Episode 57 - Dr. Robert Milch and Dr. Donald Shedd: Good Outcomes at the End of Life: The History of Hospice Buffalo

Monday, October 18, 2010, 10:56:06 AM

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Drs. Robert Milch and Donald Shedd have been leaders in the hospice movement since its early days. In this episode, they discuss the history of hospice and hospice in Buffalo, NY, the challenges of the early days of hospice, changes in hospice care over the years, and what they see as the future of hospice and palliative care.

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Average Rating: 5stars  episode 57, Saturday, October 29, 2011

By Danielle :

This podcast brings to the light the importance of hospice and Dr. Mulch and Dr. Schemed success in bringing hospice to Buffalo. Hospice is a great place for individuals who are in their last stages of life. Dr. Mulch and Dr. Schemed discuss in this podcast how in the past, hospice focused on the disease and not what makes the client comfortable in their end of life stage. Today, hospice focus on client’s wants and needs while making them comfortable through their end of life process, in addition to understanding the disease the client is battling. Furthermore, it prepares the client’s family and support system for their love one’s end of life. It may be hard for the client and families to receive services from hospice in their end of life stage, but in the end it is beneficial for both the client and their support system. All of the practitioners in a hospice (doctors, social workers, nurses etc.) work collaboratively with the focus of providing a comfortable end of life for the client, base on the clients wants.

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Average Rating: 4stars  inspiring and informative podcast!, Saturday, April 16, 2011

By Elizabeth Constantine :

This podcast tells a comprehensive and compelling story of the founding of Hospice in Buffalo through two individuals who were critical in getting it started. Drs. Milch and Scheed do an excellent job in explaining the origins of Hospice care and the need for palliative care. They shared the inspiring story of Charlotte Milch who fought tirelessly to bring Hospice to Buffalo, even in the face of criticism. They explained the evolution of Hospice from 1978 to today. They explained how they recognized the need, built the case for palliative care, sold the idea in the community, and how it became the viable and successful organization it is today. Their description is inspiring and informative for anyone interested in pursuing a new approach to care.

Hospice, by offering palliative care to individuals at the end of life, has become an invaluable source of support to individuals and their families throughout this community. Drs. Milch and Scheed explained that, before Hospice, the emphasis was on the disease and not on making someone comfortable at the end of their life. Hospice addresses the physical, psychological, spiritual and emotional aspects of end of life circumstances for individuals facing death as well as their families who are facing the death of a loved one. Luckily for the community of Western New York, Hospice Buffalo expanded beyond end of life care for cancer patients to end of life care for any individuals in need. Drs. Milch and Scheed went on to explain Hospice today and some of the challenges it now faces, including providing care for individuals while they remain in their home.

Overall it was an interesting podcast about an important service that really defined end of life care in this community. Hospice and palliative care have provided comfort and support for countless individuals and families. Its approach to treating the whole person and family, and not just the medical aspects, make it an invaluable service.

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Average Rating: 5stars  personal experience regarding the formation of hospice, Tuesday, February 01, 2011

By geoffrey :

Dr. Milch and Dr. Shedd are pioneers. It is quite an accomplishment to organize Hospice Buffalo due to the difficulty in organizing services and getting everyone involved on the same page. Drs., social workers and nurses are just some of the moving parts that need to synchronize. This is vital because the stakes are high when dealing with not only the clients in their last stages but also the families who are indirectly impacted. Limiting he trauma involved for both clients and their families is at the center of Hospice care. It is interesting to hear the doctors explain the difficulties in penetrating the medical establishment. Just think of how many people Hospice have helped. A personal experience: I am employed at an assisted living psychiatric geriatric unit where if you take off one week, you may not see one of the faces on the floor. This is a sad proposition as I had developed a bond with the clients on the units. Even though I would have the same conversation with most of the clients every time I worked, it was always rewarding seeing their eyes light up as I told them stories about my life. They would look at my like a grandson or even as themselves when they were my age. If I could make just one client smile during my shift it was all worth it. And to know that some of the clients would be removed from assisted living to Hospice care is something I feel comfortable with as I listened to this podcast. To have competent caring people in the human services professions is so important because the families just want to know that their loved one is in good hands and that they care. Being cared for on the clients own terms limits the traumatic effects of the final stages of life.

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