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An in-depth interview with Rob Horowitz, chief of Palliative Care at URMC, about the challenges of supporting people with serious illness, even terminal illnesses, who often have very different views about medicine and truth than their doctors. Along the way we’ll hear about his unplanned journey into palliative care, the importance of love in medicine, psychedelics, the role of the ego in death, and his advice for curing bullshit with a palliative care approach.
2:20 - Any fresh hot bullshit on your mind?
6:00 - Have your views of medical misinformation changed?
10:08 - What do you see as the cure for bullshit?
11:30 - The hope for medical miracles
14:50 - Making difficult medical decisions
19:20 - Love in medicine
26:30 - Why did you choose to become a doctor?
30:11 - What prompted you to explore palliative care?
33:26 - What is palliative care?
36:35 - Facing death and suffering together
39:00 - What are the gifts and difficulties of working in palliative care?
42:21 - Applying the palliative care approach in neurology.
46:30 - Health care systems are made of humans that are fallible
51:00 - The cost of palliative care
55:50 - Delirium and other unexplainable events around death and dying
1:00:00 - Psychedelics and the power of letting go of the fear of death.
1:05:58 - How to advocate for palliative care for yourself or a loved one
1:08:00 - What advice would you have for people who want to die with dignity?
Dr. Rob Horowitz: https://www.urmc.rochester.edu/people/20741402-robert-k-horowitz