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Advance Care Planning with Stephanie Broussard

The Cancering Show

Release Date: 04/10/2024

How to Read Your Results #3: Pathology Reports show art How to Read Your Results #3: Pathology Reports

The Cancering Show

Dr. JYP concludes a three-part series focused on understanding the most common medical reports received by Cancering patients. This episode delves into pathology reports and how patients can use them to better understand their condition. Dr. JYP describes the key elements of pathology reports and defines terms such as "benign," "malignant," “carcinoma,” and “sarcoma.” She discusses how detailed reports from biopsies aid in staging cancer and the implications for treatment options. She reminds listeners that pathology reports should always be discussed with a doctor, and that reviewing...

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The Cancering Show

Dr. JYP continues a three-part series focused on understanding the most common medical reports received by Cancering patients. In this second episode, she discusses blood chemistry panels. She explains common abbreviations suck as BNP (basic metabolic panel) and CNP (comprehensive metabolic panel), guiding listeners through key components including sodium (NA), potassium (K), magnesium (MAG), kidney function tests (BUN and creatinine), and glucose levels. She discusses the importance of understanding normal ranges, the potential causes for abnormalities and the most common questions patients...

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How to Read Your Results #1: CBC Labs show art How to Read Your Results #1: CBC Labs

The Cancering Show

Dr. JYP kicks off a three-part series focused on understanding the most common medical reports received by Cancering patients. In the first episode, she discusses the basics of the Complete Blood Count, or CBC, which shows levels of white blood cells, red blood cells and platelets, highlighting the implications for high or low counts, especially for cancer patients. She also addresses treatments and precautions for those with low blood counts, urging listeners to feel empowered to understand their lab reports and to ask questions of their healthcare providers.   3 Key Episode Takeaways ...

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The Cancering Show

In this episode, Dr. JYP talks with USA Health urologist about prostate cancer and men's health. They start by weighing the reasons for why some men avoid seeing a physician and discuss how the advent of Viagra for erectile dysfunction helped motivate many men to go to a doctor’s office. Dr. Keel highlights the importance of screening for prostate cancer starting at age 40 or 45 depending on family history. He explains how robotic surgery has improved treatment outcomes and reduced side effects. Dr. Keel also explores the usefulness of genetic testing for high-risk patients and how new...

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In this episode of the Cancering podcast, Dr. JYP discusses how to avoid illnesses such colds, flu, and COVID while undergoing cancer treatment. She offers practical tips such as handwashing, using up-to-date hand sanitizer, and avoiding others who are ill. Dr. JYP gives advice on when to wear a medical mask and when to use an N95 to reduce the risk of infection. She also talks about the importance of home testing for COVID and flu, as well as when to call the doctor's office for certain symptoms.  This episode covers the usefulness of supplements such as vitamin D and zinc, which can...

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The Cancering Show

In this episode, Dr. Jennifer Young Pierce interviews Rev. Christopher Williams Sr., pastor of Yorktown Missionary Baptist Church, about the struggles and resilience of  Africatown, Alabama. Rev. Williams highlights the powerful impact of community support and the opening of the Africatown Heritage House Museum. He discusses high rates of cancer in his congregation and the area, and environmental concerns related to a now-closed industrial plant. Despite frustrations, local advocacy has led to positive changes, including new community resources to improve the lives of residents. Rev....

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The Cancering Show

In this episode, Dr. JYP talks with , a mother of four and survivor of ocular melanoma. Diagnosed in 2012, Ashley recalls that two of her college friends from Auburn University had also suffered from this rare eye cancer. She tells the story of having her right eye removed and how she later learned that the cancer had spread to her liver. Despite her devastating diagnosis, Ashley shares how she stays positive and finds purpose through her faith and intentional interactions with fellow eye cancer survivors and others. She talks about her foundation, , which helps fund travel for cancer...

