# Palliative Care in Multiple Sclerosis With Drs. Penelope Smyth and Janis M. Miyasaki Page: https://stenobird.com/podcast/continuum-audio-6777185/palliative-care-in-multiple-sclerosis-with-drs-penelope-smyth-and-janis-m-miyasaki Text version: https://stenobird.com/podcast/continuum-audio-6777185/palliative-care-in-multiple-sclerosis-with-drs-penelope-smyth-and-janis-m-miyasaki.md Podcast: [Continuum Audio](https://stenobird.com/podcast/continuum-audio-6777185) Published: 2026-05-20T10:00:00+00:00 Episode link: https://continuumjournal.libsyn.com/palliative-care-in-multiple-sclerosis-with-drs-penelope-smyth-and-janis-m-miyasaki Audio file: https://traffic.libsyn.com/secure/continuumjournal/CA2026-MS-10-Miyasaki__Smyth_final_edit.mp3?dest-id=4262328 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/continuum-audio-6777185/episodes/palliative-care-in-multiple-sclerosis-with-drs-penelope-smyth-and-janis-m-miyasaki Duration seconds: 1701 ## Resource Palliative care in multiple sclerosis spans the disease course, from early screening and support after diagnosis to symptom management and quality‑of‑life optimization in midstage disease, and end‑of‑life care in advanced MS. This episode outlines a staged approach to palliative care, highlights the roles of neurology and primary care teams, and discusses tools such as patient‑reported outcomes and symptom scales to support ongoing assessment of patients and care partners. In this episode, Katie Grouse, MD, FAAN, speaks with Penelope Smyth, MD, FRCPC and Janis M. Miyasaki, MD, MEd, FRCPC, coauthors of the article "Palliative Care in Multiple Sclerosis" in the Continuum ® April 2026 Multiple Sclerosis and Related Disorders issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California, San Francisco in San Francisco, California. Dr. Smyth is the director of the Division of Neurology in the Department of Medicine at the University of Alberta in Edmonton, Alberta, Canada. Dr. Miyasaki is a professor in the Division of Neurology in the Department of Medicine at the University of Alberta and the zone clinical department head for Clinical Neurosciences at Alberta Health Services in Edmonton, Alberta, Canada. Additional Resources Read the article: Palliative Care in Multiple Sclerosis Subscribe to Continuum® : shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Grouse: With the new treatments for MS, people migh… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/continuum-audio-6777185/episodes/palliative-care-in-multiple-sclerosis-with-drs-penelope-smyth-and-janis-m-miyasaki/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/continuum-audio-6777185/palliative-care-in-multiple-sclerosis-with-drs-penelope-smyth-and-janis-m-miyasaki.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.