Latest / Destination Unlimited with Victor Fuhrman / Dr. Brad Stuart – Facing Death
Transcript
- 0:04My name is Victor Furman. Some call me the Voice. I've always been
- 0:10fascinated with human nature, spirituality, science, and the crossroads at which they
- 0:16meet. Join me now and we will explore these topics and so much more
- 0:21with fascinating guests, authors and experts who will guide us to Destination Unlimited.
- 0:34What might a medical doctor experience that changes his perspective on curing versus healing?
- 0:41Truly listening to and hearing what his patients are asking and saying, and recognizing
- 0:47that in transition, we take with us what we truly are. My guest
- 0:52this week one Destination Unlimited. Doctor Brad Stewart, has treated and counseled terminally
- 0:58ill patience and served as a hospice medical director for twenty five years, even
- 1:03founding a national model of care for those with serious illnesses at home. However,
- 1:10what truly sets doctor Stewart apart is his ability to heal, a quality
- 1:15that radiates through his wisdom and service. His website is Bradstewart md dot com
- 1:21and he joins me this week to share his path and new book, Facing
- 1:26Death, Spirituality, Science and Surrender at the End of Life. Please join
- 1:32me in welcoming to destination unlimited. Doctor Brad Stewart, Welcome, Thank you,
- 1:38Victor. It's wonderful to be here. Doctor Stewart. Please share with
- 1:42our listeners your early path and what called you to medicine. Oh well,
- 1:49I was not one of those people who knew at five years old I wanted
- 1:55to be a doctor. In fact, I went through high school and most
- 2:00of college pretty unsure about what my path ought to be. And yet you
- 2:05know, I was distraught there for a while because I knew that there was
- 2:09a path, I just couldn't see it. I did research in college and
- 2:15for a year or two after in brain physiology. And in college, one
- 2:23of my professors said to me one day, as we were experimenting on hearing
- 2:29in amphibians. You know, tadpoles have underwater ears, and as they turned
- 2:34into frogs they have air hearing ears. It's a profound metamorphosis. And as
- 2:42I say in the book, as Carl Jung would say, you know,
- 2:46frogs are a major transformational symbol. And of course I was completely lost on
- 2:52me at the time. But Professor Bert one day just we stopped in the
- 2:57middle of our work for a break, and he said to me, he
- 2:59looked at me and said, you know, you should be a doctor.
- 3:00You love science, you're good with people, you're great with your hands.
- 3:06I looked back at him, I said, Bert, you are out of
- 3:08your mind. I had never thought of that. And I went on from
- 3:14there to another lab at University of Pennsylvania and Philadelphia, where I also went
- 3:19to college, and worked in a lab there on brain imaging, very early
- 3:24brain imaging studies, and you know, I published a couple of papers there.
- 3:30The professor who ran the lab was world famous. He actually allowed me
- 3:37to put my name first on the paper. And that was what wound up
- 3:42getting me into medical school. I realized. A year or two after Professor
- 3:46Bert had suggested, you know, the physician idea, I finally realized,
- 3:52Hey, that's maybe I could do that. So I wound up getting into
- 3:55a really you know, top not medical school on the West Coast, which
- 4:03I won't name at the moment. If you read the book, you'll understand
- 4:09why, because I just found when I got there the first two years were
- 4:15like paradise if you're into science and you begin to study medicine. Your first
- 4:21two years or in the classroom, we had seven Nobel Prize winners come from
- 4:28all over the world to talk to us. It was like being in heaven.
- 4:31I had never learned so much so fast as in those first two years
- 4:38in medical training. The third year medical students go onto the wards in the
- 4:45hospital and begin learning how to take care of patients. And that was when
- 4:51the earthquake happened. I had a life changing event, which actually is chapter
- 4:58one in my book. I took care of a patient who was very,
- 5:02very ill and got into a little bit of a conflict with my professors about
- 5:10that person. You can read about it in the book. But you know,
- 5:15once that event happened and woke me up to how we treat and mistreat
- 5:24very ill people in our healthcare system, I resolved number one that I would
- 5:32write a book. It took me over forty five years to get around to
- 5:36doing that, because it takes a while for the dust to settle in a
- 5:41mind like mine. But it set me on track for my whole course through
- 5:49through healthcare, taking care of patients and working from inside to try to improve
- 5:57our healthcare system. And finally, after years and years writing this book,
- 6:01one thing that comes to mind in this discussion, I think we sort of
- 6:05touched upon an offline is the fact that listening is so important, especially in
- 6:11the relationship between the position and the patient. Would you address that, sure,
- 6:16you just said something that I think is one of the foundation stones of
- 6:23caring for people as opposed to or what really is the ideal form of taking
- 6:30care of patients. I learned very quickly when I went on the wards and
- 6:39began seeing people in the hospital, that there's only when a person is ill
- 6:47and suffering, which everyone is when they're seriously ill. And I don't just
- 6:54mean the pain and distress that comes from being sick and being hostilespitalized, particularly
- 7:01when you have an illness that's so severe that you may be facing the end
- 7:05of your life. It's one of the biggest, most stressful things that can
- 7:12happen to a human being. And I learned, I think, really quickly
- 7:17that although doctors are taught to diagnose the problem, come up with a treatment
- 7:26plan, administer it, and tell the patient what to do. Anybody who's
- 7:30been to a doctor has been through that process as a patient. I realized
- 7:36that you leave out a step when you don't teach doctors or anyone really that
- 7:46when you're face to face with someone who is suffering deeply, you have to
- 7:53listen deeply. And I came up with a kind of a not a monde,
- 8:00but a slogan I would say to myself and later when I taught other
- 8:05doctors and nurses and people in hospice, so you know, I would say
- 8:09this, it's like ask before you tell, And that means the best way
- 8:18to determine the way forward with someone who's deeply suffering, particularly when you don't
- 8:24have an answer for their problems, if you don't have a cure for their
- 8:28illness, if it becomes clear that they are not going to recover and be
- 8:35cured, there still is a way forward. There's always a way forward.
