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Blog: Integrated MD Care: Palliative Care Del Mar, CA
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When the World Seems Out of Control – Take Control
Watching too much “breaking news” can be detrimental to your health at a time when we’re all doing our best to take precautions to limit the spread of the Coronavirus. But your wellbeing is much more than just avoiding a virus. Taking care of...
Do You Love Your Spouse, Partner and Adult Children?
By Sid Adelman Note: Sid Adelman is a lecturer, author and occasional contributor to the Integrated MD Care blog. His clear, direct, and sometimes blunt writing style is designed to do one thing – get you to take action on important healthcare and life...
Medical Aid in Dying – Exactly What he Wanted
MJ talks about her husband’s end-of-life experience with… Medical Aid in Dying… “I feel their care for Burton was just exactly what Burton wanted and needed. And for that, I’m deeply grateful. I can’t imagine saying that about any other doctor I’ve...
This short video by Tom Bartels and Jennie Dear, offers a gentle overview of what may happen as a person’s physical body shuts down from a terminal illness. Every situation is unique, and the dying process for each individual will be unique as well.
A Great Loss with Many Lessons
Looking back, Marjolein recognizes that her husband’s symptoms started occurring in 2015. At the start, Peter’s disease progression was gradual and very predictable. Unfortunately, this disease is untreatable and typical survival rate is three to five...
Part 2 of 3: Medical Aid in Dying and the California End of Life Option Act
THE DETAILS (Part 2) This is a partial transcript of a recent video recording of Facebook live. In part 2 of this series, Dr. Bob Uslander answers many frequently asked questions about Medical Aid in Dying (MAID) and the California End of Life Option Act.
Part 1 of 3: Medical Aid in Dying and the California End of Life Option Act
THE OVERVIEW (Part 1) This article should not be considered not medical or legal advice. It is strictly for general education on the topic of the California Medical Aid in Dying (MAiD) process. Please seek professional consultation on this topic before...
Part 3 of 3: Medical Aid in Dying and the California End of Life Option Act
THE CHALLENGES (Part 3) After our Facebook Live on the California End of Life Option Act and an explanation of how the Medical Aid in Dying process works, many of you requested this text. This text has been edited for written clarity and length.
Death and Learning to Understand it – Article Reflection
Death and Learning to Understand it – Article Reflection Reflections on this article in The Irish Times – Life & Style By Dr. Bob Uslander After presenting at the Beautiful Dying Expo at the San Diego Convention Center last weekend on Comfort Measures...
An Invitation / Explanation of What we do
At the Heart of it – By Dr. Bob Uslander, Founder At the heart of it, we offer an intimate relationship with a team of very caring and dedicated healthcare professionals who will always have your best interests at heart and show up for you.
Integrated Family Care: A Revolutionary Approach to Complex and End of Life Care
During my thirty-year career in medicine there have been a few “aha” moments that dramatically influenced my course. I believe the most profound “aha” moment was in 2013, when I heard a voice from within tell me, “you are here to help people die.”
Dr. Shavelson’s Brush with Death A Life and Death Conversation Dr. Lonny Shavelson is the founder of Bay Area End of Life Options, a medical practice in Northern California devoted to educating about medical aid in dying and supporting patients and...
Debbie Ziegler’s daughter, Brittany Maynard at the age of 29 was diagnosed with a terminal brain tumor she chose to end her life. Her story was controversial and painful. Debbie shares her daughter’s journey in life and how she ended hers.
Dr. Michael Fratkin founded ResolutionCare to insure capable and soulful care of everyone, everywhere as they approach the completion of life. Learn how telehealth applications are bringing a greater quality of living and dying to those in need.
Stacey Canfield created Soul Sitters, an organization dedicated to supporting the spiritual journey of patients and families during the end of life process. Hear the steps to help loved ones through the dying process.
What Would You Do If You Had a Limited Time to Live?
