A conversation on death and hope a pediatric palliative care physician
As rising fourth-year medical students, we talked about caring for dying patients with Dr. Angie Anderson (AA), a pediatric palliative care specialist. An abridged version of our conversation is transcribed below. Lindsey Pileika (LP): Honored to speak with you, Dr. Anderson. I just wanted to preface our interview with experiences that I ’m bringing to thisRead more …A conversation on death and hope a pediatric palliative care physician originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 1, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/angie-anderson-amador-delamerced-lindsey-pileika" rel="tag" > Angie Anderson, MD, Amador Delamerced, and Lindsey Pileika < /a > < /span > Tags: Physician Palliative Care Source Type: blogs
Shift Happens
Dataset shift can thwart the best intentions of algorithm developers and tech-savvy clinicians, but there are solutions.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Generalizability has always been a concern in health care, whether we ’re discussing the application of clinical trials or machine-learning based algorithms. A large randomized controlled trial that finds an intensive lifestyle program doesn’t reduce the risk of cardiovascular complications in Type 2 diabetics, for instance, suggests the...
Source: Life as a Healthcare CIO - July 28, 2021 Category: Information Technology Source Type: blogs
How Spiritfarer Helped Me Through the Pandemic
by Matthew Tyler (@PalliDad)During what can only be described as a challenging year, I found Thunderlotus ’s gameSpiritfarer just in the nick of time. In this “cozy management game about dying,” you assume the role of a young woman named Stella who is charged with shuttling spirits to the gates of the afterlife. Unexpectedly,Spiritfarer served as both an escape from and means of processing my experience as a healthcare worker during the pandemic.From top to bottom,Spiritfarer exudes tranquility. The animations are bright and vibrant, and the music is soothing yet melancholy, invoking nostalgia for younger innocent da...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 14, 2021 Category: Palliative Care Tags: covid grief palliative care pandemic Tyler video games Source Type: blogs
If Ever There Was A Poorly Framed Regulation With Unintended Consequences This Is It!
Telemedicine has done a very useful job in improving access to medical care during COVID Times. That said there are some silly things happening out there: This appeared last week: Doctors urged not to discuss 'effect of lethal substances' in VAD telehealth consults They may risk breaking the federal law, says palliative care physician Dr Roger Hunt 8th July 2021 By Kemal Atlay Doctors in WA have been warned to avoid talking about lethal substances, what is involved in taking them or their effects when conducting telehealth consults with terminally ill patients considering voluntary assisted dying. The advice follows t...
Source: Australian Health Information Technology - July 14, 2021 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Knowledge gaps for working together
Whenever we work with someone living with pain, we form a team. A team, by definition, is “a distinguishable set of two or more people who interact dynamically, interdependently, and adaptively towards a common and valued goal/objective/mission” (Salas et al., 1992). So while many clinicians work outside an interprofessional team, they are always working in a team consisting of at least the person with pain, and themselves.
There’s a good deal of research on teamwork, and a heap of references in pain management literature on the benefits and, indeed, the need, to work in a team for best outcomes (both in terms...
Source: HealthSkills Weblog - June 27, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Interdisciplinary teams Professional topics Research Science in practice pain management teamwork Source Type: blogs
Emotional agility is an essential element for patients and practitioners
An excerpt from Grief Connects Us: A Neurosurgeon’s Lessons on Love, Loss, and Compassion. Brene ́ Brown describes the importance of allowing ourselves to be vulnerable and holds up the surgeon as an example of someone who is exempted from this by the technical nature of their work. Yet, as I have come to appreciate, itRead more …Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/joseph-d-stern" rel="tag" > Joseph D. Stern, MD, PhD < /a > < /span > Tags: Physician Palliative Care Source Type: blogs
Two Ways to Share your Palliative Care and Hospice Stories
by Christian Sinclair (@ctsinclair)This past few days, I came across two great opportunities that I wanted to share with a wider audience of hospice and palliative care clinicians.First is the podcast and radio show, Radiolab. I ' ve always appreciated the nuance and simplicity the creators can bring to complex issues. They are looking for voice memos from people who work in end-of-life care. They are also looking for patients and families who have been impacted by this work. All you have to do is record a 60-seconds or less voice memo and email it to wnycradiolab@gmail.com. Make sure to include your name, city, and your p...
