CINXE.COM
GeriPal EP319 Prognosis Superspecial
<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <link rel="shortcut icon" href="https://static.grain.com/images/favicon.png"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <meta name="theme-color" content="#000000"> <meta name="grain:native:protocol" content="grain"> <meta name="grain:frontend:hash" content="ef848caa1860e553433f42be2c98754dd93b8668"> <meta name="grain:frontend:deploy_timestamp" content="1732309167"> <title>GeriPal EP319 Prognosis Superspecial</title> <meta name="robots" content="noindex, nofollow"> <meta name="grain:status" content="ok"> <link rel="canonical" href="https://grain.com/share/recording/86165f05-8762-4583-a545-209e1d46887e/OIaFqDUdVPtPzJ6J5fGNOZKteDWqhMzXNmDm6Pks"> <meta property="og:url" content="https://grain.com/share/recording/86165f05-8762-4583-a545-209e1d46887e/OIaFqDUdVPtPzJ6J5fGNOZKteDWqhMzXNmDm6Pks"> <meta property="og:type" content="video.other"> <meta property="og:title" content="GeriPal EP319 Prognosis Superspecial"> <meta property="og:site_name" content="Grain"> <meta property="og:locale" content="en"> <meta name="twitter:site" content="@GrainHQ"> <meta name="twitter:card" content="player"> <meta name="twitter:player" content="https://grain.com/_/embed/recording/86165f05-8762-4583-a545-209e1d46887e/OIaFqDUdVPtPzJ6J5fGNOZKteDWqhMzXNmDm6Pks"> <meta name="twitter:player:width" content="576"> <meta name="twitter:player:height" content="364"> <link rel="alternate" type="application/json+oembed" title="GeriPal EP319 Prognosis Superspecial" href="https://grain.com/_/api/oembed?url=https%3A%2F%2Fgrain.com%2Fshare%2Frecording%2F86165f05-8762-4583-a545-209e1d46887e%2FOIaFqDUdVPtPzJ6J5fGNOZKteDWqhMzXNmDm6Pks&format=json"> <meta name="grain:recording:locked" , content="no"> <meta name="grain:recording:can_copy" , content="yes"> <meta name="grain:registration:copy_query_string" , content="post_registration=g3QAAAADdwZhY3Rpb253DmNvcHlfcmVjb3JkaW5ndwxyZWNvcmRpbmdfaWRtAAAAJDg2MTY1ZjA1LTg3NjItNDU4My1hNTQ1LTIwOWUxZDQ2ODg3ZXcLbGlua19zZWNyZXRtAAAAKE9JYUZxRFVkVlB0UHpKNko1ZkdOT1pLdGVEV3FoTXpYTm1EbTZQa3M"> <meta name="grain:recording:trimmed" , content="no"> <meta property="og:image" content="https://media.grain.com/public_thumbnails/recordings/ODYxNjVmMDUtODc2Mi00NTgzLWE1NDUtMjA5ZTFkNDY4ODdlOk9JYUZxRFVkVlB0UHpKNko1ZkdOT1pLdGVEV3FoTXpYTm1EbTZQa3M="> <meta name="grain:recording:id" content="86165f05-8762-4583-a545-209e1d46887e"> <meta name="grain:recording:json" content="{"id":"86165f05-8762-4583-a545-209e1d46887e","owner":{"name":"Tim Stuck"},"state":"PROCESSED","title":"GeriPal EP319 Prognosis Superspecial","duration":2948920,"url":"https://grain.com/share/recording/86165f05-8762-4583-a545-209e1d46887e/OIaFqDUdVPtPzJ6J5fGNOZKteDWqhMzXNmDm6Pks","locked":false,"views":4,"persons":[],"participants":[],"transcript":{"data":{"results":[[960,"This",1168],[1174,"episode",1542],[1566,"of",1678],[1694,"the",1798],[1814,"Jerry",2046],[2078,"Pal",2286],[2318,"podcast.",2830],[2910,"Is",3174],[3222,"CMe",3598],[3654,"eligible",4246],[4358,"to",4606],[4638,"claim",4902],[4966,"credit?",5406],[5478,"Please",5782],[5846,"go",6022],[6046,"to",6326],[6398,"the",6606],[6638,"Cme",7070],[7150,"tab",7454],[7502,"on",7662],[7686,"jerrypal.org",8254],[8302,"dot.",9210],[9670,"Welcome",10398],[10494,"to",10654],[10662,"the",10782],[10806,"Jerrypal",11294],[11342,"podcast.",11774],[11822,"This",11958],[11974,"is",12054],[12062,"Eric",12230],[12270,"Wardera.",12686],[12718,"This",12838],[12854,"is",12982],[13006,"Alex",13254],[13302,"Smith.",13710],[13790,"And",13982],[14006,"Alex,",14366],[14438,"we",14622],[14646,"have",14806],[14838,"a",15030],[15070,"super",15462],[15566,"special",15998],[16094,"today,",16662],[16806,"three",17086],[17118,"different",17382],[17446,"articles.",18230],[18350,"Prognosis,",19094],[19142,"super",19446],[19518,"special",19798],[19854,"today.",20406],[20558,"And",20822],[20846,"we",20934],[20942,"have",21062],[21086,"some",21222],[21246,"great",21454],[21502,"guests.",22038],[22134,"First",22462],[22526,"time",22726],[22758,"on",22878],[22894,"the",22998],[23014,"Jerry",23222],[23246,"Powell",23510],[23550,"podcast,",24046],[24118,"Liz",24350],[24390,"Lilly,",24726],[24758,"who's",24918],[24934,"a",25062],[25086,"surgeon",25446],[25478,"and",25598],[25614,"faculty",26046],[26078,"in",26222],[26246,"surgery",26582],[26606,"at",26694],[26702,"the",26798],[26814,"Brigham",27046],[27078,"Women's",27606],[27638,"Hospital",28070],[28190,"and",28422],[28446,"Harvard",28710],[28750,"Medical",29022],[29086,"School.",29616],[29758,"Liz,",30108],[30164,"welcome",30476],[30508,"to",30628],[30644,"the",30748],[30764,"Jerry",30972],[30996,"Pal",31260],[31300,"podcast.",32100],[32260,"Thanks.",32644],[32692,"Good",32828],[32844,"to",32948],[32964,"be",33092],[33116,"here.",33612],[33756,"And",33964],[33972,"we",34044],[34052,"have",34172],[34196,"two",34332],[34356,"returning",34756],[34788,"guests.",35052],[35076,"First,",35260],[35300,"we",35404],[35412,"have",35508],[35524,"James",35700],[35740,"Dierdorf,",36252],[36276,"who's",36428],[36444,"a",36524],[36532,"geriatrician",37116],[37148,"and",37316],[37348,"assistant",37724],[37772,"professor",38156],[38188,"at",38284],[38292,"UCSF",38820],[38860,"in",38964],[38972,"the",39068],[39084,"division",39300],[39340,"of",39516],[39548,"Geriatrics.",40300],[40340,"James,",40588],[40644,"welcome",40940],[40980,"back",41108],[41124,"to",41228],[41244,"Jerry",41492],[41516,"Pal.",42020],[42140,"Thanks",42436],[42468,"for",42612],[42636,"having",42796],[42828,"me.",43284],[43412,"And",43652],[43676,"we",43812],[43836,"have",44020],[44060,"returning",44372],[44396,"guest",44556],[44588,"Kara",44852],[44876,"Bischoff,",45316],[45348,"who's",45484],[45492,"a",45564],[45572,"palliative",45876],[45908,"care",46100],[46140,"doc",46372],[46396,"and",46532],[46556,"associate",46876],[46908,"professor",47316],[47348,"at",47468],[47484,"UCSF",48084],[48132,"in",48244],[48252,"the",48348],[48364,"Division",48556],[48588,"of",48732],[48756,"Palliative",49092],[49116,"Medicine.",49556],[49628,"Welcome",49988],[50044,"back",50212],[50236,"to",50348],[50364,"Jerry",50636],[50668,"Pal.",51204],[51332,"Thanks",51636],[51668,"so",51860],[51900,"much,",52196],[52268,"Alex.",53012],[53196,"So",53492],[53516,"we",53628],[53644,"got",54012],[54116,"three",54452],[54516,"articles",54892],[54916,"to",55028],[55044,"talk",55196],[55228,"about,",55660],[55780,"about",56060],[56100,"prognostication",57092],[57196,"and",57436],[57468,"prognosis.",58060],[58100,"But",58252],[58276,"before",58580],[58660,"we",58876],[58908,"do,",59076],[59108,"we",59300],[59340,"always",59660],[59740,"ask",60004],[60052,"for",60188],[60204,"a",60356],[60388,"song",60692],[60756,"request.",61244],[61332,"Liz,",62000],[62540,"I",62828],[62844,"think",62972],[62996,"you",63108],[63124,"got",63252],[63276,"the",63412],[63436,"song.",64028],[64204,"I",64516],[64548,"do",64716],[64748,"have",64892],[64916,"the",65052],[65076,"song.",65652],[65796,"The",66052],[66076,"song",66324],[66372,"request",66820],[66900,"is",67500],[67660,"what",67980],[68020,"was",68196],[68228,"I",68420],[68460,"made",68684],[68732,"for?",69012],[69076,"By",69348],[69404,"Billie",69732],[69756,"Eilish",70252],[70316,"from",70516],[70548,"the",70716],[70748,"very",71108],[71204,"fabulous",71748],[71804,"Barbie",72220],[72260,"movie.",72876],[73028,"Why",73436],[73508,"did",73716],[73748,"you",73940],[73980,"pick",74252],[74316,"this",74540],[74580,"song?",75240],[75860,"I",76148],[76164,"think",76316],[76348,"that",76516],[76548,"when",76716],[76748,"patients",77108],[77164,"think",77356],[77388,"about,",77628],[77684,"or",77852],[77876,"when",78012],[78036,"we",78172],[78196,"think",78380],[78420,"about",78668],[78724,"prognostication,",79596],[79668,"there's",79892],[79916,"a",80004],[80012,"lot",80108],[80124,"of",80324],[80372,"uncertainty",81084],[81132,"and",81658],[81804,"some",82158],[82214,"existential",82822],[82926,"distress",83446],[83518,"sometimes.",84446],[84598,"And",84838],[84854,"I",84958],[84974,"think",85102],[85126,"that",85334],[85382,"this",85566],[85598,"song",85854],[85902,"kind",86038],[86054,"of",86206],[86238,"captures",86654],[86702,"some",86838],[86854,"of",86958],[86974,"that",87126],[87158,"distress.",87890],[88670,"In",88958],[88974,"addition",89270],[89350,"to",89566],[89598,"wanting",89886],[89918,"to",90062],[90086,"torture",90454],[90502,"me",90686],[90718,"with",91054],[91142,"female",91550],[91590,"singer",91886],[91918,"songwriter",92350],[92390,"Diva,",93170],[94350,"which",94710],[94750,"I",94902],[94926,"secretly",95366],[95398,"enjoy",96030],[96190,"the",96510],[96550,"challenge",96902],[96926,"of.",97490],[98190,"Here's",98518],[98534,"a",98638],[98654,"little",98806],[98838,"bit.",99078],[99134,"This",99350],[99390,"is.",99782],[99886,"Yeah,",100262],[100326,"I",100454],[100462,"didn't",100622],[100646,"see",100734],[100742,"the",100814],[100822,"Barbie",101142],[101166,"movie,",101382],[101406,"but.",101590],[101630,"Okay,",101878],[101894,"here",101974],[101982,"we",102078],[102094,"go.",102650],[107940,"I",108420],[108500,"used",108908],[109004,"to",109236],[109268,"float",110120],[110820,"now",111324],[111412,"I",111684],[111732,"just",112012],[112076,"fall",112636],[112788,"down",113480],[114020,"I",114500],[114580,"used",114988],[115084,"to",115340],[115380,"know",115960],[116980,"but",117436],[117508,"I'm",117820],[117860,"not",118156],[118228,"sure",118724],[118852,"now",119520],[120060,"what",120468],[120524,"I",120740],[120780,"was",121196],[121308,"made",121868],[122004,"for",122680],[126220,"what",126652],[126716,"was",126988],[127044,"I",127404],[127492,"made",128028],[128164,"for?",128840],[132420,"Taking",133116],[133268,"a",133628],[133684,"drive",134480],[135540,"I",135948],[136004,"was",136340],[136420,"an",136756],[136828,"ideal",138160],[138540,"looked",139004],[139052,"so",139356],[139428,"alive",140080],[141560,"turns",142160],[142200,"out",142424],[142472,"I'm",142808],[142864,"not",143416],[143568,"real",144192],[144336,"just",144736],[144808,"something",145280],[145400,"you",145848],[145944,"paid",146536],[146648,"for.",147300],[150800,"What.",151208],[151264,"Was",151528],[151584,"I",151968],[152064,"made",152632],[152776,"for?",153460],[158160,"Cause",158672],[158736,"I",159340],[164640,"don't",165128],[165184,"know",165780],[166120,"how",166792],[166936,"to",167360],[167440,"feel",168060],[171460,"I",172200],[173020,"wanna",173548],[173604,"try",174200],[176580,"I",176988],[177044,"don't",177428],[177484,"know",178080],[178460,"how",179108],[179244,"to",179636],[179708,"feel",180320],[182660,"but",183092],[183156,"someday",184160],[185020,"I",185692],[185836,"might",186520],[189180,"someday.",190240],[191140,"I",191836],[191988,"might.",192680],[200830,"Alex",201318],[201374,"says",201590],[201630,"you're",201806],[201838,"torturing",202190],[202230,"him,",202358],[202374,"but",202502],[202526,"I",202878],[202974,"know",203230],[203270,"he",203422],[203446,"loves",203678],[203694,"the",203822],[203846,"song",204118],[204174,"because",204366],[204398,"he",204518],[204534,"continues",205118],[205174,"to",205342],[205366,"play",205622],[205686,"the",206054],[206142,"extended",206970],[207870,"intro",208382],[208446,"version.",209302],[209486,"Thank",209822],[209846,"you",209934],[209942,"for",210062],[210086,"the",210222],[210246,"opportunity,",210798],[210854,"Liz.",211450],[212590,"Well",213022],[213086,"done.",213690],[214990,"So,",215302],[215326,"we",215462],[215486,"got",215622],[215646,"a",215830],[215870,"lot",216046],[216078,"to",216246],[216278,"cover",216710],[216830,"on",217134],[217182,"prognosis.",218054],[218142,"We're",218318],[218334,"going",218390],[218390,"to",218454],[218462,"be",218558],[218574,"talking",218742],[218766,"about",219022],[219086,"three",219358],[219414,"different",219654],[219702,"articles,",220478],[220614,"one",220934],[220982,"on",221550],[221710,"the",222126],[222198,"pps.",222930],[223510,"We'll",223862],[223886,"talk",224022],[224046,"about",224182],[224206,"what",224366],[224398,"that",224590],[224630,"is,",225142],[225286,"another",225686],[225758,"one",225966],[225998,"on",226262],[226326,"thinking",226646],[226678,"about",226942],[227006,"prognostication",227646],[227678,"in",227822],[227846,"nursing",228046],[228078,"home",228222],[228246,"patients",228486],[228518,"with",228662],[228686,"dementia,",229410],[229770,"or",230154],[230202,"whether",230386],[230418,"or",230514],[230522,"not",230642],[230666,"they're",230874],[230922,"going",231130],[231170,"to",231298],[231314,"be",231418],[231434,"admitted",231682],[231706,"to",231794],[231802,"a",231898],[231914,"nursing",232162],[232186,"home.",232610],[232730,"And",233010],[233050,"the",233250],[233290,"third",233466],[233498,"one",233642],[233666,"on",233802],[233826,"prognostic",234874],[235002,"alignment.",235990],[236290,"So",236602],[236626,"I",236714],[236722,"was",236842],[236866,"thinking",237106],[237138,"about",237330],[237370,"starting",237690],[237730,"off",237954],[238002,"with",238642],[238826,"the",239194],[239242,"PPS,",239990],[240690,"the",241026],[241058,"palliative",241674],[241762,"performance",242250],[242370,"scale.",242666],[242698,"Is",242794],[242802,"that",242946],[242978,"right,",243122],[243146,"Cara?",243818],[243954,"That's",244306],[244338,"right.",244482],[244506,"You",244642],[244666,"got",244778],[244794,"it.",245350],[246290,"Why",246842],[246946,"is",247282],[247346,"the",247546],[247578,"PPS",248082],[248186,"important?",248830],[249370,"Sure.",249922],[250026,"Yeah.",250474],[250562,"So",250762],[250786,"the",250898],[250914,"palliative",251226],[251258,"performance",251522],[251586,"scale,",251826],[251858,"or",251954],[251962,"PPS,",252290],[252370,"is",252610],[252650,"essentially",252970],[253010,"a",253162],[253186,"tool",253610],[253730,"to",253962],[253986,"help",254194],[254242,"clinicians",254674],[254722,"with",254906],[254938,"prognostication",255786],[255858,"for",256090],[256130,"seriously",256674],[256722,"ill",256970],[257010,"or",257162],[257186,"palliative",257546],[257578,"care",257986],[258098,"populations.",259150],[259450,"It's",259786],[259818,"essentially",260122],[260146,"a",260258],[260274,"measure",260482],[260506,"of",260642],[260666,"functional",261106],[261178,"status.",261950],[262650,"It's",263026],[263058,"modeled",263322],[263346,"off",263458],[263474,"the",263602],[263626,"Karnofsky",264162],[264186,"performance",264466],[264538,"scale,",264810],[264850,"but",264978],[264994,"it",265098],[265114,"was",265338],[265394,"adapted",266194],[266322,"for",266634],[266682,"palliative",267082],[267106,"care",267314],[267362,"populations,",268306],[268458,"and",268698],[268714,"it",268770],[268770,"was",268882],[268906,"developed",269186],[269218,"in",269746],[269898,"canadian",270474],[270522,"palliative",270882],[270906,"care",271066],[271098,"units",271330],[271370,"in",271474],[271482,"the",271578],[271594,"1990s,",272266],[272338,"about",272642],[272706,"30",273050],[273130,"years",273298],[273314,"ago.",273850],[274010,"But",274258],[274274,"it's",274538],[274594,"still",274810],[274850,"the",275002],[275026,"prognostic",275610],[275650,"tool",276114],[276242,"used",276578],[276634,"most",276922],[276986,"often",277594],[277762,"by",278066],[278098,"palliative",278482],[278506,"care",278690],[278730,"clinicians.",279506],[279658,"Yeah,",279898],[279914,"I",280018],[280034,"see",280162],[280186,"it",280346],[280378,"used",280594],[280642,"on",280874],[280922,"inpatient,",281458],[281514,"side",281802],[281866,"on",282114],[282162,"consult",282578],[282634,"clinics",283178],[283274,"in",283530],[283570,"hospices.",284346],[284498,"A",284786],[284818,"lot",284962],[284986,"of",285122],[285146,"people",285402],[285466,"use",285666],[285698,"the",285842],[285866,"pps",286394],[286522,"when",286738],[286754,"they're",286882],[286906,"thinking",287146],[287178,"about",287370],[287410,"function",288288],[288474,"and",288748],[288764,"then",288916],[288948,"aligning",289396],[289428,"that",289596],[289628,"with",289796],[289828,"prognosis.",290880],[291380,"Most",291836],[291908,"used",292520],[293100,"prognostic",293964],[294012,"index",294564],[294692,"on",295100],[295180,"e",295396],[295428,"prognosis.",295956],[295988,"Oh,",296108],[296124,"really?",296564],[296692,"Most",297220],[297340,"used?",297740],[297820,"Most",298036],[298068,"used.",298284],[298332,"Out",298468],[298484,"of",298636],[298668,"all",298812],[298836,"the",298948],[298964,"ones,",299220],[299260,"out",299364],[299372,"of.",299516],[299548,"All",299884],[299972,"those",300268],[300324,"indices,",300828],[300924,"why",301108],[301124,"do",301180],[301180,"you",301244],[301252,"think",301372],[301396,"that",301532],[301556,"is?",302076],[302228,"About",302540],[302580,"12,000",303124],[303172,"views",303500],[303540,"per",303740],[303780,"month?",304100],[304180,"I",304348],[304364,"think",304516],[304548,"it's",304732],[304756,"just.",305320],[305980,"It",306268],[306284,"is",306436],[306468,"appropriate",306804],[306852,"for",307012],[307036,"all",307196],[307228,"patient",307500],[307540,"populations,",308640],[309140,"and",309524],[309572,"it",309708],[309724,"is",309900],[309940,"developed",310388],[310444,"specifically",311252],[311316,"for",311660],[311740,"the",311908],[311924,"palliative",312212],[312236,"care",312444],[312492,"and",312652],[312676,"hospice",313028],[313084,"populations.",314080],[314760,"And",315048],[315064,"it's",315192],[315216,"pretty",315376],[315408,"straightforward.",316096],[316208,"It's",316496],[316528,"pretty",316744],[316792,"easy",317056],[317088,"to",317232],[317256,"use",317488],[317544,"by",317736],[317768,"clinicians",318224],[318272,"in",318384],[318392,"the",318488],[318504,"course",318632],[318656,"of",318768],[318784,"care.",319248],[319384,"I",319656],[319688,"suspect",319936],[319968,"that",320088],[320104,"eprognosis",320776],[320808,"gets",321008],[321024,"a",321104],[321112,"lot",321208],[321224,"of",321496],[321568,"hits",321856],[321888,"because",322248],[322344,"we",322600],[322640,"have",323056],[323168,"simple,",323704],[323792,"easy",324048],[324064,"to",324144],[324152,"use",324296],[324328,"dropdown",324752],[324816,"menus",325120],[325160,"and",325264],[325272,"there",325344],[325352,"are",325400],[325400,"all",325488],[325504,"these",325656],[325688,"skip",325984],[326032,"patterns",326824],[326952,"in",327240],[327280,"estimating",327864],[327952,"the",328176],[328208,"PPS.",328736],[328848,"And",329048],[329064,"so",329240],[329280,"we",329432],[329456,"make",329592],[329616,"it",329728],[329744,"really",329920],[329960,"easy",330216],[330248,"for",330416],[330448,"clinicians",331232],[331416,"to",331688],[331704,"use",331832],[331856,"it.",332016],[332048,"That's",332232],[332256,"a",332416],[332448,"suspicion.",333328],[333504,"My",333792],[333816,"other",334024],[334072,"suspicion",334520],[334560,"is",334712],[334736,"that",334896],[334928,"hospices",335376],[335448,"are",335632],[335656,"using",335840],[335880,"it",336008],[336024,"for",336176],[336208,"recertification",337420],[337840,"because",338584],[338752,"it",339032],[339056,"predicts",339392],[339416,"such",339552],[339576,"a",339712],[339736,"short",339968],[340024,"term",340240],[340280,"mortality",341180],[341930,"and",342242],[342266,"they",342474],[342522,"have",342802],[342866,"data",343162],[343226,"to",343426],[343458,"back",343650],[343690,"that",343890],[343930,"up.",344442],[344586,"And",344890],[344930,"as",345106],[345138,"Kara",345402],[345426,"will",345586],[345618,"discuss,",345882],[345946,"that",346098],[346114,"may",346242],[346266,"be",346402],[346426,"problematic.",347114],[347242,"And",347434],[347442,"the",347538],[347554,"pps",347890],[347970,"we",348138],[348154,"may",348306],[348338,"discuss.",348794],[348922,"I",349114],[349122,"guess",349218],[349234,"we",349314],[349322,"didn't",349498],[349514,"do",349642],[349666,"hospice",350226],[350338,"specifically.",350914],[350962,"Yeah.",351282],[351346,"What's",351626],[351658,"in",351778],[351794,"it",351922],[351946,"again?",352346],[352458,"It's",352658],[352674,"a",352946],[353018,"measure",353266],[353298,"of",353466],[353498,"function.",353898],[353954,"Right?",354554],[354722,"Yeah,",355186],[355258,"exactly.",355906],[355978,"So",356234],[356282,"how",356634],[356722,"physically",357122],[357186,"active",357466],[357498,"the",357618],[357634,"patient",357850],[357890,"is,",358066],[358098,"how",358242],[358266,"much",358426],[358458,"time",358650],[358690,"they",358842],[358866,"spend",359138],[359194,"awake,",359562],[359626,"how",359826],[359858,"much",360002],[360026,"they're",360226],[360258,"eating,",360870],[361370,"how",361658],[361674,"much",361826],[361858,"care",362050],[362090,"they",362242],[362266,"need,",362522],[362586,"that",362762],[362786,"type",362938],[362954,"of",363058],[363074,"thing.",363586],[363738,"There",364002],[364026,"is",364162],[364186,"a",364322],[364346,"question",364578],[364634,"about",365018],[365114,"disease",365586],[365658,"extent,",366098],[366154,"but",366706],[366858,"it's",367170],[367210,"wrapped",367506],[367538,"in",367682],[367706,"with",367890],[367930,"another",368274],[368362,"question.",368706],[368778,"Right.",369010],[369050,"It's",369290],[369330,"pretty",369594],[369642,"basic.",370252],[370386,"Yeah.",370672],[370696,"And",370808],[370824,"so",371288],[371424,"these",371696],[371728,"are",371872],[371896,"easy",372160],[372200,"things",372376],[372408,"that",372576],[372608,"we",372776],[372808,"usually",373040],[373080,"are",373256],[373288,"aware",373576],[373608,"of",373776],[373808,"when",373928],[373944,"we're",374048],[374064,"seeing",374256],[374288,"patients",374520],[374560,"in",374712],[374736,"palliative",375056],[375088,"care.",375448],[375544,"Yeah.",376152],[376296,"Doesn't",376640],[376680,"require",377000],[377040,"a",377144],[377152,"lot",377248],[377264,"of",377368],[377384,"advanced",377696],[377728,"measurements.",378368],[378504,"Yeah.",379176],[379328,"And",379592],[379616,"then",380088],[380224,"I",380424],[380432,"could",380600],[380640,"imagine.",381352],[381496,"I",381728],[381744,"guess",381872],[381896,"the",382008],[382024,"question",382176],[382208,"is,",382328],[382344,"so",382472],[382496,"you",382584],[382592,"did",382712],[382736,"this",382872],[382896,"paper",383264],[383352,"on",383720],[383800,"validate.",384408],[384464,"Validating",385064],[385152,"the",385352],[385376,"PPs",385760],[385840,"in",386008],[386024,"the",386368],[386464,"populations",387568],[387704,"at",388048],[388104,"UCSF.",388616],[388648,"Is",388768],[388784,"that",388936],[388968,"right?",389472],[389616,"Yeah,",389912],[389936,"it's",390136],[390168,"exactly",390512],[390536,"right.",390672],[390696,"It's",390832],[390856,"an",391016],[391048,"external",391480],[391520,"validation",392136],[392208,"study.",392776],[392928,"So",393312],[393376,"why.",393768],[393864,"Why",394216],[394288,"did",394472],[394496,"you",394656],[394688,"do",394880],[394920,"that?",395528],[395704,"Yeah,",396440],[396600,"of",396944],[396992,"course.",397296],[397368,"So,",397906],[398048,"essentially,",398462],[398486,"I",398574],[398582,"was",398702],[398726,"seeing",398926],[398958,"patients",399294],[399342,"in",399838],[399974,"primarily",400470],[400510,"outpatient",400950],[400990,"palliative",401302],[401326,"care",401510],[401550,"settings,",401934],[402022,"and",402534],[402662,"I",403022],[403086,"was",403690],[404230,"noticing",404838],[404894,"that",405086],[405118,"the",405262],[405286,"patients",405614],[405662,"I",405798],[405814,"was",405990],[406030,"seeing",406690],[407390,"didn't",407854],[407902,"have",408254],[408342,"the",408614],[408662,"prognosis",409198],[409254,"that",409446],[409478,"their",409622],[409646,"PPS",409982],[410046,"scores",410406],[410438,"would",410606],[410638,"predict",411006],[411078,"based",411310],[411350,"on",411574],[411622,"classic",412046],[412078,"literature.",412446],[412518,"For",412678],[412694,"example,",413310],[413430,"if",413638],[413654,"I",413758],[413774,"saw",413878],[413894,"a",413998],[414014,"patient",414206],[414238,"with",414358],[414374,"ALS",415030],[415150,"with",415382],[415406,"a",415518],[415534,"PPS",415958],[416054,"score",416286],[416318,"of",416462],[416486,"50%,",417398],[417574,"classic",418174],[418222,"studies",418558],[418614,"would",418806],[418838,"predict",419022],[419046,"that",419182],[419206,"that",419342],[419366,"patient",419630],[419670,"had",419822],[419846,"about",420078],[420134,"50",420446],[420518,"days",420750],[420790,"to",420966],[420998,"live.",421454],[421582,"But",421798],[421814,"that",421966],[421998,"just",422142],[422166,"didn't",422406],[422438,"seem",422678],[422734,"right.",423142],[423246,"And",423438],[423454,"those",423606],[423638,"classic",423926],[423958,"studies,",424190],[424230,"were",424382],[424406,"those",424614],[424662,"done",424822],[424846,"in",424934],[424942,"the",425086],[425118,"hospital",425454],[425542,"and",425718],[425734,"PALP",425982],[426006,"care",426166],[426198,"units",426446],[426478,"and",426622],[426646,"clinic?",427262],[427406,"Yeah,",427726],[427758,"they",427878],[427894,"were",427998],[428014,"done",428166],[428198,"over",428390],[428430,"ten",428630],[428670,"years",428798],[428814,"ago,",428966],[428998,"and",429142],[429166,"mostly",429550],[429590,"in",430126],[430278,"inpatient",430830],[430870,"palliative",431222],[431246,"care",431454],[431502,"units",431798],[431854,"and",432046],[432078,"hospice",432478],[432534,"settings,",433046],[433158,"primarily",433814],[433862,"in",434046],[434078,"cancer",434390],[434430,"populations.",435470],[435630,"So",435878],[435894,"we",436022],[436046,"really",436278],[436334,"wondered,",436686],[436718,"you",436838],[436854,"know,",436982],[437006,"in",437166],[437198,"modern",437606],[437678,"palliative",438062],[438086,"care",438270],[438310,"practice,",438830],[438910,"where",439126],[439158,"we're",439350],[439390,"seeing",439718],[439774,"patients",440222],[440286,"a",440438],[440454,"lot",440606],[440638,"farther",440958],[441014,"upstream",441942],[442086,"than",442342],[442366,"we",442502],[442526,"used",442686],[442718,"to,",442862],[442886,"and",443022],[443046,"we're",443206],[443238,"seeing",443430],[443470,"patients",443710],[443750,"with",443902],[443926,"a",444134],[444182,"wider",444502],[444566,"range",444758],[444774,"of",444902],[444926,"diagnoses,",445930],[446510,"we",446798],[446814,"wanted",446998],[447014,"to",447166],[447198,"update,",447558],[447614,"sort",447774],[447782,"of.",447902],[447926,"What",448086],[448118,"are",448262],[448286,"the",448494],[448542,"prognoses",449158],[449214,"associated",449678],[449734,"with",449950],[449990,"various",450430],[450510,"PPS",450950],[451030,"scores?",451742],[451886,"Yeah,",452118],[452134,"and",452214],[452222,"I",452318],[452334,"can",452462],[452486,"imagine,",452950],[453030,"I.",453176],[453198,"The",453356],[453388,"patients",453852],[453956,"that",454172],[454196,"we",454308],[454324,"were",454452],[454476,"seeing,",455120],[455860,"a,",456244],[456292,"first",456452],[456476,"of",456636],[456668,"all,",456932],[456996,"in",457172],[457196,"the",457692],[457836,"2000",458372],[458436,"2010s,",459300],[459340,"there",459468],[459484,"were",459588],[459604,"very",459804],[459852,"few",460084],[460132,"clinics",460508],[460564,"out",460756],[460788,"there,",461360],[461980,"and