- 8:41But the major step in that way is for the physician or the clinician or
- 8:50the nurse, whoever it may be, to ask the right questions and then
- 8:56listen, and I mean listen deeply to what that person, not just that
- 9:03patient, but what that person in front of you is going through. And
- 9:09you know, I think most of the healing that happens with people who can't
- 9:16be cured, and that that turned out to be my work is discovering what
- 9:22that was and how to do it. That healing process begins and ends with
- 9:28asking and listening and not just with your ears, but you know, with
- 9:33your whole mind and heart and spirit. And when you when you do that
- 9:39kind of listening and that person who's who's suffering and often feels lost, understands
- 9:46that they are seen and heard, that's the first crucial step forward and healing.
- 9:54And I so that that's my take on listening. And I wish we
- 9:58I think now we're doing better about teaching that in medical training. But really
- 10:03you don't have to be a doctor to learn to be good at that.
- 10:09You know, I mentioned in the book. You know there's some great healers
- 10:13out there who have nothing to do with medicine. There's hairdressers and bartenders who
- 10:18were really good at it. And the ones who were good are the ones
- 10:22who practice listening. And that's what it's about. And your experience and wisdom
- 10:26has led you to understand the difference between curing and healing. How did that
- 10:33manifest for you? Well, you know, I start out in the book
- 10:41describing how I realized that the patients who mattered the most to me, and
- 10:48really what set me on track for my whole career was that the people who
- 10:58fascinated me the most, who attracted me the most and who I wanted to
- 11:03work with the most were the ones that I couldn't cure. And this was
- 11:09I didn't really really understand this deeply until i'd been in practice for about ten
- 11:13years doing internal medicine in my office across the street from the hospital, and
- 11:22I did a lot of work in the ICU and the emergency department, and
- 11:26you know, I cured a lot of people. But what I learned in
- 11:31my third year of medical school turned out to be really, really true,
- 11:37and that is that the whole goal of scientific medicine as we practice it today
- 11:43is curing disease. And you know, that's something that's really important to learn
- 11:52how to do. But it's very technical. You've got to have a huge
- 11:58knowledge base, a real knowledge of technique. You have to practice for years
- 12:03to get good at it. But you know, I can't even count how
- 12:07many people I pulled out of the fire in the middle of the night,
- 12:11in the er and in the hospital. You know, the curing is a
- 12:18science and an art, but uh, everyone, eventually, when you're in
- 12:24this business, runs up against people whom you cannot cure, and that that's
- 12:31a tough problem for a lot of physicians. You know, it's so difficult.
- 12:37It feels like failure when you do everything you can do and nothing works,
- 12:43or something works for a while and then it stops. Many oncologists,
- 12:48cancer cancer specialists endure this. You know, the chemo works and then it
- 12:54doesn't. So what do you do then? And you know the words that
- 12:58patients often here, which I personally think should never be uttered because they're actually
- 13:05a lie, is there's nothing else we can do. I hated that statement.
- 13:15I felt that it was something I should never say to anyone who was
- 13:20looking for some kind of answer and felt lost. So I've realized over time
- 13:26that healing can always take place even when there's no hope for cure, and
- 13:33maybe especially when there's no hope for cure. That's when healing is really important.
- 13:39As it turns out, and maybe we can talk about this a little
- 13:41later when we really get into the spiritual implications of all this. Healing is
- 13:48critical for everyone, not just people who were dealing with disease, but in
- 13:56the case of illness, say you break your arm or cut yourself bad or
- 14:00whatever, that wound needs to heal, and it will if under the right
- 14:05circumstances with good care and time. But the person who can't be cured can
- 14:13still undergo healing. And not only can they if you just provide the right
- 14:20conditions, it happens. It's a natural process. People are designed for healing,
- 14:28and I didn't really understand for a long time. It's ultimately a spiritual
- 14:33process. It's not just medical or physical or scientific, or even just emotional
- 14:41or psychological. It's a spiritual It's a spiritual process. It's not an event.
