Dr. G at the Heart of Healthcare

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Stefanie Elkins, MA, MM- LA native - 2019 FOUNDED Be Present Care https://www.bepresentcare.com- End-of-Life Doula trained at the  University of Vermont and Bridging Transitions- Member of the Aging Life Care Association®, Foundation for Senior Services, and Valley Chevra Kadisha, - Worked with Compassion & Choices- Double MA in Management specializing in Human Services and an MA in Jewish Communal Service from Brandeis University- BA in Social Relations from UC Riverside Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Stefanie’s expertise as Family Caregiver Consultant, Aging Life Care Manager & End-of-Life Doula inspired her to create Death over Draftsfor “brewing conversations and drafting a new conversation about death.” Dr. G attended her first pre-End Well DoD in 2023 with Nurse Sharon💜💕, and has since co-crafted with other community members. Enjoy the origin story of DoD🍻2. Educate -Teaching point: Few types of DoD events can occur with the signature tools created by former NHDD 2024 podcast guest, Lisa Pahl, LCSW, APHSW-C https://thedeathdeck.com* The Death Deck- Neighborhood* EOL Deck- Networking for hospice care professionals or promoting advance care planning * Dementia Deck- ALCA adjacent, memory care outreach 3. Empower -A valuable a resource (become crafters and how DoD can be utilized with or part of other events like End Well)  https://www.deathoverdrafts.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/KC3yxnH1eNk?si=4C6OKwHCIeHINyF1#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #DeathOverDrafts #DeathPositive #BrewingConnection #DeathAndDying #DeathCurious

Show notes-Worldwide Hospice and Palliative Care Alliance (WHPCA) observes World Hospice and Palliative Care Day on October 11, 2025 ⁠ The theme for #WHPCDay25 is “Achieving the Promise: Universal Access to Palliative Care. This theme builds on last year’s campaign where we marked 10 years since the World Health Assembly (WHO’s Governing Body)” ⁠ Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Dalyce Kelley- Marketing Specialist - Four time family caregiverMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dalyce experienced three deaths in her family this year. We dedicated Season 3 to her grandmother “Mama Dee” one of the nineteen victims killed in the January 2025 Eaton Fire (see Season 3 Premiere). The second was her 44 year old sister, Ebony Williams, which hit especially hard after losing her grandmother tragically. She was only on hospice care for 2 weeks. Brother then died after being a paraplegic on long term care.2. Educate -Teaching points- When you or your loved one is facing a serious illness diagnosis, it may feel like there’s a fight against the clock. To optimize quality of life and maximize decision making options, advanced care planning and early palliative care are important tools. Patients and families need time to research the best hospice agency in their own neighborhoods, when no further curative treatment is available. - Delays due to insurance authorizations, complications from disease progression and complications of treatment can make the journey even more difficult. Ask for a palliative care consult. - These video show notes have important links: “What do we mean by GOALS OF CARE?” https://youtu.be/LxYfid3xZ3Y?si=nTuTT7i-H6ho1ZpA“Five Simple Steps to Find and Choose the BEST hospice agency” https://youtu.be/K9XNnARH5-A?si=51vT0m_Wra3z-LzV3. Empower -A valuable a resource New AAHPM CEO on Ensuring Widespread Access to Hospice and Palliative Care - Hospice News https://hospicenews.com/2025/09/25/new-aahpm-ceo-on-ensuring-widespread-access-to-hospice-and-palliative-care/Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/KtFaVoYZMS0?si=K5vrhhhk2XtgtISl#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #WHPCDay25

Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Tracey Piparo, PA- President of Physician Associates in Hospice and Palliative Medicine PAHPM- PA for 24 years: started in ER, then became a hospitalist - 1st PA to work in specialty palliative care - Married to fire fighter with two children 15, 12- From Brooklyn New York, lives in New Jersey Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1) Story (theme) PAs have been around since 1967 and were an integral part of of the healthcare team during Dr. G’s medical school training: Performing CABG with Cardiothoracic surgeon, harvesting veins for coronary artery bypass graft CABG; Rounding independently in the CABG “cabbage” patch post op 2) Educate -Teaching points- PA Training: Follows same Medical model as MDs/DOs, graduating as generalists. - Name changed from physician assistant to associate AAPA https://www.aapa.org/about/history/- PA Education Association https://paeaonline.org/our-programs- National Commission on Certification of Physician Assistants (NCCPA) https://www.nccpa.net- Scope of practice is determined at the team level and with the collaborating physician. Fellowships available for advanced training. HPM Certification established in 2023. Core Values PRACTICE https://www.nccpa.net/about-nccpa/3) Empower -A valuable a resource https://pahpm.mypanetwork.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/BtLR3V9NtIw?si=z_j3kpKLihfK3X6H #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife #PAweek #physicianassociate #physicianassistant #PAsGoBeyond

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKen Gorczyca- Veterinarian and Death Doula- Artist https://kengorczyca.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. Ken’s work began during the AIDS crisis. He now brings Spirit to Veterinary medicine with the movement towards in-home euthanasia. He believes in the important sacred moment of releasing our beloved animal companions at the end of their short lives. Dr. G correlates some insights to hospice care but has anxiety about this topic as a pet parent. A Clinical Ethicist Reflects on the Life and Death of a Beloved Pet - Ryan J Dougherty - ehospice https://ehospice.com/editorial_posts/a-clinical-ethicist-reflects-on-the-life-and-death-of-a-beloved-pet-ryan-j-dougherty/2. Educate -Teaching point How in home euthanasia works. - Before: learn love story- During: sedation, favorite food, toys- After: ceremonial ritual to acknowledge love. Cremation vs burial 3. Empower -Valuable resources - Adopt an older pet https://muttville.org/ - A gentle rest https://www.agentlerest.com- Become a pet death doula https://learn.uvm.edu/program/companion-animal-end-of-life-doula-professional-certificate-online/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/5AF7YauCZmc?si=Flnph50F__qpbX0p#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #PetLoss #Euthanasia #Dog #Dogs #Cat #Cats

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestDavid Patrick Paget- Canadian moved to the USA as one of eight kids in 1960s - Previously a Coca Cola truck driver- Real estate experience from Rancho Cucamonga to French Valley in 1999- Enjoys wine touring in Temecula https://gogrape.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) David is on a fixed income as a senior citizen collecting social security, he supplements by hosting wine tours. Money matters during the late stages of life. Many seniors have a nest egg built by the equity of their family home, a portion is an asset for funding care. 2. Educate (Teaching points)- How to find brokerage- Timing 25-30 years (small or no mortgage) - Paid when house sells- Home equity is paid out by investors - Misconception you will loss your house - If married one spouse must occupy the property - Consider creating a living trust - Counseling required for senior citizens, before the process begins - Better than an equity line of credit3. Empower -A valuable a resource https://www.c2financial.comWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/ZtMP5Of5ZS4?si=Mr_eKRonOfM27aUl #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk