Assisted Death and the Law in 2026 | Episode 77
This year brought the biggest expansion of medical aid in dying since Oregon passed the first law in the 1990s. Delaware’s law took effect in January, New York’s in August, and Illinois’s in September. That brings the total to fourteen U.S. jurisdictions.
In this episode of Lexcura Clinical Insigh…
Advance Directives, POLST and DNR Orders | Episode 78
A patient can do everything right. She signs a living will, completes a POLST form with her doctor and chooses no CPR. Then a hospital stay, a missing transfer packet and a default order change her record to “full code.” When she’s found unresponsive, the nurse follows what the record says.
In thi…
Who Decides? Surrogates and Family Disputes | Episode 79
A patient can do everything right. She signs a living will, completes a POLST form with her doctor and chooses no CPR. Then a hospital stay, a missing transfer packet and a default order change her record to “full code.” When she’s found unresponsive, the nurse follows what the record says.
In thi…
Comfort Promised: Hospice Care Failures | Episode 80
When a family chooses hospice, they’re giving up curative treatment in exchange for one promise: comfort. In part four of our end-of-life series, Michelle Carroll, Founder and Chief Clinical Strategist of Lexcura Summit, looks at what happens when that promise breaks down.
Hospice is under more fe…
Diagnostic Delay - Where the Window Closes | Episode 81
This episode opens a five-part series on diagnostic delay and missed diagnosis, the single most common pattern in the cases Lexcura Summit reviews.
Michelle Carroll explains the difference between a missed diagnosis and a delayed one, and why delay cases are so easy to misjudge at intake: the char…
Stroke - The Clock Nobody Wrote Down | Episode 82
Episode two of the diagnostic delay series takes on stroke, the clearest example in medicine of a condition where the clock is the treatment.
Michelle Carroll starts with last known well, the single most important time in a stroke chart and one that is frequently never documented. She explains how…
Chest Pain Sent Home - The Cardiac Miss | Episode 85
The diagnostic delay series closes with the cardiac miss: a patient who came to the emergency department with chest pain, got a workup, went home, and collapsed within days.
Michelle Carroll explains why these charts look reasonable at first read and what the record usually shows underneath. A sin…
Medication Harm: Five Rights and Where They Break | Episode 86
This episode opens a five-part series on medication harm, taken setting by setting: the hospital, the nursing home, the patient's home, and the particular category of drugs used as restraint.
Michelle Carroll starts with the five rights every nurse learns in the first week of school, right patient…
11- should you document your postpartum bounce back? w/ Michelle Carroll, PhD and body image expert
What does ethical marketing look like in your coaching business as a postpartum mom?
Gillian is joined by body image researcher Michelle Carroll (currently finishing her PhD) to talk through the ethics of marketing to and as a postpartum mom, and how to build a business that doesn't rely on weight…
Hospital Medication Errors | Episode 87
Episode two of the medication harm series is the hospital, where the drugs are strong, often intravenous, and the margin between a therapeutic and a harmful dose is narrow.
Michelle Carroll reframes the hospital medication case around a single question: which safety system should have caught this,…
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