- 14:48It takes time and a certain kind of effort and work. But you
- 14:52know, healing and curing go hand in hand, but they're different. And
- 14:58I would love it if we would learn more in medicine about the importance of
- 15:03healing alongside. You know how critical our curing mission already is. And you
- 15:11share that this understanding led you to end of life care and hospice direction.
- 15:18Yes, it did. After I was in practice for about ten years.
- 15:24I remember one case vividly because it was a turning point. I was probably
- 15:28four four o'clock in the morning. I had, you know, rushed to
- 15:33the hospital to care for a woman who had been a patient of mine for
- 15:41several years. She had very brittle diabetes, which means her blood sugar was
- 15:48very tough to control. She did a decent job at it, but she
- 15:52wasn't really good at controlling her diet or her weight. So one night,
- 15:58you know, there any but he was familiar with type one diabetes, insulin
- 16:03dependent diabetes, is familiar with keto acidosis, which is the disaster that can
- 16:08happen when your blood sugar rises to the point where it's really out of control
- 16:12and your whole body chemistry shifts into a place that if you don't head that
- 16:18off, you know you will die. So I had pulled her back from
- 16:25the jaws of death several times in the past, and I had done it
- 16:29again this particular night. I probably saw her starting ten or eleven in the
- 16:33evening, and by four am things were more under control. She was in
- 16:37the ICU, and you know, she was stable and more comfortable. She
- 16:42wasn't really conscious yet, but she was going to be there, and I
- 16:48felt that it was fine at that point to leave her in the care of
- 16:52the folks in the ICU and go home and get a couple hours of sleep
- 16:55before I had to come back and make hospital rounds. At six point thirty
- 16:57in the morning. But as I sat there, it occurred to me,
- 17:03and this was in the er, before we even had her up in the
- 17:07in the unit, I thought, I have been through this process with this
- 17:12woman at least four or maybe five. It is probably the fifth time.
- 17:18And when she goes home, everyone knows, she knows, her family knows.
- 17:23I know what's going to happen. She's going to be back, and
- 17:26there's nothing I can do about that except once again, you know, cure
- 17:33her keto acidotic crisis and pull her back into life again for a little longer.
- 17:41But you know, it really struck me full force that, you know,
- 17:48curing is something that it's difficult to learn how to be really good at
- 17:56curing disease, but once you get it down, you know you can do
- 18:03it for the rest of your life. And most physicians do, you know,
- 18:07a lot of my colleagues follow that same path of curing everyone they possibly
- 18:14can for the rest of their career. But I realized that night, I
- 18:18can't keep doing this. There's something about this process of facing death and holding
- 18:26it off that isn't enough. And I had lots of other patients, and
- 18:33I tell their stories in part one of the book, Who I couldn't.
- 18:38I couldn't prevent their death. There was no way to keep them from dying.
- 18:45And yet I felt it was really important not to give up on them,
- 18:49so I continued working with them, and it became so obvious after a
- 18:56while that those were the people I really wanted to keep working with. You
- 19:02know, the the the process of helping someone understand that the end of their
- 19:08life is approaching and it's inevitable and we can no longer hold it off forever,
- 19:15and what do we do about it together as as a team? How
- 19:23what's the How's the best way to do that? And it turns out the
- 19:26team isn't just a doctor and the patient. Once I got involved with hospice
- 19:32and worked with the teams of nurses, social workers, you know, critical
- 19:40team team work together, then I really realized that, boy, that's the
- 19:45way she we should be doing it throughout healthcare, but in particular with people
- 19:49who are facing death. You know, there's a team approach like hospice and
- 19:56palliative care. Employee is is really the best way to do it? And
- 20:00this led to your founding of a national model of care to assist people with
- 20:03serious illness at home. Please tell us about that. Well, I you
- 20:08know, I once I got involved as a hospice medical director in the small
- 20:15town that I still live near, that little hospice merged with a lot larger
- 20:23program, and I wound up getting kicked upstairs a few times until I was
- 20:29heading you know, I was the senior medical director for all of the home
- 20:34based, home health and hospice services throughout the largest health system in northern California,
- 20:41covering you know, San Francisco, Oakland, Sacramento, through Sonoma County
- 20:49almost well up to the California northern border with Oregon, and you know,
- 20:55the whole northern half of the state was the footprint of this health system.
- 21:00On any one day or night, you know, one of us medical directors
- 21:04would be on call for something like seven hundred hospice patients at once, and
- 21:10we had to care for all of them by phone at a distance. So,
- 21:15you know, I had done that for a year or two, and
- 21:22it became really clear that hospice at that time, this was years ago,
- 21:27was really focused on cancer because cancer is easier to predict. Once a person
- 21:33has cancer and they don't respond too well to chemo anymore, you know,
- 21:37they're heading for the end of life, and so hospice was created to deal
- 21:42at first with cancer, but I'm an internest I deal with all illnesses.