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The Cancering Show

In this episode, Dr. Jennifer Young Pierce focuses on the importance of building a strong cancer care team. She explains the roles of various medical team members, including medical oncologists, radiation oncologists, surgical oncologists, and different types of nurses and nurse practitioners. She also highlights nonmedical support staff like social workers, nutritionists, and counselors. Dr. JYP emphasizes the value of relying on your caregivers and fellow patients for support, and the need to inform primary care doctors and other specialists about your cancer diagnosis. She briefly...

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Summertime Cancering show art Summertime Cancering

The Cancering Show

In this episode of The Cancering Show, Dr. JYP discusses the importance of cancer patients taking extra precautions during summer activities. She explains the sensitivity of chemotherapy patients' skin to sunburns and advises using mineral sunscreen and protective clothing. Dr. JYP also highlights the risks of swimming in certain types of water, the importance of proper head and hair care, and the need for hydration and avoiding strenuous activities in the heat. She offers other practical tips for those who are traveling, gardening, fishing and picnicking. Don’t worry; cancer patients can...

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The Cancering Show

In this episode, Fred Neubauer, a stage 4 cholangiocarcinoma survivor, shares his inspiring journey with Dr. JYP. Fred’s rare bile duct cancer was discovered during imaging for a kidney stone. Facing a challenging diagnosis, he explored advanced treatments, including chemotherapy, radiation, and innovative clinical trials, which helped shrink his tumors. Despite the difficulties, Fred remains hopeful and proactive in managing his cancer. Dr. JYP emphasizes the significance of biomarker testing, which helped Fred access treatments tailored specifically to his cancer's characteristics. Fred...

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In this episode, Dr. JYP talks with licensed clinical social worker Stephanie Broussard about the importance of patients sharing their wishes regarding palliative and end-of-life care. Broussard stresses the need to include a social worker as part of the cancer care team from the point of diagnosis to address emotional distress. She explains that palliative care, which focuses on relief from the symptoms and stress of a serious illness, is different from hospice care, which is a Medicare benefit and service for those with a terminal diagnosis.

Broussard shares why it's vital for everyone, even young adults, to have a plan for the person who will make medical decisions on their behalf. She stresses the importance of having conversations about what matters most to us in our care, especially when we are faced with a serious illness. Dr. JYP shares her own wishes to encourage listeners to think and talk about their end-of-life care goals and intentions. They conclude the episode with the agreement that advance care planning is “an act of love.”


3 Episode Key Takeaways


1. The Crucial Role of Advanced Care Planning:

Stephanie Broussard underscores the importance of advanced care planning as a necessary step to empower both patients and their families in making informed decisions regarding end-of-life care. This is an ongoing conversation that centers around identifying personal goals, values, and priorities, ensuring that one's wishes are respected and that these discussions are recognized as acts of love that unite families during challenging times.

2. Distinguishing Palliative Care and Hospice:

Broussard clarifies that while hospice care is a form of palliative care designed for individuals with a terminal prognosis of six months or less, palliative care in itself is broader and can benefit anyone with a serious illness, regardless of their stage of disease or age. The conversation with Dr. Jennifer Young Pierce delves into how palliative care encompasses the management of emotional, physical, and spiritual distress, aiming not just to alleviate symptoms but to improve overall quality of life for patients and their families.

3. The Role of Social Workers and the Need for Comprehensive Palliative Care:

The episode explores the specialized role and training required for social workers within the domain of palliative care, with an emphasis on the necessity for a more comprehensive palliative care intervention. There's a discussion about how reactive versus proactive integration of social work can affect outcomes, advocating for a holistic approach where every team member, including social workers, is involved from the beginning to manage symptoms, provide support to caregivers, and address psychosocial needs.


Show Overview


01:21 Palliative care explained
04:12 Social worker Stephanie Broussard addresses emotional suffering in patients.
11:34 Different roles for social workers involved in palliative care
15:13 Hospice focuses on a person’s quality of life.
20:18 Advance care planning is an ongoing process.
21:16 Importance of advance directives and conversations with family
25:21 Discussing end-of-life care and medical power of attorney
28:45 Broussard shares insights on palliative care and planning