Celebrating Hospice and Palliative Medicine as the Fifth Largest Medical Subspecialty
by Christian Sinclair (@ctsinclair)We have entered a new age! Spread the word!Hospice and palliative medicine (HPM) is the fifth largest medical subspecialty!You may have sensed we have been climbing the ranks, but I bet you are still surprised. A close look at the fellowship match data from Dec 2021, shows that HPM has the fifth highest number of matched applicants, behind the big 4: Cardiovascular, Pulmonary and Critical Care, Hematology and Oncology, and Gastroenterology.When I share this good news with HPM colleagues, few put us anywhere near fifth.I did an informal poll on Twitter and less than half of respondents ran...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 11, 2022 Category: Palliative Care Tags: fellowship sinclair The profession Source Type: blogs
A hospice doctor ’s advice on getting your finances in order
An excerpt from Taking Stock: A Hospice Doctor’s Advice on Financial Independence, Building Wealth, and Living a Regret-Free Life. Copyright © 2022 Ulysses Press. Reprinted with permission from Ulysses Press. New York, NY. All rights reserved. You are going to die. Imagine that I have walked into your hospital room and have gently sat downRead more …A hospice doctor’s advice on getting your finances in order originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 5, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/jordan-grumet" rel="tag" data-wpel-link="internal" > Jordan Grumet, MD < /a > < /span > Tags: Finance Palliative Care Practice Management Source Type: blogs
Death is inevitable. Talk about it.
I had a patient in the ED who reminded me a lot of my grandfather, my Dada. I grew up with my Dada, listening to his stories and learning from his knowledge of the intricate workings of the world. He was a first-generation college student, science lover, world traveler, vice president of a large chemicalRead more …Death is inevitable. Talk about it. originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 3, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/shaleen-thakur" rel="tag" data-wpel-link="internal" > Shaleen Thakur, MD < /a > < /span > Tags: Physician Palliative Care Source Type: blogs
Operationalizing Legal Rights in End-of- Life Decision-Making: A Qualitative Study
Cheryl Tilse (University of Queensland), Lindy Willmott (Queensland University of Technology), Jill Wilson (University of Queensland), Rachel Feeney (University of Queensland), Ben White (Queensland University of Technology), Operationalizing Legal Rights in End-of- Life Decision-Making: A Qualitative Study, Palliative Med. 1... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - July 3, 2022 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
A bad death: the importance of truth-telling at end-of-life [PODCAST]
“In their hearts, her daughters just wanted their mother to make the most of the time she had left. She never made it to the beach or hugged her grandchildren. From diagnosis to death, it was two short months. During those weeks, she waited for test results, went back and forth to the hospital toRead more …A bad death: the importance of truth-telling at end-of-life [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 18, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/the-podcast-by-kevinmd" rel="tag" data-wpel-link="internal" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Palliative Care Source Type: blogs
Dying is a selfish business
An excerpt from A Caregiver’s Love Story. Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill’s poor prognosis and impending death began to reflect on our life, it was getting harder to respond to the living as weRead more …Dying is a selfish business originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 18, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/nancie-wiseman-attwater" rel="tag" data-wpel-link="internal" > Nancie Wiseman Attwater < /a > < /span > Tags: Patient Palliative Care Source Type: blogs
Breaking the News That a Loved One is Going on Hospice Care
Photo credit Pexels Kampus Productions
When the paperwork was finally signed to get hospice care for my dad, I was grateful. There would now be a routine of care for him where he could live in comfort. That's all he really wanted. However, I knew that breaking this news to Mom would be difficult. She'd have to finally admit, and somehow accept, the fact that Dad was dying. After all, hospice care is for people diagnosed as terminally ill. A brief time after Dad's death, Mom's own terminal condition required hospice care in order to control her pain. She had told me numerous times that she was tired of living and read...