A New Film Shares People’s Ideas, Kimberly Ouwehand, Ep. 27 The Teal Chair, a film that was nominated for the Future Filmmakers Award this year at Sun Valley Film Festival was the brainchild of Kimberly Ouwehand. Find out why the hospice community...
Hear beautiful stories about end of life. Dr. Bob and Veterinarian, Liz Fernandez, discuss how there are similarities in their end-of-life work that helps people, pets, and families who are dealing with end-of-life issues.
For decades Kathryn Tucker has been supporting people’s rights to have a peaceful and dignified death. She’s fought to protect the medical aid in dying laws. Listen to learn more about the End of Life Liberty Project.
“Alive Inside” is a wonderful film and movement that awakens the Alzheimer’s mind and connects generations, comforting elders and rescuing youth. The film’s Director, Michael Rossato-Bennett, shares how it all began. IntegratedMDCare.com.
Bill Palmer has dedicated much of his life to helping people get comfortable with death. Hear why he has hosted more than 75 Death Cafes and what he’s learned from them and the people who attend. Note: A Life and Death Conversation is produced for the ear.
Why Some People Want To Die: Exploring End-of-Life Options & Issues
Over the past few years, through my interactions with many elderly and ill patients, I have come to understand something that I never understood before: why some people want to die.
Lydia Lombardi Good is a licensed clinical social worker. She shares the importance of self-compassion, what it is, and how to get comfortable with it and how it helps the grieving process.
Chelsea Berler is a successful entrepreneur, and author and an inspiration for many people. Tragically, she is also dying from breast cancer at the age of 34, but you won’t hear Chelsea describe what she’s going through as a tragedy nor is she a victim.
Human Rights are on the Line: the Fight to Save Aid in Dying
Note: This is an editorial from our staff member, Elizabeth Semenova. She openly shares her feelings about the current controversy and the fight to keep the End of Life Option Act legal in California. Death is as much a part of life as breathing.
Hansa Bergwall is the creator of a new app called “WeCroak”. Out of his own personal meditation practice, he determined that death contemplation could be beneficial, not just for him, but for many people.
A candid conversation with Dr. Bob and Elizabeth Semenova about something that will happen to all of us: death. Hear from the Integrated MD Care team to see how they are helping people who are going through the medical aid in dying process.
What We Need to Do to Prevent the Death of the Aid in Dying Law in California
I am outraged by the attempt to abolish the Medical Aid in Dying law in California and here’s why. We will host a rally this weekend following a talk that I am giving on Aid in Dying.
District Attorney Summer Stephan shares what San Diego initiatives are in the works to protect seniors from abuse and fraud. She shares information about her programs and efforts to help keep our most vulnerable citizens safe.
How My Father’s Death Allows Me to Help Terminally Ill People Die More Peacefully
“You can’t have it both ways.” Those were the last words my father said to me before he died. I was lying in bed next to him in the middle of the night, listening to him struggle to breathe. I knew that he would be dying soon, but I didn’t know it...
Cathy Spatuzzi is a yoga and fitness instructor who works with Integrated MD Care. She shares how she helps patients and her views on why she doesn’t fear death and, instead, makes sure she is living in every moment.
Jami Shapiro helps seniors transition from homes with her company Silver Linings Transitions. Learn why she is so passionate about this work and how she can help you or your loved ones. Contact Silver Linings Transitions Jami Shapiro helps seniors...
Najah Salaam at one time feared death. Today, she helps those nearing the end of life. Learn how she overcame her fear and why helping others is so important to her. Contact Multi-Dimensional Healing website Note: A Life and Death Conversation...
How to Not get Caught in Healthcare Pitfalls
There is an epidemic in our country that causes enormous suffering and struggle for millions of Americans. Most people are unaware of this epidemic (until they are directly affected by it) and very few people are talking about it. It affects people in...
Dr. Karen Wyatt founded the End-of-Life University. Hear how her father’s suicide lead her to learn about hospice and a career that focuses on helping educate people about end-of-life care.
