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The Integrative Palliative Podcast

Delia Chiaramonte, MD

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Hosted by integrative palliative medicine physician, Dr. Delia Chiaramonte, The Integrative Palliative Podcast helps physicians and clinicians guide families facing serious illness to physical and emotional wellbeing. Listeners will find insights, skills and knowledge in evidence-supported integrative symptom management, as well as attention to their own self-care, because you can't pour from an empty cup! Everyone who cares for seriously ill people will find something for themselves and the ...
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Above the Laughs

Above The Laughs

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Above the Laughs is a comedy podcast that is recorded in the offices above The World Famous Laugh Factory in Chicago. Hosted by struggling comic/underpaid employee Matt Chiaramonte, ATL features conversations with everyone from a nationally headlining comics to a comedy club wait staff. If you want to know everything there is to know about the world of standup comedy, then you need to get Above the Laughs!
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The Corner Series

McGuireWoods

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“The Corner Series” is a multiperspective podcast series by McGuireWoods featuring commentaries from lawyers, bankers and a number of specialists about the developments and issues dominating today’s middle-market private equity. Tune in with McGuireWoods partner, Geoff Cockrell as he and specialists share real-world insight to help enhance your knowledge. McGuireWoods is a full-service firm providing legal and public affairs solutions to corporate, individual, and nonprofit clients worldwide ...
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We've just had a big election and many people have strong feelings about the result. Some people are happy about the outcome, and others are feeling deeply distressed. In palliative care we are experts at helping people cope with highly unwanted outcomes. We can use some of our palliative care skills to help people cope with their feelings right no…
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Can you define cisgender? Transgender? Intersex? Gender non-conforming? Do you know the difference between sex and gender? Have you heard of a 'dead name?' Do you know why using "Sir" and "Ma'am" can cause you to be inadvertently hurtful to your patients? Providing gender affirming care is important but you may not have learned this in school. Join…
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Host Geoff Cockrell observes that seller anxiety about the potential for broken deals seems to be high right now. A surprising number of deals, he says, are reluctant to “go out into a wider market process.” Guest Reed Van Gorden of Deerpath Capital sees the same trend: mergers and business sales are slow. He’s waiting to see if the two additional …
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Sarah Freeman Smith is a blind inspirational speaker and author, former HR/recruiting leader and disability advocate. She went blind in midlife and in this week's episode of The Integrative Palliative Podcast she shares her journey, the tech that she uses to increase her independence, and guidance for physicians and clinicians to help their visuall…
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The US Department of Justice has annunciated several enforcement priorities relevant to the healthcare sector: senior care, opioids, cyber security and privacy, and – of particular interest to listeners of “The Corner Series” – private equity investors in the healthcare space. Michael Podberesky, a former DOJ prosecutor who is now co-chair of McGui…
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Many patients are embalmed or cremated after death, but this isn't the only option. Embalming and cremation have a negative impact on the environment, and other, more eco-friendly, options are becoming popular. Options such as green burials, human composting, and reef balls give people options for how to handle their loved one's body after death. D…
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Many physicians, and other clinicians, are wiped out and burned out. They may wonder if they should stay in medicine, or if there is another path that would make them happier. Yet running away from unhappiness isn't a great strategy because sometimes the unhappiness follows you to your next destination. Dr. Heather Fork is a dermatologist and physi…
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The business-side of running an oral and maxillofacial surgery practice can present unique challenges, such as purchasing the latest equipment, staffing offices and dealing with technology and cyber security. That’s where private equity and a group run by doctors tries to help. Listen as Daniel Hosler, who brings experience in equity, and Dr. David…
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Sometimes patients or family members express their stress with anger. And when the anger is directed your way you may get defensive or annoyed and it can put a pall on your day. Listen to this week's episode for clear guidance about what to do when your patient gets angry so that both of you leave the visit feeling calm. Coping Courageously: A Hear…
