Many of us have heard the saying that emergency medicine is the best 15 minutes of every other specialty. This, is in part, due to the wide breadth of disease and knowledge one must have to take care of patients. In emergency medicine we typically focus on acute disease specific problems and life sustaining treatments, but as the population gets older we are also having to deal with chronic conditions as well. This was not an area that I was trained in residency, but certainly one that I am seeing more and more often. There was a great review article published in the Journal of Emergency Medicine in January of 2018 titled, Palliative Care Symptom Management in the Emergency Department: The ABC’s of Symptom Management for the Emergency Physician. The lead author of this paper is Mari Siegel, MD, who I had the pleasure of interviewing for this episode.