
Ira Byock
American physician and author
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Aug 6, 2026
#257 From the Archives: The Four Things That Matter Most (Originally aired March 2023) – Dr Ira Byock
2:12

Diane HullettHOST
Do you want to just start off by telling us some of those titles? Because I think we're going to kind of focus on the four things that matter most, but you've got a
8 MINS LATER
Cultivating Well-Being at the End of Life
C
12:25Cathy WurzerHOST
I think there's a piece to that that I've noticed in other individuals who are dying.
I
12:30Ira ByockGUEST
I agree with you, but not everybody, and not everybody probably who's listening would agree that you have to examine your life.
I
12:37Ira ByockGUEST
I've gotten to the same place through, through thinking about the people who you have loved or once loved.
I
12:46Ira ByockGUEST
You know, the husband or wife you were married to for 15 years before a painful separation, when one or the other of you now is seriously ill, it may matter to reach back out.
I
13:02Ira ByockGUEST
Standing in front of the monolith of, you know, frankly, of eternity, the things that have divided us begin to look somewhat small in proportion to the life we've shared.
I
13:14Ira ByockGUEST
That, again, not for everyone, but in my work in hospice and palliative care as a physician, I can't tell you how often when I've sat with somebody and said, uh, "By the way, when I first met you, and we were talking about your life and a little bit about your history, you mentioned that you had been married before.
I
13:32Ira ByockGUEST
Does your first wife even know that you're ill? Would it matter for you to reach out and, and be in touch with her?" And my patient looks at me as if, like, "How did you know?" Like I almost, I've read his mind.
6 MINS LATER
C
19:42Cathy WurzerHOST
I wanna circle back if I can, because I do love dying with wellbeing, and you said something about how we don't talk about that, right? And I wonder, from where you stand, where are the barriers in our medical system to dying with wellbeing? Who's getting in the way of this, perhaps?