- 21:48And so the United States Healthcare Financing Administration, which now is named CMS Center
- 21:59for Medicare and Medical Aid Services, told the National Hospice Organization, and I
- 22:03was part of it. I was a member doctor member. The government basically
- 22:11said to the National Hospice Organization, Look, there are a lot of diseases
- 22:17out there besides cancer, and we would like to make sure that they all
- 22:22get the same kind of care that cancer patients now get. So you come
- 22:27up with a set of guidelines for who's eligible for hospice with say, heart
- 22:33failure, COPD, kidney failure, all the other medical diseases that aren't cancer.
- 22:38And if you don't come up with those guidelines, we will. And
- 22:42so I heard that, and I stepped up and said, look, you
- 22:47know, I'm willing to lead a team of other clinicians across the country and
- 22:52see if we can come up with new guidelines, which we did and publish
- 22:55them in nineteen ninety five and they're still in use today really around the world
- 23:00for determining or helping to determine who might be a candidate for hospice care.
- 23:07And what that means is who might not survive the illness that they have.
- 23:14When are you sick enough that you really ought to start dealing with the fact
- 23:18that you may not survive forever. So those guidelines got published and I was
- 23:23hoping that would really improve the hospice situation because doctors were very reluctant to send
- 23:30patients to hospice. You know, it's hospice to many doctors means okay,
- 23:37I got to give up and stop trying to cure and you know, give
- 23:41up on my patient. So I thought, well, maybe there's a way
- 23:45to come up with a new kind of program that will take people in who
- 23:49aren't really hospice grade ill yet and care for them at home and keep them
- 23:56out of the hospital, and maybe more of them would get into hospice.
- 24:00And it might be good for Medicare because if they don't have to go back
- 24:04to the hospital, if they don't want to, we can enable them to
- 24:08make that choice. It might even save a few dollars for Medicare, and
- 24:12Medicare is really into that. So Obamacare, the law was passed in twenty
- 24:18ten. The law created the Center for Medicare and Medicaid Innovation. Congress appropriated
- 24:25a billion dollars for year one Healthcare Innovation Awards to finance new programs and study
- 24:36them to see if they might improve quality of care and save Medicare dollars.
- 24:41And we applied for one of those and we got our health system. My
- 24:48team won a thirteen million dollar grant from the Center for Medicare and Medicaid Innovation
- 24:56to take our programs, spread it across the entire system, study it scientifically,
- 25:00which we did. It took years, but it was a hit.
- 25:04We succeeded in measurably improving quality of care for very sick people. A lot
- 25:11of them did choose to stay home and not go back to the hospital if
- 25:17they could avoid it. We cared for them at home instead, and Medicare
- 25:21loved it. The program went national. I wound up leaving the health system
- 25:25to help other systems around the country learn to do this same kind of care.
- 25:30And you know, it really worked. I wound up doing a lot
- 25:34of traveling back and forth from California, where I live now, to Washington,
- 25:40DC to work with Congress and Medicare to develop new financing for this kind
- 25:45of care, and really it really was gratifying because we've really helped improve the
- 25:52healthcare system from the inside out, which that had been my ambition since my
- 25:59alarming uh you know, uh discoveries in medical school. So that that uh
- 26:06that uh research and funding and finance, the financing creation uh uh you know,
- 26:15Congress is still grappling with how to pay for this kind of care and
- 26:19get it to work and make it so that it can't be scammed for profit
- 26:26and all that. That that's an ongoing battle. But I I got finished
- 26:30with with that. I felt we had done as much as we could.
- 26:33And after that was when I decided to write this book because I thought it
- 26:38was really as I look back on everything that had happened since I went to
- 26:44medical school in the seventies, I just was curious as to what drew me.
- 26:51What what is so important not just to me, but to the to
- 26:55everyone about the end of life? What what is it that makes this phase
- 27:02of life so critical, so difficult to face so in the closet and yet
- 27:10so you know, if you sit with people who are at home going through
- 27:18the end of life with their loved ones, their families and their friends,
- 27:22you discover really quick how important and profound those experiences can be. People people
- 27:33just overflow with gratitude when they're cared for properly and get to go through this
- 27:38experience in a way that's filled with love and caring as opposed to just treatment.
