.ht - Quadriplegia - Respiratory issues - Caregiver fatigue/distress 3. Empower -Valuable a resources https://www.als.org/awareness Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/tGhYq5FeL3k?si=UhLQKuE3VKq9Y0tj #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #ALSawarenessMonth #IceBucket10 #MemorialDay #Veterans #ThankYou

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Hakeem Bello Director of Business Development at Oasis Hospice & Palliative Care Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Hakeem at ELEVATE 2022, in Chicago, IL and learned about the agency he leads with his wife. Started June 2015. 2. Educate -Teaching points There are four levels of hospice care. - Routine Home Care - Continuous Home Care - General In-Patient GIP - Respite Care House of GOSHEN is opening soon in Flossmoor, Illinois! This new 14-bedroom inpatient unit was built from the ground up, and is ready to serve hospice patients on GIP & Respite level of care. 3. Empower -A valuable a resource https://oasishospice.us Website info https://mourningdovemedical.com 🔗Video podcast https://youtu.be/hUf-JAIa8AY?si=8UcLReZBG3Y7q56S #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Respite #GIP #HomeCare

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest David Smallwood, Wealth Manager https://www.linkedin.com/in/david-smallwood-managing-director?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app Piggy backs off of NHDD season 2 Premier episode WATCH Here https://youtu.be/Bp0h1sDqPYs?si=-pe5QGUWSlsPNaO4 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Financial awareness and savvy was evident when Dr. G first met David in college. As a student he took advantage of the room & board options to help family save costs. Today he can coordinate with estate planning attorney to help with finances during the late stages of life. 2. Educate -Teaching points - When parents or spouses fall ill and need to pay for care or a family member dies, searching through cabinets and drawers for information is not ideal. - Stages of Wealth: Accumulation, Distribution/Work-optional , Succession Planning 16-pt Legacy Planning Checklist Create an estate plan from the comfort of your home https://trustandwill.com 3. Empower -A valuable a resource https://www.truewealthpartners.com Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/RJGlfbf8abw?si=85198nw1_FLOR1T0 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #EstatePlanning #WealthManager #LifeInsurance #AdvanceDirective #POA #LivingWill #Trust #RealEstate

Show notes- 🇺🇸Happy National Nurses Week! https://www.nursingworld.org/ana-enterprise/nurses-week/ National May 6 - May 12 Theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guest Jamie Laberman, RN - Ft. Myers, FL - Mother of 6, homeschools - Resident assistant at assisted living for dementia caregiver high school - LPN then RN, nursing 18 years - Worked in patient Hospice unit 2years - Certified Oncology nurse - Continuous home care nurse - Certified in Hospive & Palliative care - Founder of Hospice Buddy INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Journey of nursing to supplement support for patients and family 2. Educate -Teaching point coaching/EOL Support 3. Empower -A valuable a resource https://hospicebuddy.com/ Website info https://mourningdovemedical.com Video podcast 🔗 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #HospiceCoach

Show notes- 🇺🇸Happy National Nurses Week! https://www.nursingworld.org/ana-enterprise/nurses-week/ National May 6 - May 12 Theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guest “Gabby” Gabriella Elise Jimenez - Started nursing school at 47 to be a hospice nurse after caring for a friend - Hospice nurse is SF Bay Area - End-of-Life Doula - Has 100K Facebook community page called The Hospice Heart https://www.facebook.com/thehospiceheart.net?mibextid=kFxxJD   Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Nurse Gabby & Dr. G met at Death Over Drafts in November 2023. This is a journey of marrying roles of Hospice Nursing & EOL Doula 2. Educate -Teaching points: Nine Books synopses  Grief Courses Available 3. Empower -A valuable a resource Gabby’s Website has Classes, Presentations, Blogs, and Community https://www.thehospiceheart.net Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/7WpuOXoJSKQ?si=JodY9nOVQScz0Vt7 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #TheHospiceHeart #EOLDoula #Nursesweek #NursesWeek2024 #NursesMakeTheDifference #NursesLightUpTheSky

