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Advance directives amidst COVID: a critical look
Are advance directives any better than they were four years ago when COVID was surging? Are patients still comfortable with being placed on ventilators? Do physicians better understand how to treat COVID as a serious illness?  Physicians provide emergency measures unless there’s an advance directive to the contrary. Only one-third of Americans have advance directives Read more… Advance directives amidst COVID: a critical look originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 12, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Fighting for choice in dementia deaths
Last month, the daughters of Wendy Miller, a 68-year-old author of three bestselling books about her experience with dementia, posted online her final words: “In the end, I died simply by deciding not to eat or drink anymore.” Her stark statement reminded me of my interviews with Dan Winter, 62, which had begun nine months Read more… Fighting for choice in dementia deaths originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 4, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Palliative and hospice care in hospitals and clinics: the good, the bad, and the ugly
I walk into the patient’s hospital room during evening rounds. He looks pale and tired, having recently completed a round of chemotherapy for his stage IV pancreatic cancer. His wife is at the bedside, scared and concerned about her husband’s rapid decline. I sit down to discuss goals of care when the patient immediately says, Read more… Palliative and hospice care in hospitals and clinics: the good, the bad, and the ugly originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 1, 2024 Category: General Medicine Authors:
Transcript of video: Tetralogy of Fallot is one of the commonest cyanotic congenital heart diseases. As the name implies, there are four defects. One is ventricular septal defect, second is overriding aorta, third is pulmonary stenosis, usually right ventricular outflow tract stenosis and associated right ventricular hypertrophy. Overriding aorta with ventricular septal defect causes right to left shunt and cyanosis so that in infancy, cyanotic spells may also be there and squatting is one of the important symptoms of tetralogy of Fallot. There are several surgical options for tetralogy of Fallot and also some sequelae for...
Source: Cardiophile MD - March 29, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Finding peace in the face of loss: a father ’ s journey with hospice
How do you make sense of someone dying? The only way I know is to put it into some context so that, if possible, some good can come of it. Some of you may have known about my dad’s Parkinson’s disease. He’s had a fairly rapid decline over the past four months, and now he’s Read more… Finding peace in the face of loss: a father’s journey with hospice originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 28, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

From doctor to family: Witnessing both sides of end-of-life care
We all have those moments in medicine when we know that care has become more futile. Then we do everything in our power to educate, support, gently guide, and give permission to patients and families. There are moments that treating for a cure goes against our tenet to “first do no harm.” I never would Read more… From doctor to family: Witnessing both sides of end-of-life care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 27, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences
At a time when many states are considering assisted suicide legislation, I was interested to encounter the perspective of the well-known bioethicist Arthur Caplan who recently expressed his support for these laws on these pages. While I appreciate Caplan’s endorsement of protecting doctors’ ability to refuse, as a matter of conscience, to participate in assisted death, I Read more… Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 19, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Assisted suicide is the wrong prescription
America expends much time, effort, and resources when people become seriously ill, bringing many face-to-face with their own mortality. For patients and their families, it is an emotional and difficult time under the best of circumstances. As a cardiologist, I participate in the decision-making that comes at this time, and it has provided me with Read more… Assisted suicide is the wrong prescription originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 15, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Ditch the guilt and stress: Embrace your core values like this inspiring doctor mom
Kim Downey: I recently had an enlightening conversation with Dr. Sarah Wittry. We enjoyed learning about all that we share in common! As a physical therapist, I was delighted to hear that Dr. Wittry’s medical career began in physiatry/PM&R. Having friends and relatives who have benefited from hospice care, I have tremendous respect for her Read more… Ditch the guilt and stress: Embrace your core values like this inspiring doctor mom originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 12, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Home-Based Care Provides Powerful Example for Harnessing Technology Across the Care Continuum
The following is a guest article by Laura Templeton, Executive Vice President, Chief Operating Officer at Compassus There’s no denying that increased delivery of patient care in the home was accelerated by the pandemic. The upward trend continues today, driven by the growth of our aging population and the continued adoption of technology. Many patients now prefer to receive care at home, when possible, and almost 93% of older adults say aging in place is important to them. Today’s innovative home-based care providers are leveraging technology in meaningful ways to accommodate patient preferences and improve care. They...
Source: EMR and HIPAA - March 7, 2024 Category: Information Technology Authors: Guest Author Tags: Communication and Patient Experience Health IT Company Healthcare IT Telemedicine and Remote Monitoring Care Continuum Care Coordination Compassus Home Health Home-Based Care Laura Templeton Patient Centered Care Remote Care Remote Source Type: blogs

Medical aid in dying legislation for end-of-life care [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join Thaddeus Mason Pope, an expert in medical law and clinical ethics, as we delve into the complex landscape of medical aid in dying (MAID) legislation. Explore the evolution of MAID legislation over the past three decades, the impact of recent Read more… Medical aid in dying legislation for end-of-life care [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 2, 2024 Category: General Medicine Authors: Tags: Podcast Palliative Care Source Type: blogs

Health care ’ s hidden struggles: a paradigm shift [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Vickie Leff, a palliative social worker. We’ll dive into a thought-provoking conversation about shifting the health care paradigm, where we explore the emotional toll on health care professionals, the need for sustainability, and how institutions can take more responsibility in supporting their staff. Read more… Health care’s hidden struggles: a paradigm shift [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 27, 2024 Category: General Medicine Authors: Tags: Podcast Psychiatry Source Type: blogs

Academic Promotion at the Mount Sinai School of Medicine
I am delighted to announce my promotion to Clinical Professor of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai.  I am honored and grateful to be part of the Mount Sinai Health System – one of the largest academic medical systems in the New York metro area, with more than eight hospitals and 400 outpatient practices, and a leading school of medicine and graduate education.  The Brookdale Department of Geriatrics & Palliative Medicine, which is one of the largest departments of its kind in the country, is ranked No. 1 in US News & World Reports Best Hospitals. My affiliation wi...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - January 25, 2024 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer end-of-life care geriatrics gerontology Healthcare Quality Improving Medical Care Jeff Levine MD Source Type: blogs

Medical aid in dying: time for evidence-based legislation
Medical aid in dying (MAID) is poised to be one of the hottest political health care issues of 2024. As in 2023, more than a dozen states will hold both impassioned hearings in legislative chambers and equally fervent debates in the community. Already, nearly twenty states have introduced bills to authorize MAID this year. They Read more… Medical aid in dying: time for evidence-based legislation originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 16, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Right Heart Catheterization in Tetralogy of Fallot
With the availability of high resolution echocardiographic images and Doppler echocardiography, role of cardiac catheterization has come down in tetralogy of Fallot and other congenital heart diseases in general. Important risks for cardiac catheterization in a deeply cyanotic infant are the chance of precipitation of a cyanotic spell and thrombotic strokes due to hemoconcentration. Chance of precipitating a cyanotic spell are more when pulmonary angiography is attempted through the already narrow right ventricular outflow tract. Hemocontration is due to the diuresis following contrast angiography, which can be prevented ...
Source: Cardiophile MD - January 15, 2024 Category: Cardiology Authors: Johnson Francis Tags: Angiography and Interventions Source Type: blogs