Welcome to ThePalliators.com

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Starting the Conversations that Matter

About the Palliators

We are fellowship-trained Hospice and Palliative Medicine physicians who have backgrounds in Internal Medicine, Family Medicine, and Pediatrics. We have developed a special interest in educating healthcare professionals about the particular needs of those who are facing chronic and terminal illnesses.


We do not mean for this site to replace your own research or professional judgment in caring for your patients, but we hope you can find it to be a resource to provide outstanding care.

Get to Know The Palliators

PeachState Palliator

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Dr. Tara Kattine

Internal Medicine


Sometimes you must take care of patients who will never be completely healthy again. You must empathetically give them the horrible news and then help them feel better despite the diagnosis. You take care to support them and their loved ones while not burning out yourself.

We Are Here For You!

Palmetto Palliator

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Dr. Nancy Hart Wicker

Family Medicine


It is important to recognize that our patients are more than their diseases and need to be cared for holistically - body, mind, and spirit. Every individual's experience is different, and we need to incorporate their values into their treatment plans. We need to manage ourselves, too, so that we do not burn out.

Pediatric Palliator

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Dr. Katie Mollo

Pediatrics


We should listen to our patients and their families to gain a better understanding of what is important to them in how they live their lives. One of the most important things we can do is advocate for our patients to help them in their struggles to live as well as possible. We also need to tend to patients and their families as a whole.

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The Palliators Podcast Show Notes

On Apple and Google Podcasts, Stitcher, Spotify, iHeartRadio, & http://www.buzzsprout.com/333515

Episode #1 Introduction to Palliative Medicine & Hospice:  Reviews concepts for practicing clinicians with an important link - Choosing wisely - www.choosingwisely.org

Discussion of The Hospitalist article: 10 Things Hospitalists Need to Know about Palliative Care - 

https://www.the-hospitalist.org/hospitalist/article/121441/hospice-palliative-medicine/10-things-hospitalists-need-know-about

Episode #2 Delivering Important News: Tips From Experience

SPIKES articles: 

DOI: 10.1634/theoncologist.5-4-302  

DOI: 10.1188/10.CJON.514-516

Episode #3 Hope: Evolution of hope when it seems hope may be lost. 

Discussion of how to help patients face a serious illness without providing false hope.

Article about hope from The Oncologist: Hope 

DOI: 10.1634/theoncologist.12-9-1105

Episode #4 Discussion of JPSM article:  Addressing a Patent's Hope for a Miracle https://www.ncbi.nlm.nih.gov/m/pubmed/29030208/M

Episode #5 Both Sides of the Stethoscope (Part 1):  An interview with Suzanne, a neuro ICU nurse-turned hospice nurse, who faces terminal cancer at home with hospice services. She  courageously faces death with thoughtful intention as she focuses on living well.

Episode #6 Both Sides of the Stethoscope (Part 2):  The completion of our interview with Suzanne as she shares her experience in hope that we could benefit from her what she has learned.

Episode #7 Futility - Origins, Concepts, Principles, Perspectives, & Policy:  An overview and discussion of futility with cases and resources

- https://www.gofarcalc.com

- https://www.youtube.com/watch?v=cDDWvj_q-o8

- https://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion2037.page?

- Am J Respir Crit Care Med. 2015 Jan 15;191(2):219-27. https://doi.org/10.1164/rccm.201410-1916ST

- www.chausa.org/publications/health-progress/article/july-august-2003/creating-a-medical-futility-policy

Episode #8 Grief (Part 1): Back to the Basics with tips to understand and help your patients and their loved ones who are grieving. Features an interview with Shannon Dunavan, LCSW 

 https://youtu.be/G_Z3lmidmrY 

 https://www.psychologytoday.com/us/blog/supersurvivors/201707/why-the-five-stages-grief-are-wrong

Highlighted Books by Elizabeth Kubler-Ross, MD:
On Death and Dying

Questions and Answers on Death and Dying


Episode  #9 Grief (Part 2): Beyond the Basics features Shanon Dunavan, LCSW with more tips on helping people in all stages of grief, but especially through what many think of as the more difficult stages of grief - anger and denial. 

Episode #10 Constipation: An Underrated Symptom and Often Undertreated 

Get the straight poop on constipation and effective therapies and a discussion about the use of docusate.  Drawing from articles in several journals, including JPSM, we discuss the importance of management, eliminating ineffective interventions and providing useful treatment.

Am J Gastroenterol. 2005 Apr;100(4):936-71

https://www.timeofcare.com/the-bristol-stool-chart/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378729/

https://www.jpsmjournal.com/article/S0885-3924(12)00249-7/pdf

J Am Board Fam Med. 2011 Jul-Aug;24(4):436-51. doi: 10.3122/jabfm.2011.04.100272

Am J Med. 2016 Sep;129(9):1001.e1-7. doi: 10.1016/j.amjmed.2016.04.008. Epub 2016 May 3

Episode #11 Empathy, Don't Be an A**hole

Empathy is an important aspect in caring for our patients. It helps our patients and helps us.  Learn more about its importance and learn about tools and skills to help with communicating empathy

https://journals.lww.com/academicmedicine/fulltext/2002/10001/the_jefferson_scale_of_physician_empathy__further.19.aspx

https://doi.org10.1371/journal.pone.0061526

https://doi.org/10.1046/j.1525-1497.2003.21017.x

https://doi.org/10.1007/s11606-016-3597-2

https://doi.org/10.1001/jamanetworkopen.2018.0351

https://doi.org/10.1371/journal.pone.0061526

https://doi.org/10.1016/j.burn.2017.06.003

https://dx.doi.org/10.2147%2FPRBM.S145810

https://doi.org/10.3389/fpsyg.2016.00763

https://doi.org/10.1371/journal.pone.0177758

https://dx.doi.org/10.5116%2Fijme.4d00.b701

https://www.vitaltalk.org

https://www.youtube.com/watch?v=1Evwgu369Jw

Podcasts Released Monthly

Hours


whenever you want to listen