Uncertainty can cause a lot of suffering, but palliative medicine is meant to alleviate suffering. So, how can physicians work within it’s confines? In this episode, Dr. John Mulder and Dr. Jason Beckrow are joined by Dr. Ariel Dempsey as they dive deeper into the discussion on uncertainty in medicine and the challenges and opportunities it provides. They share how, as physicians, you can acknowledge uncertainty, approach it with humility, and choose to take action in spite of it. Listen now at the link below to tap into their insights.

What motivates doctors’ decision-making beyond evidence, knowledge, and experience? As Dr. John Mulder and Dr. Jason Beckrow discuss, our patient's wants and wishes should always be considered. Often, though, doctors make decisions based on fear–fear of litigation, of being wrong, or of missing something, especially when uncertainty is present. In this episode, the doctors share how we can mitigate negative motivators by putting the patient first.

As physicians, we let our experiences and knowledge guide us. Often, this leads to us entering a patient’s room with some assumptions in hand. However, it’s important to remember that people with the same diagnosis can have completely different emotional reactions, and it’s our job to meet them where they are. In this episode, Dr. John Mulder and Dr. Jason Beckrow discuss overcoming unconscious bias in palliative medicine by taking the time to understand the patient's perspective and learning about their unique journey.

Psilocybin has had a place in healing for millennia, particularly among ancient civilizations and cultures. While it's had a negative view in some corners of contemporary American society, research into its potential has gained traction and it is slowly finding a place in the mainstream. In this episode, Dr. Mulder and Dr. Beckrow are joined by Prof. Michael DeWilde, who shares his knowledge of the history, uses, and benefits of psilocybin. This has prompted Dr. Mulder and Dr. Beckrow to ask, "Is there a place for psilocybin in palliative medicine and end-of-life care?"

Studies have shown that doctors are less likely to have surgery or be admitted to the ICU in the last six months of their life and are less likely to die in the hospital. So, what do doctors know that their patients don’t? In this episode, Dr. Mulder and Dr. Beckrow discuss some of the systematic failures of our healthcare system and the importance of informed consent. They ask and answer, “How can physicians advise patients based on their unique wants and wishes to give them a higher-quality end-of-life experience?”

Prognostication is not an exact science. So, when patients ask the inevitable question, “How much time do I have, doc?” How can we answer? In this episode, Dr. John Mulder and Dr. Jason Beckrow reflect on the challenge of prognostication and how they leverage their years of experience to try and provide patients with the gift of time.

In this episode, Dr. John Mulder and Dr. Jason Beckrow are joined by palliative care chaplain Cody Hufstedler. Cody has a podcast of his own, Dying to Tell You, where he interviews people nearing the end of life. With the doctors, he shares some of the joys, sorrows, and beauty he has uncovered while helping terminally ill patients and their loved ones work through some challenging realities. Listen to the episode, and be sure to check out Dying to Tell You at dttypodcast.com

For each diagnosis, there is an expected path that the disease will take. But along that path are many offshoots of possibilities, known and unknown. Amid the uncertainty, how can providers manage expectations and continue to build trust with their patients? In this episode, Dr. John Mulder and Dr. Jason Beckrow discuss how they operate in the realm of uncertainty when patients and their loved ones are often looking for finite answers.