PediPal artwork

PediPal

35 episodes - English - Latest episode: 24 days ago - ★★★★★ - 19 ratings

A monthly podcast about pediatric palliative care, hosted by two pediatric palliative care docs, Sarah Dabagh, MD, and Daniel Eison, MD, MS. Sharing the insights, opinions, narratives, commentaries, and invectives of #pedpc.

Medicine Health & Fitness Education pediatric palliative hospice hpm peds medicine research health death dying
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed

Episodes

Episode 34: Prognosticaution

March 04, 2024 12:00 - 25 minutes - 17.6 MB

Where do the fields of Palliative Care, Neurology, and PM&R overlap? Where can we learn more about how to approach the dreaded uncertainty of neurologic prognostication? In this episode! Overcoming some technical difficulties, Dan (kinda) and Sarah discuss the field of Pediatric Neuropalliative Care with Marina Ma and Lauren Treat.

Episode 33: Art and Craft

February 01, 2024 12:00 - 34 minutes - 23.8 MB

The episode we really wanted to call "2 Julie 2 Hauer." Julie Hauer is back on PediPal! This time, she's here to discuss with Sarah and Dan what we do when we're beyond the guidelines, short on evidence, and way past the point of randomized control. What influences do culture and anecdote have on our prescribing? How much of pediatric palliative care is science and how much is art... and how much does the difference matter? Julie's forthcoming book: Childhood Onset Severe Neurological Impa...

Episode 32: Retrospective

January 01, 2024 13:00 - 16 minutes - 11.1 MB

It's 2024! As PediPal enters its fourth year, we want to take a moment to look back on what we've learned over the last three years. So for the first time (and hopefully the last), we have no guests, just the reflections, opinions, and bad jokes of the two pedi pals ourselves.

Episode 31: Boundaries

November 01, 2023 11:00 - 26 minutes - 18.3 MB

How and where do we draw the boundaries between ourselves and our patients and families? What other boundaries do we draw--or not draw so well--in pediatric palliative care? Here to discuss these questions and more are Stacy Remke, MSW, and Rev. Bentley Stewart.

Episode 30: Concrete

October 01, 2023 11:00 - 44 minutes - 30.9 MB

Death. Dying. Simple words, but often hard to say, and even harder to say to a child. In this episode, Sarah and Dan turn to some experts on saying difficult things to children, Certified Child Life Specialists Kelley Gavel and Nicole MackDiaz. Find out why Child Life is particularly adept at helping kids grapple with the toughest questions, and then stick around for a special guest who tries his best to stump Kelley and Nicole... Books mentioned by our guests: All About the Intensive Care ...

Episode 29: Magic?

September 01, 2023 15:00 - 41 minutes - 28.4 MB

Turn on, tune in, and drop your preconceptions, because in this episode, Sarah and Dan are your guides on a trip into the realm of psychedelics in pediatric palliative care. We join Dingle Spence, Chris Adrian, and Elisha Waldman to learn about how they came to do this work, how psilocybin is helping some bereaved parents on their journeys of grief, and what the future might hold for psychedelic therapies in pediatrics.

Episode 28: PawdiPal

August 01, 2023 12:00 - 46 minutes - 31.7 MB

Interdisciplinary teams are so vital to the practice of palliative care, and in today's episode, the PediPal team explores a new kind of team member: What has four paws, has mastered the art of being present, and is guaranteed to increase the popularity of your palliative care team? A therapy dog! Join Sarah and Dan as they hear two tales of wagging tails who are dedicated members of Peds Palliative teams in British Columbia (Gaia) and Michigan (Fawn). We hear mostly from the humans who wor...

Episode 27: Competent

July 01, 2023 13:00 - 27 minutes - 18.8 MB

Get psyched because PediPal is back! In this episode, Sarah and Dan interview two psychologists, Amanda Thompson and Rachel Kentor, about creating competencies for pediatric palliative psychology and how we can bring more psychology into the world of pediatric palliative care. You can read their recent paper here: https://pubmed.ncbi.nlm.nih.gov/37141582/ And if you're interested in contacting them for more information about how to involve psychology in your pediatric palliative care pract...

Episode 26: Permission

April 03, 2023 12:00 - 38 minutes - 26.7 MB

If you're working in pediatric palliative care and you haven't heard of Courageous Parents Network, put down this podcast immediately and go make yourself familiar with the amazing resource that is CPN. Sarah and Dan are thrilled to have three courageous parents - Blyth Lord, Amy Graver, and Liz Morris - discuss how their children's stories intersected with palliative care. And if you haven't heard the CPN podcast, make sure to check it out here: https://courageousparentsnetwork.org/podcast...