",462268],[462284,"the",462436],[462468,"patients",462780],[462820,"that",462948],[462964,"we",463068],[463084,"were",463188],[463204,"seeing",463372],[463396,"in",463508],[463524,"palliative",463836],[463868,"care",464132],[464196,"were",464420],[464460,"mostly",464844],[464892,"inpatients.",465588],[465684,"The",466320],[466660,"folks",467036],[467068,"that",467212],[467236,"we",467396],[467428,"were",467596],[467628,"seeing",467812],[467836,"either",467996],[468028,"in",468148],[468164,"clinic",468372],[468396,"or",468532],[468556,"inpatient,",469284],[469412,"were",469820],[469900,"probably",470324],[470372,"a",470508],[470524,"lot",470748],[470804,"sicker",471180],[471220,"than",471372],[471396,"the",471532],[471556,"ones",471732],[471756,"that",471868],[471884,"we're",472052],[472076,"seeing",472276],[472308,"now.",472500],[472540,"Cause",472996],[473108,"there's",473484],[473532,"been",473692],[473716,"a",473900],[473940,"big",474140],[474180,"push",474404],[474452,"for",474708],[474764,"seeing",475036],[475068,"them",475260],[475300,"upstream,",475700],[475740,"which",475940],[475980,"also.",476276],[476348,"Right.",476772],[476876,"Would",477164],[477212,"change",477420],[477460,"their",477636],[477668,"prognosis.",478380],[478460,"That's",478692],[478716,"the",478852],[478876,"hypothesis,",479740],[479860,"absolutely.",480836],[480908,"Yeah.",481156],[481188,"We",481356],[481388,"hypothesize",482020],[482060,"that",482212],[482236,"we're",482396],[482428,"seeing",482700],[482740,"patients",483204],[483292,"with",483920],[484320,"significant",484848],[484944,"disability,",485544],[485672,"so",485984],[486032,"lower",486312],[486336,"PPS",486672],[486736,"scores,",487032],[487056,"but",487264],[487312,"are",487472],[487496,"living",487704],[487752,"for",487912],[487936,"a",488072],[488096,"lot",488280],[488320,"longer",488784],[488872,"than",489072],[489096,"they",489232],[489256,"used",489416],[489448,"to.",490020],[490480,"Did",490792],[490816,"you",491000],[491040,"find",491624],[491792,"what",492096],[492128,"you",492320],[492360,"thought",492632],[492696,"you",492872],[492896,"would",493080],[493120,"find?",493752],[493936,"Yeah,",494656],[494808,"indeed",495288],[495344,"we",495536],[495568,"did.",495928],[496024,"So,",496376],[496448,"using",496896],[497008,"data",497376],[497448,"from",497656],[497688,"our",497832],[497856,"UCSF",498448],[498504,"inpatient",498976],[499008,"and",499128],[499144,"outpatient",499520],[499560,"palliative",499912],[499936,"care",500096],[500128,"practices,",500776],[500928,"we",501192],[501216,"found",501400],[501440,"that",501592],[501616,"the",501752],[501776,"prognoses",502504],[502592,"associated",503024],[503072,"with",503232],[503256,"each",503416],[503448,"PPS",503776],[503848,"score",504240],[504320,"are",504656],[504728,"two",504984],[505032,"to",505264],[505312,"twelve",505664],[505752,"fold",506376],[506528,"longer",507120],[507200,"than",507392],[507416,"they",507528],[507544,"were",507696],[507728,"per",507920],[507960,"previous",508256],[508328,"literature.",509078],[509264,"So,",510066],[510258,"coming",510634],[510682,"back",510794],[510802,"to",510898],[510914,"the",511018],[511034,"example",511282],[511306,"I",511394],[511402,"gave",511522],[511546,"a",511610],[511610,"moment",511778],[511794,"ago,",512350],[512650,"in",513034],[513082,"classic",513466],[513498,"literature,",514218],[514394,"an",514658],[514674,"outpatient",515218],[515274,"with",515418],[515434,"a",515538],[515554,"PPS",515858],[515914,"of",516082],[516106,"50%",516698],[516754,"would",516922],[516946,"live",517082],[517106,"about",517314],[517362,"50",517642],[517706,"days.",518098],[518194,"But",518402],[518426,"we",518538],[518554,"found",518706],[518738,"that",518906],[518938,"outpatient",519386],[519418,"with",519538],[519554,"a",519658],[519674,"PPS",520002],[520066,"of",520242],[520266,"50%",520778],[520834,"was",521002],[521026,"actually",521282],[521346,"living",521594],[521642,"598",523058],[523114,"days.",523710],[524170,"I",524434],[524442,"like",524562],[524586,"the",524698],[524714,"way",524818],[524834,"that",524962],[524986,"CarA",525266],[525298,"is",525418],[525434,"referring",525746],[525778,"to",525922],[525946,"the",526082],[526106,"literature",526514],[526562,"as",526746],[526778,"classic,",527630],[527930,"which",528266],[528298,"is",528514],[528562,"not",528746],[528778,"as",528946],[528978,"pejorative,",529482],[529546,"as",529794],[529842,"old",530430],[531930,"or",532290],[532330,"dated.",532950],[534530,"Very",534890],[534930,"generous",535266],[535298,"to",535394],[535402,"the.",535546],[535578,"Alex",535786],[535818,"and",535914],[535922,"I",536018],[536034,"are",536234],[536282,"classic",536690],[536730,"attendings.",537630],[540010,"I",540322],[540346,"remember,",540578],[540634,"like,",540802],[540826,"the",540938],[540954,"2010s,",541710],[541750,"when,",542118],[542214,"like,",542422],[542446,"I",542654],[542702,"wrote",542878],[542894,"a",542974],[542982,"paper",543166],[543198,"with",543342],[543366,"Mike",543550],[543590,"Raybo,",544086],[544158,"who",544318],[544334,"is",544462],[544486,"a",544838],[544934,"director",545214],[545262,"of",545398],[545414,"the",545998],[546174,"cancer",546654],[546702,"focused",547062],[547086,"outpatient",547574],[547622,"clinic",547862],[547886,"at",547998],[548014,"UCSF,",548926],[549078,"about",549366],[549398,"the",549542],[549566,"emerging",550038],[550094,"landscape",550590],[550630,"of",550806],[550838,"outpatient",551334],[551382,"palliative",551806],[551838,"care.",552078],[552134,"So",552302],[552326,"you're",552462],[552486,"absolutely",552806],[552838,"right.",553030],[553070,"Like,",553726],[553918,"those",554294],[554342,"clinics",554670],[554710,"just",554958],[555014,"weren't",555294],[555342,"around",555670],[555750,"now,",556254],[556382,"and",556598],[556614,"they",556718],[556734,"were",556838],[556854,"just",557030],[557070,"emerging",557710],[557750,"in",557926],[557958,"cancer,",558422],[558486,"much",558710],[558750,"less",558950],[558990,"what",559190],[559230,"you",559382],[559406,"do",559566],[559598,"primarily,",560030],[560070,"which",560222],[560246,"is",560382],[560406,"see",560590],[560630,"non",560854],[560902,"cancer",561230],[561270,"folks.",561846],[561998,"Yeah,",562542],[562646,"it's",562926],[562958,"kind",563102],[563126,"of",563286],[563318,"interesting",563734],[563782,"to",563966],[563998,"remember",564254],[564302,"how",564462],[564486,"far",564646],[564678,"we've",564886],[564918,"come",565350],[565470,"in",565678],[565694,"just",565870],[565910,"ten",566062],[566086,"or",566222],[566246,"20",566502],[566566,"years.",567170],[568300,"As",568612],[568636,"you",568820],[568860,"alluded",569148],[569164,"to",569268],[569284,"the",569484],[569532,"non",569740],[569780,"cancer",570212],[570276,"space,",570740],[570860,"we",571116],[571148,"also",571364],[571412,"found",571644],[571692,"that",571900],[571940,"patients",572308],[572364,"with",572748],[572844,"non",573172],[573236,"cancer",573668],[573724,"serious",574084],[574132,"illnesses,",575052],[575236,"on",575556],[575588,"average,",575892],[575956,"live",576204],[576252,"longer",576812],[576916,"at",577132],[577156,"each",577316],[577348,"PPS",577764],[577852,"score.",578480],[579140,"And",579452],[579476,"we",579612],[579636,"also,",579916],[579988,"similarly,",581000],[582580,"using",582940],[582980,"our",583132],[583156,"data",583316],[583348,"from",583492],[583516,"our",583652],[583676,"outpatient",584236],[584308,"palliative",584716],[584748,"care",585036],[585108,"clinics,",585772],[585916,"we",586172],[586196,"looked",586372],[586396,"at",586532],[586556,"whether",587004],[587132,"the",587396],[587428,"PPS",587884],[587972,"scores",588580],[588660,"determined",589444],[589572,"through",589836],[589868,"video",590108],[590164,"visits",591004],[591172,"were",591692],[591796,"associated",592156],[592188,"with",592284],[592292,"the",592388],[592404,"same",592556],[592588,"prognoses",593076],[593108,"as",593276],[593308,"PPS",593588],[593644,"scores",593980],[594020,"determined",594412],[594436,"in,",594620],[594660,"in",594836],[594868,"person",595156],[595228,"visits,",595572],[595596,"and",595732],[595756,"we",595892],[595916,"actually",596172],[596236,"found",596484],[596532,"that",596692],[596716,"they",596876],[596908,"were",597052],[597076,"the",597212],[597236,"same.",597612],[597716,"So",597908],[597924,"that",598004],[598012,"was",598204],[598252,"reassuring",599040],[599440,"that",599776],[599808,"pts",600184],[600272,"can",600544],[600592,"be",600848],[600904,"accurately",601608],[601744,"determined",602312],[602336,"through",602448],[602464,"a",602568],[602584,"video",602784],[602832,"visit.",603256],[603368,"So",603568],[603584,"you're",603792],[603816,"worried",604056],[604088,"that",604280],[604320,"maybe",604616],[604648,"if",604768],[604784,"you're",604888],[604904,"doing",605104],[605152,"telemedicine,",605760],[605800,"you",605904],[605912,"wouldn't",606112],[606136,"be",606272],[606296,"able",606408],[606424,"to",606576],[606608,"accurately",606920],[606960,"engage",607392],[607456,"functional",607912],[607976,"status.",608624],[608752,"Yep.",609500],[609800,"So",610112],[610136,"you're",610336],[610368,"reassured",610736],[610768,"on",610864],[610872,"that",611256],[611368,"concern",611760],[611840,"there.",612176],[612248,"Yep.",612992],[613176,"You",613424],[613432,"know,",613576],[613608,"I",613728],[613744,"guess",613896],[613928,"one",614120],[614160,"question",614360],[614400,"for",614552],[614576,"me",614736],[614768,"is",615176],[615288,"a",615512],[615536,"ways",615776],[615808,"back,",616000],[616040,"I",616192],[616216,"looked",616368],[616384,"at",616536],[616568,"our.",617140],[617760,"God,",618072],[618096,"it",618184],[618192,"must",618288],[618304,"have",618360],[618360,"been",618448],[618464,"like",618592],[618616,"2015,",619208],[619264,"2016.",619936],[620008,"We",620192],[620216,"started",620400],[620440,"a",620544],[620552,"clinic",620816],[620848,"here",621016],[621048,"in",621216],[621248,"2008",622184],[622232,"at",622344],[622352,"the",622472],[622496,"VA,",623220],[623520,"and",623976],[624048,"what",624232],[624256,"we",624368],[624384,"found",624608],[624664,"was",624928],[624984,"that,",625344],[625432,"you",625584],[625592,"know,",625784],[625832,"our",626064],[626112,"median",626480],[626520,"time",626744],[626792,"from",627000],[627040,"consult",627400],[627440,"to",627640],[627680,"death",628192],[628336,"before",628736],[628808,"we",628992],[629016,"started",629272],[629336,"clinic",629704],[629752,"was",630032],[630096,"like",630700],[631000,"18",631552],[631656,"days,",632160],[632280,"somewhere",632680],[632720,"around",632872],[632896,"there,",633008],[633024,"like",633152],[633176,"somewhere",633416],[633448,"around",633616],[633648,"two",633864],[633912,"weeks.",634576],[634768,"And",635096],[635128,"since",635344],[635392,"starting",635632],[635656,"the",635792],[635816,"clinic,",636104],[636152,"median",636432],[636456,"time",636592],[636616,"for",636728],[636744,"consult",637016],[637048,"to",637192],[637216,"death",637424],[637472,"was.",637896],[638008,"It's",638280],[638320,"now",638472],[638496,"like",638776],[638848,"over",639104],[639152,"a",639432],[639496,"year.",640056],[640208,"Wow.",640656],[640728,"Yeah.",641380],[643120,"Those",643432],[643456,"are",643568],[643584,"inpatient",643960],[644000,"consults?",644528],[644584,"No,",644752],[644776,"all",644936],[644968,"consults.",645376],[645408,"Just",645552],[645576,"if",645688],[645704,"you",645784],[645792,"look",645888],[645904,"at",646008],[646024,"all",646152],[646176,"consults.",646600],[646640,"But",646960],[647040,"if",647232],[647256,"you",647392],[647416,"break",647576],[647608,"it",647776],[647808,"down",648024],[648072,"from",648304],[648352,"inpatient",648816],[648848,"to",648992],[649016,"outpatient,",649576],[649648,"really",650048],[650144,"the",650448],[650504,"biggest",651272],[651456,"growth",651848],[651904,"and",652072],[652096,"time",652352],[652416,"consult",652736],[652768,"to",652912],[652936,"death",653096],[653128,"is",653296],[653328,"really",653568],[653624,"those",653816],[653848,"people",654016],[654048,"who've",654184],[654192,"seen",654336],[654368,"in",654560],[654600,"clinic,",655248],[655384,"those",655656],[655688,"people",655832],[655856,"who've",655968],[655984,"seen",656136],[656168,"an",656336],[656368,"inpatient,",656904],[656952,"there",657112],[657136,"is",657296],[657328,"a",657640],[657720,"growth,",658104],[658192,"but",658824],[658992,"it's",659296],[659328,"still",659568],[659624,"a",659912],[659976,"lot",660320],[660400,"smaller,",661248],[661384,"shorter",661776],[661808,"than",661952],[661976,"a",662136],[662168,"month.",662648],[662784,"And",663008],[663024,"I",663128],[663144,"wonder,",663488],[663584,"are",663768],[663784,"you",663936],[663968,"seeing",664176],[664208,"the",664352],[664376,"same",664608],[664664,"thing",664856],[664888,"when",665032],[665056,"you",665192],[665216,"look",665352],[665376,"at",665512],[665536,"that",665696],[665728,"data",665944],[665992,"from",666128],[666144,"the",666272],[666296,"PPS?",666704],[666792,"Is",667016],[667048,"that",667620],[668360,"the",668672],[668696,"folks",668872],[668896,"that",669008],[669024,"you",669128],[669144,"see",669248],[669264,"in",669368],[669384,"clinic",669696],[669728,"are",669848],[669864,"the",670016],[670048,"ones",670296],[670328,"that",670472],[670496,"are",670704],[670752,"really",671056],[671128,"extending",671688],[671784,"that",672088],[672144,"time",672360],[672400,"from",672576],[672608,"consult",672960],[673000,"to",673176],[673208,"death",673472],[673536,"versus",673824],[673872,"the",674032],[674056,"inpatients?",674944],[675112,"Yes,",675696],[675808,"absolutely.",676680],[676760,"So",676976],[677008,"there",677176],[677208,"were",677520],[677600,"really",677888],[677944,"significant",678616],[678808,"changes",679640],[679760,"in",680040],[680080,"the,",680442],[680536,"the",680742],[680766,"prognosis",681294],[681342,"predicted",681702],[681726,"by",681862],[681886,"each",682046],[682078,"PPS",682358],[682414,"score",682606],[682638,"in",682734],[682742,"the",682838],[682854,"outpatient",683334],[683382,"setting,",684050],[684470,"particularly",685262],[685286,"at",685446],[685478,"higher",685958],[686094,"PPS",686566],[686638,"scores,",687102],[687166,"or",687438],[687494,"when",687686],[687718,"predicting",688086],[688118,"a",688262],[688286,"longer",688694],[688742,"term",688974],[689022,"mortality,",689542],[689606,"six",689830],[689870,"month",690046],[690078,"mortality,",690510],[690550,"twelve",690750],[690790,"month",690942],[690966,"mortality",691414],[691462,"compared",691766],[691798,"to",691942],[691966,"one",692150],[692190,"month",692390],[692430,"mortality.",693250],[693950,"Yeah.",694470],[694550,"Okay,",694886],[694918,"I",695014],[695022,"have",695094],[695102,"a",695222],[695246,"question.",695810],[696510,"Is",696798],[696814,"a",696942],[696966,"PPS",697566],[697718,"a",698030],[698070,"good",698318],[698374,"prognostic",699054],[699102,"index",699414],[699462,"for",699646],[699678,"mortality?",700570],[701030,"So",701342],[701366,"that's",701502],[701526,"a",701614],[701622,"great",701838],[701894,"question.",702422],[702566,"It",702894],[702942,"actually",703462],[703606,"is",703958],[704014,"decent.",704770],[705630,"We",706086],[706158,"looked",706358],[706374,"at",706454],[706462,"the",706582],[706606,"PPS",706998],[707094,"ability",707414],[707462,"to",707622],[707646,"discriminate",708190],[708230,"between",708670],[708790,"those",709046],[709078,"who",709222],[709246,"live",709406],[709438,"and",709558],[709574,"those",709702],[709726,"who",709862],[709886,"died.",710142],[710206,"And",710382],[710406,"we",710542],[710566,"found",710750],[710790,"that",710966],[710998,"it",711190],[711230,"is",711526],[711598,"good.",711830],[711870,"The",711974],[711982,"PPS",712338],[712414,"has",712602],[712626,"good",712786],[712818,"ability",713138],[713194,"to",713530],[713610,"discriminate",714122],[714146,"between",714378],[714434,"people",714650],[714690,"who",714818],[714834,"live",714962],[714986,"and",715098],[715114,"people",715290],[715330,"who",715506],[715538,"die.",715994],[716122,"When",716434],[716482,"predicting",717130],[717210,"short",717498],[717554,"term",717746],[717778,"mortality,",718250],[718290,"like",718538],[718594,"one",718834],[718882,"month",719138],[719194,"mortality,",720074],[720242,"both",720522],[720546,"in",720634],[720642,"the",720738],[720754,"inpatient",721146],[721178,"and",721298],[721314,"outpatient",721778],[721834,"setting,",722586],[722778,"but",723154],[723202,"particularly",724154],[724202,"in",724338],[724354,"the",724506],[724538,"outpatient",725114],[725162,"setting,",725450],[725490,"when",725618],[725634,"you're",725762],[725786,"predicting",726234],[726282,"longer",726674],[726722,"term",726906],[726938,"mortality,",727778],[727914,"like",728258],[728314,"six",728578],[728634,"month",728826],[728858,"mortality,",729314],[729362,"twelve",729642],[729706,"month",729906],[729938,"mortality,",730410],[730450,"or",730626],[730658,"median",731082],[731146,"survival,",732002],[732186,"that's",732570],[732610,"where",732810],[732850,"the",733362],[733506,"discriminative",734266],[734338,"ability",734698],[734754,"of",734898],[734914,"the",735042],[735066,"PPS",735474],[735562,"is",736002],[736106,"less",736442],[736506,"good.",737114],[737282,"And",737562],[737586,"that's",737762],[737786,"where",737922],[737946,"I",738130],[738170,"might",738754],[738922,"recommend",739650],[739730,"that",740066],[740138,"clinician",740642],[740706,"consider",741002],[741066,"using",741314],[741362,"a",741522],[741546,"more",741730],[741770,"disease",742170],[742250,"specific",742730],[742810,"prognostic",743386],[743418,"tool,",743610],[743650,"like",743802],[743826,"the",743962],[743986,"Bonnite",744362],[744416,"index",744694],[744742,"for",744902],[744926,"COPD",745694],[745782,"or",746222],[746326,"Seattle",746726],[746758,"heart",746926],[746958,"failure",747246],[747278,"model.",747590],[747630,"Or,",748142],[748286,"as",748518],[748534,"a",748638],[748654,"shout",748782],[748806,"out",748894],[748902,"to",749022],[749046,"my",749182],[749206,"colleague",749406],[749438,"here,",749558],[749574,"the",749678],[749694,"deardor",750334],[750462,"model",750766],[750798,"for",750918],[750934,"dementia",751758],[751934,"as",752318],[752374,"examples,",753170],[753470,"though",753806],[753838,"those",754006],[754038,"need",754182],[754206,"to",754390],[754430,"probably",754718],[754774,"be",754990],[755030,"explored",755398],[755454,"further",755742],[755806,"in",756006],[756038,"palliative",756358],[756374,"care",756550],[756590,"populations.",757534],[757662,"So",757878],[757894,"let",757998],[758014,"me",758094],[758102,"get",758198],[758214,"this",758318],[758334,"straight.",758574],[758622,"Short",758878],[758934,"term",759126],[759158,"mortality,",759614],[759662,"PPS",760006],[760078,"does",760406],[760478,"pretty",760734],[760782,"good.",761134],[761222,"Inpatient,",761846],[761918,"outpatient?",762750],[762870,"Yep.",763610],[763910,"Longer",764494],[764542,"term",764846],[764918,"mortality,",765878],[766054,"maybe",766494],[766542,"not",766774],[766822,"so",767030],[767070,"good.",767414],[767502,"Why",767702],[767726,"do",767838],[767854,"you",768006],[768038,"think",768254],[768302,"that",768486],[768518,"is?",769090],[769750,"Yeah,",770334],[770422,"I",770622],[770646,"think",770830],[770870,"that",771022],[771046,"there's",771358],[771414,"a",771654],[771702,"whole",772094],[772182,"lot",772502],[772566,"else",773208],[773374,"that",773940],[774060,"can",774388],[774444,"impact",774708],[774764,"how",774980],[775020,"people",775292],[775356,"do",775628],[775684,"over",775996],[776068,"time,",776680],[777060,"including",777540],[777620,"the",777860],[777900,"disease",778316],[778388,"state.",778716],[778788,"So",779452],[779636,"especially",780004],[780052,"in",780164],[780172,"the",780268],[780284,"outpatient",780748],[780804,"setting,",781148],[781204,"people",781564],[781652,"can",781900],[781940,"live",782140],[782180,"with",782332],[782356,"a",782540],[782580,"large",782900],[782980,"amount",783236],[783268,"of",783412],[783436,"debility",784012],[784116,"for",784332],[784356,"a",784492],[784516,"long",784772],[784836,"time",785324],[785452,"in",785716],[785748,"many",785940],[785980,"disease",786324],[786372,"states,",786772],[786876,"like",787140],[787180,"dementia,",788080],[788940,"Parkinson's,",790292],[790476,"COPD,",791628],[791804,"etcetera,",792840],[793220,"ALS.",794240],[794620,"Yeah.",795428],[795604,"In",795916],[795948,"those",796212],[796276,"disease",796684],[796732,"states,",797108],[797204,"we",797436],[797468,"really",797732],[797796,"do",798020],[798060,"have",798236],[798268,"to",798412],[798436,"be",798668],[798724,"more",798892],[798916,"thoughtful,",799308],[799364,"think",799604],[799652,"beyond",800140],[800260,"just",800516],[800548,"the",800692],[800716,"PPS,",801360],[802070,"gather",802502],[802566,"additional",803094],[803142,"information",803730],[804030,"to",804822],[805006,"pull",805326],[805358,"together",805790],[805910,"in",806118],[806134,"order",806286],[806318,"to",806438],[806454,"give",806726],[806798,"the",806982],[807006,"best",807166],[807198,"prognostic",807686],[807718,"estimate",808086],[808158,"possible",808486],[808558,"for",808718],[808734,"a",808862],[808886,"patient.",809518],[809694,"I",809958],[809974,"love",810102],[810126,"that.",810214],[810222,"It",810294],[810302,"reminds",810518],[810534,"me",810614],[810622,"of",810718],[810734,"one",810814],[810822,"of",810894],[810902,"my",811022],[811046,"favorite",811310],[811350,"articles.",811910],[811990,"I",812110],[812110,"think",812198],[812214,"it",812270],[812270,"was",812406],[812438,"Tom",812606],[812638,"Gill",813134],[813262,"who",813526],[813558,"wrote",813726],[813758,"about",814238],[814374,"the",814958],[815094,"functional",815550],[815590,"trajectory",815966],[815998,"in",816094],[816102,"the",816222],[816246,"last",816478],[816534,"year",816678],[816694,"of",816870],[816910,"life,",817494],[817662,"and",817942],[817966,"there",818102],[818126,"was",818382],[818446,"no",818766],[818838,"disease,",819406],[819518,"cancer,",820014],[820062,"COPD,",820766],[820838,"heart",821070],[821110,"failure,",821782],[821926,"that",822206],[822238,"had",822382],[822406,"a",822590],[822630,"universal",823270],[823310,"trajectory",823766],[823798,"of",823942],[823966,"functional",824358],[824414,"status",824894],[824982,"in",825158],[825174,"the",825350],[825390,"last",825686],[825758,"year",825918],[825934,"of",826158],[826214,"life.",826886],[827078,"Largely",827542],[827566,"because",827990],[828110,"cancer",828526],[828558,"is",828678],[828694,"a",828798],[828814,"mixed",829086],[829118,"bag.",829374],[829422,"There's",829622],[829646,"a",829734],[829742,"lot",829838],[829854,"of",829958],[829974,"different",830150],[830190,"types",830342],[830366,"of",830502],[830526,"cancer",830854],[830902,"out",831062],[831086,"there.",831534],[831662,"It's",831950],[831990,"hard",832214],[832262,"to",832764],[832902,"unified.",833328],[833384,"The",833552],[833576,"only",833784],[833832,"disease",834080],[834120,"that",834296],[834328,"came",834616],[834688,"really",834944],[834992,"close",835632],[835816,"was",836544],[836712,"dementia,",837464],[837552,"where",838112],[838256,"pretty",838576],[838608,"much",838776],[838808,"everybody",839200],[839240,"had",839776],[839928,"severe",840464],[840512,"functional",840944],[840992,"disability",841568],[841704,"in",841928],[841944,"the",842072],[842096,"last",842256],[842288,"year",842408],[842424,"of",842576],[842608,"life.",843136],[843288,"Which",843576],[843608,"would",843752],[843776,"argue",844144],[844192,"is",844400],[844440,"that",845048],[845224,"I",845512],[845536,"feel",845672],[845696,"like",845832],[845856,"it's",845992],[846016,"like",846248],[846304,"age.",846900],[847600,"One",848080],[848160,"single",848680],[848760,"prognostic",849584],[849632,"factor,",850456],[850608,"age,",851376],[851568,"functional",852240],[852320,"status,",853128],[853304,"whether",853616],[853648,"or",853768],[853784,"not",853912],[853936,"you",854024],[854032,"have",854176],[854208,"cancer",854496],[854528,"or",854672],[854696,"not,",855260],[855600,"is",856080],[856160,"never",856592],[856696,"going",857104],[857192,"to",857440],[857480,"be",857800],[857880,"that",858288],[858384,"great.",858880],[859000,"And",859592],[859736,"predicting",860296],[860328,"the",860472],[860496,"future.",861064],[861232,"Yes,",861980],[862320,"and",862920],[863040,"it",863344],[863392,"may",863744],[863832,"be",864128],[864184,"that",864376],[864408,"a",864624],[864672,"trend",865224],[865352,"in",865688],[865744,"PPS",866208],[866304,"scores,",866920],[867000,"or",867312],[867376,"another",867600],[867640,"way",867744],[867752,"to",867848],[867864,"say",867992],[868016,"that",868152],[868176,"would",868288],[868304,"be",868432],[868456,"a",868592],[868616,"decline",869080],[869160,"in",869352],[869376,"functional",869816],[869888,"status",870552],[870696,"is",871000],[871040,"more",871216],[871248,"meaningful",871640],[871680,"than",871856],[871888,"any",872104],[872152,"single",872672],[872776,"PPS",873200],[873280,"score.",873904],[874072,"Fortunately,",874640],[874680,"we",874808],[874824,"didn't",875168],[875224,"have",875584],[875672,"enough",876112],[876216,"patients",876648],[876704,"with",876944],[876992,"repeated",877432],[877496,"PPS",877896],[877968,"scores",878336],[878368,"over",878584],[878632,"time",878912],[878976,"in",879128],[879144,"our",879272],[879296,"data",879504],[879552,"set",879760],[879800,"to",879904],[879912,"be",879984],[879992,"able",880112],[880136,"to",880248],[880264,"look",880368],[880384,"at",880488],[880504,"that.",880632],[880656,"But",880768],[880784,"I",880864],[880872,"think",880992],[881016,"that",881128],[881144,"would",881224],[881232,"be",881328],[881344,"a",881448],[881464,"really",881952],[882096,"interesting",882664],[882712,"next",882968],[883024,"step",883240],[883280,"to",883456],[883488,"see",883632],[883656,"if",883792],[883816,"the",884288],[884424,"trend",884872],[884936,"in",885136],[885168,"PPS",885560],[885640,"scores",886176],[886248,"adds",886624],[886672,"information",887048],[887144,"about",887352],[887376,"the",887512],[887536,"patient's",887856],[887888,"prognosis,",888520],[888600,"which",888912],[888976,"I",889128],[889144,"expect",889368],[889424,"it",889592],[889616,"would.",890180],[890670,"So,",891006],[891038,"Alex,",891646],[891798,"is",892086],[892118,"eprognosis",892870],[892910,"going",893014],[893022,"to",893094],[893102,"have",893198],[893214,"the",893318],[893334,"new",893462],[893486,"data",893694],[893742,"in",893854],[893862,"it?",894006],[894038,"Eprognosis",894958],[895014,"is",895206],[895238,"going",895358],[895374,"to",895478],[895494,"have",895622],[895646,"the",895806],[895838,"update.",896358],[896454,"Carl",896886],[896918,"helped",897470],[897590,"work",897822],[897846,"with",897982],[898006,"our",898142],[898166,"programmer",898822],[898886,"to",899062],[899086,"make",899198],[899214,"sure",899342],[899366,"it",899502],[899526,"looks",899750],[899790,"good.",900398],[900574,"And",900982],[901046,"we",901198],[901214,"are",901342],[901366,"holding",901710],[901750,"this",901950],[901990,"podcast