BJ Miller，一位专注于临终关怀和姑息治疗的专家，分享了自己与死亡擦肩而过的经历如何彻底改变了他的人生观，并引导他走向姑息治疗的道路。他通过病人的感人故事，揭示了克服对死亡的恐惧、放下遗憾以及生活中最重要的事。同时，他还讨论了“恐死”医疗体系的设计缺陷，并倡导将死亡视为生活一部分，以此帮助我们更好地生活。

🔍 BJ Miller因事故失去四肢，他在烧伤科的亲身经历让他对生命有了新的认识。[14:30] 他讲述了如何坚强面对截肢，通过泪水疗愈心灵的过程。

🎨 从艺术史到医学院，BJ Miller的多元背景让他在医学领域有了独特的视角。[28:15] 他分享了自己的新身体如何使他获得了解放。[40:00]

💔 失去妹妹和医学理想的破灭，如何改变了他的人生轨迹。[47:15] 他发现了姑息治疗这一与临终关怀不同的医学道路。[55:30]

🌟 BJ Miller探讨了我们与死亡复杂的关系，认识到死亡可以改善我们的生活。[1:02:15] 他帮助患者处理对死亡的恐惧，指出“恐死”医疗体系的重大设计缺陷。[1:14:15]

📜 从与临终患者的交流中，他总结出了常见的遗憾、时间的价值和生活感悟。[1:23:00] 他还讨论了辅助自杀的合法性和考虑因素。[1:39:45] 以及在临终关怀中使用迷幻药物的前景。[1:45:45]

BJ Miller is a hospice and palliative care specialist on a quest to reframe our relationship with death. In this episode, BJ begins with how his own brush with death radically shifted his perspective and ultimately forged his path towards palliative care and helping patients integrate and understand their life in a meaningful way. BJ recounts several moving stories from his patients, which reveal important lessons about overcoming the fear of death, letting go of regret, and what’s most important in life. He discusses the major design flaws of a “death phobic” healthcare system. Furthermore, he makes the case that seeing death as a part of life allows us to live well, as opposed to living to evade death itself. He concludes with a discussion around physician-assisted death as well as his hopes around the use of psychedelics to reduce suffering in end-of-life care.   We discuss:

BJ’s accident leading to the loss of his limbs and his experience inside a burn unit [3:00]; Coping with his amputations—being tough, the grieving process, and the healing properties of tears [14:30]; Going from art history to medical school: the value of a diverse background in medicine [28:15]; How BJ’s new body liberated him [40:00]; How losing his sister to suicide and his disillusionment with medicine altered his path [47:15]; Discovering his path of palliative care—distinct from hospice—in medicine [55:30]; Our complicated relationship with death, and how acknowledging it can release its grip and improve living [1:02:15]; The different distinctions around the fear of death, and how BJ helps his patients negotiate fears [1:10:00]; The major design flaws of a “death phobic” healthcare system [1:14:15]; Common regrets, the value of time, and other insights from interactions with patients in their final moments of life [1:23:00]; The story of Randy Sloan—a case study of playing life out [1:33:45]; Physician-assisted dying: Legality and considerations [1:39:45]; The use of psychedelics in end-of-life care, and what BJ is most excited about going forward [1:45:45]; and More.

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