- 27:45And so that that's how the whole process unfolded. And looking back,
- 27:52you know, I'm really happy to have participated at this point, I think
- 27:56it's time for all of us to look more deeply at what really underlies the
- 28:04process of coming into this world at birth, living a life, and leaving
- 28:10at the end. What is it about that process that we have right could
- 28:17improve on, And what are some of the things we haven't even really started
- 28:21looking at yet that could help us understand it even better. And we're going
- 28:26to touch upon some of those in the next segment. My guest is doctor
- 28:29Brad Stewart, his book Facing Death, Spirituality, Science and Surrender at the
- 28:34End of Life. Doctor Stewart, please tell our listeners with and get your
- 28:37books and find out more about you. Okay, the easiest way to get
- 28:44a hold of the book is to go to Amazon, click on books and
- 28:51just key in Stuart st u Art. My last name Facing Death and it
- 28:57should pop right up. It's available in kindle, paperback and hardbound, and
- 29:06you know, it's on Barnes and Nobles and many, you know, all
- 29:10the other websites as well, and bookstores can order it. I with the
- 29:18publisher and I went through a lot to make it so you can now go
- 29:21into any bookstore and if it's not on the shelf, you can ask them
- 29:25to look it up and order it. They'll they'll be able to look it
- 29:27up right away, and and that'd be great because it's spreading the word is
- 29:33good. And your website, sir, my website is Brad Stewart MD dot
- 29:40com, b R A D S t U A R T M D dot
- 29:45com. And there's just a little bit on there about the book and about
- 29:48me, and I'll be expanding the material on there in the future and we'll
- 29:52be back with more after these words. On the own Times Radio Network,
- 29:56The Cutting Edge of Conscious Radio. Ome Times Radio IOMFM. Ome Times Magazine
- 30:03is one of the leading online content providers of positivity, wellness and personal empowerment.
- 30:08A philanthropic organization, their net proceeds are finaled to support worldwide charity initiatives
- 30:15via Humanity Healing International. Through their commitment to creating community and providing conscious content,
- 30:21they aspire to uplift humanity on a global scale. Home Times Co creating
- 30:26a more conscious lifestyle. Back on Destination Unlimited. My guest this week is
- 30:32Brad Stewart his book. My guest this week is doctor Brad Stewart, his
- 30:36book Facing Death, Spirituality, Science and Surrender at the End of Life.
- 30:42Doctor Stewart, your book encourages readers to expand their comfort zones around the end
- 30:48of life. What advice can you offer to those who may be grappling with
- 30:51this at this time? Well, you know, the first step in grappling
- 30:57with, say, you know, a really difficult diagnosis or what some people
- 31:03might call bad news, is to deal with the practical first. You know,
- 31:12for anyone who's wrestling with the fact that they they have an illness where
- 31:21you know, the symptoms are getting worse and the treatment doesn't seem to be
- 31:25helping, the first thing to realize is your doctor may be reluctant to level
- 31:32with you about how ill you are. I hate to put it so bluntly,
- 31:37but many doctors are terrible at admitting even to themselves that people may not
- 31:45recover, So this has been studied. I mean, doctors, when they're
- 31:52surveyed will admit that they don't want to tell their patients that they may die.
- 31:56They're very reluctant to do that, and they the doctors often rely on
- 32:00the patients to open up the discussion and say, well, doc, you
- 32:05know, how am I doing? Really? Can you just tell me the
- 32:07truth? And patients, if you survey them, they'll say, well,
- 32:14I expect my doctor to tell me when I'm not doing well. I've you
- 32:17know. It's it's a very forbidding thing for someone who's ill and weak to
- 32:23confront their doctor and say, look, I don't think i'm doing very well.
- 32:28Can you can you tell me the truth? It's that's a that's a
- 32:30hard job, but that's what you have to do. So I think that's
- 32:34step one. Have someone who can advocate for you if you don't feel good
- 32:39about about asking those tough questions yourself. But often physicians are relieved when patients
- 32:51make it clear that they really want to hear, you know the truth.
- 32:55It still may not be easy to get the truth, you know, in
- 33:00plain English, but keep trying. So that's number one. Number two,
- 33:07people don't think of hospice soon enough, and doctors, as I mentioned before,
- 33:14might be reluctant to say even if the patient brings it up. I
- 33:17can't tell you how many times I've had colleagues and friends who are physicians,
- 33:23who you know, people will say, well, how about hospice, and
- 33:27the doctor will say no, no, no, no, no, you're
- 33:29not ready for that yet, which translates in English to I've got a lot
- 33:35more things I want to try. I'm not sure they're going to work,
- 33:37but you know, don't don't start telling me that you want to hear about
- 33:43hospice when I have more treatments that I would like to apply, you know,
- 33:47and it's bring it up early. And if you bring it up early
- 33:52and you get a no answer, bring it up again. If you feel
- 33:57as though your course is such that you know you could use some help at
- 34:01home. You might have pain that and other symptoms that need to be controlled
- 34:08a little better. Doctors are notoriously poor at treating pain, and the opioid
- 34:14epidemic has made it much worse. It's very hard to get a hold of
- 34:19the right kind of pain medication and the right quantities, particularly in cancer.
- 34:24But you know even heart failure. Studies show us that pain is more of
- 34:32a problem in heart failure than it sometimes is in cancer. So pain,
- 34:37shortness of breath, nausea, any other symptoms that are really troubling you,
- 34:44hospice can kind of help, and you need to make a decision that you're
- 34:51really ready to confront the end of life issues before hospice can get in there.