.",902542],[902606,"We're",902822],[902846,"recording",903294],[903342,"it",903742],[903846,"in",904158],[904214,"what",904382],[904406,"is",904566],[904598,"this,",904958],[905054,"first",905526],[905638,"week",905838],[905854,"of",906006],[906038,"May,",906542],[906686,"but",906966],[906998,"we're",907190],[907230,"holding",907502],[907526,"it",907686],[907718,"until",908342],[908526,"the",908870],[908910,"article",909230],[909310,"drops.",909966],[910078,"And",910350],[910390,"then",910686],[910758,"we",910942],[910966,"will",911198],[911254,"also",911734],[911862,"have",912150],[912190,"access",912462],[912526,"to",912702],[912726,"the",912934],[912982,"new",913310],[913390,"updated",913846],[913918,"eprognosis",915110],[915270,"using",915662],[915726,"the",916046],[916118,"UCSF",917078],[917214,"outcome",917654],[917702,"rates.",918370],[918710,"Is",918998],[919014,"it",919118],[919134,"going",919214],[919222,"to",919318],[919334,"split",919526],[919558,"it",919678],[919694,"up",919846],[919878,"inpatient",920262],[920286,"and",920398],[920414,"outpatient,",920830],[920870,"too,",921142],[921206,"like",921406],[921438,"you",921534],[921542,"have?",921686],[921718,"Yeah,",921838],[921854,"that's",921982],[922006,"right.",922454],[922582,"Clinicians",923182],[923246,"can",923518],[923574,"find",924006],[924118,"a",924582],[924686,"prognostic",925286],[925318,"estimate",925598],[925654,"associated",925990],[926030,"with",926158],[926174,"their",926326],[926358,"patient's",926702],[926726,"PPS",927086],[927158,"score",927574],[927662,"based",927934],[927982,"on",928118],[928134,"the",928286],[928318,"setting",928750],[928830,"in",928998],[929014,"which",929142],[929166,"they're",929302],[929326,"seeing",929478],[929494,"the",929598],[929614,"patient",929902],[929966,"inpatient",930470],[930510,"versus",930750],[930790,"outpatient",931382],[931486,"care,",931942],[932046,"and",932286],[932318,"based",932486],[932518,"on",932614],[932622,"the",932742],[932766,"patient's",933246],[933318,"disease",933614],[933662,"category,",934166],[934238,"cancer",934718],[934774,"or",934966],[934998,"other",935190],[935230,"serious",935534],[935582,"illness.",936210],[936870,"And",937182],[937206,"I",937366],[937398,"also",937590],[937630,"wanted",937846],[937878,"to",938022],[938046,"mention",938382],[938446,"that",938718],[938774,"clinicians",939214],[939262,"working",939470],[939510,"in",939638],[939654,"hospice",940078],[940134,"can",940374],[940422,"still",940702],[940766,"access",941182],[941286,"the",941930],[942230,"older",942646],[942678,"version",943038],[943094,"of",943334],[943382,"the",943926],[944078,"PPS",944590],[944670,"tool",944910],[944950,"on",945078],[945094,"e",945222],[945246,"prognosis.",946070],[946190,"Yeah.",946588],[946654,"To",947120],[947240,"find",947592],[947656,"estimates",948096],[948128,"that",948248],[948264,"were",948392],[948416,"generated",948744],[948792,"in",948952],[948976,"hospice",949344],[949392,"populations.",950460],[950880,"That's",951232],[951256,"fabulous.",951992],[952136,"Thank",952392],[952416,"you.",952936],[953088,"I",953304],[953312,"guess",953432],[953456,"a",953568],[953584,"question",953760],[953800,"for",953928],[953944,"you,",954096],[954128,"James,",954832],[955016,"is",955672],[955816,"so",956120],[956160,"PPS,",956520],[956600,"we're",956816],[956848,"looking",957016],[957048,"at",957240],[957280,"mortality",958296],[958488,"when",958792],[958816,"we",958952],[958976,"think",959136],[959168,"about",959600],[959720,"prognosis",960440],[960480,"and",960632],[960656,"prognostication,",961940],[962320,"is",962968],[963104,"mortality",963760],[963800,"the",963952],[963976,"only",964136],[964168,"thing",964312],[964336,"we",964448],[964464,"should",964592],[964616,"think",964800],[964840,"about?",965496],[965688,"Yeah.",965992],[966016,"I",966128],[966144,"mean,",966296],[966328,"I",966472],[966496,"think",966992],[967136,"patients",967544],[967592,"care",967800],[967840,"about",967992],[968016,"a",968152],[968176,"whole",968384],[968432,"host",968616],[968648,"of",968816],[968848,"different",969040],[969080,"factors,",969860],[970480,"survival",971072],[971136,"being",971336],[971368,"one",971488],[971504,"of",971632],[971656,"them.",971912],[971976,"But",972584],[972752,"another",973176],[973248,"important",973912],[974096,"one",974800],[974960,"is,",975304],[975352,"like,",975824],[975952,"prognosticating",976744],[976792,"someone's",977224],[977272,"future",977624],[977712,"level",977936],[977968,"of",978112],[978136,"function.",978860],[979200,"They",979512],[979536,"want",979648],[979664,"to",979792],[979816,"know,",980380],[980760,"how",981072],[981096,"many",981400],[981480,"years",981840],[981920,"does",982112],[982136,"it",982272],[982296,"take",982816],[982968,"before",983304],[983352,"I",983512],[983536,"might",983720],[983760,"expect",984008],[984064,"to",984232],[984256,"see",984464],[984512,"some",984696],[984728,"difficulties",985384],[985432,"with",985832],[985936,"getting",986224],[986272,"around,",986576],[986648,"difficulty",987224],[987272,"walking,",988060],[988520,"difficulty",989304],[989352,"driving,",989736],[989808,"things",990040],[990080,"like",990256],[990288,"that.",990432],[990456,"And",990568],[990584,"so",991096],[991248,"those",991728],[991824,"types",992112],[992136,"of",992344],[992392,"daily",992648],[992704,"activities",993240],[993320,"are",993680],[993760,"also",994000],[994040,"another",994264],[994312,"important",994592],[994656,"outcome",994976],[995008,"that",995128],[995144,"we",995224],[995232,"should",995376],[995408,"think",995576],[995608,"about.",996180],[996760,"Yeah.",997400],[997520,"And",997728],[997744,"that",997872],[997896,"kind",998008],[998024,"of",998128],[998144,"leads",998352],[998376,"to",998536],[998568,"your",998760],[998800,"paper.",999184],[999272,"So",999640],[999720,"you",999888],[999904,"got",1000032],[1000056,"a",1000144],[1000152,"paper",1000384],[1000432,"published.",1001204],[1001392,"There's",1001708],[1001724,"a",1001996],[1002068,"jama.",1002404],[1002452,"Jama.",1002700],[1002740,"I",1002892],[1002916,"am.",1003340],[1003460,"Jama.",1003780],[1003820,"I",1003924],[1003932,"am.",1004244],[1004332,"Jama.",1004620],[1004660,"I",1004788],[1004804,"am.",1004932],[1004956,"Yep.",1005372],[1005476,"Jama,",1005868],[1005924,"I",1006116],[1006148,"am.",1006460],[1006540,"On",1007160],[1008020,"time",1008404],[1008452,"to",1008612],[1008636,"nursing,",1009076],[1009148,"needing",1009460],[1009500,"nursing",1009820],[1009860,"home",1010060],[1010100,"level",1010276],[1010308,"of",1010452],[1010476,"care.",1010660],[1010700,"It",1010828],[1010844,"doesn't",1011012],[1011036,"just",1011220],[1011260,"roll",1011500],[1011540,"off.",1011788],[1011844,"No,",1012012],[1012036,"it",1012172],[1012196,"doesn't.",1012556],[1012628,"You",1012788],[1012804,"are",1012908],[1012924,"not.",1013364],[1013492,"You",1013708],[1013724,"were",1013804],[1013812,"the",1013956],[1013988,"senior",1014268],[1014324,"author,",1014564],[1014612,"Alex,",1014948],[1015004,"right?",1015600],[1015900,"Yeah.",1016444],[1016532,"So",1016732],[1016756,"you're",1016868],[1016884,"kind",1017012],[1017036,"of",1017124],[1017132,"the",1017228],[1017244,"guest",1017444],[1017492,"host",1017700],[1017740,"today.",1018320],[1021260,"Why",1021620],[1021660,"did",1021788],[1021804,"you",1021908],[1021924,"do",1022052],[1022076,"that",1022212],[1022236,"paper,",1022484],[1022532,"James?",1023200],[1023540,"Yeah,",1023892],[1023916,"I",1024052],[1024076,"think",1024596],[1024748,"so.",1025060],[1025100,"This",1025252],[1025276,"is",1025840],[1026220,"a",1026556],[1026588,"particularly",1027156],[1027188,"interesting",1027564],[1027612,"topic",1027964],[1028012,"because",1028600],[1028950,"we",1029262],[1029286,"know",1029446],[1029478,"that",1029694],[1029742,"individuals",1030286],[1030318,"with",1030462],[1030486,"dementia",1031070],[1031150,"have",1031366],[1031398,"a",1031518],[1031534,"high",1031734],[1031782,"rate",1031918],[1031934,"of",1032110],[1032150,"entering",1032470],[1032510,"nursing",1032846],[1032878,"home.",1033450],[1033790,"This",1034102],[1034126,"is",1034286],[1034318,"often",1034558],[1034614,"due",1034782],[1034806,"to",1035278],[1035414,"disease",1035854],[1035902,"progression",1036622],[1036726,"that",1036966],[1036998,"leads",1037222],[1037246,"to",1037478],[1037534,"things",1037726],[1037758,"like",1037902],[1037926,"functional",1038230],[1038270,"impairments,",1038766],[1038838,"needing",1039142],[1039166,"help",1039374],[1039422,"with",1039678],[1039734,"bathing",1040150],[1040190,"or",1040366],[1040398,"dressing,",1041210],[1041510,"or",1041822],[1041846,"even",1042006],[1042038,"like",1042230],[1042270,"behavioral",1042790],[1042830,"issues",1043078],[1043134,"like",1043350],[1043390,"wandering",1043886],[1043918,"or",1044086],[1044118,"need",1044550],[1044670,"for",1044926],[1044958,"supervision.",1045742],[1045886,"That",1046142],[1046166,"just",1046730],[1047230,"leads",1047582],[1047606,"to",1047766],[1047798,"issues",1047990],[1048030,"that",1048158],[1048174,"can",1048302],[1048326,"make",1048510],[1048550,"home",1048774],[1048822,"care",1049030],[1049070,"very",1049318],[1049374,"difficult",1049862],[1049926,"for",1050126],[1050158,"these",1050350],[1050390,"individuals.",1051370],[1051790,"And",1052102],[1052126,"so",1052406],[1052478,"we",1052638],[1052654,"know",1052806],[1052838,"that",1053078],[1053134,"the",1053326],[1053358,"decision",1053694],[1053782,"to",1054006],[1054038,"enter",1054230],[1054270,"a",1054398],[1054414,"nursing",1054662],[1054686,"home",1054846],[1054878,"is",1055022],[1055046,"incredibly",1055478],[1055534,"challenging",1056014],[1056062,"for",1056246],[1056278,"families,",1057010],[1057410,"especially",1057818],[1057874,"because",1058234],[1058322,"it",1058522],[1058546,"often",1058754],[1058802,"comes",1059058],[1059114,"with",1059690],[1059850,"thoughts",1060282],[1060306,"that",1060490],[1060530,"they're,",1060866],[1060938,"like,",1061170],[1061210,"abandoning",1061666],[1061698,"their",1061842],[1061866,"loved",1062130],[1062170,"one,",1062750],[1063290,"really.",1063650],[1063690,"Our",1063842],[1063866,"goal",1064026],[1064058,"with",1064202],[1064226,"this",1064362],[1064386,"study",1064570],[1064610,"is",1064738],[1064754,"to",1064906],[1064938,"provide",1065418],[1065554,"clinicians,",1066258],[1066354,"patients",1066754],[1066802,"and",1066962],[1066986,"families",1067830],[1068250,"with",1068562],[1068586,"an",1068746],[1068778,"estimate",1069058],[1069114,"of",1069402],[1069466,"when",1069666],[1069698,"a",1069842],[1069866,"person",1070098],[1070154,"with",1070298],[1070314,"dementia",1071218],[1071394,"might",1071754],[1071802,"require",1072130],[1072170,"the",1072346],[1072378,"level",1072522],[1072546,"of",1072682],[1072706,"care",1072962],[1073026,"typical",1073394],[1073442,"for",1073650],[1073690,"individuals",1074226],[1074258,"at",1074402],[1074426,"a",1074538],[1074554,"nursing",1074850],[1074890,"home.",1075426],[1075578,"And",1076130],[1076250,"we",1076458],[1076474,"would",1076602],[1076626,"hope",1076738],[1076754,"that",1076882],[1076906,"these",1077090],[1077130,"estimates",1077586],[1077618,"could",1078050],[1078170,"help",1078426],[1078458,"with",1078746],[1078818,"future",1079146],[1079218,"planning",1079586],[1079618,"on",1080146],[1080298,"when",1080658],[1080714,"a",1080906],[1080938,"time",1081130],[1081170,"might",1081370],[1081410,"be",1081586],[1081618,"when",1081762],[1081786,"you",1081898],[1081914,"would",1082066],[1082098,"need",1082266],[1082298,"to",1082658],[1082754,"either",1083034],[1083082,"hire",1083290],[1083330,"an",1083650],[1083730,"extra",1084026],[1084058,"caregiver,",1084898],[1085074,"provide",1085482],[1085546,"24/7",1086466],[1086578,"level",1086826],[1086858,"of",1087026],[1087058,"care",1087226],[1087258,"at",1087402],[1087426,"home,",1087922],[1088066,"or",1088370],[1088410,"think",1088610],[1088650,"about",1089186],[1089338,"actually",1089770],[1089850,"entering",1090202],[1090226,"a",1090338],[1090354,"nursing",1090666],[1090698,"home.",1091270],[1091650,"And",1091962],[1091986,"so",1092550],[1093010,"that",1093298],[1093314,"was",1093442],[1093466,"kind",1093578],[1093594,"of",1093818],[1093874,"our",1094042],[1094066,"goal",1094242],[1094266,"in",1094378],[1094394,"this",1094546],[1094578,"study.",1095150],[1095850,"So",1096234],[1096282,"ultimately,",1096890],[1096970,"the",1097186],[1097218,"outcome",1097546],[1097578,"that",1097698],[1097714,"you",1097818],[1097834,"were",1097962],[1097986,"looking",1098194],[1098242,"at",1098450],[1098490,"was,",1099070],[1099810,"what",1100098],[1100114,"was",1100410],[1100490,"the",1100682],[1100706,"final",1100914],[1100962,"outcome?",1101226],[1101258,"It",1101378],[1101394,"was",1101570],[1101610,"the",1102190],[1102650,"need",1103034],[1103082,"for",1103338],[1103394,"nursing",1103794],[1103842,"home",1104122],[1104186,"level",1104434],[1104482,"of",1104690],[1104730,"care.",1105218],[1105354,"Yeah.",1105978],[1106114,"So",1106434],[1106482,"initially",1106906],[1106978,"our",1107186],[1107218,"study,",1107434],[1107482,"we",1107642],[1107666,"wanted",1107866],[1107898,"to",1108066],[1108098,"just",1108482],[1108586,"kind",1108802],[1108826,"of",1108962],[1108986,"straight",1109186],[1109218,"up",1109362],[1109386,"predict",1110050],[1110210,"need",1110482],[1110506,"for",1111070],[1111530,"nursing",1111986],[1112018,"home",1112162],[1112186,"admission.",1112870],[1113270,"We",1113558],[1113574,"ultimately",1113846],[1113878,"decided",1114198],[1114254,"against",1114638],[1114734,"using",1115038],[1115094,"that",1115310],[1115350,"outcome",1115782],[1115846,"because",1116118],[1116174,"you",1116294],[1116302,"can",1116422],[1116446,"imagine",1116710],[1116750,"that",1116902],[1116926,"outcome",1117270],[1117310,"varies",1117654],[1117702,"a",1117862],[1117886,"lot",1118094],[1118142,"by",1118350],[1118390,"socioeconomic",1119334],[1119382,"status.",1119870],[1119950,"And",1120214],[1120262,"just",1120470],[1120510,"like",1120686],[1120718,"cultural",1121102],[1121166,"background,",1121890],[1122230,"there",1122494],[1122502,"are",1122598],[1122614,"some",1122814],[1122862,"individuals",1123886],[1124038,"and",1124326],[1124358,"families",1124774],[1124822,"that",1124982],[1125006,"would",1125166],[1125198,"really",1125702],[1125846,"never",1126174],[1126222,"have",1126382],[1126406,"their",1126590],[1126630,"loved",1126822],[1126846,"one",1127270],[1127390,"enter",1127670],[1127710,"a",1127862],[1127886,"nursing",1128166],[1128198,"home,",1128510],[1128590,"choosing",1128974],[1129022,"instead",1129310],[1129350,"to",1129670],[1129750,"take",1129966],[1129998,"care",1130142],[1130166,"of",1130302],[1130326,"them.",1130750],[1130870,"And",1131102],[1131126,"so",1131622],[1131766,"many",1132094],[1132142,"individuals",1132582],[1132606,"with",1132742],[1132766,"dementia",1133174],[1133222,"remain",1133582],[1133646,"at",1133822],[1133846,"home,",1134078],[1134134,"despite",1134446],[1134518,"requiring",1134950],[1134990,"a",1135118],[1135134,"high",1135310],[1135350,"level",1135598],[1135654,"of",1135894],[1135942,"care",1136198],[1136254,"that",1136470],[1136510,"you",1136638],[1136654,"would",1136758],[1136774,"typically",1137102],[1137166,"see",1137342],[1137366,"at",1137454],[1137462,"a",1137558],[1137574,"nursing",1137870],[1137910,"home.",1138350],[1138470,"And",1138702],[1138726,"so",1139030],[1139110,"really,",1139730],[1140030,"the",1140342],[1140366,"metric",1140590],[1140630,"that",1140758],[1140774,"we",1140902],[1140926,"chose,",1141222],[1141286,"the",1141486],[1141518,"need",1141686],[1141718,"for",1141910],[1141950,"nursing",1142206],[1142238,"home",1142406],[1142438,"level",1142630],[1142670,"of",1142846],[1142878,"care,",1143484],[1143662,"is",1143928],[1143944,"a",1144048],[1144064,"more",1144192],[1144216,"standardized",1144616],[1144648,"metric",1144904],[1144952,"that",1145088],[1145104,"can",1145208],[1145224,"be",1145352],[1145376,"applicable",1145928],[1146024,"across",1146660],[1147120,"any",1147768],[1147904,"cultural",1148344],[1148392,"background",1148808],[1148864,"or",1149248],[1149344,"socioeconomic",1150144],[1150192,"status.",1150856],[1151008,"Yeah,",1151288],[1151304,"I",1151432],[1151456,"love",1151592],[1151616,"that,",1151752],[1151776,"too,",1151888],[1151904,"because",1152032],[1152056,"I",1152168],[1152184,"always",1152288],[1152304,"think",1152432],[1152456,"about",1152832],[1152936,"healthcare",1153424],[1153472,"systems,",1153816],[1153848,"too.",1154064],[1154112,"Like,",1154272],[1154296,"the",1154456],[1154488,"entire",1154848],[1154904,"role",1155120],[1155160,"for",1155456],[1155528,"a",1155712],[1155736,"pace",1155984],[1156032,"program",1156504],[1156632,"for",1156872],[1156896,"all",1157032],[1157056,"inclusive",1157336],[1157368,"care",1157512],[1157536,"for",1157624],[1157632,"the",1157728],[1157744,"elderly",1158456],[1158608,"is",1158848],[1158864,"to",1158968],[1158984,"take",1159160],[1159200,"nursing",1159536],[1159568,"home",1159808],[1159864,"eligible",1160288],[1160344,"patients",1160728],[1160784,"and",1160952],[1160976,"keep",1161136],[1161168,"them",1161312],[1161336,"at",1161472],[1161496,"home.",1161848],[1161944,"So",1162416],[1162528,"it's",1162752],[1162776,"not",1162888],[1162904,"just",1163032],[1163056,"like",1163192],[1163216,"the",1163376],[1163408,"patient",1163744],[1163792,"or",1163928],[1163944,"the",1164072],[1164096,"family,",1164712],[1164896,"but",1165192],[1165216,"it's",1165376],[1165408,"also",1165984],[1166152,"the",1166456],[1166488,"healthcare",1166992],[1167056,"system.",1167660],[1167960,"And",1168464],[1168552,"what",1168752],[1168776,"does",1168960],[1169000,"society",1169416],[1169488,"help",1169696],[1169728,"people",1169944],[1169992,"with",1170176],[1170208,"at",1170352],[1170376,"home",1170536],[1170568,"so",1170712],[1170736,"they",1170848],[1170864,"can",1171040],[1171080,"stay",1171280],[1171320,"at",1171448],[1171464,"home.",1171952],[1172096,"Yeah,",1172376],[1172408,"exactly.",1173220],[1173520,"And",1173808],[1173824,"it's",1173952],[1173976,"kind",1174088],[1174104,"of",1174256],[1174288,"tricky.",1174576],[1174608,"So",1175180],[1175480,"how",1175792],[1175816,"you",1175928],[1175944,"define",1176448],[1176544,"need",1176776],[1176808,"for",1176976],[1177008,"nursing",1177296],[1177328,"home",1177520],[1177560,"level",1177712],[1177736,"of",1177872],[1177896,"care",1178128],[1178184,"is",1178784],[1178952,"challenging.",1179552],[1179616,"We",1180056],[1180168,"compromised",1180848],[1180904,"on",1181072],[1181096,"a",1181400],[1181480,"definition",1181968],[1182024,"that,",1182360],[1182440,"based",1182656],[1182688,"on",1182856],[1182888,"previous",1183200],[1183280,"guidance,",1184024],[1184192,"we",1184496],[1184528,"said,",1184840],[1184920,"essentially",1185560],[1185640,"you",1185784],[1185792,"have",1185888],[1185904,"to",1186032],[1186056,"meet",1186192],[1186216,"one",1186328],[1186344,"of",1186520],[1186560,"three",1186760],[1186800,"criteria.",1187700],[1188320,"One",1188584],[1188592,"of",1188664],[1188672,"the",1188792],[1188816,"criteria",1189240],[1189280,"was",1189696],[1189808,"needing",1190136],[1190168,"help",1190384],[1190432,"with",1190616],[1190648,"three",1190816],[1190848,"or",1190992],[1191016,"more",1191224],[1191272,"activities",1191600],[1191640,"of",1191792],[1191816,"daily",1192048],[1192104,"living,",1192608],[1192744,"things",1193040],[1193080,"like",1193280],[1193320,"bathing,",1193840],[1193920,"getting",1194160],[1194200,"in",1194328],[1194344,"or",1194448],[1194464,"out",1194544],[1194552,"of",1194696],[1194728,"bed,",1195040],[1195120,"toileting,",1195960],[1196120,"walking",1196536],[1196568,"across",1196808],[1196864,"the",1197056],[1197088,"room,",1197688],[1197864,"or",1198416],[1198528,"needing",1198832],[1198856,"help",1199040],[1199080,"with",1199352],[1199416,"two",1199616],[1199648,"or",1199792],[1199816,"more",1199952],[1199976,"AdL's,",1200832],[1200936,"plus",1201264],[1201312,"the",1201520],[1201560,"presence",1201864],[1201912,"of",1202168],[1202224,"wandering",1202880],[1202960,"or",1203176],[1203208,"like",1203424],[1203472,"constant",1203824],[1203872,"need",1204080],[1204120,"for",1204320],[1204360,"supervision.",1205220],[1205760,"And",1206072],[1206096,"then",1206256],[1206288,"the",1206432],[1206456,"third",1206616],[1206648,"criteria",1207288],[1207384,"could",1207568],[1207584,"have",1207760],[1207800,"been",1208048],[1208104,"needing",1208352],[1208376,"help",1208536],[1208568,"with",1208736],[1208768,"eating,",1209072],[1209136,"which",1209336],[1209368,"we",1209512],[1209536,"felt",1209736],[1209768,"like",1209912],[1209936,"was",1210072],[1210096,"a",1210208],[1210224,"pretty",1210608],[1210704,"high",1210936],[1210968,"level",1211160],[1211200,"of",1211352],[1211376,"care",1211920],[1212080,"needs.",1212780],[1213080,"Yeah,",1213816],[1213968,"that",1214328],[1214384,"seems",1214672],[1214696,"like",1214856],[1214888,"a",1215056],[1215088,"higher",1215616],[1215768,"bar.",1216296],[1216408,"Like,",1217060],[1217800,"it",1218112],[1218136,"seems",1218416],[1218448,"like",1219020],[1219600,"most",1219960],[1220000,"people",1220176],[1220208,"with",1220376],[1220408,"three",1220624],[1220672,"ADL",1221152],[1221216,"impairments,",1221980],[1222320,"that's",1222888],[1222984,"often",1223264],[1223312,"what",1223472],[1223496,"we're",1223632],[1223656,"thinking",1223896],[1223928,"about",1224120],[1224160,"nursing",1224592],[1224656,"home,",1225264],[1225432,"or",1225688],[1225704,"at",1225832],[1225856,"least",1226268],[1226384,"really",1226732],[1226796,"24/7",1227508],[1227564,"care",1227852],[1227916,"at",1228116],[1228148,"home",1228460],[1228540,"or",1228780],[1228820,"close",1229044],[1229092,"to",1229252],[1229276,"that.",1229840],[1230180,"Yeah,",1230960],[1231260,"I",1231524],[1231532,"think",1231652],[1231676,"it's",1231812],[1231836,"pretty",1232020],[1232060,"typical",1232380],[1232420,"of",1232572],[1232596,"what",1232708],[1232724,"you",1232828],[1232844,"would",1232996],[1233028,"see,",1233220],[1233260,"like,",1233508],[1233564,"from,",1233876],[1233948,"like,",1234132],[1234156,"the",1234316],[1234348,"Medicaid",1235244],[1235412,"criteria",1236092],[1236156,"for",1236760],[1237500,"paying",1237876],[1237908,"for",1238076],[1238108,"nursing",1238396],[1238428,"home",1239004],[1239172,"care,",1239836],[1239988,"is",1240228],[1240244,"that",1240348],[1240364,"you",1240468],[1240484,"really",1240708],[1240764,"have",1240956],[1240988,"to",1241180],[1241220,"have",1241540],[1241620,"a",1241764],[1241772,"lot",1241868],[1241884,"of",1241988],[1242004,"functional",1242348],[1242404,"impairments.",1243124],[1243252,"And",1243468],[1243484,"we",1243588],[1243604,"wanted",1243748],[1243764,"to",1243868],[1243884,"make",1243988],[1244004,"sure",1244108],[1244124,"that",1244252],[1244276,"we",1244412],[1244436,"added",1244716],[1244788,"some",1245400],[1246060,"other",1246492],[1246556,"behavioral",1247140],[1247180,"issues,",1247428],[1247484,"like",1247700],[1247740,"wandering",1248356],[1248428,"or",1248588],[1248604,"need",1248756],[1248788,"for",1248932],[1248956,"supervision,",1249484],[1249532,"that",1249692],[1249716,"are",1249852],[1249876,"unique",1250132],[1250156,"to",1250460],[1250540,"individuals",1251220],[1251300,"with",1251516],[1251548,"dementia,",1252430],[1252620,"because",1252946],[1252978,"that's",1253162],[1253186,"another",1253418],[1253474,"important",1253882],[1253986,"thing",1254226],[1254258,"that",1254378],[1254394,"can",1254522],[1254546,"cause",1254714],[1254722,"a",1254794],[1254802,"lot",1254898],[1254914,"of",1254994],[1255002,"caregiver",1255434],[1255482,"burden",1255746],[1255778,"at",1255922],[1255946,"home.",1256510],[1257130,"So",1257490],[1257530,"you",1257658],[1257674,"created",1257898],[1257914,"a",1258066],[1258098,"prognostic",1258674],[1258722,"model.",1259430],[1259770,"You",1260082],[1260106,"validated",1260610],[1260650,"that",1260850],[1260890,"model.",1261590],[1262130,"What",1262922],[1263106,"factors",1263778],[1263834,"were",1264050],[1264090,"included",1264506],[1264538,"in",1264706],[1264738,"that",1264906],[1264938,"model?",1265666],[1265858,"Yeah.",1266250],[1266290,"So",1266802],[1266946,"we",1267202],[1267226,"included.",1267802],[1267906,"We",1268218],[1268274,"ended",1268458],[1268474,"up",1268602],[1268626,"creating",1268850],[1268890,"two",1269114],[1269162,"separate",1269450],[1269490,"models,",1269986],[1270098,"one",1270370],[1270410,"that",1270610],[1270650,"included",1271002],[1271026,"just",1271210],[1271250,"self",1271474],[1271522,"responses,",1272098],[1272154,"so",1272634],[1272762,"responses",1273370],[1273410,"from",1273610],[1273650,"the",1273826],[1273858,"person",1274050],[1274090,"with",1274218],[1274234,"dementia,",1274738],[1274794,"and",1274962],[1274986,"another",1275386],[1275498,"from",1276010],[1276130,"proxy",1276610],[1276650,"responses,",1277242],[1277306,"which",1277482],[1277506,"is",1277690],[1277730,"essentially",1278550],[1279040,"a",1279352],[1279376,"proxy",1279784],[1279832,"report.",1280472],[1280656,"So,",1281096],[1281168,"information",1281592],[1281696,"from,",1281960],[1282000,"like,",1282176],[1282208,"a",1282760],[1282920,"family",1283312],[1283376,"member,",1283980],[1284280,"spouse,",1284904],[1284952,"or",1285160],[1285200,"a",1285352],[1285376,"son",1285552],[1285576,"or",1285736],[1285768,"daughter.",1286400],[1286560,"And",1287120],[1287240,"these",1287472],[1287496,"two",1287656],[1287688,"models",1288064],[1288152,"included",1288736],[1288808,"some",1288968],[1288984,"of",1289064],[1289072,"the",1289168],[1289184,"factors",1289432],[1289456,"that",1289568],[1289584,"you",1289712],[1289736,"typically",1290032],[1290096,"see",1290272],[1290296,"in",1290432],[1290456,"these",1290592],[1290616,"types",1290816],[1290848,"of",1291016],[1291048,"studies.",1291700],[1292000,"So,",1292480],[1292560,"for",1292776],[1292808,"both",1292976],[1293008,"models,",1293256],[1293288,"we",1293408],[1293424,"included",1294112],[1294256,"age,",1294940],[1295400,"baseline",1296080],[1296120,"functional",1296552],[1296616,"status,",1297008],[1297064,"as",1297280],[1297320,"measured",1297560],[1297600,"by",1297896],[1297968,"AdL's",1298576],[1298608,"and",1298776],[1298808,"IADLs,",1299928],[1300104,"and",1300368],[1300384,"whether",1300560],[1300600,"the",1300776],[1300808,"individual",1301240],[1301280,"was",1301456],[1301488,"still",1301680],[1301720,"driving.",1302380],[1302800,"The",1303544],[1303712,"proxy",1304240],[1304280,"model",1304560],[1304600,"had",1305088],[1305224,"body",1305568],[1305624,"mass",1305864],[1305912,"index",1306384],[1306472,"and",1306696],[1306728,"falls",1307144],[1307192,"history.",1307832],[1308016,"And",1308312],[1308336,"then",1308520],[1308560,"the",1308832],[1308896,"self",1309192],[1309256,"response",1309736],[1309768,"model",1310064],[1310112,"also",1310392],[1310456,"had",1311112],[1311296,"female",1311824],[1311872,"sex",1312392],[1312536,"incontinence,",1313424],[1313512,"and",1313736],[1313768,"then",1314272],[1314416,"a",1314648],[1314664,"simple",1314960],[1315000,"test",1315200],[1315240,"of",1315820],[1316120,"orientation,",1316904],[1316992,"like",1317288],[1317344,"whether",1317560],[1317600,"the",1317752],[1317776,"person",1317984],[1318032,"can",1318216],[1318248,"recall",1318544],[1318592,"the",1319232],[1319416,"month,",1320120],[1320280,"day",1320576],[1320608,