Neurology® Podcast December 2025 Recall: Topics on Neuropalliative Care
Dec 1, 2025
In this insightful discussion, Janis Miyasaki, a neurology division director and palliative care advocate, shares her journey and the importance of patient-centered approaches in integrating palliative care into neurology. Miranda Wan, a stroke fellow, reveals barriers neurologists face in conversations about palliative care, emphasizing cultural and training deficiencies. Carolyn Reynolds, a palliative care physician, examines the motivations of ALS patients considering medical aid in dying, highlighting emotional suffering and the critical role of caregivers. This dialogue sparks vital reflections on compassionate end-of-life care.
AI Snips
Chapters
Transcript
Episode notes
Early Resistance To Neuropalliative Care
- Janis Miyasaki described early resistance when she suggested palliative care for Parkinson's disease in the early 2000s.
- She secured a Parkinson Foundation grant, spoke at meetings, and nurses validated the unmet need which propelled her work.
Use Grants To Build Clinical Programs
- Janis recommended translating clinical needs into grants and publications to gain academic support for new services.
- She learned grant writing and used funding to implement a neuropalliative program.
Patient Goals Before Clinical Details
- Janis Miyasaki centers each visit on the patient's life goals and daily challenges before clinical details.
- She frames neurology care as relieving suffering and aligning treatment with what patients value most.