
38. Palliative Care in Critical Illness: Intentional & Compassionate Palliation with Dr. Anand Iyer
Critical Care Time
Integrating Palliative Care Early
This chapter emphasizes the critical role of early palliative care integration for patients with chronic illnesses like COPD. The speakers discuss how proactive palliative care discussions can enhance patient quality of life and align treatment with patient goals, supported by recent research findings.
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Speaker 2
In noble, the crematory is now gone, but Marsha's mother continued to live on the, on the big property. No word if she's still around. I'm not sure. I'm sure she absolutely was. Brent Marsh served his full 12 year sentence and was released in June 2016. He walked out with his attorney, Posten, the mad as a how to guy. He told the media that his client was going home to Walker County in Georgia. Since then, Marsh has laid low and not given any further explanation for his bizarre behavior. Because he was placed under 75 years of probation,
Speaker 1
he's probably under some sort of court supervision for the rest of his life. Right. I think that's probably for the best. Maybe what? So, and is he allowed to leave Georgia? Because I would if I could. If I was him. Yeah.
Speaker 2
Yes, he absolutely could have because this is, his
Speaker 1
community would be pretty happy for him to, but the probation doesn't mean he has to stay in the state. Not that I know of. I'm not sure. Because it was a, was it a federal? What are they federal? I don't know. Anyway, I think there was, no, it was a mixture of state crimes. Because it, yeah, potentially under the probation, he needs to stay.
Speaker 2
Which would be bad if he's like, this community hates me.
Speaker 1
I don't know what I'm going to be. Can I imagine the community wouldn't want him there? Yeah. So why would, unless, yeah, just, uh. Whoa.
Speaker 2
Oh, it's so,
Speaker 1
uh, it's so unsatisfying. Yeah.
Speaker 2
Sorry, there's no
Speaker 1
explanation. Well, I feel like that's, he's like, I can't offer an explanation. But give us whatever the explanation is. Just give it the families must be like going, I tell us. Even if it's something. Is it because you would just, we're slack in your, yeah,
Speaker 2
because you just not be fucked or like, is it? Is this fun for you? What's the deal? Yeah, exactly. Even if it was just like the incinerator was playing up for a couple of months and then I got too behind and it overwhelmed me. Yeah. And I know this isn't a real excuse, but that's the truth of one. Yeah, totally. I think that would be more satisfying than just like, I can't tell you. So then, then, then I'm assuming the absolute worst. Then I'm assuming something really sinister and creepy. Whereas if it's just like, it got away from me and I was stuck in this spiral, I've still really mad at you, but like. But if there's at least some closure. There's some closure. Totally. A memorial for the unidentified remains because remember one third weren't positively identified was unveiled in the Tennessee Georgia Memorial Park, marking the place where 133 bodies that couldn't be identified are at rest. It reads, may they and their families have everlasting peace and consolation. The crematory building and all other structures associated were torn down by 2005. Also Brent's mother Clara signed part of the property where the crematory was to become a trust, making sure what became the resting place of bodies for many years will never be developed. Oh, wow.
Speaker 1
I have to
Speaker 2
keep that as open area.
On this week's episode of Critical Care Time, Cyrus & Nick are honored to be joined by palliative care expert, Dr. Anand Iyer. Together they explore the intricacies of palliation in the ICU, exploring the challenge and nuances of addressing this critical element of care amongst the sickest patients in the hospital. How do you begin these discussions? How do you ensure your patients and families feel heard? How do you help them realize palliation is part of the care process and not that you are giving up on a loved one? What terms should we avoid using? We cover all of this and more with Dr. Iyer so make sure to give this episode a listen and leave us some feedback!
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