"of",1320704],[1320712,"the",1320832],[1320856,"week,",1321040],[1321080,"in",1321184],[1321192,"the",1321336],[1321368,"year.",1321940],[1322240,"And",1322552],[1322576,"so",1323216],[1323408,"I",1323664],[1323672,"think",1323816],[1323848,"we",1323992],[1324016,"wanted",1324256],[1324288,"these",1324480],[1324520,"models,",1324800],[1324840,"really",1325040],[1325080,"to",1325232],[1325256,"have",1325440],[1325480,"good",1325656],[1325688,"face",1325880],[1325920,"validity,",1326780],[1327080,"be",1327392],[1327416,"very",1327696],[1327768,"pretty",1328016],[1328048,"parsimonious,",1329064],[1329232,"and",1329560],[1329600,"also",1329824],[1329872,"include",1330128],[1330184,"things",1330400],[1330440,"that",1330856],[1330968,"most",1331336],[1331408,"clinicians",1331888],[1331944,"would",1332136],[1332168,"ask",1332360],[1332400,"about",1332696],[1332768,"during",1333000],[1333040,"a",1333168],[1333184,"visit.",1333786],[1333968,"I",1334214],[1334222,"think",1334750],[1334910,"the",1335158],[1335174,"final",1335350],[1335390,"models",1335710],[1335750,"are",1336166],[1336278,"successful",1336950],[1337030,"in",1337174],[1337182,"the",1337302],[1337326,"sense",1337526],[1337558,"that",1338038],[1338174,"they",1338422],[1338446,"do",1338558],[1338574,"have",1338678],[1338694,"a",1338774],[1338782,"lot",1338878],[1338894,"of",1339214],[1339302,"face",1339886],[1340038,"validity.",1340590],[1340630,"You",1340758],[1340774,"can",1340926],[1340958,"imagine",1341270],[1341310,"that",1341870],[1342030,"someone",1342446],[1342518,"who's",1343326],[1343518,"driving",1343886],[1343918,"to",1344038],[1344054,"the",1344158],[1344174,"farmer's",1344526],[1344558,"market,",1345038],[1345174,"shopping",1345670],[1345710,"for",1345910],[1345950,"things",1346246],[1346318,"like",1346814],[1346942,"carrots",1347350],[1347390,"and",1347590],[1347630,"cabbage,",1348054],[1348102,"and",1348334],[1348382,"cooking",1348814],[1348902,"a",1349078],[1349094,"meal",1349286],[1349318,"at",1349462],[1349486,"home,",1349934],[1350062,"is",1350302],[1350326,"going",1350414],[1350422,"to",1350542],[1350566,"have",1350798],[1350854,"several",1351190],[1351270,"years",1351510],[1351550,"before",1351774],[1351822,"they",1351958],[1351974,"would",1352102],[1352126,"require",1352454],[1352502,"nursing",1352878],[1352934,"level",1353126],[1353158,"of",1353302],[1353326,"care",1353942],[1354126,"compared",1354590],[1354630,"to",1354830],[1354870,"someone",1355238],[1355334,"who",1355518],[1355534,"is",1355686],[1355718,"already",1355934],[1355982,"needing",1356294],[1356342,"assistance",1356862],[1356926,"with",1357318],[1357414,"one",1357670],[1357710,"ADL",1358214],[1358302,"bathing,",1359086],[1359238,"they're",1359478],[1359494,"going",1359574],[1359582,"to",1359630],[1359630,"be",1359718],[1359734,"a",1359838],[1359854,"lot",1360030],[1360070,"farther",1360358],[1360414,"along,",1360678],[1360734,"and",1361094],[1361182,"it",1361382],[1361406,"might",1361566],[1361598,"not",1361766],[1361798,"be",1362398],[1362574,"as",1362886],[1362918,"long",1363332],[1363446,"before",1363720],[1363760,"they",1363936],[1363968,"require",1364264],[1364312,"that",1364808],[1364944,"level",1365216],[1365248,"of",1365392],[1365416,"care.",1365980],[1366360,"We",1366672],[1366696,"should",1366832],[1366856,"title",1367136],[1367168,"this",1367360],[1367400,"podcast.",1368048],[1368144,"It's",1368392],[1368416,"in",1368528],[1368544,"the",1368672],[1368696,"cabbage.",1369460],[1370880,"I",1371144],[1371152,"was",1371320],[1371360,"just",1371584],[1371632,"wondering.",1372380],[1372680,"I",1372944],[1372952,"was",1373024],[1373032,"just",1373248],[1373304,"wondering",1373664],[1373712,"what",1374112],[1374216,"vegetables",1374712],[1374736,"from",1374872],[1374896,"the",1375008],[1375024,"farmers",1375384],[1375432,"market",1375664],[1375712,"would",1375872],[1375896,"make",1376056],[1376088,"someone",1376544],[1376672,"a",1376864],[1376872,"little",1377016],[1377048,"bit",1377216],[1377248,"worse",1377504],[1377552,"off.",1378140],[1378600,"Exactly,",1379200],[1379240,"exactly.",1380140],[1381680,"Core",1382080],[1382080,"of",1382168],[1382184,"it",1382336],[1382368,"is",1382536],[1382568,"not",1382736],[1382768,"included",1383540],[1385200,"in",1385512],[1385536,"this",1385696],[1385728,"model.",1386000],[1386040,"I",1386168],[1386184,"think,",1386624],[1386752,"I",1386944],[1386952,"guess",1387120],[1387160,"cognition,",1387752],[1387856,"which",1388072],[1388096,"is.",1388520],[1388640,"You",1388848],[1388864,"have",1388992],[1389016,"a",1389104],[1389112,"little",1389208],[1389224,"bit",1389400],[1389440,"cognitive",1389824],[1389872,"test.",1390266],[1390368,"Uh,",1390694],[1390742,"this",1390902],[1390926,"model",1391166],[1391198,"didn't",1391430],[1391470,"have",1391838],[1391934,"much",1392142],[1392166,"in",1392278],[1392294,"the",1392374],[1392382,"way",1392478],[1392494,"of",1392598],[1392614,"comorbidities,",1393158],[1393214,"and",1393358],[1393374,"I",1393454],[1393462,"think",1393582],[1393606,"that",1393742],[1393766,"just",1393950],[1393990,"attests",1394526],[1394558,"to",1394702],[1394726,"the",1394862],[1394886,"fact",1395094],[1395142,"that",1395686],[1395838,"functional",1396382],[1396446,"status",1396790],[1396830,"is",1396958],[1396974,"really,",1397126],[1397158,"like,",1397326],[1397358,"the",1397550],[1397590,"end",1397886],[1397958,"impact",1398262],[1398326,"of",1398502],[1398526,"a",1398662],[1398686,"lot",1398870],[1398910,"of",1399086],[1399118,"different",1399334],[1399382,"comorbidities.",1400422],[1400606,"And",1400926],[1400958,"so",1401414],[1401542,"someone's",1401990],[1402030,"baseline",1402470],[1402510,"functional",1402918],[1402974,"status",1403310],[1403350,"is",1403478],[1403494,"just",1403694],[1403742,"such",1403926],[1403958,"a",1404126],[1404158,"powerful",1404550],[1404590,"predictor",1405110],[1405150,"of",1405590],[1405710,"their",1405966],[1405998,"future",1406334],[1406422,"functional",1406902],[1406966,"status.",1407470],[1407550,"And",1407838],[1407894,"since",1408110],[1408150,"this",1408350],[1408390,"model",1408686],[1408718,"is",1408862],[1408886,"so,",1409450],[1409790,"is",1410126],[1410158,"predicting",1410630],[1410670,"future",1410942],[1411006,"functional",1411422],[1411486,"status",1412142],[1412286,"and",1412542],[1412566,"really",1412726],[1412758,"their",1412902],[1412926,"baseline",1413350],[1413390,"functional",1413734],[1413782,"status",1414070],[1414110,"is",1414598],[1414734,"a",1414934],[1414942,"very",1415278],[1415374,"important",1415726],[1415798,"one.",1416246],[1416358,"And",1417010],[1417310,"I",1417598],[1417614,"don't",1417742],[1417766,"like",1417878],[1417894,"to",1417974],[1417982,"get",1418102],[1418126,"wonky,",1418438],[1418454,"but",1418534],[1418542,"I'm",1418638],[1418654,"going",1418734],[1418742,"to",1418814],[1418822,"get",1418990],[1419030,"wonky",1419502],[1419566,"as",1419718],[1419734,"the",1419814],[1419822,"wonky",1420078],[1420094,"as",1420222],[1420246,"I",1420334],[1420342,"can",1420510],[1420550,"even",1420822],[1420886,"get,",1421158],[1421214,"which",1421358],[1421374,"is",1421526],[1421558,"pretty",1421886],[1421958,"like,",1422502],[1422646,"you're",1422902],[1422926,"probably",1423086],[1423118,"going",1423214],[1423222,"to",1423318],[1423334,"laugh",1423542],[1423566,"at",1423702],[1423726,"me",1423838],[1423854,"as",1423958],[1423974,"I",1424078],[1424094,"ask",1424270],[1424310,"these",1424534],[1424582,"questions,",1424846],[1424878,"because",1425022],[1425046,"it's",1425206],[1425238,"not",1425382],[1425406,"wonky.",1425998],[1426094,"But",1426326],[1426358,"when",1426502],[1426526,"you",1426686],[1426718,"create",1426958],[1427014,"these",1427254],[1427302,"models,",1427966],[1428118,"do",1428358],[1428374,"you",1428502],[1428526,"actually",1428782],[1428846,"look",1428998],[1429014,"at",1429142],[1429166,"a",1429350],[1429390,"bunch",1429582],[1429606,"of",1429742],[1429766,"things",1429974],[1430022,"like",1430206],[1430238,"comorbidities,",1430958],[1431054,"and",1431262],[1431286,"if",1431446],[1431478,"they're",1431694],[1431742,"not",1431998],[1432054,"that",1432630],[1432790,"influential",1433494],[1433542,"as",1433726],[1433758,"compared",1433982],[1434006,"to",1434142],[1434166,"others,",1434398],[1434454,"do",1434598],[1434614,"they",1434718],[1434734,"just",1434958],[1435014,"fall",1435326],[1435398,"out",1435942],[1436086,"or",1436342],[1436366,"how",1436502],[1436526,"does",1436662],[1436686,"that",1436846],[1436878,"work?",1437454],[1437622,"Yeah,",1438038],[1438094,"so",1438502],[1438606,"essentially",1439086],[1439118,"we",1439286],[1439318,"have",1439462],[1439486,"like",1439622],[1439646,"a",1439782],[1439806,"pool",1440046],[1440078,"of",1440246],[1440278,"kind",1440422],[1440446,"of",1440558],[1440574,"candidate",1440926],[1440958,"predictors.",1441462],[1441526,"You",1441702],[1441726,"include",1441982],[1442046,"things",1442294],[1442342,"like",1442502],[1442526,"comorbidities,",1443490],[1444300,"age,",1444732],[1444796,"functional",1445164],[1445212,"status",1445652],[1445716,"falls,",1446640],[1447100,"some",1447460],[1447500,"other",1447940],[1448060,"variables.",1449120],[1449420,"And",1449732],[1449756,"then",1450228],[1450364,"usually",1450844],[1450932,"what",1451132],[1451156,"we",1451316],[1451348,"try",1451468],[1451484,"and",1451660],[1451700,"do",1451996],[1452068,"is",1452680],[1453580,"in",1453892],[1453916,"order",1454052],[1454076,"to",1454236],[1454268,"make",1454412],[1454436,"this",1454620],[1454660,"more",1454836],[1454868,"feasible,",1455332],[1455396,"rather",1455620],[1455660,"than",1455812],[1455836,"clicking",1456180],[1456220,"through",1456660],[1456780,"2030,",1457660],[1457740,"predictors",1458548],[1458684,"for",1459076],[1459148,"busy",1459436],[1459468,"clinicians,",1460164],[1460292,"is",1460580],[1460620,"perform",1460916],[1460988,"some",1461172],[1461196,"type",1461332],[1461356,"of",1461852],[1461996,"variable",1462468],[1462524,"selection",1462956],[1463028,"so",1463188],[1463204,"that",1463332],[1463356,"we",1463492],[1463516,"can",1463868],[1463964,"come",1464172],[1464196,"up",1464308],[1464324,"with",1464428],[1464444,"a",1464572],[1464596,"more",1464804],[1464852,"simplified",1465404],[1465492,"model.",1466196],[1466348,"It",1466588],[1466604,"still",1466780],[1466820,"performs",1467276],[1467308,"pretty",1467540],[1467580,"well",1468116],[1468268,"and",1468892],[1469036,"is",1469316],[1469348,"just",1469516],[1469548,"a",1469668],[1469684,"lot",1469812],[1469836,"easier",1470164],[1470212,"for",1470396],[1470428,"use,",1470860],[1470980,"for",1471260],[1471300,"clinicians",1471724],[1471772,"to.",1472244],[1472372,"To",1472636],[1472668,"use",1473220],[1473380,"basically,",1473804],[1473852,"within",1474084],[1474132,"30",1474388],[1474444,"seconds",1474692],[1474716,"or",1474828],[1474844,"a",1474924],[1474932,"minute,",1475116],[1475148,"they",1475292],[1475316,"can",1475572],[1475636,"punch",1475860],[1475900,"in",1476052],[1476076,"all",1476188],[1476204,"these",1476380],[1476420,"numbers,",1477052],[1477196,"all",1477452],[1477476,"these",1477636],[1477668,"factors,",1478044],[1478092,"and",1478228],[1478244,"then",1478732],[1478876,"get",1479108],[1479124,"a",1479228],[1479244,"prognostic",1479740],[1479780,"estimate.",1480440],[1480740,"How",1481172],[1481236,"do",1481484],[1481532,"I",1481980],[1482100,"punch",1482380],[1482420,"in",1482572],[1482596,"all",1482732],[1482756,"those",1482964],[1483012,"numbers?",1483628],[1483764,"Because",1484036],[1484068,"I",1484188],[1484204,"looked",1484372],[1484396,"at",1484484],[1484492,"the",1484612],[1484636,"supplement",1485320],[1485620,"and",1485932],[1485956,"the",1486116],[1486148,"example",1487076],[1487268,"and",1488000],[1488340,"it",1488604],[1488612,"was",1488756],[1488788,"beyond",1489092],[1489156,"my",1489380],[1489420,"math",1489660],[1489700,"ability",1490052],[1490116,"of",1490316],[1490348,"what",1490516],[1490548,"I",1490668],[1490684,"was",1490836],[1490868,"reading.",1491560],[1492020,"Yeah.",1492380],[1492420,"So",1493028],[1493204,"to",1493492],[1493516,"do",1493604],[1493612,"it",1493708],[1493724,"on",1493828],[1493844,"your",1493948],[1493964,"own",1494092],[1494116,"would",1494252],[1494276,"be",1494484],[1494532,"pretty",1494764],[1494812,"challenging",1495420],[1495500,"and",1495764],[1495812,"require",1496076],[1496108,"a",1496180],[1496180,"lot",1496292],[1496316,"of",1496428],[1496444,"math.",1496828],[1496924,"But",1497564],[1497732,"I",1497988],[1498004,"am",1498156],[1498188,"not",1498356],[1498388,"alone.",1498972],[1499116,"I",1499396],[1499428,"just",1499644],[1499692,"could",1499900],[1499940,"not.",1500520],[1501080,"Luckily,",1502056],[1502248,"this",1502576],[1502608,"model",1502808],[1502824,"is",1502976],[1503008,"also",1503248],[1503304,"hosted",1503592],[1503616,"on",1503728],[1503744,"eprognosis.",1504464],[1504512,"I've",1504672],[1504696,"heard",1504872],[1504896,"of",1505008],[1505024,"that",1505176],[1505208,"site.",1505448],[1505504,"You've",1505648],[1505664,"heard",1505768],[1505784,"of",1505888],[1505904,"that",1506032],[1506056,"one?",1506240],[1506280,"If",1506408],[1506424,"you've",1506568],[1506584,"heard",1506752],[1506776,"of",1506888],[1506904,"it.",1507460],[1508600,"Super",1509032],[1509096,"special.",1509700],[1510040,"Exactly.",1510960],[1511080,"It's",1511312],[1511336,"our",1511496],[1511528,"stealth",1511848],[1511904,"way",1512048],[1512064,"of",1512192],[1512216,"getting",1512376],[1512408,"it.",1512600],[1512640,"Is",1512768],[1512784,"it",1512936],[1512968,"up",1513112],[1513136,"and",1513296],[1513328,"running?",1513912],[1514056,"It",1514288],[1514304,"is",1514504],[1514552,"up",1514712],[1514736,"and",1514920],[1514960,"running.",1515672],[1515856,"You",1516128],[1516144,"can",1516296],[1516328,"just",1516976],[1517168,"go",1517424],[1517432,"to",1517528],[1517544,"the",1517720],[1517760,"website,",1518368],[1518544,"find",1518880],[1518920,"the",1519096],[1519128,"model,",1519820],[1520240,"input",1520672],[1520696,"the",1520832],[1520856,"patient",1521120],[1521160,"characteristics,",1521976],[1522048,"and",1522208],[1522224,"then",1522376],[1522408,"it'll",1522664],[1522712,"give",1522944],[1522992,"you",1523176],[1523208,"a",1523352],[1523376,"certain",1523680],[1523760,"few",1524024],[1524072,"numbers.",1524860],[1525160,"It'll",1525536],[1525568,"provide",1525808],[1525864,"you",1526008],[1526024,"with",1526200],[1526240,"like",1526820],[1527370,"a",1527706],[1527738,"percentage",1528114],[1528162,"estimate",1528458],[1528514,"of",1529110],[1529490,"probability",1530114],[1530202,"of",1530450],[1530490,"nursing",1530786],[1530818,"home",1530986],[1531018,"level",1531162],[1531186,"of",1531322],[1531346,"care",1531626],[1531698,"at",1532386],[1532578,"two,",1532930],[1532970,"five",1533170],[1533210,"and",1533362],[1533386,"ten",1533618],[1533674,"years,",1534034],[1534122,"and",1534346],[1534378,"also",1534618],[1534674,"the",1534842],[1534866,"median",1535290],[1535330,"predicted",1535730],[1535770,"time",1536018],[1536074,"to",1536242],[1536266,"nursing",1536522],[1536546,"home",1536970],[1537090,"care.",1537634],[1537762,"So,",1538026],[1538058,"like,",1538562],[1538706,"it",1538938],[1538954,"would",1539154],[1539202,"essentially",1539586],[1539618,"say",1539810],[1539850,"that",1540146],[1540218,"this",1540474],[1540522,"person",1541042],[1541186,"will",1541466],[1541498,"likely",1541690],[1541730,"need",1541906],[1541938,"a",1542034],[1542042,"lot",1542114],[1542122,"of",1542242],[1542266,"help",1542474],[1542522,"in,",1542706],[1542738,"let's",1542922],[1542946,"say,",1543322],[1543426,"two",1543690],[1543730,"to",1543906],[1543938,"five",1544202],[1544266,"years",1544586],[1544658,"as",1544842],[1544866,"an",1545002],[1545026,"estimate.",1545670],[1546050,"And",1546314],[1546322,"that",1546850],[1547010,"Cara",1547490],[1547530,"brought",1547706],[1547738,"up",1547930],[1547970,"discrimination,",1548990],[1549650,"which",1549986],[1550018,"in",1550162],[1550186,"this",1550346],[1550378,"case",1550546],[1550578,"is",1550866],[1550938,"a",1551146],[1551178,"good",1551370],[1551410,"thing",1551586],[1551618,"if",1551762],[1551786,"it",1551898],[1551914,"can",1552114],[1552162,"discriminate",1553190],[1553550,"real",1553886],[1553918,"quickly.",1554182],[1554206,"James,",1554646],[1554758,"what",1555006],[1555038,"is",1555206],[1555238,"discrimination?",1555862],[1555926,"And",1556102],[1556126,"was",1556334],[1556382,"yours",1556934],[1557022,"any",1557318],[1557374,"good",1557590],[1557630,"at",1557758],[1557774,"it?",1558286],[1558438,"Yeah.",1559006],[1559118,"So",1559366],[1559398,"discrimination",1559958],[1560014,"is",1560278],[1560334,"one",1560766],[1560878,"aspect",1561294],[1561342,"of",1561694],[1561782,"prognostic",1562430],[1562470,"modeling",1563222],[1563366,"performance,",1564050],[1564510,"and",1564798],[1564814,"it",1564942],[1564966,"really",1565530],[1566030,"indicates,",1566614],[1566662,"like,",1566870],[1566910,"how",1567134],[1567182,"well",1567462],[1567526,"the",1567726],[1567758,"model",1568214],[1568302,"can",1568910],[1569070,"differentiate",1569694],[1569742,"between",1570070],[1570150,"someone",1570414],[1570462,"who",1570670],[1570710,"does",1570886],[1570918,"and",1571062],[1571086,"does",1571222],[1571246,"not",1571406],[1571438,"have",1571582],[1571606,"the",1571742],[1571766,"outcome.",1572518],[1572694,"So",1573102],[1573166,"a",1573342],[1573366,"good",1573550],[1573590,"model",1574102],[1574206,"predicts",1574734],[1574782,"that,",1574966],[1574998,"let's",1575222],[1575246,"say",1575550],[1575630,"someone",1576230],[1576390,"gives",1576678],[1576694,"them",1576822],[1576846,"a",1577006],[1577038,"high",1577326],[1577398,"risk",1577606],[1577638,"of",1577830],[1577870,"mortality",1578310],[1578350,"or",1578502],[1578526,"something",1579090],[1579590,"compared",1580006],[1580038,"to",1580182],[1580206,"someone",1580414],[1580462,"else,",1580694],[1580742,"that",1581334],[1581502,"a",1581758],[1581774,"well,",1581950],[1581990,"discriminated",1582534],[1582582,"model",1583086],[1583198,"would",1583590],[1583670,"assign",1584030],[1584070,"a",1584222],[1584246,"higher",1584478],[1584534,"probability",1585014],[1585102,"for",1585326],[1585358,"someone",1585550],[1585590,"who",1585766],[1585798,"actually",1586038],[1586094,"had",1586358],[1586414,"an",1586558],[1586574,"outcome",1586846],[1586878,"of",1587046],[1587078,"mortality.",1587930],[1588430,"And",1588742],[1588766,"so",1589358],[1589534,"this",1589846],[1589878,"model",1590102],[1590126,"that",1590262],[1590286,"we",1590446],[1590478,"did",1591050],[1591430,"discriminates",1592046],[1592078,"fairly",1592382],[1592406,"well.",1592970],[1593950,"It's",1594446],[1594518,"certainly",1594870],[1594910,"not",1595086],[1595118,"as",1595406],[1595478,"good",1595662],[1595686,"as",1595942],[1596006,"other",1596686],[1596878,"prognostic",1597566],[1597598,"models",1597870],[1597910,"that",1598014],[1598022,"we've",1598182],[1598206,"developed",1598502],[1598526,"in",1598614],[1598622,"the",1598742],[1598766,"past,",1598974],[1599022,"and",1599158],[1599174,"I",1599278],[1599294,"think",1599422],[1599446,"that",1599582],[1599606,"just",1599910],[1599990,"is",1600182],[1600206,"a",1600342],[1600366,"testament",1600726],[1600758,"to",1600950],[1600990,"how",1601430],[1601550,"difficult",1602054],[1602102,"this",1602334],[1602382,"outcome",1602710],[1602750,"is",1602902],[1602926,"to",1603086],[1603118,"predict.",1603726],[1603878,"There's",1604134],[1604142,"a",1604526],[1604638,"longer",1605030],[1605070,"term",1605270],[1605310,"outcome,",1605670],[1605710,"too,",1605958],[1606014,"right?",1606518],[1606654,"It's",1606950],[1606990,"not",1607142],[1607166,"just",1607350],[1607390,"in",1607494],[1607502,"the",1607646],[1607678,"next",1607918],[1607974,"couple",1608350],[1608430,"weeks",1608694],[1608742,"or",1608926],[1608958,"months.",1609504],[1609662,"Exactly.",1610492],[1610636,"Yeah.",1611360],[1611660,"And",1612020],[1612060,"also,",1612640],[1613060,"a",1613348],[1613364,"lot",1613492],[1613516,"of",1613652],[1613676,"it",1614316],[1614508,"is",1614812],[1614836,"kind",1614948],[1614964,"of",1615092],[1615116,"challenging",1615412],[1615436,"to",1615572],[1615596,"predict,",1615884],[1615932,"like,",1616116],[1616148,"if",1616340],[1616380,"you.",1616964],[1617132,"Someone's",1617868],[1617964,"function",1618404],[1618452,"in",1618564],[1618572,"the",1618716],[1618748,"future",1619324],[1619492,"can",1620156],[1620308,"depend",1620764],[1620812,"on,",1621020],[1621060,"like,",1621212],[1621236,"a",1621372],[1621396,"crisis",1621788],[1621844,"event,",1622228],[1622324,"like",1622580],[1622620,"a",1622820],[1622860,"fall",1623036],[1623068,"and",1623164],[1623172,"a",1623268],[1623284,"hip",1623436],[1623468,"fracture.",1623924],[1623972,"That",1624228],[1624284,"is",1624524],[1624572,"really",1624900],[1624980,"challenging",1625524],[1625572,"to",1625924],[1626012,"predict.",1626324],[1626372,"So",1626508],[1626524,"I",1626604],[1626612,"think",1627044],[1627172,"the",1627436],[1627468,"estimates",1627828],[1627844,"that",1627948],[1627964,"you'll",1628188],[1628244,"find",1628436],[1628468,"on",1628612],[1628636,"eprognosis",1629388],[1629444,"maybe",1629716],[1629748,"have",1629892],[1629916,"a",1630028],[1630044,"little",1630172],[1630196,"bit",1630452],[1630516,"wider",1631116],[1631268,"range",1631700],[1631740,"than",1632204],[1632332,"some",1632548],[1632564,"of",1632620],[1632620,"the",1632708],[1632724,"other",1632900],[1632940,"calculators.",1633876],[1634068,"But",1634540],[1634620,"this",1634860],[1634900,"information",1635244],[1635332,"can",1635532],[1635556,"really",1635764],[1635812,"still",1635996],[1636028,"be",1636148],[1636164,"used",1636292],[1636316,"as",1636428],[1636444,"a",1636572],[1636596,"starting",1636876],[1636908,"point",1637172],[1637236,"for",1637604],[1637692,"enhancing",1638164],[1638212,"conversations",1638860],[1638940,"with",1639132],[1639156,"patients",1639420],[1639460,"and",1639612],[1639636,"families.",1640274],[1640412,"How",1640662],[1640686,"do",1640774],[1640782,"you",1640902],[1640926,"expect",1641134],[1641182,"people",1641366],[1641398,"to",1641542],[1641566,"use",1641702],[1641726,"it?",1642246],[1642398,"Yeah,",1642974],[1643102,"I",1643294],[1643302,"think",1643398],[1643414,"it",1643518],[1643534,"can",1643662],[1643686,"be",1643846],[1643878,"used",1644502],[1644686,"essentially",1645206],[1645238,"a",1645382],[1645406,"lot",1645542],[1645566,"with",1645798],[1645854,"future",1646142],[1646206,"planning",1646542],[1646566,"and",1646678],[1646694,"counseling.",1647610],[1648070,"I",1648358],[1648374,"think",1648742],[1648846,"when",1649062],[1649086,"you're",1649742],[1649926,"talking",1650366],[1650398,"with",1650566],[1650598,"patients",1650870],[1650910,"and",1651062],[1651086,"families",1651470],[1651510,"with",1651662],[1651686,"dementia,",1652246],[1652318,"unfortunately,",1652726],[1652758,"we",1652926],[1652958,"know",1653102],[1653126,"that",1653262],[1653286,"it",1653446],[1653478,"is",1653670],[1653710,"a",1653910],[1653950,"progressive",1654430],[1654470,"disease,",1655214],[1655382,"and",1656022],[1656166,"most",1656902],[1657086,"individuals",1657622],[1657646,"with",1657782],[1657806,"dementia",1658374],[1658462,"will",1658902],[1659006,"be",1659198],[1659214,"admitted",1659478],[1659494,"to",1659718],[1659774,"a",1659942],[1659966,"nursing",1660230],[1660270,"home",1660850],[1661590,"or",1662310],[1662470,"require",1662910],[1662950,"just",1663294],[1663382,"a",1663582],[1663606,"high",1663814],[1663862,"level",1664046],[1664078,"of",1664534],[1664662,"care.",1665286],[1665438,"And",1665702],[1665726,"so",1666290],[1667040,"putting",1667432],[1667456,"an",1667952],[1668096,"approximate",1668856],[1668968,"number",1669288],[1669344,"on",1669560],[1669600,"when",1669776],[1669808,"you",1669928],[1669944,"might",1670120],[1670160,"expect",1670576],[1670688,"that",1670936],[1670968,"to",1671160],[1671200,"happen",1671780],[1672400,"is",1672736],[1672768,"helpful",1673056],[1673088,"in",1673232],[1673256,"just",1673488],[1673544,"preparing",1673872],[1673896,"for",1674008],[1674024,"the",1674128],[1674144,"future,",1674464],[1674552,"when",1674992],[1675096,"you",1675312],[1675336,"may",1675472],[1675496,"need",1675680],[1675720,"to",1675992],[1676056,"hire",1676344],[1676392,"more",1676576],[1676608,"help,",1677180],[1678160,"get",1678520],[1678560,"more",1678736],[1678768,"family",1679032],[1679096,"supervision",1680020],[1680720,"and",1681056],[1681088,"things",1681280],[1681320,"like",1681496],[1681528,"that,",1681888],[1681984,"so",1682168],[1682184,"that",1682336],[1682368,"people",1682608],[1682664,"don't",1682872],[1682896,"feel",1683440],[1683600,"as",1683896],[1683928,"blindsided",1684940],[1685320,"when",1685608],[1685624,"that",1685992],[1686096,"time",1686360],[1686400,"comes.",1686984],[1687152,"Yeah.",1687860],[1688280,"Which",1688784],[1688872,"gets",1689112],[1689136,"us",1689248],[1689264,"to",1689392],[1689416,"our",1689720],[1689800,"third",1690136],[1690208,"part",1690560],[1690640,"of",1690904],[1690952,"this",1691352],[1691456,"discussion.",1692112],[1692176,"So",1692352],[1692376,"we've",1692512],[1692536,"talked",1692712],[1692736,"about",1692848],[1692864,"the",1692944],[1692952,"pps.",1693580],[1694040,"We've",1694392],[1694416,"talked",1694592],[1694616,"about",1695088],[1695224,"James's",1695848],[1695904,"model",1696336],[1696408,"around",1696736],[1696808,"dementia",1697232],[1697256,"and",1697368],[1697384,"nursing",1697592],[1697616,"home",1697800],[1697840,"placement.",1698620],[1699440,"So",1699728],[1699744,"there's",1699936],[1699968,"the",1700256],[1700328,"how",1700536],[1700568,"do",1700688],[1700704,"we",1701000],[1701080,"estimate",1701632],[1701736,"prognosis",1702600],[1702680,"and",1702872],[1702896,"using",1703080],[1703120,"our",1703272],[1703296,"clinical",1703632],[1703696,"stalt",1704264],[1704312,"versus",1704584],[1704632,"using",1704960],[1705040,"these",1705256],[1705288,"prognostic",1705856],[1705888,"tools?",1706620],[1706960,"You",1707224],[1707232,"know,",1707328],[1707344,"the",1707448],[1707464,"other",1707640],[1707680,"really",1707880],[1707920,"important",1708216],[1708288,"part",1708592],[1708656,"when",1708832],[1708856,"we're",1708992],[1709016,"talking",1709296],[1709328,"about",1709544],[1709592,"prognostication",1710488],[1710544,"is",1710928],[1711024,"how",1711232],[1711256,"do",1711392],[1711416,"we",1711744],[1711832,"communicate",1713048],[1713144,"prognosis",1714340],[1714840,"amongst",1715780],[1716120,"our",1716456],[1716488,"interdisciplinary",1717056],[1717088,"healthcare",1717400],[1717440,"teams?",1717768],[1717824,"And",1717992],[1718016,"then",1718224],[1718272,"finally",1718632],[1718656,"to",1718768],[1718784,"the",1718912],[1718936,"patient,",1719580],[1720390,"which",1720702],[1720726,"is",1720862],[1720886,"like",1721070],[1721110,"the",1721334],[1721382,"other",1721710],[1721790,"really",1722102],[1722166,"big",1722390],[1722430,"part",1722582],[1722606,"of",1722742],[1722766,"prognostication.",1723742],[1723846,"And,",1724086],[1724118,"Liz,",1724398],[1724454,"this",1724622],[1724646,"is",1724782],[1724806,"why",1724966],[1724998,"I",1725166],[1725198,"really",1725414],[1725462,"liked",1725702],[1725726,"your",1725886],[1725918,"paper.",1726414],[1726542,"Was",1726758],[1726774,"it",1726878],[1726894,"annals",1727