Source: Pallimed: A Hospice and Palliative Medicine Blog - June 14, 2021 Category: Palliative Care Tags: media sinclair The profession Source Type: blogs
Today is the day you ’ll have to die
She was listless in bed with agonal breathing — only 63 years old. Before stage 4 colon cancer claimed my mother, she chose to come home to her house … her bedroom, where she’d stare out her window at the dogwood trees that symbolized the blood of Jesus. A once-vibrant Italian Catholic and mother ofRead more …Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 13, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > < /span > Tags: Conditions Palliative Care Source Type: blogs
Hospice and Palliative Care Are Both Valuable: What's the Difference?
Often when our loved ones reach their later years they have any number of conditions that can cause pain and other issues that lower their quality of life. Some of truly end-of-life issues while others don't quite qualify for that but specialized care could go a long way toward making life far better for them. Do your call hospice or as ask about palliative care?
Read more on Egosancares blog to learn about the difference between the two and when/how they can help:
Minding Our Elders: Caregivers Share Their Personal Stories. “I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it ...
Source: Minding Our Elders - June 2, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
A plea for help from the front lines of the COVID-19 pandemic
I am a palliative care physician in a hospital in our nation ’s capital region. Like most urban hospitals, ours has been hit particularly hard by the COVID-19 pandemic. My colleagues and I are exhausted and emotionally devastated. We are not alone. Yesterday I learned a friend of mine from medical school, a selfless and compassion-driven […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 5, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kristin-adams-forner" rel="tag" > Kristin Adams Forner, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs
End-of-life conversations: Embrace the responsibility [PODCAST]
“For physicians who lack experience in end-of-life counseling, the process can be daunting at the beginning. However, they can be confident that once they have obtained the proper training, preparation, and experience, these conversations will be among the most fulfilling of their careers. By regarding end-of-life planning as a shared responsibility, physicians can become more […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 3, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Palliative Care Source Type: blogs
PROP ’s Disproportionate Influence on U.S. Opioid Policy: The Harms of Intended Consequences
ConclusionDespite being turned back from an effort to bluntly reduce opioid prescribing by the FDA in 2013 based on a lack of scientific evidence for its position (17,18), PROP has had a disproportionate effect on opioid policy in the Untied States for almost a decade. PROP found a willing federal regulatory partner in the CDC, and while PROP may not have “secretly written” the 2016 CDC Pain Guidelines (75), they certainly enjoyed disproportionate representation on CDC’s review panels and Core Expert Group (23-25) in a process that lacked transparency (22, 23, 26, 27). When the CDC admitted that its Pain Guideline ha...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 3, 2021 Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
PROP s Disproportionate Influence on U.S. Opioid Policy: The Harms of Intended Consequences
ConclusionDespite being turned back from an effort to bluntly reduce opioid prescribing by the FDA in 2013 based on a lack of scientific evidence for its position (17,18), PROP has had a disproportionate effect on opioid policy in the Untied States for almost a decade. PROP found a willing federal regulatory partner in the CDC, and while PROP may not have secretly written the 2016 CDC Pain Guidelines (75), they certainly enjoyed disproportionate representation on CDCs review panels and Core Expert Group (23-25) in a process that lacked transparency (22, 23, 26, 27). When the CDC admitted that its Pain Guideline had been...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 3, 2021 Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
Expressing grief through the power of story [PODCAST]
“Now the room is silent as if nothing at all occurred. I stand watching the red stain forming on the pristine white sheet, mocking me in my failure. I trained at excellent institutions, survived residency, and served in combat. Now, here at a Level 1 trauma center, I could not save this life with every […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Palliative Care Source Type: blogs
Surgery for tetralogy of Fallot
Tetralogy of Fallot is the commonest cyanotic congenital heart disease. Surgical repair has improved remarkably ever since it was first published in 1955 by Lillehei CW et al [1]. Excellent long term survival is now feasible, with 30 year survival ranging from 68.5% to 90.5% [2].
Symptomatic infants with tetralogy of Fallot can undergo either primary surgical repair or a palliative procedure which could be either a systemic to pulmonary shunt or catheter based right ventricular outflow tract or pulmonary valve dilatation [3]. A retrospective study using the UK National Congenital Heart Disease Audit had 1662 infants with...
Source: Cardiophile MD - April 21, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiac Surgery Source Type: blogs
