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Death is personal for this physician
An excerpt from Dying with Ease: A Compassionate Guide for Making Wiser End-of-Life Decisions. Used by permission of the publisher Rowman& Littlefield. All rights reserved. In 2017, there were 2,813,503 deaths in the United States. About a quarter of Americans die of heart disease, some 22 percent from cancer, and about one in twenty […]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 - September 26, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jeff-speiss" rel="tag" > Jeff Speiss, MD < /a > < /span > Tags: Physician Oncology/Hematology Palliative Care Source Type: blogs
Obstetrics and Gynecology Needs Palliative Care
by Nathan Riley " Can you all, please, just leave us alone? "One particular experience with the death of a newborn stands out in my mind. Moments after birth the baby was breathless, and the neonatology team could not intubate. All of the kingdom ’s pediatric surgeons and other specialists rushed to labor and delivery to no avail. The baby was born with a four centimeter gap in his trachea, an irreparable condition. The mother sat there, holding her dying baby as he took his last breaths while physicians, nurses, and residents were busy as usual. Click-clacking away on computers. Adjusting blankets. Asking questions...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 24, 2020 Category: Palliative Care Tags: gynecology obstetrics palliative care pediatrics prenatal riley Source Type: blogs
This is what a good death could be
Recently, a neighbor and friend of mine died. After her cancer was diagnosed as incurable, she was referred to hospice care, and family members traveled long distances to spend quality time with her during her last month of life. Her neighbors in our condo building clamored for slots in her packed social calendar. Two days […]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 - September 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/larry-beresford" rel="tag" > Larry Beresford < /a > < /span > Tags: Conditions Palliative Care Source Type: blogs
Fight Aging! Newsletter, August 10th 2020
This study aimed to characterize the role of BDNF in age-related microglial activation. Initially, we found that degrees of microglial activation were especially evident in the substantia nigra (SN) across different brain regions of aged mice. The levels of BDNF and TrkB in microglia decreased with age and negatively correlated with their activation statuses in mice during aging. Interestingly, aging-related microglial activation could be reversed by chronic, subcutaneous perfusion of BDNF. Peripheral lipopolysaccharide (LPS) injection-induced microglial activation could be reduced by local supplement of BDNF, while shTrkB...
Source: Fight Aging! - August 9, 2020 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
The Noble Prize for a Life Well-Lived
In honor of a beautiful and affectionate cat.RIP, beloved MaxApril 19, 2003– April 24, 2020So much acrimony and confusion and death...In the true meaning of the word, Max lived a noble life.“But he was just a cat,” you say. Yes, that ' s true. But he was loving and kind and selfless until the very end. He was a wonderful companion, and a great source of comfort to me (especially after my partner died inOctober 2018).Max and SandraFeb. 2, 2017He was cherished by previous caretakers and human friends, who showered him with gifts.Christmas Eve, 2017Christmas Day, 2018But now he ' s gone and life continues, filled with a...
Source: The Neurocritic - April 26, 2020 Category: Neuroscience Authors: The Neurocritic Source Type: blogs
“ Essential Oncology ” : The COVID Challenge
By CHADI NABHAN MD, MBA, FACP
One harsh Chicago winter, I remember calling a patient to cancel his appointment because we had deemed it too risky for patients to come in for routine visits—a major snowstorm made us rethink all non-essential appointments. Mr. Z was scheduled for his 3-month follow-up for an aggressive brain lymphoma that was diagnosed the prior year, during which he endured several rounds of intense chemotherapy. His discontent in hearing that his appointment was canceled was palpable; he confessed that he was very much looking forward to the visit so that he could greet the nurses, front-desk staff, ...
Source: The Health Care Blog - April 3, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Hospitals Medical Practice Physicians Chadi Nabhan Clinical Trials coronavirus drug dosing Oncology Pandemic Source Type: blogs
The Dizzying Experience of Healthcare in the Time of a Pandemic
By Lyle Fettig@fettiglyleCheck out the Pallimed COVID-19 Resource page here. - Ed.I love theletter co-published by Pallimed and Geripal about COVID,and you should read that too. As an erstwhile (for now) Pallimed contributor, I thought I ' d toss in my two cents with some additional thoughts/reflections based on week 1 of preparing for the COVID pandemic as a palliative care physician.Over the last week, I ' ve operated mentally in most of these lanes:1. Primary prevention and public health:Through extensive advocacy for social distancing and widespread testing. I have talked about it with my patients and my own family and...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 17, 2020 Category: Palliative Care Tags: covid emergency preparedness fettig Source Type: blogs
Why physicians should acknowledge the validity of second opinions
One of the most valuable jobs I held following fellowship was working as a full-time deputy editor at UpToDate. My “territory” was breast, gynecologic, and genitourinary oncology, and I helped launch cancer survivorship and palliative care. I learned to really and critically read the literature, and how I could summarize it quickly so that my […]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 - February 2, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/don-s-dizon" rel="tag" > Don S. Dizon, MD < /a > < /span > Tags: Conditions breast cancer Oncology/Hematology Source Type: blogs
A Letter to Ms. Judy Faulkner & Mr. Tommy Thompson
By GRACE CORDOVANO PhD, BCPA
Being a patient or a carepartner can be a lonely, powerless
place.
