TWiV 723: COVID-19 palliative care with Ginger Campbell, MD

Ginger Campbell joins TWiV to discuss palliative care for COVID-19 patients, and how to approach the disease from a goals of care perspective. Show notes at …


  1. Wonderful and important episode. I am also very interested if long Covid remains a risk if a vaccine only prevents severe disease. I hope this will be discussed in a future episode. Thank you.

  2. Very disappointed in the TWIV hosts today! Not one of you had the gumption to challenge Medical Practioner Ginger about her disgraceful lack of respect for Nurses. TWIV is not the platform to address her allegations of nursing neglect and incompetence. If what she says is true she has a responsibility to follow up professionally through appropriate channels. I don’t believe her for a second.

  3. Dit is er aan de hand. Sars-CoV-2 A Weaponized Prion Disorder Disquised as Respiratory Disease. Hier werken groot machten als China, Rusland en Amerika al jaren in het geheim aan en is helaas ontsnapt uit een biolab in Wohan.

  4. 'Human kind cannot bear too much reality.' T S Eliot (Four Quartets). Hospice or palliative care is a real option if one gets ill, seriously ill (Covid or other).

  5. Been reading about the frail elderly 80 plus who have passed away from Pfizer or Moderna vaccines, who either had a previous covid infection that they survived but getting one of these 2 vaccines were their endpoints, the adverse reaction from having the vaccine while previously infected, was too much for their frail 80plus bodies to handle. Their deaths happen within hours or at most a few days after covid vaccines, but seems the vaccine companies prefer to say coincidence or whatever, but will do further followup. Some were even infected with covid before vaccines or recovered from the infection only a few weeks before. Haven't finished this Zoomcast but maybe they discuss this issue.
    PS I know (pre Covid) nursing home social workers/ RNs, who try to convince the nursing home resident's families that hospice or "pallative" care, would mean MORE MEDICAL ATTENTION, extra visits by nurses, and often this is very attractive to their guardians who think this is the ONLY WAY for their relatives to get proper care even if they really DON'T want to hasten the patient's death. Unfortunately, in most cases I knew of, the promises made for more attention and care NEVER HAPPENS. The families had been lied to. Be careful if you encounter a too good to be true fairy tale from a social worker or RN, it just may be that, a fairy tale. .

  6. 49:31 When listening to someone's views on a subject I have little background in and trying to vet their credibility an answer like this helps me consider someone as likely to be more responsible and reasonable. It's reassuring when someone won't opine outside their area of training and experience.

  7. At 25:40 "we know that 90% of the people will die" … how do you know if that patient might just end up falling into those that make up the 10%. I think the decision is actually done more scientifically. Patients have histories, multiple systems that either are working or not working, risk factors or not, Each case is taken into consideration and that is the scientific way that physicians involved in acute care (from admission to the hospital and possibly throughout the ICU stay) decide on "your chances of survival". Trust the science (that looks at everything) not the scientist (who likes to use percentages). Furthermore, as each week goes by research is being done on treatments. What may be true today may be different next month.

  8. Palliative care is interesting. It can easily be viewed as a threat to the profit motivation primary in for-profit hospitals. For-profit pushes the limit of cost-benefit for procedures and tests.

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