Free Talk on End-of-Life Care, (upcoming event)
Do you ever think about what your end-of-life experience will be like? If you’re like most of us you avoid the topic of death. But, we all will die one day. If we take action now and are prepared that will make the difference between a bad death...
Dr. Rob Jonquière is the Executive Director of the International Federation for Right to Die Societies. He shares how euthanasia is helping people who want to die in the Netherlands. Now, assisted suicide is also legal. Hear how this is impacting the...
Nurse Jen Durrant of Integrated MD Care shares her views on dying and why she believes it should be more accepted in society. Note: A Life and Death Conversation is produced for the ear. The optimal experience will come from listening to it. We provide...
Dr. Tim Corbin joins the Integrated MD Care team. He shares his experiences as the Director of Palliative Care at Scripps Health and why working with terminally ill patients is so meaningful to him. Note: A Life and Death Conversation is produced for...
One recent afternoon I sat and watched as one of my patients pleaded with her daughter to allow her to stop fighting—against death. Elena, a brave, bright and graceful 93-year-old woman from South America, had been struggling for years with several ...
Meet Julie Chrisco, a nurse practitioner with Integrated MD Care, who is passionate about helping people have the best experiences as the age as well as creating peace at end of life. Transcript Dr. Bob: Today I am really happy to be introducing you ...
Hemlock Society San Diego (619) 233-4418 In this episode, Faye Girsh talks about the Right To Die and why she continues to support the movement. Faye was the President of the Hemlock Society USA from 1996-2002 and Senior Vice President of End-of-Life...
In a very candid and poignant conversation, Bill Andrews’ sons share what their dad’s end-of-life experience was like for them. Hear how they worked as a team to help their dad have the best death. Note, if you haven’t already listened to their father’s...
Elizabeth Semenova is the Director of Operations at Integrated MD Care. She shares her insights and personal stories about dealing with loss. The holidays can be an especially difficult time, listen to how Elizabeth handled her own loss and how...
Dr. Bob’s patient, Bill Andrews had ALS and was terminally ill. Before Bill decided to exercise his right to die in California, he agreed to do this interview to help others understand the importance of the law and his decision.
Diane Forster is an Intentional Living Expert and author of “I Have Today”. Diane talks about her attempted suicide, how she changed her life and is now helping others. Hear what helped turn her life around.
A long-time nurse shares her personal story about her father’s end-of-life experience. Hear what the aid-in-dying process was like for her and her family. Transcript Dr. Bob: The person I’m going to introduce you to today and have a conversation with...
Dr. Ken Druck’s work in personal transformation, male psychology, parenting, and grief literacy has awakened readers to their absolute best selves for almost four decades. In this episode, Dr. Druck and Dr. Bob talk about healing after a loss.
In this podcast, we talk about life, death and everything in between. We’ll explore how to age more gracefully, have meaningful conversations, and what you can do now to ensure the best possible end-of-life experience for yourself and your loved ones.
Bill Andrews was an amazing man. In the few weeks that I knew and cared for him as a patient, I came to admire and respect him a great deal. As is the case with many of my patients, our relationship was brief, but it was deep, extremely meaningful...
Article by Elisabeth Mack, RN, MBA, Holistic Caring. The challenges to managing serious illness, cancer, chronic pain, neurological disorders, anxiety, depression, and insomnia are many. Clinicians need every available tool to guide patients toward ...
I fell in love with Jane the first time I met her. She was sweet, gracious, and beautiful. She had just turned 80, but could easily have passed for 65. Every time I visited Jane at her home she was dressed impeccably, made up beautifully, and had ...
I hear that plea echoed over and over from loved ones. I know it comes from a place of love and fear and is an entirely understandable mindset, but, sadly, it often results in more struggle and suffering for people in their final stage of life.
Yesterday one of my patients died. As often happens these days, John had become more than a patient; he had become a good friend. I’d spent the past eight months caring for him, making sure he was safe and that he had the support he would need to...
