The Unspeakeasy With Meghan Daum

How Do You Want Your Life To End? with Dr. Sunita Puri

Oct 31, 2025
Dr. Sunita Puri, a palliative-care physician and author, dives into the intricacies of end-of-life care. She highlights how palliative care extends beyond hospice, emphasizing meaningful conversations about treatment and life's goals. Exploring tough questions, she advises on navigating family decisions and addressing common regrets patients face. Sunita sheds light on the increasing cases among younger patients and even tackles the ethics of DNR tattoos. Ultimately, she reframes death as a sacred event, promoting clarity and compassion at life's end.
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INSIGHT

Specialists Have Agendas Too

  • Specialists carry implicit agendas shaped by their training and metrics, which can skew conversations.
  • Reconciling what different clinicians hear requires active alignment and questioning.
ADVICE

Ask About Study Inclusion Criteria

  • When a treatment claim cites a study, ask whether the patient would have met that study's inclusion criteria.
  • Use that filter to judge how likely benefits apply to the real patient.
ANECDOTE

Younger Patients Increasingly Present

  • Sunita regularly sees hospitalized patients in their 20s–40s with serious cancers, making youth less exceptional now.
  • She noticed this trend has increased across multiple hospitals over her career.
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