Source: Minding Our Elders - June 4, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
A story of a good death [PODCAST]
“We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that they will live in us even if they are far away. And perhaps more important these days is that our physical presence is less important than the voicesRead more …A story of a good death [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 31, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/the-podcast-by-kevinmd" rel="tag" data-wpel-link="internal" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Palliative Care Source Type: blogs
A story of a good death
Just over seven years ago, on April 22nd, my father heralded his 88th birthday with a thoracentesis to drain the fluid from his lungs. On May 3rd, less than two weeks later, he died, due to a blockage in his abdomen leading to sepsis, most likely from two 20-plus-year-old sarcoma surgeries. Between these events, heRead more …A story of a good death originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 27, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/carol-ewig" rel="tag" data-wpel-link="internal" > Carol Ewig < /a > < /span > Tags: Patient Hospital-Based Medicine Palliative Care Source Type: blogs
Presenting Wound Care Research at the American Geriatrics Society Annual Meeting
Emily Samuels MD, Stephanie Le MD, and Jeffrey M. Levine MD presenting at the AGS Annual Meeting in Orlando, FL
It was my great pleasure to present wound care research at the annual meeting of the American Geriatrics Society (AGS) that took place in Orlando, Florida. Our research was entitled Pressure Injuries and Wound Care: A Lost Geriatric Syndrome. First author was Emily Samuels MD, a geriatrician-in-training who will soon become attending physician with the Department of Geriatrics and Palliative Care at the Mount Sinai Medical Center. Co-authors included Stephanie Le MD, Clinical Assistant Professor and Assista...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - May 15, 2022 Category: Geriatrics Authors: Jeffrey M Levine Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Publications bedsore bedsores decubiti decubitus ulcer end-of-life care eschar geriatrics Healthcare Quality Improving Medical Care medi Source Type: blogs
The Peril and Privilege of Exploration: A Review of Subnautica
by Matt Tyler (@PalliDad)In the survival game Subnautica, you play the role of a space voyager who has crash landed on an aquatic alien planet. You must find a way to escape while navigating the planet ’s beautiful but dangerous flora and fauna. Exploration makes the core of Subnautica, and because I am a palliative care doctor, I couldn’t help but draw a parallel to serious illness conversations. Whether exploring shipwrecks and underwater caverns or the emotions and stories of patients, both require curiosity, methodical skill development, and respect for boundaries.Any explorer must first and foremost be curious, ev...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 13, 2022 Category: Palliative Care Tags: games media tyler video games Source Type: blogs
Simplifying Opioid Conversions
by Drew Rosielle (@drosielle)A Satirical Monologue in One Act:“Ok, 3rd year resident, let’s talk about rotating opioids. What do I mean by ‘rotating’ opioids? It’s just therapeutically switching one opioid with another. It’s um, like, a turnstile, I guess? Anyway--first let’s look at this equianalgesic table. Do you know what equianalgesia means? No? It is the concept that different opioids have the same analgesic power but at different milligram doses due to different potencies. That is, the idea that, say, 50 mg of oral morphine has the same analgesic power as 10 mg of hydromorphone. So 50 mg of oral morphi...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 2, 2022 Category: Palliative Care Tags: opioid rosielle Source Type: blogs
Detaching With Love: Setting Boundaries with Difficult Elderly Parents
Photo credit David Hinkle
When the family member we are trying to care for is critical, impossible to please or emotionally abusive, long-standing family dynamics are often to blame. I’m not talking about an elder who is suffering from chronic pain or has little control over their moods and behaviors because of Alzheimer’s disease or another type of dementia. In those cases, it is clear that we need the help of professionals to find a solution, like palliative care for symptom relief or a memory care unit that specializes in dementia behaviors. What I'm referring to are children who after a historically tox...
Source: Minding Our Elders - April 30, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
The surprising role for lifestyle medicine in palliative care
In his bestselling book How Not to Die, physician Michael Greger described how his grandmother, diagnosed with advanced heart disease at 65, transformed her health and lived for many years after switching to a whole-food, plant-based diet. It was a seminal event for Dr. Greger that inspired a career dedicated to promoting the impact ofRead more …The surprising role for lifestyle medicine in palliative care originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 27, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/simran-malhotra-and-carlie-pierorazio" rel="tag" data-wpel-link="internal" > Simran Malhotra, MD and Carlie Pierorazio, CRNP < /a > < /span > Tags: Conditions Palliative Care Source Type: blogs
A deep passion for palliative medicine [PODCAST]
“COVID has brought us new challenges and a genuine opportunity to be part of the critical response to optimize the care we deliver not just to our patients but also to their families and caregivers. I am lucky, blessed to do this work every day and carry such a deep passion. We are making aRead more …A deep passion for palliative medicine [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 26, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/the-podcast-by-kevinmd" rel="tag" data-wpel-link="internal" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Palliative Care Source Type: blogs