Show notes- 🇺🇸Happy National Nurses Week! https://www.nursingworld.org/ana-enterprise/nurses-week/ National May 6 - May 12 Theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guest Kacie Gikonyo, RN -Wife and Mother of 3 -Graduated Kent State -Started nursing career in Philly, -Background as Director of Education and infection control disease preventionist during the COVID-19 global pandemic -INELDA certified doula https://inelda.org/learn/end-of-life-doula-training/ -Founded Death Doula School in 2024 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare 1. Story (theme) Working the front lines of COVID damaged us all, that started Nurse Kacie on a journey of transforming her nursing career to becoming the founder of a Death Doula school. 2. Educate -Teaching point Death Doula Kacie’s School has a “whole & complete” curriculum to create SUCCESSFUL end-of-life doulas! -How to open a business, marketing -What is Hospice? -How to collaborate with hospice agencies, educating families -Medical Aid In Dying MAiD, -Working with children, pets -Psychedelics -Self-care of the Death Doula -Final arrangement options (funeral, cremation, composting, etc) -Advance Care Planning 3. Empower -A valuable resource: Death Doula Kacie is helping people die better by changing the narrative around dying through her Death Doula School https://deathdoulakacie.com/ Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/ZUgFblhin_Y?si=wZtjXg6dYZ_WnclA #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice  #Nursesweek #NursesWeek2024 #NursesMakeTheDifference #NursesLightUpTheSky #NewSchool #Curriculum #DeathDoula

**In this podcast Dr. G summarizes her personal experience from the 2024 American College of Physicians ACP annual Internal Medicine meeting held April 18th-20th in Boston, Massachusetts ** Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare #IM2024 on X https://x.com/drmamakai/status/1781089516792504703?s=46&t=3gA5xIkblMI3-C6jInh53w Internal Medicine -The cornerstone of healthcare -Foundation of Adult Clinical Care Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Beautiful Boston! Hit the ground running after a Red Eye🛫😵‍💫 no time to explore. Recall Boston based movie settings: Equalizer with Denzel Washington; The Town by Ben Affleck; Historic Boston Marathon 2. Educate -Teaching points Thursday 18th Hit ground running❗️ - ACP logo photo - Badge ✔️ - Opening Ceremony Dr. Eric Topol out of San Diego, founded med school at Cleveland Clinic. AI CHANGE medicine - Early Career Physicians Networking Luncheon Friday 19th - Cardiology Update 🫀 Dr. Clyde Yancy NW Med🤯 Check out Summary new syndrome, CKM, PREVENT Equation https://professional.heart.org/en/guidelines-and-statements/prevent-calculator; Life’s Essential 8 https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8 - Breaking New Plenary: Annals of IM Authors Time-restricted eating doesn’t matter - Lunch NY ACP #MedTwitter #SoMe friends “Bouncers” at Women Physicians - Narrative Medicine (Humanities, wellness) “Stories that Heal and Reveal: A Radical Listening and Reflective Writing Workshop” Rumi poem THE GUEST HOUSE - ACP California Reception: SoCal Regions 2&3 (Hawaii, Arizona, Nevada) - LA Girls unite! Saturday - Saved Best for Last: “Palliative Care for Hospitalized Patients” Dr. Janet Abramh https://www.vitaltalk.org - O’Connors Clam “Chada” & a Lobster Roll 🦞 3. Empower -A valuable a resource https://www.acponline.org/about-acp DEI shift ACP SoCal Region 3 https://www.thedeishift.com Treat of music 🎶composer Chris Dingman vibraphonist https://www.instagram.com/dingmanvibes?igsh=MzRlODBiNWFlZA== Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/ntrevfjLuSY?si=s5KmFRRHjlekCYXT #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #IMproud #IM2024 #Boston #MedTwitter #SoMe

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Tracy Nordbak retired in 2022 from California Hospital in Los Angeles, California. Managed volunteers as Director of Volunteer Services. Happy NATIONAL VOLUNTEER WEEK - April 21-27, 2024 - National Today! https://nationaltoday.com/national-volunteer-week/ 🇺🇸White House Proclamation https://www.whitehouse.gov/briefing-room/presidential-actions/2024/04/19/a-proclamation-on-national-volunteer-week-2024/ The theme for the April 21-27, 2024 National Volunteer Week is Celebrate Service – an opportunity to shine a light on the people and causes that inspire us to serve. Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G volunteered heavily before going to medical school Downey Regional Medical Center Emergency Department ER; Children’s school, PTA, Sports (ballet, soccer, football), Church, currently on nonprofit boards. 2. Educate -Teaching points -Volunteering is about caring for another human being with your presence. It’s a priceless gift of your time. -Volunteers are valuable in healthcare: HOSPITALS (NODA program https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924648/ ) and HOSPICE agencies (see Code of Federal Regulations https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418/subpart-C/subject-group-ECFR74797288a614803/section-418.78) -Volunteers make a difference, meet needs of families. 3. Empower -A valuable a resource Become a Volunteer Hospice Foundation of America HFA https://hospicefoundation.org/Volunteer Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/HpGoYPyl6l8?si=eEkVo2ZqU4XCOVYG #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #NationalVolunteerWeek #NVW #HospitalVolunteer #HospiceVolunteer #PTA #Soccer #Football #EOLDoula