Brook Calton's guest appearances

Brook Calton

GeriPal

John Newman

Scott Bauer

BJ Miller

Andy Cohen

Aaron Kesselheim

Louise Aronson

Haider Warraich

Lewis Cohen

Stephanie Rogers

Tim Anderson

Jessica Zitter

Susan Block

John Mills

Katie Fitzgerald

John Nelson

OwlTail

Joe Rotella

Carly Zapata

There’s a saying, “never let a crisis go to waste.”  The pandemic was horrific in many ways.  One positive change that came about was the lifting of restrictions around the use of telemedicine.  Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic.  Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.  So now that the emergency response has ended, what’s to be done?  In this podcast, Joe Rotella, Chief Medical Officer of the American Academy of Hospice and Palliative Medicine, Brook Calton, Palliative Care doc at Massachusetts General Hospital and Medical Director at Devoted Health, and Carly Zapata, Palliative Care doc at UCSF and fellowship director, talk about the importance of maintaining access to telehealth for the good of patients with serious illness.  This DEA is taking 6-months to consider how to move forward vis a vis restrictions and requirements for telehealth in a post-pandemic world.  Now is the time to act, dear listeners!  You can:   Write an  Op-Ed to your local paper as Carly Zapata and colleagues did.  Start with a story as Carly did in her Op Ed.  Stories trump data.   Write to your congressperson. See the AAHPM Legislative Action Center  https://www.votervoice.net/AAHPMORG/home   Write to the DEA, with guidance from  AAHPM’s comments to the DEA March 2023.   Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries:  https://www.schatz.senate.gov/imo/media/doc/connect_for_health_act_2023_summary1.pdf    Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth.  Enjoy! -@AlexSmithMD

There’s a saying, “never let a crisis go to waste.”  The pandemic was horrific in many ways.  One positive change that came about was the lifting of restrictions around the use of telemedicine.  Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic.  Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.  So now that the emergency response has ended, what’s to be done?  In this podcast, Joe Rotella, Chief Medical Officer of the American Academy of Hospice and Palliative Medicine, Brook Calton, Palliative Care doc at Massachusetts General Hospital and Medical Director at Devoted Health, and Carly Zapata, Palliative Care doc at UCSF and fellowship director, talk about the importance of maintaining access to telehealth for the good of patients with serious illness.  This DEA is taking 6-months to consider how to move forward vis a vis restrictions and requirements for telehealth in a post-pandemic world.  Now is the time to act, dear listeners!  You can: <ul> <li> Write an <a href="https://www.sfchronicle.com/opinion/openforum/article/telemedicine-pain-sick-care-18000646.php" rel="nofollow" target="_blank"> Op-Ed to your local paper as Carly Zapata and colleagues did</a>.  Start with a story as Carly did in her Op Ed.  Stories trump data. </li> <li> Write to your congressperson. See the AAHPM Legislative Action Center <a href="https://urldefense.com/v3/__https://www.votervoice.net/AAHPMORG/home__;!!LQC6Cpwp!vjV-pNKcvZSoe_AamNrNax7lwVteaGKjogWvpF43zC_2VNZYwsMv1KDDaTKBpK3JnJRWjeKAawR-cqRaEkWumfM$" rel="nofollow" target="_blank"> https://www.votervoice.net/AAHPMORG/home</a> </li> <li> Write to the DEA, with guidance from <a href="https://aahpm.org/uploads/advocacy/AAHPM_Comments_-_Docket_Nos._DEA-407_and_DEA-948__03-31-23_FINAL.pdf" rel="nofollow" target="_blank"> AAHPM’s comments to the DEA March 2023</a>. </li> <li> Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries: <a href="https://urldefense.com/v3/__https://www.schatz.senate.gov/imo/media/doc/connect_for_health_act_2023_summary1.pdf__;!!LQC6Cpwp!vjV-pNKcvZSoe_AamNrNax7lwVteaGKjogWvpF43zC_2VNZYwsMv1KDDaTKBpK3JnJRWjeKAawR-cqRal-s8u8g$" rel="nofollow" target="_blank"> https://www.schatz.senate.gov/imo/media/doc/connect_for_health_act_2023_summary1.pdf</a> </li> </ul> Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth.  Enjoy! -@AlexSmithMD

Telemedicine in a Post-Pandemic World: Joe Rotella, Brook Calton, Carly Zapata

Grant Smith

Home-based palliative care is booming. And with the growth of home-based palliative care come unique struggles and challenges: how can it be financed, what does the ideal team look like (or do you need a team?), retaining clinicians who may feel isolated doing this work, identifying patients who are most likely to benefit. In this week's podcast we talk about these and other issues with Brook Calton, home-based palliative care physician in the Division of Palliative Medicine at UCSF and Grant Smith, a recent graduate of UCSF's palliative medicine fellowship now faculty at Stanford. To supplement our podcast, Grant has written a series of thought pieces that flesh out and complement our discussion. His first reflection was published in the Journal of Palliative Medicine last month. We will post one additional reflection per day for the next three days. Hope you enjoy my attempt at a Southern drawl while singing! -@AlexSmithMD

Home-based Palliative Care: Podcast with Brook Calton and Grant Smith