166],[1727198,"of",1727366],[1727398,"surgery?",1728174],[1728342,"That's",1728710],[1728750,"right.",1728950],[1728990,"Yeah,",1729254],[1729302,"annals",1729566],[1729598,"of",1729742],[1729766,"surgery.",1730062],[1730086,"We'll",1730198],[1730214,"have",1730390],[1730430,"link",1730582],[1730606,"to",1730742],[1730766,"it",1730878],[1730894,"on",1731022],[1731046,"our",1731182],[1731206,"show",1731414],[1731462,"notes",1732130],[1732750,"as",1733086],[1733118,"we",1733286],[1733318,"think",1733486],[1733518,"about",1733758],[1733814,"moving",1734054],[1734102,"into",1734310],[1734350,"that",1734598],[1734654,"second",1734918],[1734974,"part",1735142],[1735166,"of",1735302],[1735326,"prognostication,",1736094],[1736142,"the",1736350],[1736390,"communication",1737230],[1737310,"part.",1737930],[1738230,"You",1738614],[1738662,"talk",1738894],[1738942,"about",1739294],[1739382,"prognostic",1740398],[1740454,"alignment",1741410],[1741910,"as",1742222],[1742246,"a",1742454],[1742502,"really",1742782],[1742846,"important",1743190],[1743270,"part",1743510],[1743550,"of",1743702],[1743726,"that",1743910],[1743950,"piece.",1744570],[1745160,"What",1745448],[1745464,"do",1745544],[1745552,"you",1745648],[1745664,"mean",1745816],[1745848,"by",1746016],[1746048,"prognostic",1746640],[1746680,"alignment?",1747460],[1748200,"So,",1748632],[1748696,"prognostic",1749320],[1749360,"alignment,",1750336],[1750528,"which",1751048],[1751144,"I",1751376],[1751408,"kind",1751552],[1751576,"of",1751736],[1751768,"think",1751936],[1751968,"of",1752112],[1752136,"as",1752272],[1752296,"both",1752480],[1752520,"a",1752696],[1752728,"noun",1753056],[1753128,"and",1753288],[1753304,"an.",1753672],[1753776,"And",1753992],[1754016,"a",1754128],[1754144,"verb,",1754780],[1755400,"but",1755736],[1755768,"it's",1756288],[1756424,"this",1756768],[1756824,"process",1757232],[1757336,"that",1757648],[1757704,"we",1758280],[1758440,"take",1758832],[1758896,"each",1759048],[1759064,"of",1759192],[1759216,"our",1759376],[1759408,"individual",1759912],[1759976,"prognostic",1761032],[1761176,"awarenesses",1762120],[1762200,"or",1762464],[1762512,"prognostic",1763296],[1763368,"ideas",1764040],[1764160,"and",1764440],[1764480,"we",1764656],[1764688,"communicate",1765264],[1765312,"them",1765900],[1766480,"and",1766840],[1766880,"we",1767104],[1767152,"understand",1767504],[1767592,"where",1767816],[1767848,"we're",1767992],[1768016,"each",1768200],[1768240,"coming",1768488],[1768544,"from",1768760],[1768800,"and",1768952],[1768976,"we",1769136],[1769168,"make",1769288],[1769304,"sure",1769432],[1769456,"that",1769568],[1769584,"we're",1769776],[1769808,"starting",1770056],[1770088,"from",1770256],[1770288,"the",1770408],[1770424,"same",1770624],[1770672,"place.",1771330],[1771520,"And",1771870],[1771910,"we",1772374],[1772502,"hopefully",1772886],[1772918,"are",1773062],[1773086,"doing",1773270],[1773310,"that",1773462],[1773486,"before",1773742],[1773806,"we're",1774022],[1774046,"talking",1774350],[1774390,"to",1774662],[1774726,"patients",1775070],[1775110,"and",1775262],[1775286,"family",1775590],[1775670,"members.",1775982],[1776046,"So",1776222],[1776246,"they're",1776406],[1776438,"not",1776630],[1776670,"getting",1777278],[1777454,"different",1777910],[1777990,"prognostic",1778630],[1778670,"understandings",1779374],[1779422,"from",1779702],[1779766,"each",1780134],[1780222,"individual",1780798],[1780854,"member",1781046],[1781078,"of",1781222],[1781246,"the",1781430],[1781470,"team.",1782050],[1783670,"This",1784054],[1784102,"idea",1784470],[1784510,"of",1785022],[1785166,"prognostic",1786126],[1786198,"alignment",1786758],[1786814,"actually",1787342],[1787486,"came",1787934],[1788022,"up",1788318],[1788374,"during",1788566],[1788598,"my",1788742],[1788766,"palliative",1789118],[1789134,"care",1789334],[1789382,"fellowship,",1790102],[1790206,"where",1790566],[1790638,"I",1790822],[1790846,"noticed",1791142],[1791166,"that",1791374],[1791422,"palliative",1791886],[1791918,"care,",1792134],[1792182,"I",1792318],[1792334,"spent",1792550],[1792590,"a",1792766],[1792798,"lot",1792942],[1792966,"of",1793150],[1793190,"time",1793534],[1793622,"making",1793918],[1793974,"phone",1794254],[1794302,"calls",1794758],[1794814,"and",1795078],[1795134,"emails",1795630],[1795670,"and",1795822],[1795846,"trying",1795982],[1796006,"to",1796094],[1796102,"get",1796222],[1796246,"people",1796430],[1796470,"to",1796622],[1796646,"talk",1796806],[1796838,"to",1796982],[1797006,"each",1797142],[1797166,"other,",1797730],[1798590,"which",1798950],[1798990,"was",1799190],[1799230,"just",1799406],[1799438,"a",1799582],[1799606,"very",1799910],[1799990,"different.",1800638],[1800814,"And",1801126],[1801158,"people.",1801446],[1801518,"You",1801678],[1801694,"mean",1801846],[1801878,"by",1802286],[1802398,"team",1802718],[1802774,"members",1803038],[1803094,"or",1803310],[1803350,"patients",1803694],[1803742,"and",1803902],[1803926,"family",1804206],[1804278,"members?",1804890],[1805550,"Team",1805958],[1806014,"members.",1806610],[1807030,"So",1807342],[1807366,"I'm",1807930],[1808590,"going",1808836],[1808838,"to",1808898],[1808904,"talk",1809022],[1809046,"to",1809182],[1809206,"each",1809342],[1809366,"other.",1809930],[1812150,"It's",1812542],[1812566,"just,",1812822],[1812886,"it's",1813062],[1813086,"a",1813270],[1813310,"wild",1813646],[1813718,"concept,",1814610],[1816070,"but",1816406],[1816438,"I",1816582],[1816606,"found",1816862],[1816926,"that",1817318],[1817414,"I",1817574],[1817582,"was",1817702],[1817726,"spending",1817982],[1818006,"a",1818166],[1818198,"lot",1818318],[1818334,"of",1818510],[1818550,"time",1819182],[1819366,"sending",1819854],[1819902,"emails",1820390],[1820430,"and",1820606],[1820638,"trying",1820854],[1820902,"to",1821062],[1821086,"get",1821650],[1821950,"the",1822262],[1822286,"person",1822470],[1822510,"in",1822614],[1822622,"the",1822742],[1822766,"ICU",1823478],[1823574,"to",1823782],[1823806,"talk",1823990],[1824030,"to",1824182],[1824206,"the",1824534],[1824622,"surgeon",1825118],[1825174,"who",1825366],[1825398,"operated",1825734],[1825782,"on",1825918],[1825934,"the",1826062],[1826086,"patient",1826486],[1826558,"and",1826742],[1826766,"the",1826878],[1826894,"nephrologist",1827574],[1827622,"and",1827734],[1827742,"the",1827862],[1827886,"cardiologist",1828366],[1828398,"and",1828542],[1828566,"all",1828702],[1828726,"the",1829264],[1829422,"who",1829668],[1829684,"were",1829812],[1829836,"taking",1829996],[1830028,"care",1830172],[1830196,"of",1830332],[1830356,"pieces",1830652],[1830716,"of",1830892],[1830916,"a",1831052],[1831076,"person.",1831692],[1831876,"Yeah,",1832692],[1832876,"I",1833148],[1833164,"wish",1833268],[1833284,"we",1833388],[1833404,"were",1833484],[1833492,"a",1833588],[1833604,"palliative",1833956],[1833988,"care",1834180],[1834220,"ologists.",1834716],[1834788,"That",1835044],[1835092,"would",1835252],[1835276,"be",1835412],[1835436,"pretty",1835596],[1835628,"cool.",1836200],[1837580,"And",1838252],[1838396,"I",1838652],[1838676,"really",1838836],[1838868,"encourage",1839132],[1839156,"everybody",1839372],[1839396,"to",1839532],[1839556,"read",1839836],[1839908,"Liz's",1840340],[1840380,"article.",1840676],[1840748,"But",1841004],[1841052,"you",1841236],[1841268,"actually",1841436],[1841468,"gave",1841612],[1841636,"a",1841748],[1841764,"case",1842084],[1842172,"that",1842420],[1842460,"included",1842916],[1842948,"some",1843140],[1843180,"ologists",1843692],[1843756,"and",1843932],[1843956,"going",1844140],[1844180,"back",1844308],[1844324,"to",1844404],[1844412,"the",1844508],[1844524,"farmer's",1844876],[1844908,"market,",1845220],[1845300,"a",1845540],[1845580,"cabbage",1846028],[1846084,"case.",1846680],[1848420,"Do",1848660],[1848660,"you",1848796],[1848828,"remember",1849244],[1849332,"what",1849532],[1849556,"you",1850120],[1850700,"describe",1851276],[1851308,"that",1851452],[1851476,"case?",1851660],[1851700,"Do",1851804],[1851812,"you",1851932],[1851956,"remember",1852204],[1852252,"it?",1852916],[1853108,"Yeah.",1853684],[1853772,"So",1854400],[1855060,"this",1855372],[1855396,"was",1855556],[1855588,"actually",1855756],[1855788,"a",1855932],[1855956,"case",1856164],[1856212,"that",1856468],[1856524,"Ricky",1856812],[1856836,"Lieder,",1857156],[1857188,"who",1857356],[1857388,"came",1857580],[1857620,"up",1857772],[1857796,"with",1857908],[1857924,"the",1858076],[1858108,"word",1858388],[1858444,"prognostic,",1859520],[1860000,"prognostic",1860616],[1860648,"alignment.",1861040],[1861080,"So",1861304],[1861352,"snaps",1861664],[1861712,"to",1861848],[1861864,"Ricky,",1862580],[1863440,"but",1864180],[1864880,"he",1865240],[1865280,"presented",1865760],[1865800,"this",1865976],[1866008,"case",1866224],[1866272,"to",1866504],[1866552,"us",1866856],[1866928,"of",1867304],[1867392,"a",1867664],[1867712,"person",1867992],[1868056,"who",1868208],[1868224,"had",1868376],[1868408,"had",1868576],[1868608,"a",1868920],[1869000,"heart",1869288],[1869344,"operation.",1870140],[1870480,"And",1871296],[1871488,"as",1871840],[1871880,"things",1872128],[1872184,"sometimes",1872904],[1873032,"happen",1873416],[1873488,"in",1873696],[1873728,"surgery,",1874536],[1874688,"patients",1875120],[1875160,"can",1875360],[1875400,"experience",1875744],[1875832,"complications",1876648],[1876744,"and",1877048],[1877104,"one",1877344],[1877392,"complication,",1878328],[1878504,"particularly",1879336],[1879368,"in",1879536],[1879568,"someone",1879832],[1879896,"who's",1880136],[1880168,"frail,",1880448],[1880504,"who's",1880736],[1880768,"not",1880984],[1881032,"buying",1881256],[1881288,"the",1881432],[1881456,"cabbage,",1881824],[1881872,"maybe",1882072],[1882096,"they're",1882232],[1882256,"buying",1882408],[1882424,"the",1882552],[1882576,"chard",1882920],[1882960,"at",1883064],[1883072,"the",1883168],[1883184,"farmer's",1883576],[1883608,"market.",1884180],[1884680,"They",1884992],[1885016,"can",1885176],[1885208,"end",1885376],[1885408,"up",1885528],[1885544,"with",1885720],[1885760,"more",1885960],[1886000,"than",1886224],[1886272,"one",1886528],[1886584,"thing",1886920],[1887000,"happening,",1887662],[1887776,"and",1888194],[1888282,"all",1888434],[1888442,"of",1888514],[1888522,"a",1888618],[1888634,"sudden",1888778],[1888794,"the",1888946],[1888978,"kidneys",1889346],[1889378,"aren't",1889610],[1889650,"working",1890018],[1890114,"and",1890466],[1890538,"the",1890794],[1890842,"heart",1891218],[1891314,"isn't",1891738],[1891794,"waking",1892106],[1892138,"up",1892282],[1892306,"the",1892418],[1892434,"way",1892562],[1892586,"that",1892698],[1892714,"we",1892842],[1892866,"hoped",1893122],[1893146,"it",1893306],[1893338,"would.",1893910],[1894370,"And",1894658],[1894674,"so",1894874],[1894922,"this",1895130],[1895170,"case",1895394],[1895442,"that",1895578],[1895594,"we",1895866],[1895938,"presented",1896722],[1896826,"was",1897162],[1897226,"based",1897426],[1897458,"on",1897602],[1897626,"a",1897786],[1897818,"real",1898082],[1898146,"case",1898490],[1898570,"where",1898762],[1898786,"there",1898946],[1898978,"were",1899626],[1899818,"different",1900242],[1900306,"members",1900530],[1900570,"of",1900698],[1900714,"the",1900818],[1900834,"team,",1901106],[1901178,"really",1901482],[1901546,"smart",1901922],[1901986,"people",1902282],[1902346,"with",1902546],[1902578,"good",1902794],[1902842,"intentions,",1903386],[1903418,"who",1903538],[1903554,"were",1903658],[1903674,"telling",1903890],[1903930,"the",1904082],[1904106,"patient",1904482],[1904546,"and",1904674],[1904682,"the",1904802],[1904826,"family",1905082],[1905146,"just",1905514],[1905602,"wildly",1906170],[1906210,"different",1906506],[1906578,"things.",1907190],[1907770,"And",1908082],[1908106,"this",1908242],[1908266,"patient",1908490],[1908530,"had",1908778],[1908834,"infection",1909306],[1909378,"and",1909586],[1909618,"delirium,",1910098],[1910154,"and",1910298],[1910314,"nephrologist",1910906],[1910938,"was",1911082],[1911106,"saying",1911290],[1911330,"that",1911554],[1911602,"they're",1911826],[1911858,"not",1912050],[1912090,"gonna,",1912538],[1912634,"you",1912818],[1912834,"know,",1912962],[1912986,"they're",1913122],[1913146,"not",1913282],[1913306,"gonna",1913458],[1913474,"get",1913626],[1913658,"better.",1913826],[1913858,"From",1914026],[1914058,"a",1914370],[1914450,"yemenite,",1914788],[1914874,"a",1915096],[1915128,"renal",1915504],[1915552,"standpoint,",1916420],[1916800,"the",1917112],[1917136,"cardiac",1917848],[1917984,"surgeon",1918592],[1918656,"said,",1919120],[1919240,"we've",1919560],[1919600,"seen",1919872],[1919936,"people",1920256],[1920328,"get",1920560],[1920600,"better",1920872],[1920936,"from",1921496],[1921648,"these",1921984],[1922032,"really",1922288],[1922344,"bad",1922608],[1922664,"cases.",1923260],[1924040,"And",1924352],[1924376,"then",1924512],[1924536,"you",1924672],[1924696,"got",1924904],[1924952,"the",1925184],[1925232,"ICU",1925744],[1925792,"team,",1926024],[1926072,"who's",1926296],[1926328,"probably",1926648],[1926704,"thinking",1927048],[1927104,"like,",1927344],[1927392,"oh,",1927528],[1927544,"my",1927696],[1927728,"God,",1927984],[1928032,"this",1928168],[1928184,"is",1928312],[1928336,"such",1928472],[1928496,"a",1928608],[1928624,"train",1928840],[1928880,"wreck.",1929432],[1929576,"And",1929784],[1929792,"the",1929888],[1929904,"palliative",1930208],[1930224,"care",1930376],[1930408,"doctor",1930760],[1930800,"kind",1930952],[1930976,"of",1931112],[1931136,"somewhere",1931464],[1931512,"stuck",1931760],[1931800,"in",1931904],[1931912,"the",1932008],[1932024,"middle.",1932624],[1932792,"Yeah.",1933400],[1933520,"Yeah.",1933984],[1934072,"And",1934272],[1934296,"I'm",1934432],[1934456,"sure",1934592],[1934616,"that",1935088],[1935224,"everyone",1935900],[1936520,"in",1936856],[1936888,"palliative",1937336],[1937368,"care",1937632],[1937696,"has",1938016],[1938088,"been",1938296],[1938328,"that",1938568],[1938624,"person",1938912],[1938976,"stuck",1939216],[1939248,"in",1939344],[1939352,"the",1939448],[1939464,"middle,",1939744],[1939792,"where",1939976],[1940008,"it's",1940176],[1940208,"like",1940780],[1941130,"you're",1941442],[1941466,"getting",1941698],[1941754,"called",1941994],[1942042,"because",1942346],[1942418,"no",1942626],[1942658,"one",1942874],[1942922,"likes",1943162],[1943186,"each",1943322],[1943346,"other",1943578],[1943634,"right",1943826],[1943858,"now.",1944430],[1946210,"Go",1946498],[1946514,"ahead.",1946642],[1946666,"Did",1946778],[1946794,"this",1946922],[1946946,"come",1947106],[1947138,"out",1947306],[1947338,"in",1947458],[1947474,"the",1947602],[1947626,"meeting?",1948190],[1949570,"This",1950002],[1950066,"does",1950314],[1950362,"come",1950546],[1950578,"up",1950746],[1950778,"in",1950898],[1950914,"the",1951042],[1951066,"meetings.",1951386],[1951418,"And",1951682],[1951746,"what's",1951986],[1952018,"so",1952186],[1952218,"funny",1952554],[1952602,"is",1953190],[1953970,"I",1954282],[1954306,"remember",1954578],[1954634,"one",1954874],[1954922,"case,",1955514],[1955682,"not",1956010],[1956050,"this",1956226],[1956258,"case,",1956426],[1956458,"but",1956554],[1956562,"a",1956658],[1956674,"very",1956874],[1956922,"similar",1957250],[1957330,"one,",1957546],[1957578,"where",1958154],[1958322,"I",1958578],[1958594,"spent",1958826],[1958858,"very",1959194],[1959282,"little",1959626],[1959698,"time",1960170],[1960290,"in",1960522],[1960546,"direct",1960802],[1960866,"contact",1961162],[1961226,"with",1961402],[1961426,"a",1961538],[1961554,"patient",1961762],[1961786,"or",1961898],[1961914,"the",1962042],[1962066,"family",1962346],[1962418,"member.",1963030],[1963730,"Our",1964114],[1964162,"intervention",1964666],[1964698,"was",1964842],[1964866,"a",1965050],[1965090,"team",1965338],[1965394,"meeting",1965682],[1965746,"where",1965946],[1965978,"everyone",1966410],[1966530,"talks",1966970],[1967010,"and",1967186],[1967218,"says,",1967790],[1968690,"here's",1969082],[1969106,"what",1969266],[1969298,"I'm",1969506],[1969538,"seeing,",1969786],[1969818,"and",1969962],[1969986,"here's",1970202],[1970226,"what",1970386],[1970418,"I'm",1970658],[1970714,"thinking",1971066],[1971098,"and",1971290],[1971330,"feeling.",1972110],[1972560,"And",1972944],[1972992,"sometimes",1973464],[1973512,"by",1973720],[1973760,"having",1973960],[1974000,"those",1974200],[1974240,"conversations,",1975216],[1975408,"we",1975688],[1975704,"can",1975880],[1975920,"reach",1976264],[1976352,"alignment,",1977312],[1977496,"and",1977840],[1977880,"sometimes",1978232],[1978256,"we",1978392],[1978416,"can't,",1978864],[1978952,"and",1979200],[1979240,"we",1979392],[1979416,"can",1979576],[1979608,"recognize",1980024],[1980072,"that",1980352],[1980416,"we,",1980664],[1980712,"with",1980920],[1980960,"good",1981160],[1981200,"intentions",1981904],[1981952,"and",1982256],[1982328,"a",1982512],[1982536,"lot",1982696],[1982728,"of",1983112],[1983216,"thoughtfulness,",1984024],[1984112,"are",1984336],[1984368,"never",1984584],[1984632,"going",1984792],[1984816,"to",1985240],[1985360,"meet",1985616],[1985648,"eye",1985792],[1985816,"to",1986000],[1986040,"eye.",1986528],[1986664,"So",1986936],[1986968,"how",1987112],[1987136,"do",1987224],[1987232,"we",1987376],[1987408,"share",1987600],[1987640,"that",1987768],[1987784,"with",1987888],[1987904,"a",1988008],[1988024,"patient",1988328],[1988384,"and",1988504],[1988512,"a",1988608],[1988624,"family",1988920],[1989000,"member",1989360],[1989440,"so",1989632],[1989656,"that",1989840],[1989880,"they",1990128],[1990184,"can",1990400],[1990440,"feel",1990760],[1990840,"supported",1991312],[1991336,"by",1991520],[1991560,"everyone",1992096],[1992248,"that",1992512],[1992536,"cares",1992792],[1992816,"for",1992928],[1992944,"them?",1993480],[1993640,"Because",1994104],[1994192,"many",1994392],[1994416,"of",1994576],[1994608,"us,",1994800],[1994840,"I'm",1995016],[1995048,"sure",1995620],[1996120,"others",1996480],[1996520,"on",1996648],[1996664,"this",1996816],[1996848,"call,",1997112],[1997176,"our",1997376],[1997408,"listeners,",1998120],[1998240,"have",1998616],[1998688,"had",1998920],[1998960,"that",1999160],[1999200,"experience",1999568],[1999664,"of,",1999896],[1999928,"you're",2000168],[2000224,"in",2000440],[2000480,"the",2000656],[2000688,"family",2001000],[2001080,"meeting",2001512],[2001616,"and,",2001928],[2001984,"shoot,",2002304],[2002352,"you",2002512],[2002536,"forgot",2002816],[2002848,"to",2003016],[2003048,"discuss",2003336],[2003408,"prognosis",2003960],[2004000,"before,",2004164],[2004192,"beforehand.",2005148],[2005324,"And,",2005972],[2006116,"you",2006348],[2006364,"know,",2006588],[2006644,"one",2006884],[2006932,"doc",2007180],[2007220,"says",2007468],[2007524,"one",2007740],[2007780,"prognosis,",2008532],[2008596,"another",2008892],[2008956,"team",2009204],[2009252,"member",2009484],[2009532,"says",2009740],[2009780,"a",2009932],[2009956,"different",2010188],[2010244,"prognosis,",2011172],[2011276,"and",2011516],[2011548,"all",2011644],[2011652,"of",2011748],[2011764,"a",2011868],[2011884,"sudden,",2012052],[2012076,"you're",2012252],[2012276,"trying",2012412],[2012436,"to",2012572],[2012596,"hash",2012812],[2012836,"it",2012996],[2013028,"out",2013172],[2013196,"in",2013332],[2013356,"front",2013516],[2013548,"of",2013668],[2013684,"the",2014240],[2014540,"patient",2014980],[2015020,"and",2015196],[2015228,"family.",2015612],[2015716,"Like,",2015956],[2015988,"that",2016156],[2016188,"is",2016332],[2016356,"the",2016564],[2016612,"worst",2017004],[2017092,"situation.",2017652],[2017756,"Right?",2018400],[2018900,"It's",2019188],[2019204,"like",2019332],[2019356,"you",2019516],[2019548,"wish",2019692],[2019716,"that",2019852],[2019876,"you",2020012],[2020036,"had,",2020196],[2020228,"like,",2020372],[2020396,"a",2020532],[2020556,"panic",2020860],[2020900,"button,",2021220],[2021260,"and",2021412],[2021436,"then",2021572],[2021596,"the",2021732],[2021756,"meeting",2021988],[2022044,"ends.",2022760],[2024340,"Yeah,",2024932],[2025036,"it",2025300],[2025340,"happens.",2025740],[2025780,"I'm",2025932],[2025956,"sure",2026140],[2026180,"it",2026332],[2026356,"happens.",2026884],[2026972,"It's",2027308],[2027364,"happened",2027652],[2027676,"to",2028220],[2028380,"all",2028628],[2028644,"of",2028796],[2028828,"us.",2029236],[2029348,"This",2029548],[2029564,"is",2029716],[2029748,"one",2029844],[2029852,"of",2029924],[2029932,"the",2030052],[2030076,"reasons",2030380],[2030420,"when",2030572],[2030596,"I'm",2030756],[2030788,"teaching,",2031164],[2031212,"like,",2031540],[2031620,"how",2031788],[2031804,"to",2031932],[2031956,"run",2032092],[2032116,"a",2032228],[2032244,"family",2032492],[2032556,"meeting",2033160],[2033720,"to",2034104],[2034152,"trainees,",2034568],[2034624,"I",2034792],[2034816,"say",2035360],[2035520,"the",2035840],[2035880,"pre",2036128],[2036184,"meeting",2036784],[2036952,"is",2037424],[2037512,"as",2037808],[2037864,"important",2038392],[2038536,"and",2038864],[2038912,"sometimes",2039496],[2039568,"more",2039872],[2039936,"important",2040448],[2040584,"than",2040808],[2040824,"the",2041024],[2041072,"meeting",2041328],[2041384,"itself.",2041776],[2041848,"You",2042008],[2042024,"know,",2042152],[2042176,"just",2042384],[2042432,"like",2042616],[2042648,"you",2042792],[2042816,"said,",2043000],[2043040,"Liz,",2043624],[2043792,"getting",2044216],[2044288,"everybody",2044800],[2044840,"on",2044992],[2045016,"the",2045176],[2045208,"same",2045472],[2045536,"page",2046200],[2046360,"is",2046704],[2046752,"vital",2047480],[2047600,"before",2048000],[2048080,"you",2048272],[2048296,"go",2048432],[2048456,"into",2048616],[2048648,"that",2048816],[2048848,"meeting.",2049088],[2049144,"And",2049360],[2049400,"sometimes",2049864],[2049912,"that's",2050136],[2050168,"the",2050336],[2050368,"most",2050584],[2050632,"important",2050960],[2051040,"outcome,",2051776],[2051928,"is",2052192],[2052216,"trying",2052376],[2052408,"to",2052744],[2052832,"get",2053032],[2053056,"people",2053240],[2053280,"on",2053384],[2053392,"the",2053488],[2053504,"same",2053656],[2053688,"page",2053880],[2053920,"about",2054096],[2054128,"prognosis",2054720],[2054760,"and",2054888],[2054904,"then",2055200],[2055280,"all",2055568],[2055624,"of",2055768],[2055784,"the",2055936],[2055968,"different",2056280],[2056360,"options",2056728],[2056784,"that",2057024],[2057072,"fall",2057328],[2057384,"out",2057816],[2057928,"once",2058176],[2058208,"you've",2058392],[2058416,"agreed",2058672],[2058696,"on",2058880],[2058920,"prognosis.",2059360],[2059400,"How",2059504],[2059512,"do",2059584],[2059592,"you",2059688],[2059704,"ask",2059856],[2059888,"that",2060080],[2060120,"question",2060440],[2060520,"of",2060784],[2060832,"all",2061016],[2061048,"these",2061216],[2061248,"different",2061440],[2061480,"disciplines?",2062218],[2062344,"Because",2062774],[2062862,"I'm",2063062],[2063086,"assuming",2063382],[2063406,"it's",2063566],[2063598,"like",2063766],[2063798,"talking",2064022],[2064046,"with",2064182],[2064206,"patients",2064470],[2064510,"and",2064638],[2064654,"family",2064878],[2064934,"members.",2065530],[2066150,"How",2066462],[2066486,"you",2066622],[2066646,"ask",2066782],[2066806,"the",2066942],[2066966,"question",2067198],[2067254,"is",2067422],[2067446,"really",2067630],[2067670,"important.",2068086],[2068198,"How",2068398],[2068414,"do",2068518],[2068534,"you",2068638],[2068654,"ask",2068806],[2068838,"that,",2068982],[2069006,"Alex?",2069650],[2070230,"I",2070614],[2070662,"usually",2071006],[2071078,"anchor",2071678],[2071774,"at",2072054],[2072102,"death",2072454],[2072542,"because",2072862],[2072926,"most",2073150],[2073190,"people,",2073726],[2073878,"if",2074118],[2074134,"you",2074262],[2074286,"leave",2074422],[2074446,"it",2074558],[2074574,"to",2074702],[2074726,"their",2074862],[2074886,"own",2075070],[2075110,"devices,",2075810],[2076230,"they",2076518],[2076534,"will",2076662],[2076686,"be",2076822],[2076846,"optimistic,",2077606],[2077678,"because",2078054],[2078142,"that's",2078430],[2078470,"just",2078718],[2078774,"who",2078966],[2078998,"we",2079166],[2079198,"are.",2079770],[2080750,"We",2081062],[2081086,"hope",2081222],[2081246,"for",2081358],[2081374,"the",2081502],[2081526,"best",2081686],[2081718,"for",2081862],[2081886,"our",2082046],[2082078,"patients.",2082730],[2083270,"I",2083558],[2083574,"like,",2083702],[2083726,"to",2083910],[2083950,"anchor",2084246],[2084278,"at",2084398],[2084414,"the",2084542],[2084566,"other",2084750],[2084790,"end",2084894],[2084902,"of",2084974],[2084982,"the",2085126],[2085158,"spectrum",2085526],[2085558,"and",2085654],[2085662,"say,",2085806],[2085838,"is",2086054],[2086102,"anybody",2086550],[2086590,"worried",2086886],[2086918,"that",2087476],[2087638,"this",2087936],[2087968,"patient",2088216],[2088248,"is",2088440],[2088480,"dying?",2089100],[2089400,"And",2089688],[2089704,"then",2089904],[2089952,"sometimes",2090296],[2090328,"people",2090520],[2090560,"will",2090712],[2090736,"shake",2090936],[2090968,"their",2091112],[2091136,"heads,",2091336],[2091368,"whereas",2091568],[2091584,"if",2091712],[2091736,"you",2091872],[2091896,"left,",2092416],[2092568,"and",2092952],[2093016,"then",2093360],[2093440,"I",2093608],[2093624,"say,",2093776],[2093808,"well,",2093976],[2094008,"can",2094152],[2094176,"we",2094336],[2094368,"use",2094560],[2094600,"those",2094848],[2094904,"words",2095248],[2095304,"with",2095448],[2095464,"the",2095616],[2095648,"family?",2096008],[2096104,"So",2096384],[2096432,"is",2096664],[2096712,"dying.",2097008],[2097064,"That's",2097232],[2097256,"very",2097488],[2097544,"different",2097760],[2097800,"than",2098168],[2098264,"maybe",2098744],[2098792,"dying",2099064],[2099112,"or",2099392],[2099456,"may",2099728],[2099784,"die",2100376],[2100528,"or",2100792],[2100816,"the",2101072],[2101136,"odds",2101376],[2101408,"of",2101528],[2101544,"this",2101696],[2101728,"person",2101944],[2101992,"dying",2102576],[2102728,"is",2103040],[2103080,"dying.",2103700],[2104200,"Yeah,",2104980],[2105640,"that's",2106032],[2106056,"such",2106192],[2106216,"a,",2106400],[2106440,"that's",2106608],[2106624,"a",2106752],[2106776,"really.",2107416],[2107608,"I'm",2107888],[2107904,"going",2108008],[2108024,"to",2108152],[2108176,"try",2108336],[2108368,"that.",2108512],[2108536,"That's",2108728],[2108744,"such",2108872],[2108896,"an",2109056],[2109088,"interesting,",2109900],[2110520,"because",2110904],[2110952,"the",2111112],[2111136,"thing",2111296],[2111328,"is,",2111592],[2111656,"you",2111808],[2111824,"know,",2112168],[2112264,"I'm",2112472],[2112496,"a",2112608],[2112624,"surgeon.",2112984],[2113032,"I've",2113280],[2113320,"been",2113640],[2113720,"the",2113984],[2114032,"person",2114408],[2114504,"who",2114784],[2114832,"had",2115040],[2115080,"that",2115304],[2115352,"unrealistic",2116128],[2116184,"optimism",2116712],[2116776,"because",2117072],[2117136,"my",2117360],[2117400,"patient's",2117816],[2117848,"going",2117968],[2117984,"to",2118088],[2118104,"pull",2118304],[2118352,"through,",2118944],[2119112,"and,",2119500],[2119560,"and",2120160],[2120940,"sometimes",2121452],[2121476,"I'm",2121636],[2121668,"right",2121836],[2121868,"and",2122012],[2122036,"sometimes",2122356],[2122388,"I'm",2122556],[2122588,"wrong,",2123160],[2123460,"but",2123940],[2124020,"I'm",2124300],[2124340,"always",2124636],[2124708,"worried",2125020],[2125060,"that",2125212],[2125236,"the",2125396],[2125428,"patient",2126108],[2126284,"is",2126596],[2126628,"dying.",2126860],[2126900,"And