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The Doctor's Art

On Ending Well | Shoshana Ungerleider, MD

The Doctor's Art

Henry Bair and Tyler Johnson

Medicine, Society & Culture, Health & Fitness, Philosophy

5 • 2.1K Ratings

🗓️ 3 January 2023

⏱️ 53 minutes

🧾️ Download transcript

Summary

Too often, modern medicine focuses on life-extending interventions for those nearing the end of life at the expense of quality of life. Our guest today, Shoshana Ungerleider, MD, argues we urgently need to rethink the emphasis of end-of-life care. She's the founder of the End Well Foundation, a nonprofit that seeks to improve how doctors and patients approach issues of mortality, as well as an executive producer of the 2018 film End Game and a major funder of the 2016 film Extremis, two Academy Award-nominated short documentaries on end-of-life care. As a health communicator. Dr. Ungerleider is the host of the TED Health Podcast and has been featured as a medical expert on CNN, CBS, PBS, Fox News, and other news networks. In this episode, she discusses her journey in health care and shares her mission to transform the end of life experience of patients everywhere and make dying well a part of living well.

In this episode, you will hear about:

  • How Dr. Ungerleider found her way to a career in health care and how she pushed through imposter syndrome while in medical school - 2:23
  • Dr. Ungerleider’s formative experiences working with elderly patients in the ICU, leading her question the practices of modern medicine when dealing with seriously ill patients - 10:18
  • How the Covid-19 pandemic has shifted public consciousness around death and dying - 15:30
  • The origins of End Well, the conference and organization founded by Dr. Ungerleider and her colleagues in 2017 - 23:51
  • What it would look like for there to be a shift in the cultural conversation around death and dying - 30:31
  • A reflection on the risks of romanticizing the dying process - 36:54
  • The recent cancer diagnosis in Dr. Ungerleider’s family and how this has propelled her to proactively manage her own risks - 43:49
  • Advice for new clinicians on dealing with patient deaths - 48:49

Dr. Shoshana Ungerleider is the author of “My Dad’s Terminal Cancer Diagnosis May Have Saved My Life” for Newsweek.

You can follow Dr. Ungerleider on Twitter @ShoshUMD

In this episode, we discussed The Good Place, an award-winning sitcom series about philosophy and the afterlife.

We discussed several articles and studies about whether physicians are more likely to choose to die at home than the general public. These articles include “How Doctors Die” by Ken Murray, “Association of Occupation as a Physician With Likelihood of Dying in a Hospital” by Blecker, Johnson, Altekruse, et al. and “Patients, and Doctors, Aren’t Dying at Home” by Dr. Danielle Ofri (our guest on episode 35).

Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to [email protected].

Copyright The Doctor’s Art Podcast 2022

Transcript

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0:00.0

Hi, I'm Henry Bear.

0:03.0

And I'm Tyler Johnson.

0:05.0

And you're listening to The Doctors Art, a podcast that explores meaning in medicine.

0:09.0

Throughout our medical training and career, we have pondered.

0:13.2

What makes medicine meaningful?

0:15.1

Can a stronger understanding of this meaning

0:17.2

create better doctors?

0:18.8

How can we build health care institutions

0:20.6

that nurture the doctor-patient connection.

0:23.0

What can we learn about the human condition

0:25.0

from accompanying our patients in times of suffering?

0:28.0

In seeking answers to these questions,

0:30.0

we meet with deep thinkers working across health care, from doctors and nurses to patients and health care executives, those who have collected a career's worth of hard-earned wisdom.

0:40.0

Probing the moral heart that beats at the core of medicine, we will hear stories that are by turns heart-breaking, amusing, inspiring, challenging, and enlightening.

0:49.0

We welcome anyone curious about why doctors do what they do.

0:53.0

Join us as we think out loud about what illness and healing can teach us about some of life's biggest questions.

1:00.0

If you've listened to our pass-through episodes, then you will already be familiar with the idea

1:07.6

that there's a problem with how we, as a society, think about death and dying and the role of medicine in all of this.

1:15.1

In short, modern medicine too often focuses on life-extending efforts for those nearing the end of life,

1:21.7

at the expense of the patient's holistic quality of life.

1:26.0

Our guest today, Dr. Shoshana Unger Lider, is an advocate for better end of life care.

1:36.2

She's the founder of the Endwell Foundation, a nonprofit that seeks to improve how doctors and patients approach issues of mortality, as well as an executive

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