Article by Acupuncturist, Rachel Pagones. A study recently reported that acupuncture is more effective than a commonly used drug called fluoxetine hydrochloride to treat Post-Stroke Depression. We asked Acupuncturist, Rachel Pagones, to share more about...
When you think about a doctor, you usually think about someone who tries to do whatever it takes to extend life. But sometimes caring for people as a doctor means being there for them at the end of their life, and helping to make the transition easier.
Nearly a year ago, California enacted an aid-in-dying law. Some people have already exercised their right to request a prescription that would end their life and stop their suffering. But many people don’t know about the End-Of-Life Option Act or ...
Death can be beautiful. Six states now have aid-in-dying laws and more are attempting to pass bills. This is a personal account from my perspective as a doctor about a patient who chose to exercise her end-of-life option.
What You Need To Know Before You Use Hospice
Earlier this year a Dallas couple who run a private for-profit hospice-care business were indicted along with 14 others, including some doctors and nurses, in a $60 million Medicare fraud scheme that put financial interests over the needs of patients, ...
I’ve been a doctor for decades. Always hoping to heal my patients. But, now, I’m on my way to sit with somebody as she dies. Experiencing a patient’s death is not the reason I became a doctor or, at least, that’s what I would have told you early on in...
The majority of people alive today will be or have been, diagnosed with a grave illness at some point in their life. There are a few fortunate souls who will skate through life relatively unscathed, live carefree (at least from the health perspective) ...
One Year Update, a Rant, and an Invitation
Today marks the one-year anniversary of the official launch of Integrated MD Care (IMDC.) The practice actually began a few months earlier, when I was still hedging and working at my “job,” but on January 1, 2016, I gave up that safety net and ...
I recently watched a fascinating TED talk about The Harvard Study for Adult Development. Since 1938 (for 75 years!) researchers have been tracking and studying the lives of a group of 724 men from Boston. At the start of the study, half of the men...
Last night I attended a talk given by physician and author Karen Wyatt in the living room of a private home in Encinitas, California. Dr. Wyatt wrote the book What Really Matters: 7 Lessons for Living from the Stories of the Dying , which is ...
My mom died in June 2014. I still miss her terribly. I believe she is in a better place now- a place with no limitations and no pain- a place where she is embraced and infused with love and light. But still, I miss her. Now that she’s gone I wish...
My patient Albert died a few days ago. He was 62, and left behind a beautiful wife, 3 children and 4 grandchildren. It was my honor and privilege to help guide and support Albert and his family during his final days on earth.
My mother made me promise that I would never force her to live in a nursing home. Years before, she made the same promise to her mother. I grew up with the perception that nursing homes are sad, lonely places where old or sick people were deposited...
A couple of moths ago I launched my new medical practice. The vision for the practice has been developing within me for many years, though I finally got up the nerve to make it happen after my dad passed away this July. Dad and I had many discussions...
In my previous life as an emergency physician, my career revolved around saving lives and relieving suffering. I had great job security, because there are always people needing saving and relief from suffering! But suffering is an interesting and...
The following is a story I wrote a few years back, when I was still practicing as an ER doctor. Clearly, the palliative care/hospice perspective was coming through even then. Last night I helped a family make a very difficult decision.
If you were in the emergency room and I was your doctor, and I told you that you were dying—soon—what would you feel? I encourage you to stop reading this now and close your eyes, just for a few moments, and allow yourself to feel what comes up for you...
“Have I told you what I’ll be doing after I die?” she asked me. “No,” I replied. “In the afternoons I’ll be playing first base for the Yankees and in the evenings I’ll be first violinist for the Philharmonic Orchestra.”
I was recently involved in a case that demonstrated how critically important it is to talk with your loved ones about what you would (or wouldn’t) want if you became ill or injured and couldn’t make decisions on your own. Accidents happen and illness...