",2127028],[2127044,"I",2127148],[2127164,"can",2127340],[2127380,"recognize",2127884],[2127932,"that.",2128116],[2128148,"And",2128268],[2128284,"maybe",2128564],[2128612,"by",2128796],[2128828,"vocalizing",2129436],[2129468,"that",2129588],[2129604,"and",2129732],[2129756,"saying,",2129988],[2130044,"yeah,",2130300],[2130340,"guys,",2130564],[2130612,"I",2130820],[2130860,"realize",2131268],[2131324,"that",2131564],[2131612,"things",2131868],[2131924,"are",2132092],[2132116,"really",2132372],[2132436,"bad.",2132732],[2132796,"I'm",2132988],[2133004,"just",2133204],[2133252,"not",2133484],[2133532,"sure.",2134120],[2135140,"I'm",2135476],[2135508,"not",2135652],[2135676,"sure",2135836],[2135868,"how",2136084],[2136132,"wide",2136404],[2136452,"that",2136660],[2136700,"uncertainty",2137412],[2137476,"is.",2138080],[2138420,"And",2139188],[2139364,"it's",2139764],[2139812,"so",2140140],[2140220,"hard",2140724],[2140852,"for",2141116],[2141148,"all",2141292],[2141316,"of",2141452],[2141476,"us",2141612],[2141636,"to",2141772],[2141796,"make",2141956],[2141988,"decisions",2142700],[2142820,"amidst",2143276],[2143308,"that",2143524],[2143572,"uncertainty,",2144292],[2144396,"let",2144588],[2144604,"alone",2144772],[2144796,"to",2144932],[2144956,"be",2145044],[2145052,"a",2145148],[2145164,"family",2145460],[2145540,"member",2145780],[2145820,"dealing",2146116],[2146148,"with",2146292],[2146316,"that.",2146880],[2147320,"Yeah,",2147864],[2147952,"I'm",2148152],[2148176,"thinking",2148456],[2148488,"about",2148704],[2148752,"the",2149080],[2149160,"outpatient",2149808],[2149864,"palliative",2150296],[2150328,"care",2150520],[2150560,"setting",2150840],[2150880,"as",2151080],[2151120,"well.",2151700],[2152040,"And",2152424],[2152472,"this",2152944],[2153072,"conversation",2153728],[2153784,"really",2154048],[2154104,"resonates",2154592],[2154656,"there,",2154952],[2155016,"too,",2155384],[2155472,"where",2155768],[2155824,"often",2156064],[2156112,"it's",2156296],[2156328,"the",2156616],[2156688,"patient",2157064],[2157112,"and",2157296],[2157328,"family",2157640],[2157720,"going",2157960],[2158000,"to",2158176],[2158208,"different",2158448],[2158504,"visits,",2159232],[2159336,"hearing",2159680],[2159720,"wildly",2160240],[2160280,"different",2160552],[2160616,"things",2160912],[2160976,"from",2161200],[2161240,"different",2161512],[2161576,"doctors",2161992],[2162056,"that",2162256],[2162288,"aren't",2162480],[2162520,"talking",2162816],[2162848,"to",2162992],[2163016,"each",2163152],[2163176,"other,",2163504],[2163592,"and",2163768],[2163784,"they're",2163928],[2163944,"just",2164120],[2164160,"going",2164360],[2164400,"on",2164552],[2164576,"this",2164880],[2164960,"rollercoaster",2165768],[2165864,"ride",2166208],[2166264,"that",2166432],[2166456,"can",2166592],[2166616,"be",2166800],[2166840,"pretty",2167392],[2167536,"brutal,",2168024],[2168072,"getting",2168304],[2168352,"whiplash",2168864],[2168912,"in",2169048],[2169064,"the",2169192],[2169216,"process,",2169592],[2169696,"and",2170152],[2170256,"they're",2170624],[2170672,"having",2170928],[2170984,"to",2171152],[2171176,"be",2171288],[2171304,"the",2171432],[2171456,"conduit",2172300],[2172850,"between",2173234],[2173282,"the",2173418],[2173434,"different",2173634],[2173682,"clinicians",2174186],[2174258,"and",2174730],[2174850,"just",2175106],[2175138,"wondering",2175474],[2175522,"how",2175706],[2175738,"we",2175882],[2175906,"can",2176138],[2176194,"improve",2176554],[2176642,"this",2176866],[2176898,"prognostic",2177386],[2177418,"alignment",2177722],[2177746,"in",2177834],[2177842,"the",2177914],[2177922,"outpatient",2178370],[2178410,"setting",2178690],[2178730,"as",2178882],[2178906,"well.",2179470],[2180130,"Yeah,",2180910],[2181410,"that's",2181802],[2181826,"such",2181938],[2181954,"a",2182082],[2182106,"good",2182266],[2182298,"point.",2182802],[2182946,"I",2183178],[2183194,"think",2183706],[2183858,"in",2184074],[2184082,"the",2184202],[2184226,"outpatient",2184666],[2184698,"setting,",2185098],[2185194,"again,",2185690],[2185810,"getting",2186162],[2186226,"everyone",2186546],[2186618,"into",2186826],[2186858,"a",2187050],[2187090,"room",2187338],[2187394,"is",2187730],[2187810,"that",2188026],[2188058,"much",2188274],[2188322,"harder",2189070],[2189810,"sometimes,",2190870],[2191450,"to",2191762],[2191786,"Alex's",2192226],[2192258,"point,",2192786],[2192938,"sometimes",2193426],[2193458,"it",2193602],[2193626,"would",2193810],[2193850,"be",2194458],[2194634,"helpful",2195106],[2195138,"if",2195258],[2195274,"we",2195378],[2195394,"could",2195546],[2195578,"all",2195698],[2195714,"just",2195914],[2195962,"agree",2196266],[2196338,"that",2196618],[2196674,"this",2196842],[2196866,"is",2197050],[2197090,"really",2197578],[2197714,"worrisome",2198418],[2198474,"and",2198642],[2198666,"that",2198802],[2198826,"we're",2199050],[2199090,"all",2199338],[2199394,"a",2199538],[2199554,"little",2199730],[2199770,"bit",2199970],[2200010,"scared",2200370],[2200450,"that",2200618],[2200634,"the",2200786],[2200818,"patient",2201138],[2201194,"is",2201410],[2201450,"dying.",2202110],[2202420,"We",2202732],[2202756,"will",2202940],[2202980,"all",2203204],[2203252,"worry",2203588],[2203644,"that.",2204240],[2204620,"And",2205316],[2205468,"I",2205732],[2205756,"think",2205892],[2205916,"that",2206196],[2206268,"sometimes",2207140],[2207300,"this",2207644],[2207692,"misalignment",2208468],[2208524,"happens",2208876],[2208908,"because",2209412],[2209556,"some",2209884],[2209932,"people,",2210520],[2211540,"most",2211900],[2211940,"people,",2212140],[2212180,"I",2212284],[2212292,"would",2212412],[2212436,"say",2212764],[2212852,"naturally,",2213668],[2213844,"as",2214132],[2214156,"you",2214268],[2214284,"said,",2214604],[2214692,"are",2214916],[2214948,"inclined",2215396],[2215428,"to",2215740],[2215820,"focus",2216084],[2216132,"on",2216268],[2216284,"the",2216436],[2216468,"positive",2217180],[2217340,"and",2217660],[2217700,"try",2217852],[2217876,"to",2217988],[2218004,"avoid",2218348],[2218404,"using",2218668],[2218724,"words",2219052],[2219116,"like",2219556],[2219668,"dying.",2220400],[2221060,"And",2221396],[2221428,"maybe",2221676],[2221708,"by",2221900],[2221940,"getting",2222260],[2222340,"that",2222652],[2222716,"out",2222940],[2222980,"there",2223372],[2223476,"and",2223812],[2223876,"also",2224172],[2224236,"having",2224724],[2224852,"room,",2225236],[2225308,"holding",2225660],[2225700,"space",2225996],[2226068,"for",2226324],[2226372,"that",2226556],[2226588,"uncertainty",2227420],[2227540,"allows",2227972],[2227996,"us",2228132],[2228156,"to",2228292],[2228316,"work",2228452],[2228476,"as",2228612],[2228636,"a",2228796],[2228828,"team,",2229248],[2229364,"a",2229592],[2229616,"functional",2229992],[2230056,"team.",2230660],[2231240,"Liz",2231624],[2231672,"brings",2231888],[2231904,"this",2232080],[2232120,"really",2232320],[2232360,"unique",2232680],[2232720,"perspective",2233240],[2233280,"as",2233408],[2233424,"a",2233552],[2233576,"surgeon",2233984],[2234032,"and",2234216],[2234248,"palliative",2234640],[2234680,"care",2234880],[2234920,"doc.",2235488],[2235624,"Liz,",2235920],[2235960,"I",2236064],[2236072,"wonder",2236192],[2236216,"if",2236304],[2236312,"you",2236408],[2236424,"could",2236552],[2236576,"talk",2236736],[2236768,"about",2236960],[2237000,"one",2237104],[2237112,"of",2237232],[2237256,"your",2237368],[2237384,"other",2237584],[2237632,"research",2237960],[2238040,"interests,",2238456],[2238488,"which",2238656],[2238688,"is",2238880],[2238920,"around",2239192],[2239256,"pancreatic",2239944],[2239992,"surgery",2240560],[2240640,"and",2240808],[2240824,"the",2240952],[2240976,"uncertainty",2241712],[2241776,"inherent",2242440],[2242560,"in",2242912],[2242976,"treatment",2243448],[2243504,"and",2243720],[2243760,"options",2244128],[2244184,"and",2244352],[2244376,"prognosis",2245120],[2245200,"in",2245392],[2245416,"particular.",2245980],[2246520,"Yeah.",2247016],[2247088,"So",2247488],[2247584,"I'm",2247880],[2247920,"working",2248168],[2248224,"with",2248820],[2249680,"an",2250040],[2250080,"amazing",2250560],[2250640,"research",2250952],[2251016,"resident,",2251280],[2251320,"Orly",2251624],[2251672,"Farber,",2252048],[2252104,"who",2252272],[2252296,"will",2252480],[2252520,"be",2252672],[2252696,"a",2252808],[2252824,"future",2253024],[2253072,"guest",2253280],[2253320,"at",2253448],[2253464,"some",2253616],[2253648,"point,",2254220],[2254960,"and",2255440],[2255520,"she's",2255816],[2255848,"doing",2256256],[2256368,"work",2257020],[2257780,"with",2258164],[2258212,"me",2258420],[2258460,"and",2258612],[2258636,"George",2258876],[2258908,"Molina,",2259760],[2260340,"looking",2260700],[2260740,"at",2260892],[2260916,"pancreatic",2261412],[2261436,"cancer",2261780],[2261820,"uncertainty.",2262800],[2263460,"Patients",2263836],[2263868,"who",2263988],[2264004,"have",2264108],[2264124,"borderline",2264548],[2264604,"resectable",2265100],[2265140,"pancreatic",2265700],[2265740,"cancer,",2266268],[2266364,"and",2266980],[2267140,"just",2267484],[2267532,"understanding",2268204],[2268292,"what",2268516],[2268548,"it's",2268780],[2268820,"like",2269332],[2269476,"to",2269876],[2269948,"go",2270156],[2270188,"through",2270452],[2270516,"treatment",2270860],[2270900,"from",2271076],[2271108,"that",2271252],[2271276,"period",2271484],[2271532,"of",2271716],[2271748,"time",2272012],[2272076,"where",2272252],[2272276,"you",2272388],[2272404,"have",2272508],[2272524,"a",2272652],[2272676,"diagnosis",2273220],[2273260,"and",2273436],[2273468,"a",2273660],[2273700,"treatment",2274100],[2274140,"plan",2274364],[2274412,"that's",2274868],[2274964,"only",2275364],[2275452,"partially",2275916],[2275988,"finished,",2276880],[2277620,"and",2277908],[2277924,"you",2278028],[2278044,"won't",2278172],[2278196,"find",2278380],[2278420,"out",2278596],[2278628,"for",2278772],[2278796,"a",2278908],[2278924,"couple",2279092],[2279116,"of",2279324],[2279372,"months",2279628],[2279684,"whether",2279876],[2279908,"or",2280052],[2280076,"not",2280212],[2280236,"you",2280348],[2280364,"can",2280564],[2280612,"have",2280844],[2280892,"a",2281028],[2281044,"resection",2281500],[2281580,"that",2281796],[2281828,"is",2282044],[2282092,"potentially",2282636],[2282668,"curative,",2283400],[2283850,"and",2284138],[2284154,"that",2284450],[2284530,"if",2284746],[2284778,"you",2285186],[2285298,"are",2285618],[2285674,"one",2285818],[2285834,"of",2285914],[2285922,"the",2286042],[2286066,"people",2286274],[2286322,"who",2286506],[2286538,"gets",2286746],[2286778,"to",2286898],[2286914,"have",2287042],[2287066,"your",2287202],[2287226,"pancreatic",2287746],[2287778,"cancer",2288138],[2288194,"removed,",2289034],[2289162,"that",2289426],[2289458,"there's",2289682],[2289706,"a",2289866],[2289898,"20%",2290626],[2290698,"chance",2291202],[2291306,"that",2291762],[2291866,"that",2292130],[2292170,"is",2292346],[2292378,"a",2292546],[2292578,"durable",2293218],[2293354,"cure,",2294122],[2294266,"and",2294522],[2294546,"an",2294730],[2294770,"80%",2295442],[2295506,"chance",2295842],[2295906,"that",2296082],[2296106,"the",2296242],[2296266,"cancer",2296546],[2296578,"is",2296722],[2296746,"coming",2297002],[2297066,"back.",2297670],[2298290,"And",2298602],[2298626,"so",2298858],[2298914,"you",2299106],[2299138,"have",2299330],[2299370,"people",2299738],[2299834,"with",2300470],[2301850,"this",2302378],[2302474,"huge",2303122],[2303266,"degree",2303666],[2303698,"of",2303866],[2303898,"uncertainty.",2304910],[2306530,"Personally,",2307026],[2307058,"I'm",2307242],[2307266,"a",2307402],[2307426,"sarcoma",2307938],[2307994,"surgeon.",2308394],[2308442,"I",2308578],[2308594,"take",2308722],[2308746,"care",2308882],[2308906,"of",2309042],[2309066,"patients",2309394],[2309442,"who",2309626],[2309658,"have",2309946],[2310018,"multiply",2310554],[2310602,"recurrent",2311122],[2311186,"disease.",2311722],[2311826,"The",2312114],[2312162,"cancer",2312442],[2312466,"just",2312674],[2312722,"keeps",2313066],[2313098,"coming",2313338],[2313394,"back,",2314042],[2314226,"and",2314738],[2314834,"we",2315018],[2315034,"don't",2315186],[2315218,"know",2315386],[2315418,"when,",2315610],[2315650,"and",2315778],[2315794,"we",2315874],[2315882,"don't",2316002],[2316026,"know",2316138],[2316154,"how",2316282],[2316306,"quickly",2316562],[2316586,"it",2316674],[2316682,"will",2316802],[2316826,"grow",2317010],[2317050,"if",2317202],[2317226,"we",2317338],[2317354,"try",2317482],[2317506,"to",2317666],[2317698,"ignore",2317970],[2318010,"it",2318138],[2318154,"for",2318282],[2318306,"a",2318394],[2318402,"few",2318618],[2318674,"months,",2319270],[2319770,"and",2320058],[2320074,"we",2320178],[2320194,"don't",2320322],[2320346,"know",2320434],[2320442,"if",2320514],[2320522,"the",2320642],[2320666,"chemo",2320922],[2320946,"will",2321106],[2321138,"help",2321690],[2321850,"you",2322122],[2322146,"have",2322354],[2322402,"anything",2322794],[2322842,"from.",2323194],[2323282,"We",2323458],[2323474,"could",2323602],[2323626,"take",2323762],[2323786,"it",2323898],[2323914,"out",2324042],[2324066,"and",2324178],[2324194,"it",2324298],[2324314,"will",2324514],[2324562,"never",2324818],[2324874,"come",2325090],[2325130,"back,",2325354],[2325402,"and",2325538],[2325554,"you'll",2325770],[2325810,"live",2325986],[2326018,"the",2326162],[2326186,"rest",2326298],[2326314,"of",2326442],[2326466,"your",2326626],[2326658,"life",2326826],[2326858,"feeling",2327202],[2327266,"great.",2327870],[2328730,"We",2329042],[2329066,"take",2329202],[2329226,"it",2329338],[2329354,"out",2329506],[2329538,"and",2329802],[2329866,"everything",2330234],[2330322,"goes",2330650],[2330690,"wrong,",2331270],[2331570,"and",2332242],[2332386,"you",2332786],[2332858,"suffer,",2333274],[2333322,"and",2333482],[2333506,"you're",2333714],[2333762,"functionally",2334290],[2334330,"disabled,",2334802],[2334826,"and",2334962],[2334986,"you",2335098],[2335114,"end",2335266],[2335298,"up",2335730],[2335850,"not",2336106],[2336138,"buying",2336426],[2336458,"cabbage",2336874],[2336922,"and",2337130],[2337170,"go",2337298],[2337314,"into",2337466],[2337498,"the",2337642],[2337666,"nursing",2337954],[2338002,"home.",2338522],[2338666,"And",2338970],[2339010,"by",2339138],[2339154,"the",2339258],[2339274,"way,",2339378],[2339394,"the",2339522],[2339546,"cancer's",2339986],[2340018,"back",2340234],[2340282,"when",2340442],[2340466,"you",2340554],[2340562,"get",2340682],[2340706,"your",2340842],[2340866,"next",2341026],[2341058,"scan",2341266],[2341298,"in",2341442],[2341466,"three",2341698],[2341754,"months.",2342350],[2342660,"And",2343260],[2343380,"to",2343732],[2343796,"even",2344140],[2344220,"try",2344484],[2344532,"and",2344716],[2344748,"hold",2345036],[2345108,"all",2345268],[2345284,"of",2345412],[2345436,"that",2345572],[2345596,"uncertainty",2346268],[2346324,"as,",2346732],[2346836,"even",2347364],[2347492,"as",2347732],[2347756,"a",2347868],[2347884,"clinician,",2348404],[2348492,"that",2348692],[2348716,"is",2348852],[2348876,"just",2349180],[2349260,"wild.",2349916],[2350068,"I",2350308],[2350324,"don't",2350476],[2350508,"know",2350700],[2350740,"how",2350892],[2350916,"our",2351052],[2351076,"patients",2351476],[2351548,"manage",2351852],[2351916,"that.",2352520],[2353140,"Yeah,",2353516],[2353548,"I",2353644],[2353652,"mean,",2353892],[2353956,"just",2354252],[2354316,"even",2354804],[2354932,"the",2355268],[2355324,"topic",2355716],[2355748,"of",2355916],[2355948,"uncertainty,",2356732],[2356796,"too.",2357068],[2357124,"I",2357268],[2357284,"feel",2357412],[2357436,"like",2357812],[2357916,"we",2358132],[2358156,"often",2358388],[2358444,"don't",2358788],[2358844,"talk",2359108],[2359164,"about",2359356],[2359388,"it",2359604],[2359652,"a",2359836],[2359868,"whole",2360084],[2360132,"lot,",2360720],[2361380,"but",2361692],[2361716,"even",2361924],[2361972,"hearing",2362236],[2362268,"from",2362532],[2362596,"Cara",2363100],[2363140,"and",2363292],[2363316,"from",2363572],[2363636,"James,",2364148],[2364244,"like,",2364880],[2365340,"everything",2365892],[2365996,"we",2366236],[2366268,"do",2366484],[2366532,"has",2366716],[2366748,"a",2366988],[2367044,"component",2367772],[2367836,"of",2368440],[2368770,"some",2369154],[2369202,"uncertainty,",2370310],[2370610,"you",2370898],[2370914,"know,",2371042],[2371066,"with.",2371562],[2371706,"With",2372058],[2372114,"appropriate",2372538],[2372594,"guards",2372938],[2372994,"on",2373162],[2373186,"that.",2373346],[2373378,"Like,",2373666],[2373738,"we",2373922],[2373946,"do",2374106],[2374138,"know",2374306],[2374338,"that,",2374746],[2374858,"like,",2375370],[2375490,"everybody",2375946],[2375978,"here",2376098],[2376114,"will",2376266],[2376298,"die.",2376890],[2377050,"So",2377418],[2377474,"there's",2377762],[2377786,"a",2378210],[2378330,"certain",2378610],[2378650,"degree",2378858],[2378874,"of",2379026],[2379058,"certainty",2379514],[2379562,"is",2379746],[2379778,"at",2379970],[2380010,"some",2380210],[2380250,"point",2380474],[2380522,"we're",2380682],[2380706,"all",2380842],[2380866,"gonna.",2381082],[2381106,"Die,",2381426],[2381498,"and",2381802],[2381866,"what",2382114],[2382162,"really",2382514],[2382602,"not",2382850],[2382890,"me.",2383470],[2386290,"And,",2387034],[2387202,"like,",2387530],[2387570,"everybody",2387882],[2387906,"on",2387994],[2388002,"this",2388098],[2388114,"call",2388242],[2388266,"is",2388474],[2388522,"probably",2388746],[2388778,"gonna",2388978],[2388994,"make",2389098],[2389114,"it",2389218],[2389234,"through",2389362],[2389386,"this",2389546],[2389578,"podcast.",2390018],[2390074,"Like,",2390410],[2390490,"we",2390658],[2390674,"have",2391230],[2392410,"degrees",2392978],[2393034,"of",2393178],[2393194,"stuff",2393346],[2393378,"I.",2393450],[2393450,"Don'T",2393538],[2393554,"know",2393682],[2393706,"about",2393890],[2393930,"me,",2394394],[2394522,"see",2394762],[2394786,"how",2394898],[2394914,"I",2395018],[2395034,"do",2395138],[2395154,"on",2395258],[2395274,"the",2395378],[2395394,"end",2395498],[2395514,"of",2395594],[2395602,"that.",2396150],[2399270,"But",2399582],[2399606,"I",2399742],[2399766,"wonder",2400330],[2400630,"how",2400942],[2400966,"you",2401126],[2401158,"actually",2401398],[2401454,"end",2401646],[2401678,"up",2401822],[2401846,"talking",2402230],[2402270,"about",2402470],[2402510,"it.",2402710],[2402750,"I'd",2402902],[2402926,"love",2403038],[2403054,"to",2403158],[2403174,"talk",2403398],[2403454,"each",2403622],[2403646,"of",2403806],[2403838,"you",2403982],[2404006,"about",2404142],[2404166,"it.",2404590],[2404710,"When",2404942],[2404966,"James",2405214],[2405262,"is",2405422],[2405446,"thinking",2405582],[2405606,"about.",2405886],[2405958,"We",2406142],[2406166,"have",2406326],[2406358,"this",2406526],[2406558,"uncertainty",2407190],[2407230,"about",2407886],[2408078,"when",2408502],[2408566,"somebody",2409318],[2409454,"will",2409726],[2409758,"need",2409950],[2409990,"nursing",2410286],[2410318,"home",2410486],[2410518,"placement,",2411166],[2411278,"but",2411502],[2411526,"we're",2411662],[2411686,"actually",2411894],[2411942,"fairly",2412310],[2412350,"certain",2412930],[2413270,"that",2413606],[2413638,"they're",2413870],[2413910,"going",2414038],[2414054,"to",2414398],[2414494,"get",2414702],[2414726,"to",2414838],[2414854,"the",2414982],[2415006,"point",2415190],[2415230,"with",2415382],[2415406,"dementia,",2415766],[2415798,"that",2416370],[2417110,"everybody's",2417894],[2417942,"going",2418150],[2418190,"to",2418390],[2418430,"have",2418726],[2418798,"that",2419438],[2419614,"need",2419926],[2419958,"for",2420102],[2420126,"nursing",2420406],[2420438,"home",2420630],[2420670,"level",2420846],[2420878,"of",2421022],[2421046,"care.",2421610],[2422220,"I",2422484],[2422492,"mean,",2422636],[2422668,"I",2422788],[2422804,"think",2422956],[2422988,"this",2423132],[2423156,"is",2423292],[2423316,"where",2423476],[2423508,"a",2423604],[2423612,"lot",2423708],[2423724,"of",2423828],[2423844,"the",2424164],[2424252,"palliative",2424684],[2424732,"care",2425060],[2425140,"hope,",2425404],[2425452,"worry",2425876],[2425948,"kind",2426132],[2426156,"of",2426316],[2426348,"statements",2427076],[2427188,"come",2427460],[2427500,"in,",2427676],[2427708,"in",2427828],[2427844,"the",2427972],[2427996,"sense",2428172],[2428196,"that,",2428380],[2428420,"like,",2429000],[2429420,"I",2429684],[2429692,"think",2429836],[2429868,"we",2429988],[2430004,"all",2430180],[2430220,"hope",2430564],[2430652,"that",2431280],[2431860,"we",2432172],[2432196,"will",2432524],[2432612,"maintain",2432948],[2433004,"our",2433172],[2433196,"function",2433900],[2434060,"for",2434356],[2434388,"long",2434580],[2434620,"periods",2434908],[2434924,"of",2435052],[2435076,"time",2435308],[2435364,"and",2435532],[2435556,"also",2435788],[2435844,"worry",2436076],[2436108,"that",2436228],[2436244,"there",2436372],[2436396,"may",2436508],[2436524,"come",2436676],[2436708,"a",2436804],[2436812,"time",2437052],[2437116,"that",2437676],[2437828,"things",2438140],[2438180,"do",2438356],[2438388,"progress",2438684],[2438732,"and",2438868],[2438884,"we",2439012],[2439036,"need",2439172],[2439196,"more",2439356],[2439388,"assistance.",2439868],[2439924,"And",2440068],[2440084,"so,",2440640],[2441100,"like",2441412],[2441436,"you",2441548],[2441564,"mentioned,",2441772],[2441796,"there,",2441980],[2442020,"there's",2442492],[2442596,"always",2443316],[2443508,"boundaries",2444124],[2444172,"around",2444404],[2444452,"uncertainty,",2445108],[2445164,"but",2445356],[2445388,"there's",2445924],[2446052,"some,",2446340],[2446380,"some,",2446898],[2447044,"we",2447446],[2447518,"have",2447702],[2447726,"a",2447838],[2447854,"pretty",2448006],[2448038,"good",2448206],[2448238,"sense",2448422],[2448446,"of",2448606],[2448638,"how",2448854],[2448902,"things",2449566],[2449758,"are",2450062],[2450086,"going",2450222],[2450246,"to",2450382],[2450406,"progress,",2450734],[2450782,"and",2450990],[2451030,"there's",2451262],[2451286,"always,",2451850],[2452150,"not",2452462],[2452486,"always",2452670],[2452710,"framing",2452982],[2453006,"it",2453094],[2453102,"as",2453198],[2453214,"a",2453342],[2453366,"negative,",2453590],[2453630,"but",2453806],[2453838,"things",2454414],[2454582,"thinking",2455006],[2455038,"about",2455206],[2455238,"what",2455382],[2455406,"we",2455518],[2455534,"can",2455710],[2455750,"do",2456382],[2456566,"proactively",2457310],[2457390,"to",2458062],[2458246,"help",2458590],[2458630,"prepare",2458942],[2458966,"for",2459102],[2459126,"that",2459334],[2459382,"is",2459566],[2459598,"important.",2460170],[2460590,"How",2460854],[2460862,"do",2460934],[2460942,"you",2461014],[2461022,"think",2461118],[2461134,"about",2461238],[2461254,"it,",2461358],[2461374,"Cara?",2462054],[2462222,"Yeah,",2462566],[2462598,"I",2462718],[2462734,"feel",2462886],[2462918,"like",2463038],[2463054,"in",2463134],[2463142,"the",2463214],[2463222,"outpatient",2463846],[2463958,"care",2464206],[2464238,"setting,",2464430],[2464470,"a",2464622],[2464646,"lot",2464758],[2464774,"of",2464902],[2464926,"what",2465062],[2465086,"we",2465222],[2465246,"do",2465382],[2465406,"is",2465542],[2465566,"just",2465990],[2466110,"supporting",2466758],[2466814,"people",2467318],[2467454,"in",2467654],[2467662,"the",2467782],[2467806,"face",2467990],[2468030,"of",2468206],[2468238,"what",2468430],[2468470,"is",2468694],[2468742,"hard,",2469070],[2469150,"which",2469414],[2469462,"is",2470050],[2470550,"oftentimes",2471366],[2471398,"the",2471542],[2471566,"uncertainty,",2472616],[2472798,"and",2473520],[2473820,"just",2474204],[2474252,"offering",2474572],[2474596,"them",2474756],[2474788,"a",2474980],[2475020,"space",2475460],[2475580,"to",2476244],[2476412,"verbalize",2477004],[2477052,"about",2477308],[2477364,"that,",2477820],[2477940,"to",2478196],[2478228,"be",2478612],[2478716,"heard,",2479440],[2480300,"to",2480636],[2480668,"have",2480836],[2480868,"it",2481132],[2481196,"normalized",2481748],[2481804,"to",2481948],[2481964,"a",2482068],[2482084,"certain",2482284],[2482332,"degree,",2482644],[2482692,"that",2482876],[2482908,"this",2483076],[2483108,"just",2483444],[2483532,"is",2483828],[2483884,"really",2484196],[2484268,"hard,",2484548],[2484604,"that",2484748],[2484764,"there's",2484932],[2484956,"no",2485092],[2485116,"way",2485276],[2485308,"around",2485524],[2485572,"that,",2486160],[2486620,"and",2486932],[2486956,"to",2487116],[2487148,"acknowledge",2487540],[2487580,"that",2487780],[2487820,"different",2488044],[2488092,"people",2488276],[2488308,"and",2488428],[2488444,"different",2488620],[2488660,"families",2489196],[2489268,"might",2489860],[2490020,"have",2490316],[2490348,"this,",2490516],[2490548,"hit",2490740],[2490780,"them",2490956],[2490988,"in",2491132],[2491156,"different",2491364],[2491412,"ways",2491948],[2492004,"or",2492196],[2492228,"have",2492420],[2492460,"different",2492828],[2492924,"needs,",2493516],[2493668,"different",2494316],[2494468,"needs",2494828],[2494884,"for",2495076],[2495108,"information",2495660],[2495820,"about",2496140],[2496180,"what's",2496412],[2496436,"to",2496572],[2496596,"come,",2496828],[2496884,"but",2497076],[2497108,"also",2497636],[2497788,"different",2498172],[2498236,"needs",2498688],[2498804,"to",2499460],[2499840,"process",2500584],[2500752,"those",2501080],[2501120,"feelings.",2501512],[2501576,"And",2501752],[2501776,"so",2502224],[2502352,"offering",2502752],[2502776,"to",2502912],[2502936,"talk",2503144],[2503192,"to",2503592],[2503696,"family",2504008],[2504064,"members",2504328],[2504384,"separately",2504744],[2504792,"if",2504928],[2504944,"they",2505024],[2505032,"have",2505176],[2505208,"different",2505400],[2505440,"needs",2505592],[2505616,"than",2505728],[2505744,"the",2505848],[2505864,"patient,",2506096],[2506128,"for",2506248],[2506264,"example.",2506696],[2506768,"And",2507192],[2507296,"I'm",2507488],[2507504,"just",2507680],[2507720,"so",2507896],[2507928,"grateful",2508224],[2508272,"that",2508432],[2508456,"we",2508616],[2508648,"have",2508816],[2508848,"our",2509136],[2509208,"interdisciplinary",2510016],[2510088,"team,",2510416],[2510488,"including",2510744],[2510792,"a",2510928],[2510944,"social",2511144],[2511192,"worker",2511392],[2511416,"and",2511552],[2511576,"spiritual",2511880],[2511920,"care",2512096],[2512128,"provider,",2512496],[2512528,"to",2512696],[2512728,"help",2512968],[2513024,"do",2513240],[2513280,"a",2513384],[2513392,"lot",2513512],[2513536,"of",2513648],[2513664,"that",2514104],[2514232,"support",2514664],[2514752,"for",2514952],[2514976,"patients",2515240],[2515280,"and",2515432],[2515456,"families.",2516272],[2516456,"Yeah,",2517056],[2517168,"I",2517392],[2517416,"feel",2517552],[2517576,"like",2517712],[2517736,"it's",2517960],[2518000,"incredibly",2518704],[2518752,"important,",2519320],[2519480,"as",2519752],[2519776,"you",2519912],[2519936,"all",2520120],[2520160,"said,",2520360],[2520400,"to",2520552],[2520576,"acknowledge",2521064],[2521112,"that",2521296],[2521328,"uncertainty,",2522300],[2523400,"because",2523880],[2523960,"that's",2524280],[2524320,"where",2524472],[2524496,"the",2524656],[2524688,"patients",2525000],[2525040,"and",2525168],[2525184,"families",2525520],[2525560,"are",2525736],[2525768,"living.",2526392],[2526576,"They're",2527000],[2527040,"in",2527192],[2527216,"that",2527376],[2527408,"emotional",2527792],[2527856,"space",2528104],[2528152,"of",2528312],[2528336,"that",2528592],[2528656,"difficulty",2529696],[2529848,"of",2530232],