Episode 25: Sound of Silence

April 01, 2023 12:00 - 29 minutes - 20.4 MB

Welcome to a special "Best of" PediPal episode! The notion, concept, and implementation of silence is integral to the practice of pediatric palliative care. Perhaps even more important than what we say is what we don't say, and how we don't say it, and when it isn't said. Join Sarah and Dan for an exploration of this truly golden feature of our specialty. "Even a fool is thought wise if he keeps silent, and discerning if he holds his tongue." Proverbs 17:28

Episode 24: Collective Effervescence

March 01, 2023 12:00 - 29 minutes - 20 MB

A social worker, a nurse practitioner, and three physicians walk into a podcast... There's no punchline, just the latest episode of PediPal, where Dan and Sarah interview three of the interprofessional fellows from the Boston Children's interprofessional fellowship program--Jennifer Donovan, Amy Porter, and Thomas Haire--and challenge ourselves to say the word "interprofessional" as many times as possible. We also include some clips from past episodes that resonate with the themes from the i...

Episode 23: Death Ed

January 31, 2023 13:00 - 30 minutes - 20.7 MB

How do you talk to a child about illness and death? For a field that deals with these challenging topics every day, we don't always feel comfortable helping our young patients and their families engage with them.  For guidance, Dan and Sarah turn to Elena Lister (@elenalistermd1) and Michael Schwartzman (@schwartzmanma), authors of Giving Hope: Conversations with Children About Illness, Death, and Loss. Links to buy Giving Hope here at Indie Bound and Penguin Random House; available in hard...

Episode 22: Overfed

December 31, 2022 14:00 - 59 minutes - 40.6 MB

The holiday season is ending and boy are we stuffed... with educational and entertaining content about one of pediatric palliative care's more misunderstood and controversial topics: overfeeding. Sarah and Dan round out 2022 talking with skeletal dysplasia expert Ricki Carroll (@RickiCarroll), hospice guru Glen Komatsu, and the inimitable Julie Hauer about those times when our patients are getting too much nutrition and all the problems that can cause. 

Episode 21: Palliative Parenthood

November 30, 2022 12:00 - 40 minutes - 27.8 MB

Does practicing pediatric palliation promote positive parenting? Does parenthood put palliative practitioners in a preferable position? Dan and Sarah partner up to ponder these profound puzzles and palaver with Jessica Casas and Daniel Mahoney (@DanielMahoneyMD),  and Claire Crawford (@PalliativClaire), all from the Pediatric Advanced Care Team at Texas Children's Hospital. (CN: This episode deals with the topic of pregnancy loss.)

Episode 20: Buenos Aires, Argentina

October 31, 2022 10:00 - 30 minutes - 20.9 MB

In our final international episode, Sarah and Dan speak with Doctora Rut Kiman (@KimanRut) about pediatric palliative care in Argentina and throughout Latin America.

Episode 19: Speaking Concurrently

September 30, 2022 11:00 - 46 minutes - 32.1 MB

Curative therapy and hospice... at the same time?! Since the Affordable Care Act, pediatric patients don't have to give up one to benefit from the other. But does this model really work, and does it make sense for the realities of pediatric palliative care and hospice as in 2022? To figure it all out, Sarah and Dan have a concurrent conversation with Steven Smith (@stevenmsmith913) and Conrad Williams (@conradw4) about Cadillacs, cookies, and #PedPC's biggest Twitter rivalry.

Episode 18: Durban, South Africa

August 30, 2022 12:00 - 34 minutes - 23.7 MB

Where in the world is PediPal? South Africa! Sarah and Dan interview Julia Ambler (@AmblerJulia), the pediatric palliative care physician for Umduduzi Hospice Care for Children (https://umduduzi.co.za/) in Durban, KwaZulu-Natal.

Episode 17: Endogenous

July 29, 2022 13:00 - 47 minutes - 32.4 MB

How do medical marijuana and pediatric palliative care fit together? In this episode, Sarah and Dan seek some clarity about cannabis, interviewing two experts on the topic, Dr. Bonni Goldstein and Dr. Dustin Sulak. Listen to learn more about the endocannabinoid system and the impact that this much-maligned medicine has on it and on patients, often in ways we're only beginning to understand. Resources mentioned in the episode and recommended by the guests: Society of Cannabis Clinicians: htt...

Episode 16: Tokyo, Japan

June 30, 2022 12:00 - 20 minutes - 14.2 MB

PediPal International steams onward, and we now find ourselves in Tokyo, Japan. In this episode, Sarah and Dan interview Nobuyuki Yotani 余谷 暢之, Head of the Department of Palliative Medicine at the National Center for Child Health and Development.