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Everyone wants to dip their toe in the medical aesthetics space, and why not? It’s beautiful. But among platforms in this space, such as day spas, it’s the pure med spa that has longevity “because it mixes the experiential with the service and the clinical outcomes,” says Nicole Chiaramonte​ In October 2022, Nicole founded Advanced MedAesthetic Par…
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Don't be afraid to talk about dying. We don't learn to talk about dying and so many people are afraid because they don't know what to say. Here are four key topics to bring up with people who have advanced illness such as progressive metastatic cancer. In patients with Alzheimer's disease or other kinds of dementia, it is important to have these co…
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On this cross-over episode of Deal by Deal and The Corner Series, McGuireWoods’ partners Greg Hawver and Geoff Cockrell welcome labor and employment partner Meghaan Madriz to discuss recent headlines regarding the FTC’s proposed ban and the broader legal landscape for non-competes. Tune in as Meghaan breaks down the evolving enforceability of restr…
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Mental status changes in hospice patients are extremely common. Yet are they always due to disease progression? If a patient suddenly gets confused or sleeps all day, what should you do? Should you counsel the family that this is normal? Order testing? Assess the medication list? Family members sometimes worry that sending their loved one with adva…
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There are already big players in the pediatric and orthodontic space, so what inspired Ananya Shah and Will MacInnis to launch their own dental service organization in the same arena? The answer lies in untapped markets and “a ton of opportunity.” With host Geoff Cockrell, Ananya and Will outline their journey from a tech-focused healthcare start-u…
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At six months old, Seva Dental Team – Naimish Patel’s second venture in the dental consolidation arena – is already as successful as his first operation was at three years. What’s driving Seva’s fast-track? “We believe in picking a swim lane and swimming really fast in it,” explains Naimish, Seva’s chairman and co-founder. “So we are exclusively GP…
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Your patient is in terrible pain from cancer and you have the tools to relieve it. Yet they won't take the oxycontin or morphine that you prescribed. You can see that they are suffering yet you feel powerless to help. This is a common scenario and it can lead to discord between you and your patients. You may feel like saying, "Well fine then. I can…
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Ketamine is in the news right now because Matthew Perry died from improper use of ketamine and his physicians just got arrested for making that possible. It is always a bit shocking when physicians get arrested for prescribing medication. It does seem like his physicians were not acting in accordance with their hippocratic oath - if that's true, sh…
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M&A activity in the healthcare space has slowed since 2022, but with stable interest rates and creative deal structuring, M&A activity should increase going forward. Host Geoff Cockrell is joined by James Heidbreder, managing director in Fifth Third’s Healthcare Investment Banking group, to discuss challenges faced in healthcare M&A since 2022, the…
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We live in a soup of uncertainty and so do our patients and clients. Caring for patients with serious illnesses such as cancer or Alzheimers dementia can be extremely stressful because the experience is filled with uncertainty. Having a clear approach to dealing with uncertainty reduces stress and increases joy. This week we discuss 4 Dos and 4 Don…
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The LovingKindness, or Metta, meditation (not a typo - that's how it is spelled) is one of my favorite meditations. It offers kindness and healing to you, the people in your life and the world. This week I offer you a LovingKindness meditation for your own wellbeing. You'll notice that there is no intro or ending because I'd like you to hang on to …
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Michael Pennington used his background in middle-market investment banking to establish Platinum Dermatology Partners eight years ago. Now with 400 providers across five states, the physician-owned practice is thriving in a marketplace beset by challenges such as wage inflation and declining reimbursement models. In this episode of The Corner Serie…
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Leave your heirs the gift of organization. Estate planning is crucial but many people put it off because they aren't sure how to proceed. Adam Zuckerman is an attorney and entrepreneur who created a company, Buried in Work, after losing his father to cancer. Adam is passionate about making estate planning and end of life preparations as easy as pos…
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We've all had challenging patient or client interactions. It can be hard to know how to handle them and it can make us feel lousy or even derail our day. You want to be an empathetic physician, nurse, therapist, PA or other clinician but how do you balance empathy with boundaries when a patient or family is angry or mean? This week join me to refle…