[2530296,"prognosis",2530864],[2530912,"being",2531144],[2531192,"so",2531400],[2531440,"uncertain",2532216],[2532368,"for",2532632],[2532656,"various",2533008],[2533064,"outcomes,",2533600],[2533640,"for",2533816],[2533848,"cure,",2534256],[2534328,"for",2534968],[2535144,"prolonged",2535760],[2535800,"life,",2536120],[2536200,"for",2536608],[2536704,"disability,",2537460],[2538040,"for",2538376],[2538408,"whatever.",2539140],[2539600,"And",2540368],[2540544,"so",2541072],[2541176,"we",2541368],[2541384,"need",2541488],[2541504,"to",2541608],[2541624,"acknowledge",2542104],[2542152,"it.",2542624],[2542752,"And",2542992],[2543016,"on",2543104],[2543112,"the",2543208],[2543224,"other",2543400],[2543440,"hand,",2543760],[2543840,"we",2544008],[2544024,"can't",2544192],[2544216,"use",2544352],[2544376,"it",2544464],[2544472,"as",2544568],[2544584,"a",2544712],[2544736,"crutch",2545016],[2545048,"and",2545216],[2545248,"run",2545512],[2545576,"from",2546088],[2546224,"giving",2546544],[2546592,"a",2546728],[2546744,"prognosis",2547368],[2547424,"because",2547808],[2547904,"it's",2548160],[2548200,"inherently",2548656],[2548728,"uncertain.",2549584],[2549752,"And",2550008],[2550024,"I've",2550192],[2550216,"seen",2550424],[2550472,"that",2550680],[2550720,"danger",2551104],[2551152,"as",2551336],[2551368,"well,",2551854],[2551992,"of",2552266],[2552298,"people",2552514],[2552562,"saying",2552746],[2552778,"it's,",2552970],[2553010,"you",2553138],[2553154,"know,",2553330],[2553370,"who",2553570],[2553610,"knows?",2553954],[2554002,"You",2554114],[2554122,"know,",2554242],[2554266,"I",2554354],[2554362,"don't",2554458],[2554474,"have",2554554],[2554562,"a",2554610],[2554610,"crush.",2554746],[2554778,"Doctors",2555066],[2555098,"are",2555290],[2555330,"terrible.",2555882],[2555986,"We",2556178],[2556194,"don't",2556298],[2556314,"have",2556418],[2556434,"a",2556562],[2556586,"crystal",2556866],[2556898,"ball,",2557306],[2557418,"you.",2557618],[2557634,"Know,",2557810],[2557850,"who",2558002],[2558026,"knows",2558226],[2558258,"what",2558402],[2558426,"it",2558562],[2558586,"is?",2559082],[2559226,"So",2559482],[2559506,"you",2559618],[2559634,"have",2559738],[2559754,"to",2559930],[2559970,"find",2560194],[2560242,"that",2560426],[2560458,"middle",2560754],[2560802,"ground",2561298],[2561434,"where",2562018],[2562154,"you",2562426],[2562458,"do",2562626],[2562658,"have",2562850],[2562890,"information",2563306],[2563418,"to",2563690],[2563730,"offer",2564026],[2564098,"patients",2564858],[2565034,"based",2565394],[2565442,"on",2565578],[2565594,"the",2565698],[2565714,"experiences",2566186],[2566218,"of",2566362],[2566386,"other",2566594],[2566642,"patients,",2567090],[2567170,"based",2567410],[2567450,"on",2567578],[2567594,"your",2567746],[2567778,"knowledge",2568066],[2568098,"as",2568218],[2568234,"a",2568338],[2568354,"clinician,",2569210],[2569370,"and",2569642],[2569666,"that",2569850],[2569890,"information",2570186],[2570258,"is",2570442],[2570466,"important",2570698],[2570754,"to",2570922],[2570946,"share",2571106],[2571138,"with",2571306],[2571338,"patients",2571650],[2571690,"and",2571818],[2571834,"their",2571962],[2571986,"families,",2572682],[2572826,"and",2573058],[2573074,"based.",2573630],[2575570,"On",2576310],[2577450,"that,",2577738],[2577754,"one",2577882],[2577906,"more",2578066],[2578098,"time.",2578626],[2578778,"Good.",2579228],[2579314,"Good.",2579536],[2579568,"Plug.",2580220],[2580880,"Well,",2581216],[2581248,"Liz,",2581536],[2581608,"I",2581768],[2581784,"want",2581888],[2581904,"to",2582008],[2582024,"end",2582152],[2582176,"with",2582336],[2582368,"you,",2582920],[2583080,"because,",2583376],[2583408,"again,",2583672],[2583736,"you're",2584000],[2584040,"doing",2584288],[2584344,"this",2584940],[2585360,"daily",2585808],[2585864,"with",2586272],[2586376,"patients.",2586736],[2586768,"Maybe",2586952],[2586976,"not",2587160],[2587200,"daily,",2587416],[2587448,"but",2587616],[2587648,"pretty",2587816],[2587848,"close",2588136],[2588208,"with",2588440],[2588480,"patients",2588896],[2588968,"with",2589176],[2589208,"these",2589568],[2589664,"sarcomas.",2590860],[2591400,"How",2591784],[2591832,"do",2592040],[2592080,"you",2592352],[2592416,"both",2593072],[2593256,"acknowledge",2593776],[2593808,"you",2594024],[2594072,"actually",2594256],[2594288,"do",2594432],[2594456,"have",2594568],[2594584,"a",2594688],[2594704,"crystal",2594912],[2594936,"ball?",2595168],[2595224,"Like",2595416],[2595448,"your",2595640],[2595680,"experience,",2596240],[2596400,"your",2596744],[2596792,"knowledge",2597128],[2597184,"about",2597448],[2597504,"the",2597696],[2597728,"procedure",2598376],[2598448,"and",2598728],[2598784,"evidence",2599200],[2599280,"base,",2599808],[2599904,"like,",2600160],[2600200,"you",2600352],[2600376,"have",2600536],[2600568,"an",2600760],[2600800,"idea",2601504],[2601632,"of",2601968],[2602024,"what",2602216],[2602248,"to",2602440],[2602480,"expect,",2602776],[2602848,"but",2603056],[2603088,"there's",2603608],[2603704,"a",2603984],[2604032,"level",2604240],[2604280,"of",2604456],[2604488,"uncertainty",2605150],[2605240,"of",2605562],[2605626,"exactly",2606154],[2606202,"what's",2606442],[2606466,"going",2606578],[2606594,"to",2606698],[2606714,"play",2606866],[2606898,"out.",2607066],[2607098,"How",2607218],[2607234,"do",2607338],[2607354,"you",2607482],[2607506,"bring",2607666],[2607698,"that",2607842],[2607866,"up",2607978],[2607994,"with",2608122],[2608146,"patients?",2608790],[2609370,"So",2610138],[2610314,"my",2610626],[2610658,"feelings",2610970],[2611010,"on",2611186],[2611218,"this",2611410],[2611450,"are",2611650],[2611690,"rapidly",2612106],[2612138,"evolving",2612870],[2613450,"as",2613786],[2613818,"I'm",2614430],[2614890,"trying",2615322],[2615386,"different",2615706],[2615778,"things.",2616390],[2617610,"I",2617946],[2617978,"started",2618242],[2618306,"by",2618530],[2618570,"trying",2618842],[2618906,"to",2619586],[2619778,"hold",2620130],[2620170,"that",2620346],[2620378,"uncertainty",2621138],[2621234,"with",2621538],[2621594,"patients",2621978],[2622034,"and",2622178],[2622194,"just",2622394],[2622442,"acknowledge,",2623350],[2624570,"but",2624882],[2624906,"I",2625018],[2625034,"think",2625186],[2625218,"I",2625410],[2625450,"overshared,",2626202],[2626306,"and",2626522],[2626546,"I",2626658],[2626674,"think",2626850],[2626890,"it",2627042],[2627066,"was.",2627630],[2628090,"I",2628378],[2628394,"was",2628594],[2628642,"adding",2628978],[2629034,"to",2629202],[2629226,"the",2629362],[2629386,"uncertainty,",2629930],[2629970,"and",2630098],[2630114,"I",2630242],[2630266,"started",2630474],[2630522,"to",2630682],[2630706,"feel",2630890],[2630930,"a",2631082],[2631106,"little",2631266],[2631298,"bit",2631418],[2631434,"of.",2631910],[2632050,"I",2632278],[2632294,"was",2632470],[2632510,"giving",2632734],[2632782,"them",2632990],[2633030,"more",2633302],[2633366,"existential,",2634250],[2634550,"barbie",2635150],[2635190,"level",2635414],[2635462,"suffering.",2636170],[2636590,"And",2636926],[2636958,"so",2637530],[2638590,"I've",2639014],[2639062,"started",2639390],[2639470,"to",2640090],[2640510,"use",2640846],[2640878,"some",2641022],[2641046,"of",2641182],[2641206,"the",2641342],[2641366,"palliative",2641766],[2641798,"care",2642014],[2642062,"skills",2642446],[2642478,"of",2642910],[2643030,"asking",2643582],[2643646,"permission",2644086],[2644158,"and",2644366],[2644398,"trying",2644566],[2644598,"to",2644718],[2644734,"get",2644838],[2644854,"a",2644982],[2645006,"sense",2645182],[2645206,"of",2645414],[2645462,"who",2645646],[2645678,"someone",2645990],[2646070,"is",2646358],[2646414,"and",2646726],[2646798,"what",2646982],[2647006,"they",2647166],[2647198,"want.",2647770],[2648070,"I'm",2648446],[2648478,"more",2648646],[2648678,"and",2648846],[2648878,"more",2649070],[2649110,"owning",2649446],[2649478,"that",2649670],[2649710,"at",2649838],[2649854,"the",2649958],[2649974,"end",2650078],[2650094,"of",2650198],[2650214,"the",2650366],[2650398,"day,",2650710],[2650790,"I",2651006],[2651038,"have",2651182],[2651206,"to",2651342],[2651366,"make",2651502],[2651526,"a",2651662],[2651686,"decision",2651966],[2652038,"of",2652270],[2652310,"whether",2652510],[2652550,"or",2652678],[2652694,"not",2652846],[2652878,"I",2653022],[2653046,"think",2653230],[2653270,"an",2653446],[2653478,"operation",2654150],[2654270,"is",2654930],[2655310,"right",2655670],[2655710,"and",2655886],[2655918,"helpful",2656342],[2656406,"to",2656654],[2656702,"this",2656958],[2657014,"person.",2657610],[2657990,"And",2658326],[2658358,"so",2658982],[2659166,"I",2659684],[2659782,"get",2660016],[2660048,"to",2660216],[2660248,"know",2660440],[2660480,"what",2660632],[2660656,"I",2660792],[2660816,"can",2661096],[2661168,"about",2661736],[2661888,"who",2662128],[2662144,"they",2662272],[2662296,"are",2662408],[2662424,"and",2662552],[2662576,"what",2662712],[2662736,"they",2662896],[2662928,"want",2663528],[2663704,"and",2664352],[2664496,"package",2665024],[2665072,"my",2665256],[2665288,"recommendation",2665984],[2666072,"in",2666296],[2666328,"that",2666544],[2666592,"and",2666728],[2666744,"then",2666896],[2666928,"talk",2667120],[2667160,"about",2667336],[2667368,"the",2667512],[2667536,"other",2667768],[2667824,"options.",2668540],[2668960,"But",2669488],[2669584,"I've",2670112],[2670216,"started",2670888],[2671064,"leading",2671584],[2671632,"the",2671816],[2671848,"conversation",2672820],[2673240,"with,",2673980],[2674280,"who",2674616],[2674648,"are",2674792],[2674816,"you",2674976],[2675008,"and",2675152],[2675176,"how",2675288],[2675304,"can",2675432],[2675456,"I",2675616],[2675648,"help",2675840],[2675880,"you?",2676128],[2676184,"And",2676352],[2676376,"then",2676940],[2677320,"making",2677704],[2677752,"a",2677912],[2677936,"quick",2678168],[2678224,"move",2678464],[2678512,"to",2678960],[2679080,"here's",2679416],[2679448,"what",2679616],[2679648,"I",2679840],[2679880,"think",2680128],[2680184,"is",2680376],[2680408,"the",2680576],[2680608,"right",2681208],[2681384,"next",2681792],[2681856,"step,",2682320],[2682440,"and",2682720],[2682760,"tell",2682936],[2682968,"me",2683088],[2683104,"if",2683208],[2683224,"this",2683352],[2683376,"sounds",2683696],[2683728,"like",2683872],[2683896,"it's",2684056],[2684088,"right",2684256],[2684288,"for",2684456],[2684488,"you.",2685070],[2685240,"Mm",2685562],[2685586,"hmm.",2686190],[2686490,"That's",2686938],[2686994,"also",2687258],[2687314,"why",2687506],[2687538,"I",2687730],[2687770,"like,",2688330],[2688490,"you",2688738],[2688754,"know,",2689002],[2689066,"talking",2689450],[2689490,"with",2689666],[2689698,"surgeons,",2690074],[2690122,"too,",2690426],[2690498,"because,",2690754],[2690802,"like",2691130],[2691210,"internal",2691690],[2691730,"medicine",2692098],[2692154,"doctors,",2692870],[2693170,"we",2693482],[2693506,"often",2693690],[2693730,"like",2693882],[2693906,"just",2694066],[2694098,"to",2694242],[2694266,"give",2694402],[2694426,"a",2694562],[2694586,"bunch",2694722],[2694746,"of",2694930],[2694970,"options,",2695630],[2696610,"and",2696898],[2696914,"then",2697018],[2697034,"we",2697138],[2697154,"get",2697282],[2697306,"really",2697490],[2697530,"upset",2697802],[2697826,"if",2697938],[2697954,"they",2698082],[2698106,"choose",2698258],[2698274,"the",2698402],[2698426,"one",2698538],[2698554,"that",2698658],[2698674,"we",2698778],[2698794,"think",2698922],[2698946,"is",2699058],[2699074,"really",2699250],[2699290,"bad",2699490],[2699530,"for",2699658],[2699674,"them.",2700210],[2700370,"But",2700618],[2700634,"like",2700834],[2700882,"surgeons,",2701490],[2701570,"they're",2701850],[2701890,"much",2702090],[2702130,"more",2702306],[2702338,"like,",2702602],[2702666,"no,",2702914],[2702962,"like,",2703170],[2703210,"we're",2703362],[2703386,"not",2703522],[2703546,"going",2703634],[2703642,"to",2703762],[2703786,"offer",2703994],[2704042,"this",2704202],[2704226,"thing",2704362],[2704386,"or,",2704546],[2704578,"you",2704722],[2704746,"shouldn't",2704986],[2705018,"get",2705186],[2705218,"this",2705410],[2705450,"thing.",2705938],[2706074,"Much",2706418],[2706474,"more",2706666],[2706698,"on",2706842],[2706866,"the",2707362],[2707506,"paternalism,",2708234],[2708282,"paternalism",2709002],[2709066,"kind",2709266],[2709298,"of",2709802],[2709946,"standpoint",2710658],[2710714,"as.",2711110],[2711210,"As",2711494],[2711542,"physicians.",2712086],[2712158,"Does",2712366],[2712398,"that",2712710],[2712790,"feel",2713102],[2713166,"right,",2713390],[2713430,"Liz?",2714010],[2715110,"I'll",2715422],[2715446,"tell",2715582],[2715606,"you,",2716170],[2716710,"I",2716998],[2717014,"think",2717166],[2717198,"you're",2717430],[2717470,"completely",2718014],[2718062,"right.",2718294],[2718342,"And",2718502],[2718526,"it",2718686],[2718718,"feels",2719054],[2719102,"so",2719334],[2719382,"hard.",2719638],[2719694,"And,",2719862],[2719886,"like,",2720450],[2720790,"I",2721102],[2721126,"think",2721694],[2721862,"there's",2722182],[2722206,"a",2722342],[2722366,"part",2722478],[2722494,"of",2722598],[2722614,"me",2722742],[2722766,"that",2722902],[2722926,"wants",2723118],[2723134,"to",2723262],[2723286,"say,",2723446],[2723478,"like,",2723670],[2723710,"I'll",2723862],[2723886,"give",2724022],[2724046,"you",2724182],[2724206,"all",2724318],[2724334,"the",2724486],[2724518,"options",2724886],[2724958,"and",2725166],[2725198,"you",2725390],[2725430,"pick,",2725942],[2726086,"but",2726390],[2726430,"that's",2726750],[2726790,"just,",2727370],[2728150,"it's",2728638],[2728694,"unfair",2729182],[2729246,"to",2729422],[2729446,"the",2729678],[2729734,"patients",2730230],[2730310,"and",2730742],[2730846,"unreasonable",2731494],[2731542,"for",2731702],[2731726,"me",2731838],[2731854,"to",2731982],[2732006,"expect",2732214],[2732262,"that",2732422],[2732446,"someone",2732654],[2732702,"can",2732886],[2732918,"understand",2733278],[2733374,"how",2733582],[2733606,"to,",2733766],[2733798,"like,",2734302],[2734446,"manage",2734822],[2734886,"their",2735206],[2735278,"third",2735534],[2735582,"recurrence",2736070],[2736110,"of",2736238],[2736254,"their",2736406],[2736438,"de",2736582],[2736606,"differentiated",2737142],[2737166,"lifeless",2737446],[2737478,"or,",2737622],[2737646,"like,",2738046],[2738158,"they",2738382],[2738406,"can't",2738542],[2738566,"even",2738726],[2738758,"pronounce",2739046],[2739078,"it",2739222],[2739246,"sometimes.",2740134],[2740302,"And",2740654],[2740702,"so",2741290],[2741590,"I",2741878],[2741894,"think",2742118],[2742174,"my",2742366],[2742398,"job",2742614],[2742662,"is",2742918],[2742974,"to",2743622],[2743806,"hold",2744126],[2744158,"that",2744326],[2744358,"uncertainty",2744974],[2745022,"for",2745254],[2745302,"them",2745510],[2745550,"and",2745702],[2745726,"with",2745934],[2745982,"them,",2746570],[2748270,"which",2748582],[2748606,"is",2749126],[2749278,"incredibly",2749934],[2749982,"challenging.",2750518],[2750574,"And",2750958],[2751054,"I",2751382],[2751446,"agree.",2751718],[2751774,"I'm",2751990],[2752030,"so",2752278],[2752334,"happy",2752582],[2752606,"that",2752742],[2752766,"we",2752926],[2752958,"have",2753150],[2753190,"social",2753462],[2753526,"workers",2753846],[2753918,"and",2754126],[2754158,"spiritual",2754550],[2754590,"care",2754814],[2754862,"and",2755094],[2755142,"all",2755278],[2755294,"of",2755422],[2755446,"those",2755606],[2755638,"other",2755854],[2755902,"people",2756490],[2757470,"who",2757758],[2757774,"can",2757926],[2757958,"help",2758150],[2758190,"patients",2758518],[2758574,"with",2758790],[2758830,"this.",2759410],[2760110,"Well,",2760542],[2760606,"I",2760758],[2760774,"want",2760878],[2760894,"to",2760998],[2761014,"acknowledge",2761342],[2761366,"your",2761478],[2761494,"time.",2761694],[2761742,"I",2761854],[2761862,"want",2761958],[2761974,"to",2762054],[2762062,"thank",2762254],[2762302,"all",2762486],[2762518,"three",2762662],[2762686,"of",2762798],[2762814,"you",2762942],[2762966,"for",2763126],[2763158,"joining",2763534],[2763582,"us",2763766],[2763798,"today.",2764428],[2764614,"Before",2765224],[2765352,"we",2765664],[2765712,"end,",2766300],[2766760,"I",2767048],[2767064,"think",2767288],[2767344,"Alex",2767664],[2767712,"is",2767872],[2767896,"gonna",2768096],[2768128,"do",2768272],[2768296,"a",2768552],[2768616,"little",2768864],[2768912,"bit",2769168],[2769224,"more",2769440],[2769480,"of",2770060],[2770600,"the",2770888],[2770904,"Barbie",2771256],[2771288,"song.",2771496],[2771528,"I",2771624],[2771632,"forget",2771816],[2771848,"the",2771992],[2772016,"name",2772104],[2772112,"of",2772184],[2772192,"the",2772288],[2772304,"Barbie",2772632],[2772656,"song.",2773312],[2773496,"What",2773792],[2773816,"was",2773952],[2773976,"I",2774136],[2774168,"made",2774312],[2774336,"for?",2774472],[2774496,"How",2774584],[2774592,"did",2774688],[2774704,"you",2774904],[2774952,"not",2775160],[2775200,"see",2775352],[2775376,"the",2775512],[2775536,"Barbie",2776024],[2776072,"musical",2777980],[2778360,"movie,",2778888],[2778944,"Alex?",2779448],[2779544,"I",2779728],[2779744,"know",2779872],[2779896,"I'm",2780032],[2780056,"the",2780168],[2780184,"only",2780408],[2780464,"one,",2781016],[2781168,"I",2781408],[2781424,"guess.",2781720],[2781800,"Is",2781968],[2781984,"it",2782112],[2782136,"good?",2782440],[2782520,"Did",2782712],[2782736,"you",2782848],[2782864,"all",2782968],[2782984,"see",2783088],[2783104,"it?",2783208],[2783224,"It's",2783352],[2783376,"great.",2783656],[2783728,"Oh,",2783912],[2783936,"yeah.",2784264],[2784352,"Gotta",2784656],[2784688,"see",2784856],[2784888,"it.",2785368],[2785504,"Gotta",2785792],[2785816,"see",2785952],[2785976,"it.",2786540],[2787280,"I",2787568],[2787584,"should",2787712],[2787736,"have",2787872],[2787896,"worn,",2788352],[2788456,"what,",2788744],[2788792,"pink",2789024],[2789072,"today?",2789660],[2791200,"Or",2791536],[2791568,"baggy",2791960],[2792000,"clothes",2792400],[2792440,"like",2792592],[2792616,"Billie",2792872],[2792896,"Eilish,",2793536],[2793648,"right?",2794300],[2800610,"When",2801018],[2801074,"did",2801458],[2801554,"it",2801906],[2801978,"end?",2802590],[2803730,"All",2804138],[2804194,"the",2804554],[2804642,"enjoyment.",2806110],[2806770,"I'm",2807234],[2807282,"sad",2807682],[2807746,"again.",2808350],[2809770,"Don't",2810274],[2810322,"tell",2810626],[2810698,"my",2811002],[2811066,"boyfriend",2812322],[2812466,"it's",2812882],[2812946,"not",2813242],[2813306,"what",2813530],[2813570,"he's",2813978],[2814034,"made",2814514],[2814642,"for.",2815310],[2819500,"Was",2819860],[2819900,"I",2820220],[2820300,"made",2820828],[2820964,"for?",2821640],[2826380,"Cause",2826892],[2826956,"I",2827560],[2832860,"don't",2833364],[2833412,"know",2834000],[2834340,"how",2835012],[2835156,"to",2835580],[2835660,"feel",2836280],[2838660,"but",2839068],[2839124,"I",2839720],[2841220,"wanna",2841772],[2841836,"try?",2842440],[2845130,"I",2845394],[2845402,"don't",2845674],[2845722,"know",2846310],[2846650,"how",2847322],[2847466,"to",2847866],[2847938,"feel.",2848550],[2850890,"But.",2851322],[2851386,"Someday",2852310],[2853290,"I",2853938],[2854074,"might",2854750],[2857410,"someday",2858430],[2859410,"I",2860106],[2860258,"might.",2860950],[2868050,"Liz.",2868586],[2868658,"James",2869090],[2869170,"Carr,",2869546],[2869578,"thanks",2869786],[2869818,"for",2869962],[2869986,"joining",2870266],[2870298,"us",2870418],[2870434,"on",2870562],[2870586,"this",2870746],[2870778,"podcast.",2871630],[2872380,"Thanks",2872732],[2872756,"so",2872892],[2872916,"much",2873052],[2873076,"for",2873212],[2873236,"having",2873444],[2873492,"us.",2873964],[2874092,"Thank",2874420],[2874460,"you.",2875040],[2875500,"And",2875980],[2876060,"thank",2876332],[2876356,"you",2876468],[2876484,"to",2876684],[2876732,"all",2876892],[2876916,"of",2877052],[2877076,"our",2877260],[2877300,"listeners",2877780],[2877820,"for",2877972],[2877996,"joining",2878252],[2878276,"us",2878388],[2878404,"on",2878532],[2878556,"this",2878980],[2879100,"prognosis.",2879988],[2880044,"Super",2880356],[2880428,"special",2881040],[2881620,"e",2881932],[2881956,"prognosis.",2882880],[2885020,"High",2885380],[2885420,"end",2885644],[2885692,"right",2885900],[2885940,"there.",2886520],[2887500,"And",2887812],[2887836,"we'd",2888068],[2888124,"also",2888388],[2888444,"like",2888612],[2888636,"to",2888772],[2888796,"thank",2889180],[2889260,"our",2889716],[2889828,"donors",2890220],[2890260,"who've",2890412],[2890436,"donated",2890724],[2890772,"more",2890956],[2890988,"than",2891084],[2891092,"dollar",2891164],[2891172,"250.",2892164],[2892332,"Including",2893068],[2893244,"Nina",2893668],[2893724,"Flanagan,",2894388],[2894484,"Penelope",2895060],[2895100,"Thompson,",2895684],[2895772,"Lloyd",2896180],[2896220,"Wolstadt,",2897076],[2897148,"Mark",2897428],[2897484,"Wren,",2898016],[2898148,"Carol",2898536],[2898568,"Heyman,",2899280],[2899440,"Bob",2899800],[2899840,"Rixie,",2900656],[2900808,"Patrick",2901360],[2901400,"Lally,",2902160],[2902320,"Matt",2902648],[2902664,"Shuster,",2903368],[2903464,"James",2903848],[2903904,"Tulski,",2904672],[2904776,"Annie",2905136],[2905168,"Hargodon,",2906120],[2906280,"Jeffrey",2906752],[2906776,"Galbraith,",2907440],[2907520,"Darrell",2907912],[2907936,"Owens,",2908648],[2908824,"Meg",2909176],[2909208,"Walhagen,",2910000],[2910080,"Susan",2910440],[2910480,"Nelson,",2911040],[2911160,"Sharon",2911600],[2911640,"Bragman,",2912336],[2912448,"Harry",2912840],[2912880,"Hahn,",2913560],[2913720,"Jessica",2914312],[2914336,"McFarlane,",2915080],[2915160,"Victoria",2915680],[2915720,"Braun,",2916368],[2916504,"Diane",2917008],[2917024,"Meyer,",2917560],[2917640,"Mike",2917880],[2917920,"Steinman",2918336],[2918368,"and",2918512],[2918536,"Dorothy",2918936],[2918968,"Richmond.",2919688],[2919824,"Wendy",2920232],[2920256,"Peltier,",2920992],[2921136,"Kelly",2921584],[2921632,"Strait,",2922128],[2922224,"Craig",2922560],[2922600,"China,",2923088],[2923224,"Ron",2923576],[2923608,"Saber,",2924104],[2924192,"Rebecca",2924616],[2924648,"Goldstein",2925288],[2925344,"and",2925512],[2925536,"Elizabeth",2925976],[2926008,"Chung.",2926636],[2926768,"And",2927012],[2927036,"again,",2927244],[2927292,"those",2927452],[2927476,"are",2927588],[2927604,"the",2927684],[2927692,"ones",2927828],[2927844,"who've",2927988],[2928004,"donated",2928284],[2928332,"more",2928492],[2928516,"than",2928628],[2928644,"$250",2929460],[2929500,"in",2929628],[2929644,"the",2929772],[2929796,"last",2930220],[2930340,"year.",2930980],[2931140,"If",2931388],[2931404,"you're",2931508],[2931524,"interested",2931748],[2931764,"in",2931868],[2931884,"donating,",2932180],[2932220,"click",2932372],[2932396,"on",2932508],[2932524,"the",2932652],[2932676,"little",2932860],[2932900,"donate",2933236],[2933268,"button.",2933636],[2933708,"Or",2934252],[2934396,"if",2934628],[2934644,"you",2934748],[2934764,"just",2934916],[2934948,"want",2935068],[2935084,"to",2935188],[2935204,"share",2935332],[2935356,"our",2935492],[2935516,"podcasts",2935988],[2936004,"on",2936132],[2936156,"other",2936340],[2936380,"podcasting",2937052],[2937116,"platforms",2937844],[2937892,"or",2938100],[2938140,"Twitter",2938524],[2938572,"or",2938708],[2938724,"any",2938876],[2938908,"other",2939100],[2939140,"social",2939364],[2939412,"media",2939668],[2939724,"sites,",2940364],[2940492,"that's",2940820],[2940860,"good",2941084],[2941132,"too.",2941604],[2941732,"And",2941948],[2941964,"if",2942188],[2942244,"I",2942460],[2942500,"mispronounced",2943076],[2943108,"your",2943300],[2943340,"name,",2943588],[2943644,"please",2943884],[2943932,"shoot",2944156],[2944188,"me",2944308],[2944324,"an",2944452],[2944476,"email.",2944948],[2945084,"I",2945332],[2945356,"will",2945564],[2945612,"correct",2945964],[2946012,"it",2946196],[2946228,"the",2946396],[2946428,"next",2946596],[2946628,"time",2946796],[2946828,"we",2946996],[2947028,"record",2947292],[2947356,"one",2947484],[2947492,"of",2947612],[2947636,"these.",2947844],[2947892,"Thank",2948092],[2948116,"you.",2948180]],"speakers":[{"id":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","name":"Kara"},{"id":"070bc68c-0106-4356-9c5e-79178117336b","name":"Eric"},{"id":"52c30026-9186-4c7c-a581-4fa7110a688d","name":"Liz"},{"id":"e1357856-336f-4d86-9168-b34488cea84a","name":"Speaker 1"},{"id":"25302207-3887-4c44-bb4e-59ee39a4a530","name":"Speaker 2"},{"id":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","name":"Alex"},{"id":"20599d10-15b0-48cd-8c62-489dba0a22e3","name":"Speaker 3"},{"id":"cec3b184-6a66-4e8c-8574-14325f98ac5b","name":"James"},{"id":"2dd07108-6261-46bf-a2a0-6031007c6e47","name":"Speaker 4"},{"id":"edb817cd-15f4-417f-9998-979a448df5d9","name":"Speaker 5"},{"id":"4981be06-0cdf-4dc6-82eb-92b396dcbf0e","name":"Speaker 