Episode 15: Little Adults

May 31, 2022 13:00 - 48 minutes - 33.3 MB

Welcome to Pediatrics. The first rule is, "Children are not just Little Adults." The second rule is also, "Children are not just Little Adults." But how does this trope fit into Pediatric Palliative Care? And is it possible that, instead, Adults are actually just Big Children?? In this episode, Sarah and Dan explore this idea with three different guests. Nimmy Simon (@palliativebear), a fellow who recently completed her pediatrics rotation, shares her reflections on the lessons learned. Sar...

Episode 14: Wellington, New Zealand

April 29, 2022 13:00 - 33 minutes - 22.7 MB

Our world tour continues with this next stop in Wellington, New Zealand.  Dan and Sarah interview paediatric palliative care specialist Amanda Evans (@amaevans), who teaches them a bit of New Zealand history, some Maori concepts of health and illness, and a lesson on just how cool Jacinda Ardern really is.

Episode 13: House Away From Home

March 31, 2022 12:00 - 37 minutes - 25.6 MB

As Sarah and Dan continue their international tour in 2022, they find themselves surprisingly close to home in Phoenix, Arizona... by way of England, and by way of an inspiring story of community, advocacy, and ingenuity. In this Episode your PediPal crew hears the story of the Cottor family and the founding of Ryan House, as well as the hopes for the future of pediatric hospice houses in the USA. And they learn some of the logistical challenges on the other side of their common "If I won t...

Episode 12: Hyderabad, India

February 28, 2022 13:00 - 27 minutes - 19.1 MB

PediPal is going international! In this inaugural episode of our new series, Dan and Sarah interview Dr. Spandana Rayala (@SpandanaRayala), a pediatric palliative care physician in Hyderabad, India.

Episode 11: Liminality

January 31, 2022 13:00 - 39 minutes - 27.3 MB

Webster's dictionary defines "liminality" as... Just kidding. But not really. In this episode, Dan and Sarah put on novice anthropologist hats and start to explore the role that ritual plays in Pediatric Palliative Care: in bereavement, in the day to day flow of the team, and in things as mundane as stapling your morning list. Social worker Caitlin Scanlon (@caitlin_scanlon) and music therapist Kristen O'Grady (@KOGrady_MTBC) join us to talk about the ways they participate in ritual, witnes...

Episode 10: The Cocktail Party

December 30, 2021 15:00 - 38 minutes - 26.6 MB

"So, what kind of work do you do?" When you're in pediatric palliative care, what answer do you give? And how do you respond to the inevitable follow-ups? "That's so sad," "You must be so special," "I could never do that..." We've all been there. So in this final episode of 2021, Dan and Sarah interview three peds palliative physicians—Allison Silverstein (@agsils), Jared Rubenstein (@DrJRubenstein), and Chris Adrian—about their responses to the dreaded cocktail party questions, as well as t...

Episode 9: Resonance

November 30, 2021 14:00 - 29 minutes - 20.3 MB

Music therapy, art therapy, child life, and pediatric palliative care resonate with each other in a lot of important ways. In this episode, Dan and Sarah chat with.... Dan and Sarah?! Yep, that's music therapist Dan Stafford and art therapist and child life specialist Sarah Yazdian Rubin. The Dans and Sarahs discuss creativity and loss, the roles expressive therapies can play in pediatric palliative care, and just how similar our respective fields can be. 

Episode 8: Dolor Finis

October 28, 2021 13:00 - 36 minutes - 24.7 MB

If there's something long-acting that targets multiple receptors and has a variable equianalgesic dose ratio in your neighborhood, who you gonna call? Eduardo Bruera (@edubru) and Kevin Madden (@madden_kevin), of MD Anderson Cancer Center! Get ready for chills and thrills as they take Sarah and Dan on a haunted tour of that spooky old opioid, methadone, and bust some of the myths about dosing, QT prolongation, and more.

Episode 7: Academic Suicide

August 31, 2021 13:00 - 34 minutes - 23.8 MB

Was starting this podcast academic suicide for Sarah and Dan? That remains to be seen, but interviewing Joanne Wolfe (@WolfePPC) and Chris Feudtner was definitely a good choice!  In this episode, hear two of the founding figures of pediatric palliative care in the USA discuss the rocky roads they traveled, individually and together, to establish themselves in a specialty that they were creating as they went. What's changed the most since the early days? What prognostications do they have for...