There’s no high powered legal or lobbying team to help support
you in your or your loved one’s health care journey. There’s no PR team at your
beck and call. There’s no advisory board, no executive committee, no
assistants, no chatbots or AI-powered technology coming to the rescue. There’s
no funding or a company sponsoring your efforts.
There’s no course in how to be a professional patient or
carepartner.
There’s no one there in the stillness and dark of the night, when
you are in the quiet of your tho...
Source: The Health Care Blog - January 24, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Patients caregivers carepartner Grace Cordovano Judy Faulkner patient advocacy Patient advocates Tommy Thompson Source Type: blogs
Fight Aging! Newsletter, December 23rd 2019
In this study, by adenovirus-mediated delivery and inducible transgenic mouse models, we demonstrate the proliferation of both HCs and SCs by combined Notch1 and Myc activation in in vitro and in vivo inner ear adult mouse models. These proliferating mature SCs and HCs maintain their respective identities. Moreover, when presented with HC induction signals, reprogrammed adult SCs transdifferentiate into HC-like cells both in vitro and in vivo. Finally, our data suggest that regenerated HC-like cells likely possess functional transduction channels and are able to form connections with adult auditory neurons.
Epige...
Source: Fight Aging! - December 22, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
A letter to a cancer patient in palliative care
I heard about you a few times before I ever met you in person. It was my first day on the palliative care service — a week that felt like a relaxing break from the sixteen-hour days I was used to on surgery. Many people don’t know what palliative care is. But I suspect these […]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 - December 10, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/alison-vasa" rel="tag" > Alison Vasa < /a > < /span > Tags: Education Oncology/Hematology Source Type: blogs
Mandated Queries of the Florida Prescription Drug Monitoring Program: A Three-Month Experience from a Cancer Center-Based Outpatient Palliative Medicine Clinic
This article represents the findings from the queries over the first three months ’ queries and brings further clarity to our initial findings.Methods This quality improvement (QI) project was reviewed and approved by the Orlando Health/UFHealth Cancer Center Joint Oncology Committee for 2018-19. We began recording results of all E-FORSCE queries occurring after the law ’s implementation of July 1, 2018 through September 30, 2018. We informed each patient that the PDMP query had become mandatory in Florida, and we discussed the results of each query with each patient. Each query examined the last 12 months of the patie...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 18, 2019 Category: Palliative Care Tags: kollas opioid pain quality improvement statte Source Type: blogs
What is palliative care, and who can benefit from it?
The American population is getting older and sicker. More Americans are facing life-threatening illness when approaching end of life. Palliative care has grown to meet the complex needs of this population.
And yet, according to a 2017 article in the journal Palliative Care, many people living with a chronic life-threatening illness either do not receive any palliative care, or receive services only in the last phase of their illness. The National Consensus Project Clinical Practice Guidelines for Quality Palliative Care also addressed this issue, stating that a goal of their recently updated guidelines is “to improve acc...
Source: Harvard Health Blog - November 11, 2019 Category: Consumer Health News Authors: Ashwini Bapat, MD Tags: Caregiving End of life Pain Management Source Type: blogs
Treatment For Older Adults Must Consider the Whole Person
Photo credit Cristian Newman
Dear Carol: My mom has been undergoing cancer treatment for months and her latest tests show stability which satisfies the oncologist. Unfortunately, this doctor only sees Mom’s cancer and has zero insight into her as a whole person. Mom had early-stage dementia before treatment, but her thought process is now so much worse that we'd like to take her off her cancer medication for a while to see if her mind clears at least somewhat. The family feels that even if this was a temporary option, she may improve enough to help us make decisions for her future. We’re also looking into hospice care ...
Source: Minding Our Elders - November 2, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Learn About the Differences Between Palliative Care and Hospice Care
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion.
View the slideshow on HealthCentral to learn more about the differences between hospice care and palliative care:
Carol is the Candid Caregiver
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Source: Minding Our Elders - October 22, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