6"}],"speakerRanges":[{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":0,"endIndex":12,"endMs":5406,"startMs":960},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":13,"endIndex":21,"endMs":9210,"startMs":5478},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":22,"endIndex":30,"endMs":12686,"startMs":9670},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":31,"endIndex":34,"endMs":13710,"startMs":12718},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":35,"endIndex":45,"endMs":18230,"startMs":13790},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":46,"endIndex":87,"endMs":32100,"startMs":18350},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":88,"endIndex":92,"endMs":33612,"startMs":32260},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":93,"endIndex":122,"endMs":42020,"startMs":33756},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":123,"endIndex":126,"endMs":43284,"startMs":42140},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":127,"endIndex":154,"endMs":51204,"startMs":43412},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":155,"endIndex":158,"endMs":53012,"startMs":51332},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":159,"endIndex":188,"endMs":64028,"startMs":53196},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":189,"endIndex":211,"endMs":72876,"startMs":64204},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":212,"endIndex":217,"endMs":75240,"startMs":73028},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":218,"endIndex":253,"endMs":87890,"startMs":75860},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":254,"endIndex":290,"endMs":102650,"startMs":88670},{"speakerId":"4981be06-0cdf-4dc6-82eb-92b396dcbf0e","startIndex":291,"endIndex":338,"endMs":147300,"startMs":107940},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":339,"endIndex":339,"endMs":151208,"startMs":150800},{"speakerId":"4981be06-0cdf-4dc6-82eb-92b396dcbf0e","startIndex":340,"endIndex":364,"endMs":190240,"startMs":151264},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":365,"endIndex":366,"endMs":192680,"startMs":191140},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":367,"endIndex":387,"endMs":209302,"startMs":200830},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":388,"endIndex":393,"endMs":211450,"startMs":209486},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":394,"endIndex":395,"endMs":213690,"startMs":212590},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":396,"endIndex":473,"endMs":243818,"startMs":214990},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":474,"endIndex":478,"endMs":245350,"startMs":243954},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":479,"endIndex":483,"endMs":248830,"startMs":246290},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":484,"endIndex":559,"endMs":279506,"startMs":249370},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":560,"endIndex":590,"endMs":290880,"startMs":279658},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":591,"endIndex":597,"endMs":295956,"startMs":291380},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":598,"endIndex":599,"endMs":296564,"startMs":295988},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":600,"endIndex":601,"endMs":297740,"startMs":296692},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":602,"endIndex":610,"endMs":299516,"startMs":297820},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":611,"endIndex":619,"endMs":302076,"startMs":299548},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":620,"endIndex":663,"endMs":319248,"startMs":302228},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":664,"endIndex":743,"endMs":347114,"startMs":319384},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":744,"endIndex":749,"endMs":348794,"startMs":347242},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":750,"endIndex":756,"endMs":350914,"startMs":348922},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":757,"endIndex":767,"endMs":354554,"startMs":350962},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":768,"endIndex":795,"endMs":363586,"startMs":354722},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":796,"endIndex":809,"endMs":368706,"startMs":363738},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":810,"endIndex":810,"endMs":369010,"startMs":368778},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":811,"endIndex":813,"endMs":370252,"startMs":369050},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":814,"endIndex":833,"endMs":375448,"startMs":370386},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":834,"endIndex":834,"endMs":376152,"startMs":375544},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":835,"endIndex":841,"endMs":378368,"startMs":376296},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":842,"endIndex":870,"endMs":389472,"startMs":378504},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":871,"endIndex":879,"endMs":392776,"startMs":389616},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":880,"endIndex":886,"endMs":395528,"startMs":392928},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":887,"endIndex":959,"endMs":423142,"startMs":395704},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":960,"endIndex":975,"endMs":427262,"startMs":423246},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":976,"endIndex":1045,"endMs":451742,"startMs":427406},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1046,"endIndex":1129,"endMs":480836,"startMs":451886},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1130,"endIndex":1154,"endMs":490020,"startMs":480908},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1155,"endIndex":1163,"endMs":493752,"startMs":490480},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1164,"endIndex":1242,"endMs":523710,"startMs":493936},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":1243,"endIndex":1268,"endMs":535546,"startMs":524170},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1269,"endIndex":1274,"endMs":537630,"startMs":535578},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":1275,"endIndex":1338,"endMs":561846,"startMs":540010},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1339,"endIndex":1442,"endMs":603256,"startMs":561998},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1443,"endIndex":1460,"endMs":608624,"startMs":603368},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1461,"endIndex":1461,"endMs":609500,"startMs":608752},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1462,"endIndex":1468,"endMs":612176,"startMs":609800},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1469,"endIndex":1469,"endMs":612992,"startMs":612248},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1470,"endIndex":1552,"endMs":640056,"startMs":613176},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":1553,"endIndex":1553,"endMs":640656,"startMs":640208},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1554,"endIndex":1554,"endMs":641380,"startMs":640728},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1555,"endIndex":1558,"endMs":644528,"startMs":643120},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1559,"endIndex":1658,"endMs":674944,"startMs":644584},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1659,"endIndex":1702,"endMs":693250,"startMs":675112},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":1703,"endIndex":1717,"endMs":700570,"startMs":693950},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1718,"endIndex":1868,"endMs":757534,"startMs":701030},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1869,"endIndex":1883,"endMs":762750,"startMs":757662},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1884,"endIndex":1884,"endMs":763610,"startMs":762870},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1885,"endIndex":1897,"endMs":769090,"startMs":763910},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":1898,"endIndex":1983,"endMs":809518,"startMs":769750},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":1984,"endIndex":2117,"endMs":861064,"startMs":809694},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":2118,"endIndex":2202,"endMs":890180,"startMs":861232},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2203,"endIndex":2214,"endMs":894006,"startMs":890670},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":2215,"endIndex":2275,"endMs":918370,"startMs":894038},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2276,"endIndex":2292,"endMs":922454,"startMs":918710},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":2293,"endIndex":2354,"endMs":946070,"startMs":922582},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2355,"endIndex":2355,"endMs":946588,"startMs":946190},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":2356,"endIndex":2364,"endMs":950460,"startMs":946654},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2365,"endIndex":2366,"endMs":951992,"startMs":950880},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2367,"endIndex":2368,"endMs":952936,"startMs":952136},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2369,"endIndex":2398,"endMs":965496,"startMs":953088},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2399,"endIndex":2474,"endMs":996180,"startMs":965688},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2475,"endIndex":2498,"endMs":1004244,"startMs":996760},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2499,"endIndex":2499,"endMs":1004620,"startMs":1004332},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2500,"endIndex":2501,"endMs":1004932,"startMs":1004660},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2502,"endIndex":2502,"endMs":1005372,"startMs":1004956},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2503,"endIndex":2505,"endMs":1006460,"startMs":1005476},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":2506,"endIndex":2520,"endMs":1011788,"startMs":1006540},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2521,"endIndex":2549,"endMs":1023200,"startMs":1011844},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2550,"endIndex":2740,"endMs":1095150,"startMs":1023540},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2741,"endIndex":2765,"endMs":1105218,"startMs":1095850},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2766,"endIndex":2890,"endMs":1150856,"startMs":1105354},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":2891,"endIndex":2961,"endMs":1171952,"startMs":1151008},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":2962,"endIndex":3074,"endMs":1212780,"startMs":1172096},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3075,"endIndex":3111,"endMs":1229840,"startMs":1213080},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3112,"endIndex":3187,"endMs":1256510,"startMs":1230180},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3188,"endIndex":3204,"endMs":1265666,"startMs":1257130},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3205,"endIndex":3458,"endMs":1365980,"startMs":1265858},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":3459,"endIndex":3467,"endMs":1369460,"startMs":1366360},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":3468,"endIndex":3489,"endMs":1378140,"startMs":1370880},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3490,"endIndex":3507,"endMs":1388520,"startMs":1378600},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3508,"endIndex":3588,"endMs":1416246,"startMs":1388640},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3589,"endIndex":3666,"endMs":1437454,"startMs":1416358},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3667,"endIndex":3775,"endMs":1480440,"startMs":1437622},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3776,"endIndex":3804,"endMs":1491560,"startMs":1480740},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3805,"endIndex":3822,"endMs":1496828,"startMs":1492020},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3823,"endIndex":3831,"endMs":1500520,"startMs":1496924},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3832,"endIndex":3839,"endMs":1504464,"startMs":1501080},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3840,"endIndex":3844,"endMs":1505448,"startMs":1504512},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":3845,"endIndex":3849,"endMs":1506240,"startMs":1505504},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3850,"endIndex":3854,"endMs":1507460,"startMs":1506280},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3855,"endIndex":3856,"endMs":1509700,"startMs":1508600},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3857,"endIndex":3857,"endMs":1510960,"startMs":1510040},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":3858,"endIndex":3864,"endMs":1512600,"startMs":1511080},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3865,"endIndex":3869,"endMs":1513912,"startMs":1512640},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3870,"endIndex":3955,"endMs":1545670,"startMs":1514056},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":3956,"endIndex":3986,"endMs":1558286,"startMs":1546050},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":3987,"endIndex":4099,"endMs":1603726,"startMs":1558438},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4100,"endIndex":4116,"endMs":1609504,"startMs":1603878},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":4117,"endIndex":4200,"endMs":1640274,"startMs":1609662},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4201,"endIndex":4208,"endMs":1642246,"startMs":1640412},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":4209,"endIndex":4312,"endMs":1686984,"startMs":1642398},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4313,"endIndex":4412,"endMs":1728174,"startMs":1687152},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4413,"endIndex":4414,"endMs":1728950,"startMs":1728342},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4415,"endIndex":4461,"endMs":1747460,"startMs":1728990},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4462,"endIndex":4592,"endMs":1800638,"startMs":1748200},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4593,"endIndex":4604,"endMs":1804890,"startMs":1800814},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4605,"endIndex":4606,"endMs":1806610,"startMs":1805550},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":4607,"endIndex":4614,"endMs":1809930,"startMs":1807030},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4615,"endIndex":4670,"endMs":1831692,"startMs":1812150},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4671,"endIndex":4725,"endMs":1852916,"startMs":1831876},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4726,"endIndex":4868,"endMs":1907190,"startMs":1853108},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4869,"endIndex":4942,"endMs":1932624,"startMs":1907770},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4943,"endIndex":4974,"endMs":1944430,"startMs":1932792},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":4975,"endIndex":4976,"endMs":1946642,"startMs":1946210},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":4977,"endIndex":4983,"endMs":1948190,"startMs":1946666},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":4984,"endIndex":5106,"endMs":1993480,"startMs":1949570},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":5107,"endIndex":5177,"endMs":2018400,"startMs":1993640},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":5178,"endIndex":5206,"endMs":2029236,"startMs":2018900},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":5207,"endIndex":5294,"endMs":2059360,"startMs":2029348},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":5295,"endIndex":5330,"endMs":2069650,"startMs":2059400},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":5331,"endIndex":5410,"endMs":2096008,"startMs":2070230},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":5411,"endIndex":5431,"endMs":2103700,"startMs":2096104},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":5432,"endIndex":5547,"endMs":2146880,"startMs":2104200},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":5548,"endIndex":5634,"endMs":2179470,"startMs":2147320},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":5635,"endIndex":5755,"endMs":2230660,"startMs":2180130},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":5756,"endIndex":5799,"endMs":2245980,"startMs":2231240},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":5800,"endIndex":6089,"endMs":2352520,"startMs":2246520},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6090,"endIndex":6161,"endMs":2381082,"startMs":2353140},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":6162,"endIndex":6167,"endMs":2383470,"startMs":2381106},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6168,"endIndex":6188,"endMs":2393450,"startMs":2386290},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":6189,"endIndex":6201,"endMs":2396150,"startMs":2393450},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6202,"endIndex":6266,"endMs":2421610,"startMs":2399270},{"speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b","startIndex":6267,"endIndex":6379,"endMs":2460170,"startMs":2422220},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6380,"endIndex":6386,"endMs":2462054,"startMs":2460590},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":6387,"endIndex":6537,"endMs":2516272,"startMs":2462222},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":6538,"endIndex":6637,"endMs":2554746,"startMs":2516456},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6638,"endIndex":6647,"endMs":2557618,"startMs":2554778},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":6648,"endIndex":6697,"endMs":2573630,"startMs":2557634},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":6698,"endIndex":6702,"endMs":2578626,"startMs":2575570},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":6703,"endIndex":6705,"endMs":2580220,"startMs":2578778},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6706,"endIndex":6785,"endMs":2608790,"startMs":2580880},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":6786,"endIndex":6980,"endMs":2685070,"startMs":2609370},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":6981,"endIndex":6982,"endMs":2686190,"startMs":2685240},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":6983,"endIndex":7066,"endMs":2714010,"startMs":2686490},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":7067,"endIndex":7186,"endMs":2759410,"startMs":2715110},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7187,"endIndex":7230,"endMs":2773312,"startMs":2760110},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":7231,"endIndex":7235,"endMs":2774472,"startMs":2773496},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7236,"endIndex":7245,"endMs":2779448,"startMs":2774496},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":7246,"endIndex":7263,"endMs":2783656,"startMs":2779544},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":7264,"endIndex":7265,"endMs":2784264,"startMs":2783728},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":7266,"endIndex":7285,"endMs":2794300,"startMs":2784352},{"speakerId":"4981be06-0cdf-4dc6-82eb-92b396dcbf0e","startIndex":7286,"endIndex":7326,"endMs":2848550,"startMs":2800610},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7327,"endIndex":7327,"endMs":2851322,"startMs":2850890},{"speakerId":"4981be06-0cdf-4dc6-82eb-92b396dcbf0e","startIndex":7328,"endIndex":7333,"endMs":2860950,"startMs":2851386},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7334,"endIndex":7343,"endMs":2871630,"startMs":2868050},{"speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5","startIndex":7344,"endIndex":7349,"endMs":2873964,"startMs":2872380},{"speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d","startIndex":7350,"endIndex":7351,"endMs":2875040,"startMs":2874092},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7352,"endIndex":7365,"endMs":2879988,"startMs":2875500},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":7366,"endIndex":7369,"endMs":2882880,"startMs":2880044},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7370,"endIndex":7387,"endMs":2892164,"startMs":2885020},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":7388,"endIndex":7444,"endMs":2926636,"startMs":2892332},{"speakerId":"070bc68c-0106-4356-9c5e-79178117336b","startIndex":7445,"endIndex":7494,"endMs":2941604,"startMs":2926768},{"speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47","startIndex":7495,"endIndex":7519,"endMs":2948180,"startMs":2941732}],"speakerStatistics":[{"speaker":{"name":"Eric","speakerId":"070bc68c-0106-4356-9c5e-79178117336b"},"transcriptTimeMs":727910},{"speaker":{"name":"James","speakerId":"cec3b184-6a66-4e8c-8574-14325f98ac5b"},"transcriptTimeMs":589694},{"speaker":{"name":"Liz","speakerId":"52c30026-9186-4c7c-a581-4fa7110a688d"},"transcriptTimeMs":546550},{"speaker":{"name":"Speaker 5","speakerId":"edb817cd-15f4-417f-9998-979a448df5d9"},"transcriptTimeMs":469876},{"speaker":{"name":"Alex","speakerId":"d5cefcbb-ee51-4899-87a2-531fdd70ce47"},"transcriptTimeMs":379020},{"speaker":{"name":"Speaker 6","speakerId":"4981be06-0cdf-4dc6-82eb-92b396dcbf0e"},"transcriptTimeMs":135840},{"speaker":{"name":"Kara","speakerId":"4dba85e3-17ce-4bc2-be23-0978efcda5a5"},"transcriptTimeMs":0},{"speaker":{"name":"Speaker 1","speakerId":"e1357856-336f-4d86-9168-b34488cea84a"},"transcriptTimeMs":0},{"speaker":{"name":"Speaker 2","speakerId":"25302207-3887-4c44-bb4e-59ee39a4a530"},"transcriptTimeMs":0},{"speaker":{"name":"Speaker 3","speakerId":"20599d10-15b0-48cd-8c62-489dba0a22e3"},"transcriptTimeMs":0},{"speaker":{"name":"Speaker 4","speakerId":"2dd07108-6261-46bf-a2a0-6031007c6e47"},"transcriptTimeMs":0}]},"state":"PROCESSED"},"intelligence":{"status":"COMPLETE","sections":[{"data":{"id":"4bc67d1a-84ea-4e62-bfc6-510b78414255","text":"Kara Bischoff discussed the Palliative Performance Scale (PPS) as a prognostication tool and shared findings from a UCSF study indicating a shift in prognoses for various PPS scores. There was a significant increase in median time from consultation to death since the establishment of the clinic, particularly for outpatient consults, suggesting extended survival time for clinic patients. The importance of aligning individual prognostic ideas within the healthcare team before communicating with patients and families was emphasized, along with a strategy to anchor discussions on patient prognosis at death to address unrealistic optimism and uncertainty among healthcare team members."},"status":"SUCCESS","__typename":"IntelligenceTextSection","section":{"type":"summary_overview","description":"Paragraph summary of your meeting","title":"Summary"}},{"data":[{"id":"8fd32184-2a52-41f6-ba6a-f1f352b9887c","timestamp":918000,"text":"Alex Smith to ensure the new updated eprognosis includes the latest data and is accessible for clinicians based on the setting (inpatient vs. outpatient) and the patient's disease category (cancer or other serious illness).","endTimestamp":936000},{"id":"556c8562-bcc4-460e-b27a-9296b191d72a","timestamp":1257000,"text":"James Dierdorf to finalize and share the prognostic models created, ensuring they include factors like age, baseline functional status, driving ability, body mass index, falls history, sex, incontinence, and orientation test, making them user-friendly and clinically relevant for predicting the need for nursing home level of care.","endTimestamp":1333000},{"id":"b2ef70b7-0531-4fab-8d2e-05cde71f3c27","timestamp":1723000,"text":"Liz to share the link to her paper in the show notes for further discussion on prognostic alignment.","endTimestamp":1738000},{"id":"e77c7358-9331-4b16-9962-52b0a20ca175","timestamp":2760000,"text":"Alex to perform a little bit more of the Barbie song at the end of the podcast.","endTimestamp":2774000}],"status":"SUCCESS","__typename":"IntelligenceMarkSection","section":{"type":"next_steps","description":"List of time stamped action items from your meeting","title":"Next Steps"}},{"data":[{"id":"db6fee65-35ac-4c82-b456-7f9605366d98","timestamp":246000,"text":"Kara Bischoff explains the importance of the Palliative Performance Scale (PPS) as a tool for prognostication in seriously ill or palliative care populations, highlighting its development and usage by clinicians.","endTimestamp":262000},{"id":"0d8cbecb-a40a-42d0-9200-9189c265f56f","timestamp":493000,"text":"Kara Bischoff reveals the findings of the UCSF study, showing that patients with a PPS score of 50% were living significantly longer than predicted by previous literature, indicating a shift in prognoses for various PPS scores.","endTimestamp":518000},{"id":"9da603d8-1f9c-42e0-bc28-8ec2b08c073e","timestamp":643000,"text":"Discussion on the significant increase in median time from consultation to death since the establishment of the clinic, particularly for outpatient consults, suggesting that patients seen in clinics are extending their survival time compared to inpatients.","endTimestamp":662000},{"id":"6edaf352-b58a-4449-9b75-a86ade446133","timestamp":809000,"text":"Speaker 1 references an article by Tom Gill on functional trajectories in the last year of life, highlighting the unique trajectory of dementia patients.","endTimestamp":843000},{"id":"5eb59fd6-7dd9-4714-aa8d-8f1465337d88","timestamp":1023000,"text":"Speaker 4 elaborates on the study aiming to estimate when individuals with dementia might require nursing home-level care, emphasizing the challenges families face in making such decisions and the importance of future planning.","endTimestamp":1091000},{"id":"230849f3-7927-4b96-9688-e6707982a320","timestamp":1504000,"text":"Speaker 1 learns about the eprognosis website from Speaker 4, where a model can provide percentage estimates for nursing home care probability.","endTimestamp":1537000},{"id":"e0644a57-8481-4bfd-9409-3895814ccdd3","timestamp":1748000,"text":"Speaker 3 elaborates on prognostic alignment, emphasizing the importance of aligning individual prognostic ideas within the healthcare team before communicating with patients and families.","endTimestamp":1783000},{"id":"9daf06cb-0b8e-41db-ad80-97bdb1ac0d70","timestamp":2070000,"text":"Speaker 2 shares a strategy of anchoring discussions on patient prognosis at death to address unrealistic optimism and uncertainty among healthcare team members, facilitating better alignment in communication.","endTimestamp":2138000}],"status":"SUCCESS","__typename":"IntelligenceMarkSection","section":{"type":"summary_points","description":"List of time stamped key points from your meeting","title":"Key Points"}}]},"startDatetime":"2024-07-24T20:22:31.474562Z","endDatetime":"2024-07-24T21:11:40.394562Z","widthPx":640,"heightPx":360,"videoUrl":"https://media.grain.com/recordings/86165f05-8762-4583-a545-209e1d46887e.mp4?Expires=1732393666&Key-Pair-Id=APKAJVV5JYWNSB7CAGWA&Signature=a2l3I2nKph6MxYGQfnLNXkwQN9UKrhQGny7stOKhplOkcxpmBjOj7RH3zdEJN0-qzRkQ8iqQK70gogU5AOzGYO4U27LmIXEWoyOthlu2tcsQ8cPtYx3bZhAkVIxqHHLPwmGgaEiHtHSzyBMCWSoHytqaRt2wh5OHMtz2Pbp1L5yuUJ8Mx0mqtkaOctw36k4siUQQaj4MndNlKfdfhZtCzw8M5tcwIx3zyjP~A6IygLdw~s4eje3t-IB~~qWXSHlFAQU8akwzbMbRQjl9C5852T9dVp2OzEFRGcDbZqDBRXgi3fAiZEkpsFinrXF2y6AihVrDh4pb16NRfZ5YaPHKwg__","fullJpegThumbnailUrl":"https://media.grain.com/thumbnails/86165f05-8762-4583-a545-209e1d46887e/xmjDdP2m_recording_thumb.jpeg?Expires=1732393666&Key-Pair-Id=APKAJVV5JYWNSB7CAGWA&Signature=hsDLxypd5w8GUzyHdLvSB523oyliKQPr~8raVSptHhOupqjjtvX8xgM9ivjUBf6lA0vTJGxsbX9cFA7exxxIMEVEP3oY9Fw761uRbrLR9YXaAUh60JqTGwovMyzw8xlbO8RBIa5TJSb1CBYqLiASw4NOJhSCVBngxGv2E34kgp1kt5kSWWAykZNKq54g2AiXp49o1kjsLFcG6bQ23HJyu5K-wmUFzz52JVeTptmiqW0tD-yX8CwYCZR5HllzaBXYha-Mz2zY9e252wJeqbb6m7tZYM3Txgp4t5OqmuDx1qfV-5F4Dd3TgIBVQCxceAbmOXhdEu7ETtZD55ww0NO1hg__","downloadUrl":"https://media.grain.com/recordings/86165f05-8762-4583-a545-209e1d46887e.mp4?response-content-disposition=attachment%3B+filename%3D%22GeriPal+EP319+Prognosis+Superspecial+86165f05-8762-4583-a545-209e1d46887e.mp4%22%3B+filename%2A%3DUTF-8%27%27GeriPal%2520EP319%2520Prognosis%2520Superspecial%252086165f05-8762-4583-a545-209e1d46887e.mp4&response-content-type=video%2Fmp4&Expires=1732393666&Key-Pair-Id=APKAJVV5JYWNSB7CAGWA&Signature=BlHtxyvCkltd2vLnViOZ6dpBSgakknGCMsP9Q1ifuMLClG4rGEqtvdc5pSbQKFT4rVUAAOzTQyE5VHZy8wNh6OO--YNmhkDWJV10oWSdlv3nH28HGvjlq5GA-HPGcVcZJY-RWoTsw-Bd6VsD3kTZxuUj2JOKA1TtcaMZJpDSm6eFlq6lwjtGk8cwWoRQkn7V~UxsGhZZU9kFMU2Pi-798dhVjeCHw4KR4jwZUygGt7TjAwVVUB6XuKn0H-jj9889zDh7r~ogvpwRDmwJgwVmMbvYvV5YBZpTZKbb-jo7Ik6F-7eu4QkJDXtrH6dDCwdAK3j-Sac4AJgZSTAXARMy4A__","downloadUrlExpiry":1732393486,"fullWebpThumbnailUrl":"https://media.grain.com/thumbnails/86165f05-8762-4583-a545-209e1d46887e/OHItViwJ_recording_thumb.webp?Expires=1732393666&Key-Pair-Id=APKAJVV5JYWNSB7CAGWA&Signature=FEHSJMPA2FswknWLcZ9FeKBEzZBBDMNZD3-3bFakWf~inn-4LjhbKJ2ow3ssSbx9s13CQLC--ICWHFZ8KVHGpyPFBv4laKnaJlqv2z5Jg8VzXCtjexfQWyt24Med9k5VGAfP36QgcE1sV1MG7-luMn55EHztzHCiByw3YLdUiL1bWPKnm5LI~QBSItVjOzxr5-Y41McRnSv4zkFrSRUme4Imq2s~s-JfQW2T7Akuv0xepsZ4xwZGqwkeSLIg~T~e0oDUn2Xl5a636qfN7SdiuO0kKBDippXBYDBE7LEcl6ZYkXU3noCTNc7JX4EJHp8zlbeOrT5JElTpLv5vMMtfvA__","mediaType":"VIDEO","storyboardImageUrl":"https://media.grain.com/v1/storyboards/86165f05-8762-4583-a545-209e1d46887e/1hjNhDrT_storyboard.jpg?Expires=1732393666&Key-Pair-Id=APKAJVV5JYWNSB7CAGWA&Signature=KDD5I9I7cwe6LgRa62Qku86vtuqq2a7o4dKMD2dyb3H0N3xEsXsYLt1KyJsi-leETk6Rxxzal8KJlbKy6k4SM09toxruZAI6m0WHkh2CVAT1WchG8JfoG7p75LY7HYKOyQG8cljM~6Us4KAkc93h-~YVCNAdn8o2~B8OiZume774EYNs5V3GGDhfFtp3D158eTYc1evMciul-ftaDm~Cw8ysWdHafz3sUaAjJ5UyZ8DEd43pDzlMkU7Zi5RqDFbM-xDYdEwAisR8Dc4dGq1mFY32p7ZAEHkOsgmM6XLgsbD1bUi3TwzCjfjwa1HZ9GP1riEivcOLa6S2Z94KnBiJuw__","videoStream":null,"videoUrlExpiry":1732393486}"> <meta name="grain:recording:in_workspace" content="no"> <meta name="grain:recording:has_edit_access" content="no"> <meta name="grain:hide_watermark" content="no"> <link rel="stylesheet" type="text/css" href="https://static.grain.com/css/style.ef848caa1860e553433f42be2c98754dd93b8668.css"> </head> <body> <noscript> Grain heavily relies on JavaScript, please consider enabling JavaScript here. </noscript> <div id="app"></div> <script type="module" src="https://static.grain.com/js/app-public-recording-page.ef848caa1860e553433f42be2c98754dd93b8668.js"> </script> </body> </html>