- 34:58But once they do, most people will find that they're really really relieved
- 35:02and that things go really well once once hospice is in there. The only
- 35:08problem is hospice often comes in so late because of the reluctance to face the
- 35:15issue on the part of both patients and physicians, that hospice needs to get
- 35:21involved earlier than is often the case. So that those would be my major
- 35:27practical suggestions. And what would you offer to family members with loved ones on
- 35:34home hospice. Well, that's the thing. The thing about hospice that I
- 35:42think is really distinctive and really helpful is the again, the healing aspect.
- 35:51Hospice employees, social workers, therapists, physical therapists, other people who are
- 35:59not only good at helping you feel better physically, but at helping you to
- 36:04deal with the hundreds of issues that come up when you're caring for someone that
- 36:12you love who's ill and getting more ill and is facing the end of life.
- 36:20There are many, many issues to untangle, and I think hospice people
- 36:23are experienced and trained in doing that. I have a bias, and I'll
- 36:29freely admit it's a bias toward not for profit hospice. There's a big controversy
- 36:37now in hospice because there are for profit companies and even venture capital financed companies
- 36:46now doing a lot of hospice. And that's been studied too, and you
- 36:52know, sometimes the array of services that you receive aren't as wide and deep
- 37:00in for profit hospice as they are in not for profit hospice. So do
- 37:04a little homework, you know, talk to folks in your community that are
- 37:08familiar with hospice. Call up a few hospices and you know the ones that
- 37:14have been doing this for a while, some of the larger ones, many
- 37:17of them are county based. You know, do your research and most people
- 37:23will find that caring for loved ones is a whole lot less of a burden
- 37:30when a good hospice is involved than trying to do it on your own or
- 37:36just with your doctor. Doctors and hospice can work together, and when it
- 37:42goes well that most people find that it's a godsend. So facing death gives
- 37:49the insights that you just shared, but it also delves into timeless spiritual wisdom.
- 37:55Could you provide examples of what mystics and visionaries have conveyed with thousands of
- 38:00years and how it resonates with contemporary readers. Sure, you know this is
- 38:07something that I didn't think about consciously much while I was working day in and
- 38:15day out with patients and hospices and reforming healthcare and all that. It's only
- 38:20when I look back that I realized what I was doing all that time.
- 38:25You know, when I first began sitting with and exploring with people who couldn't
- 38:36be cured, I would spend I would set aside when I was in my
- 38:42medical office. I'd put aside forty five minute appointments at the end of the
- 38:45day to talk with people who had problems that we couldn't solve, real dilemmas.
- 38:51And often I would spend that time telling people that they weren't going to
- 38:57survive. You know, I would have to deliver them as that they were
- 39:00going to die and we needed to face it together. And I learned that
- 39:07if you read the book, you'll read some of those stories. I learned
- 39:09how to ask questions. Instead of trying to tell people what was going on,
- 39:15ask questions so that they could come to the realization themselves as to what
- 39:22was going on. I just helped them see what they already knew. And
- 39:28that's actually a spiritual truth is I didn't understand when I was doing this and
- 39:36exploring it for years that I went to a certain place when I did that
- 39:42work with people. You know, again the stories in the book. But
- 39:46I would go home after a deep, deep conversation where I had to give
- 39:52somebody the news that they were going to die and there really wasn't anything we
- 39:55could do to stop it. And at the end of the conversation, they
- 39:59would turn to me and say thank you so much. They would thank me
- 40:04for telling them they were going to die, that there is a way to
- 40:07do this that is healing instead of, you know, leaving people afraid.
- 40:15And and after I looked at it, and actually after I wrote about it,
- 40:21it wasn't until I wrote about it that I was able to sort of
- 40:23formulate what it was. The place I went to when I did that was
- 40:31the very same place that I was looking at or looking for in the other
- 40:37person. And it's a it's a it's a very very basic elemental place in
- 40:45every person where your consciousness actually comes from, it, where it originates from,
- 40:53and when when you learn and it takes practice. I've finally understood,
- 41:00after years of looking at it, that you can get to that very same
- 41:06place in meditation. Psychedelics, which we may talk a little more about,
- 41:12can help you there. You can get beyond yourself. In the book,
- 41:19I talk a lot about the distinction between who you really are, which I
- 41:24call the I am just the basic awareness in yourself, not awareness of anything,
- 41:32just where you are aware. If you close your eyes and just watch
- 41:38your breath until you have no more thoughts in your mind, and then let
- 41:45go and relax. Behind that, you'll find a place where all you are
- 41:52is aware. That place is within and underneath yourself, because you, yourself
- 41:59is who you think you are. You walk around all day interacting with people
- 42:02and doing your job and dealing with your kids and your dog, and you're
- 42:07working out of yourself. But the real you is deeper than that, and
- 42:15you can access that place. And I only learned that after delivering babies and
- 42:21watching them open their eyes and look into mine, and there it is.