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Dr. Gary Sprouse is the Less Stress Doc. He is a family physician with expertise in stress management and he's the author of Highway to Your Happy Place: A Roadmap to Less Stress. This week Dr. Sprouse shares tools and insights to help you manage stress, banish guilt and regret, and live a happier life. You can find more information about Dr. Sprou…
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Caring for a loved one who is aging or ill is hard. It is especially hard if you've had a challenging relationship with them. If you had a difficult childhood and now find yourself caring for a parent with cancer, a stroke, or Alzheimer's dementia, you may be experiencing extreme stress and overwhelm. Ask yourself these 3 questions and ponder these…
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The back office of a medical practice is like the offensive line on a football team: they do the job no one else wants to do. On this episode of The Corner Series, host Geoff Cockrell is joined by MedHQ president Erik Miller to discuss how outside back office support for areas such as HR, accounting, and credentialing can improve and streamline a m…
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Tax insurance and representation and warranty insurance have become common in M&A deals over the past two decades, but the use of those products continues to evolve as transactions become more complex. In this episode of The Corner Series, Jordan Tamchin of CAC Specialty joins host Geoff Cockrell to discuss tax insurance and RWI in today’s middle m…
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Chiropractic care is widely misunderstood by the medical community. In this interesting interview, chiropractor Brian Morrison clues us in to how we got here and the ways in which chiropractic education and clinical care have changed for the better in recent years. Dr. Morrison discusses who benefits most from chiropractic care, and which patients …
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Our internal judge has us judging ourselves, other people, and our circumstances. This makes practicing palliative care (and any patient care) harder and generates stress for us that we certainly don't need. This week you'll learn strategies for noticing your own judge and practical techniques for calming it, so you can enjoy your practice more, ha…
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Dr Gordon is a world-recognized authority and pioneer in mind-body medicine, and he is the founder and executive director of The Center for Mind-Body Medicine in Washington, DC. He is a Harvard educated psychiatrist and a clinical professor at Georgetown Medical School. He was chair of the White House Commission on Complementary and Alternative Med…
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Private equity investment in the medical environment is nothing new. But what investment considerations and challenges are specific to pediatric practices? In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell is joined by Tucker Moore and Chris O’Dekirk of Concierge Capital Advisory to discuss trends and issues related to private equi…
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Moral distress and moral injury are common in healthcare, yet few physicians, nurses or other clinicians talk about it on a regular basis. Stuffing the shame, guilt, anger and other powerful emotions that can accompany moral injury can lead to clinician burnout, compassion fatigue, depression or even suicide. And it can also result in excellent, em…
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While the dental practice market is one of the most mature healthcare markets, it is also highly fragmented. That fragmentation means that opportunities vary widely at every valuation level. In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell is joined by Kevin Cumbus, Founding Partner and President at TUSK Practice Sales. Tune in as…
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The term self-care has a bad rap lately. It can seem like healthcare organizations use terms like "self-care" and "resilience" to make their doctors, nurses, and other healthcare practitioners work harder and harder. They offer free yoga, while piling on more and more work! There is truth to this scenario, yet pushing away the concepts of self-care…
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Family offices have been growing since the end of the Great Recession. Now, family offices face new challenges such as determining diversification strategy and succession planning. In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell welcomes guest R. Adam Smith, the Managing Director of Salomon Brothers, who advises many family offic…
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Many clinicians, especially physicians, don't learn in school what to do when a patient is crying. When we don't know what to do we feel uncomfortable, and no one likes to feel uncomfortable. I've seen many physicians sit in the presence of a crying patient, continue to work on their computer, or awkwardly shift in their seat. This gives the patien…
