Ever toss and turn after a goals of care meeting? Wondered when to consult ethics and palliative care? Had moral distress before, during, or after a family meeting in the dead of night after missing a meal and back-to-back pages? Have we got an episode for you! Join us as Dr. Mark Watson, a palliative care, hospice, and ethics expert, goes through the differences between a surrogate and a healthcare power of attorney (POA), and then we throw him into the deep end of increasingly difficult situations with more and more heat! How will he fare? Will us fellows continue to deeply breathe in the second stall of the bathroom with silent tears rolling after reliving the trauma of situations, mistakes, and disagreements in residency (this is not personal I swear)? Will Marissa, M4 now MD, be able to take the heat? FIND OUT! Show notes edited by Caroline Montag, BA: https://verigeripodcast.com/show-notes/f/spicy-difficult-situations-with-dr-mark-watson 0:40 Intro to our guru 0:57 Outline 1:53 Intro by Dr. Watson 3:04 Bread & Butter of surrogate versus healthcare power of attorney  3:36 Healthcare Power of Attorney (HCPOA) 5:51 Surrogate  8:25 What about the capacity of a surrogate or HCPOA? 11:08 Introduction of the challenges for Dr. Watson 11:45 Case 1: A patient with frailty, severe dementia, and full code  18:36: Case 2: Advance Care Planning says one thing about a feeding tube, but family wants another 25:02: Case 3: Asking about code status to a patient in distress  32:36: Case 4: An unbefriended patient 35:24: Case 5: Surrogate wants to reverse code status  39:31: BONUS: Hospice with Full Code  42:06: A brief summary and short motivational comments by Dr. Watson   Guru: Dr. Mark Watson Hosts: Patty Lee, MD, Samantha Ing, MD, Marissa Korte, MD Editor: Patty Lee, MD Our Very Excellent Peer Reviewers: Melissa Marinelli, MD, Jason Lyou, MD Show Notes Editor: Caroline Montag, BA Theme Song: Samantha Ing and Patty Lee, mixed by Tak Ikuma Piano transitions: Patty Lee 

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