- 42:27And I've seen it time after time with people who are dying, as they
- 42:30shed everything that they are and everything that they own and everyone they know falls
- 42:37away, and at the last period before you die, you're back in that
- 42:44same place. You are who you really are, and you only have to
- 42:47see that a few times before you begin to understand that who we really are
- 42:54is both very very simple and the most profound thing there is. And I
- 43:01think it is what mystics have been talking about for thousands of years, and
- 43:07it's why people have been using psilocybin in sacred rights for thousands of years.
- 43:16Because there's a level. There's a portal at both ends of life, a
- 43:22doorway that we enter through to come here and that we leave through when we
- 43:29go. And I'm not going to begin to guess what's on the other side
- 43:32of that portal, although I think some near death experience reports may give some
- 43:37hints about that. But the truth is so simple you already know it.
- 43:45Who you really are is what underlies your entire life. And if I were
- 43:52religious. I really am not a religious person, but I'd say when you
- 43:57find that space, it's where godly, it's where all creation comes from,
- 44:02and you can experience it. And if you're like me, when you're in
- 44:07that place and you look back at yourself, you'll say, oh, my
- 44:12gosh, I got a lot of work to do on myself, because that's
- 44:15that's a whole, whole different deal. My guest is doctor Brad Stewart,
- 44:20his book Facing Death, Spirituality, Science and Surrender at the End of Life.
- 44:25We'll be back with more after these words on the Old Times Radio Network.
- 44:30Humanity Healing International is a small nonprofit with a big dream. Since two
- 44:37thousand and seven, HHI has been working tirelessly to bring help to communities with
- 44:42little or no oh. Our projects are not broad mandates, nor are they
- 44:46overnight solutions, but they bring the reassurance then no one is alone and that
- 44:52someone cares to learn more. Please visit Humanity Healing dot org. Humanity Healing
- 44:59is where your it is. If I could be you and you could be
- 45:02me for just one hour, if you can find a way to get inside
- 45:07each other's mind, walk a mile in my shoes, Walk a mile in
- 45:10my shoes, Walk a mile in my shoes. We've all felt left out,
- 45:15and for some that feeling lasts more than a moment. We can change
- 45:20that learn how it Belonging begins with us dot org. Brought to you by
- 45:23the AD Council. Welcome Mile in My Shoes. Hello, I'm Sandy sedgeby
- 45:31a host of Home Times Magazine's flagship radio show, What is going On?
- 45:37My passion is sifting through information, research and innovations from new thought teachers,
- 45:42speakers, and researchers, pushing back the boundaries of what we know about life,
- 45:46energy, metaphysics, and the universe. I love shifting perceptions about who
- 45:52we are, why we're here, and how quickly impossible becomes normal when we
- 45:57open our minds, expand our awareness, and accept that the only limits that
- 46:00exist are those we place upon ourselves. So, if you're the kind of
- 46:05forward thinking, eager investigator of what lies beyond the current reality that most perceive,
- 46:10why not make a date to come play with me in the Field of
- 46:13Possibilities at four pm Pacific time seven pm Eastern Time every Thursday, and together
- 46:20we can discover what's really going on. Back on Destination Unlimited, my guest
- 46:27this week is doctor Brad Stewart. His book Facing Death, Spirituality, Science
- 46:32and Surrender at the End of Life. Doctor Stewart, how does your book
- 46:37explore the coming revolution in our understanding of reality and what significance does it hold
- 46:43for readers in today's world. Oh? Well, I think science the way
- 46:53we still look at it is materialistic. I mean it's complete materialistic. You
- 47:01know, physicists, all scientists, I think, except pretty completely that reality
- 47:12is what we can see and touch, what we can perceive with our five
- 47:16senses and the instruments that that extend them. That's what's real. And there
- 47:23really isn't anything else beyond that, or you know, outside that that we
- 47:30can consider real. And you know, here's here's where I think psychedelic research
- 47:37and the brain science that's happening around psychedelics and near death experiences, which are
- 47:44now called by the by the researchers, recalled experiences of death are ED or
- 47:51or reds. Near death experiences covers a broad spectrum of things that people report.