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Medical technology is evolving every day. What trends are investment banks seeing, and what are some of the capital trends in the medical technology space? In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell chats with Brian Scullion, Senior Director, Medical Technology at William Blair, a boutique multinational investment bank and f…
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Is Joyful Palliative Care possible? Palliative care clinicians are often kind and highly empathetic people, but uncontrolled caring can lead to compassion fatigue or even burnout. Yet approaching the care of seriously ill people with an intentional approach can indeed make palliative care joyful. Here are the steps: 1. More tools to relieve your pa…
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From a seller’s perspective, how does a provider group get ready for a sale process? In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell interviews Marc Anderson, Managing Partner of The Belay Group, on the nuances of preparing companies, particularly in healthcare services, for a sale process. The discussion highlights the importanc…
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The 2024 Integrative Congress on Integrative Medicine and Health was held recently in Cleveland and there were so many wonderful sessions. I attended and have picked out 8 key learnings to share with you. The 8 topics are: 1. Microskills for wellness 2. Healing presence 3. Boundaries 4. Photobiomodulation 5. Vagus nerve 6. Psychedelics 7. A key val…
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Dermatology and aesthetics practices took off after the Great Recession, thrived during Covid, and now show no signs of slowing down. What makes dermatology and aesthetics such desirable investments? In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell chats with Clint Bundy and Stewart Carlin, managing directors of the Bundy Group, a…
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Effective doctor-patient communication is crucial for effective patient care. Yet effective communication is challenging when visits are time pressured, and both clinicians and patients are often stressed. Using the tools of negotiation can help make doctor/clinician-patient communication more effective. This week I discuss an 8 step approach to ne…
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Harvey Chochinov, MD, PhD is an esteemed clinician and researcher in the field of palliative care. He shares his research on dignity, dignity therapy and the Dignity Question that is vital for providing the highest quality end of life care. You will be inspired by his work and learn tools that you can bring right to the bedside. You can find Dr. Ch…
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One common myth about leadership is the idea of the “born leader,” whereby certain individuals are born with inherent leadership traits. However, leadership is not exclusively determined by genetics or innate abilities. Rather, leadership traits can be learned. In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell welcomes guest Leon B…
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Michelle Pearce, PhD is a psychotherapist, coach and integrative health educator who is passionate about guiding people to well-being. She shares her insights about health coaching, both private and group. She also shares information about the integrative health and wellness certificate program that she leads at the University of Maryland, Baltimor…
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PPM deals are one of the hottest trends in the current transaction environment with healthcare professionals. In this episode of The Corner Series, McGuireWoods’ Geoff Cockrell is joined by fellow partner and chair of the firm’s Healthcare Group, Holly Buckley, along with Justin Chamblee. Justin is the President of the Coker Group, a healthcare con…
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Dementia is hard on families. It is hard to watch a loved one decline, hard to provide personal care, and hard to lose the connection with the person that you once knew. One of the hardest things may be that the person loses their language, and language is often how we connect. This week I share 7 ideas for fostering connection with people with dem…
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Historically, private equity and venture capital have not been great at marketing, due to the conservative and highly regulated nature of the industry. However, “really good marketing shortens the first-point-of-contact-to-close-of-business, whether that's on the funding or founder side,” says Laurel Mintz. In this episode of The Corner Series, McG…
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Behavior change is hard. Integrative nutrition and wellbeing coaches are an important part of a healthcare team. Joel Edman, DSc, FACN is an integrative nutrition and health coach and he shares his wisdom this week about how to facilitate practical and realistic behavior change. Healthy nutrition, exercise and stress management is important for peo…
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As clinicians it is crucial that we are aware of our blinders. Sometimes the obvious cause of pain isn't the actual cause of pain and we need to be willing to look past our first impressions. This week I discuss the case of one of my patients (de-identified of course). He had widely metastatic cancer and a pain that I couldn't control with medicati…
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