Episode 6: A Tale of Two Hats

July 29, 2021 13:00 - 41 minutes - 28.2 MB

Do you like my hat? No? How about this one? In this episode, Sarah and Dan talk with three physicians who each wear two hats: palliative care and another specialty. Wynne Morrison (Children's Hospital of Philadelphia) dons and doffs a PICU chapeau, Natasha Henner (Lurie Children's Hospital) wears a NICU cap, and Elisabeth Dellon (UNC Children's Hospital) is ready to switch from palliative to pulmonology and back at the drop of a... well, you get it. So what's it like to practice two specialt...

Episode 5: Loss in Translation

June 24, 2021 10:00 - 42 minutes - 29.3 MB

Hola, somos el equipo de cuidados paliativos! نحن مجموعة من الأطباء والممرضات والأخصائيين الاجتماعيين والقساوسة ، هنا لتقديم ... ...wait, how do you say "extra layer of support" in Arabic? And can I scan this POLST form into Google Translate? Welcome to Episode 5, in which Sarah and Dan interview two medical interpreters about the challenges and joys of interpreting in the pediatric palliative care setting. Daniela Obregón (@GetConnCare) is an independent Spanish language interpreter, tra...

Episode 4: A Lovely Episode

May 27, 2021 13:00 - 27 minutes - 19.1 MB

How lovely it would be if everyone were as thoughtful and palliative-minded as we are! Palliative care providers are meticulous about language when talking to patients and families, but are we as thoughtful about the words we use to talk about our patients and families? In Episode 4, Sarah and Dan talk to Gitanjli Arora, MD (@pedsworld), and Rachel Rusch, LCSW, MA (@RuschRachel), from the CHLA Comfort and Palliative Care Team. Inspired by Dr. Arora's essay, "A Lovely Family," in the Journa...

Episode 3: Pediatric Islands

April 26, 2021 10:00 - 40 minutes - 27.6 MB

As Pediatric Palliative Care grows, new programs are started and restarted, often by recent fellowship graduates. This leaves the landscape of PPC dotted with islands of solo providers or tiny teams in various stages of growing pains. In this third episode of Pedipal, Sarah and Dan indulge their pandemic-thwarted wanderlust, island hopping among three different palliative islands, each with its own unique history: Our first stop is with Dr. Ami Mehta, founder of the first dedicated Pallia...

Episode 2: Special K

March 21, 2021 18:00 - 28 minutes - 19.6 MB

Ketamine: a no-drama drug? Hard to believe when so many clinicians seem scared to use it, but maybe we've all been thinking about this NMDA antagonist the wrong way. In this episode of Pedipal, Sarah and Dan pour themselves a heaping bowl of Special K as they sit down with two ketamine aficionados, Dr. Stephen Long and Dr. Anu Agrawal, from UCSF Benioff Children's Hospital Oakland. Follow us down the k-hole as we discuss pharmacology, gastronomy, and how to convince your hospital that it's ...

Episode 1: Water Support Team

February 21, 2021 15:00 - 32 minutes - 22.6 MB

How do we name our pediatric palliative care teams? Is the word "palliative" just a liability? Why does Justin Baker regularly cosplay as a marsupial? In this inaugural episode of Pedipal, Dan and Sarah interview colleagues from around the US about the names of their teams and how they introduce themselves to families: Dr. Jared Rubenstein (Texas Children's "PACT," @DrJRubenstein), Dr. Bob Macauley (OHSU's "Bridges"), Dr. Tricia Keefer (Michigan's "Stepping Stones," @KeeferMD), and Dr. Just...

Episode 1 Trailer

February 20, 2021 23:00 - 47 seconds - 577 KB

The first episode of @PediPal is coming! So listen to this trailer as a starting dose before titrating up to full strength.  If the side effects are tolerable, then watch this space for the official release VERY soon... Theme music: "Sneaky Adventure," by Kevin MacLeod (2009)

Twitter Mentions

@drjrubenstein 2 Episodes
@agsils 1 Episode
@palliativemed_j 1 Episode
@pedipal 1 Episode
@ruschrachel 1 Episode
@stevenmsmith913 1 Episode
@amaevans 1 Episode
@rickicarroll 1 Episode
@danielmahoneymd 1 Episode
@pedsworld 1 Episode
@madden_kevin 1 Episode
@palliativclaire 1 Episode
@schwartzmanma 1 Episode
@spandanarayala 1 Episode
@caitlin_scanlon 1 Episode
@elenalistermd1 1 Episode
@wolfeppc 1 Episode
@getconncare 1 Episode
@kimanrut 1 Episode
@kogrady_mtbc 1 Episode