- 47:59Reds are, you know, connected directly with experiences that people have who
- 48:06have serious illness, cardiac arrest, and that's it. That's what reds are
- 48:12we're seeing many more reports now from people who die and are resuscitated because we
- 48:19have much better critical care and resuscitation science than we once did. So all
- 48:25of the stories that people tell on say psilocybin and LSD experiences, and in
- 48:31that research, we're now finding pretty conclusively that people, say with incurable cancer,
- 48:39who are suffering from horrible fear and dread of death, who undergo psilocybin
- 48:46therapy where that there's the right kind of support along with enough of a dose
- 48:52of psilocybin to dissolve yourself. This is the self we were talking about a
- 48:59little earlier, the you that you think you are, that relates to the
- 49:02world that's dissolved with psychedelics. Eighty percent or so of people who undergo that
- 49:10therapy lose their fear of death and their dread. Why because once they lose
- 49:16their self, they see what's beyond. And you know, you have the
- 49:22choice of regarding what psilocybinin LSD accomplish as delusional or maybe it indicates something that's
- 49:35real beyond what we see out of our self, out of our eyes or
- 49:39physical eyes. And the same with near death experiences. If I have a
- 49:44story in the book that I think is perfect to illustrate this. A woman
- 49:49whose heart was stopped for brain surgery. She had no brain function at all,
- 49:54and I describe what she went through after that until she can came back
- 50:00into her body when she was resuscitated at the end of surgery. Stories are
- 50:05remarkably similar, whether it's psychedelics or near death experiences, and that is there
- 50:10is definitely reality beyond what we can see and feel with our senses. And
- 50:19not only that, anybody who experiences either psychedelics done right in the right kind
- 50:27of therapeutic setting, or you know, almost all, not all, but
- 50:31almost all people who have this kind of near death experiences and come back to
- 50:37tell us about it all say the same thing, that what they experience is
- 50:43more real than what we feel and see here in our bodies, with our
- 50:50minds and with our senses. And I have a story in the book about
- 50:52a patient of mine who was also happened to be a friend who was dying
- 50:58of cancer and had to see and experienced the same thing and stayed there in
- 51:02what she called the knowledge place for quite a while before she died. Science
- 51:08is going to have to accept that its own evidence is starting to show that
- 51:15scientific assumptions about materialism aren't enough. We don't know yet what the limits are
- 51:23of our real perception. And I think psychedelic studies that show that areas of
- 51:31the brain are changed on psychedelics studies of meditation where brain imaging show that experienced
- 51:43meditators have certain areas of the brain actually turned down, not accentuated. You
- 51:51don't expand consciousness by accelerating your brain activity. You expand awareness, as it
- 51:57turns out, by turning down your brain activity and certain key networks that have
- 52:04to do with mediating your sense of self and your sense of consciousness. You
- 52:12turn those centers down and your awareness expands. They're turned down somewhat with meditation.
- 52:20There turning those centers. The center i'm referring to, the main one
- 52:24is called the default mode network. It's where you go when you're not consumed
- 52:30with some kind of focused on a task, when when you're daydreaming or that
- 52:35center turns on and you have idle thoughts. When you turn that center off,
- 52:43that's what expands awareness. And when you turn your brain completely off,
- 52:49that's when you have these near death experiences. So I think what science is
- 52:52going to have to come to grips with is that the brain doesn't produce consciousness.
- 53:00Consciousness is not a material phenomenon that's created by our physical brains. It
- 53:07couldn't be, really, because you turn the brain down and consciousness expands.
- 53:12That doesn't make sense. So we have to begin to look at and I
- 53:16think some quantum physicists are beginning to wonder whether material reality, matter and energy
- 53:25that we can see and measure isn't what reality actually is consciousness. You know,
- 53:34the universe is conscious. You can call it God if you want.
- 53:39There are any number of different names for it, but those all come out
- 53:43of our minds. The experience of touching into the reality that's more real than
- 53:51our physical reality is something that you won't forget if you go through it.
- 53:57Anyone who's experienced psilocybin or will attest to that, assuming they were in a
- 54:04good environment where they were able to really And I tell my own story about
- 54:08that in the book about what I experienced. You know, that's pointing us
- 54:14in a direction that shows that ultimate reality, what is ultimate and eternal,
- 54:21those things science still has trouble with. What's ultimate, what's eternal? Well,
- 54:27the ultimate and the eternal are real they're more real than what we and
- 54:31ourselves think is real. And so for us everyday people. I think inspecting
- 54:39who you are, who you really are, underlying who you think you are,
- 54:45pays off because you're going to go out of this life at the end
- 54:51of it as who you really are because everything else will be pulled away.
- 54:55You'll let go because dying will do it for you. You'll let go of
- 55:00everything that's not the real you. You came in with that, you go
- 55:04out with that, and why not do a little prep work ahead of time.
- 55:09You can either find out who you are now or you can wait and
- 55:14let dying do it for you when it's not really under your control. So
- 55:17that my advice would be find out who you really are, you know,
- 55:22as soon as it's convenient for you. Absolutely the wisdom and compassion of doctor
- 55:27Brad Stewart his book Facing Death, Spirituality, Science and Surrender at the End
- 55:32of Life. One more time, please share with our listeners that can get
- 55:36your books and find out more about you. Okay, it's Facing Death.
- 55:42Look under Stuart Stuart on Amazon or any other site, and my website where
- 55:47you can also access it is Brad Stewart Stuart, MD dot com. Doctor
- 55:54Stewart, thank you so much for joining us and sharing this really exciting and
- 56:00and and also compassionate work that you do. Thank you, Victor, I
- 56:04really appreciate the opportunity and thank you for joining us on Destination Unlimited. I'm
- 56:09Victor the Voice Firman. Have a wonderful week. M m mmmmm