medpagetodayFrom MedPage Today:

  1. OA Patients Don't Face Higher Heart Disease Risk. Neither radiographic nor clinical osteoarthritis (OA) was related to a greater risk for cardiovascular disease (CVD) in older patients.
  2. Senators to Providers, Industry: Lobby Harder on End-of-Life Care. A strong coalition is needed to transform care for the dying, said U.S. ...

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Eonia I Mnimi (Eternal Memory)  - Greek Orthodox Funeral Blessing “Have you ever seen anyone die before?” my cousin asked me, from across the bed. “Sure I have, plenty of times,” I answered. We were flanking her father, my uncle (really, my mother’s cousin, but extended Greek families are complicated; suffice it to say that our families are very close). He had just taken his last breath. *** My uncle had been declining for several years with 
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Ever heard of a doula? Doula is an ancient Greek word that translates as “woman who serves.” Specifically, it’s come to mean someone who serves as a birth attendant, a person trained in childbirth who acts in support of a birthing mother. A doula provides knowledge, comfort, and an extra pair of hands -- whether it’s to provide nourishment or massage, or help a mother find a comfortable position. As you may ...

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Thomas Hobbes described life as pitifully “nasty, brutish, and short.” Thanks to the free market and the state, life is no longer a Hobbesian nightmare. But death has become nasty, brutish, and long. Surgeon and writer, Atul Gawande, explores the medicalization of aging and death in Being Mortal. Gawande points to a glaring deficiency in medical education. Taught to save lives and fight death, doctors don’t bow out gracefully and say enough ...

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As I travel around speaking about preparing for peace at the end of life, I have found that there are three pervasive myths about hospice that might cause you to inadvertently rob yourself or your family of a peace-filled end-of-life experience. So, I am taking on the job of myth-buster to clear the air. Here goes: Myth #1: Hospice is a place. While hospice can be a place, it is primarily a service. ...

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In 2010, I became a hospice volunteer. My mother had died of a brain tumor five years earlier at age eighty-seven. I saw being a hospice volunteer as a way to express my gratitude for my mother's compassionate hospice care and to help other caregivers to weather a loved one's passing. And, as a former reporter and writer, I thought I could help people to write their life stories, if they ...

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medpagetodayFrom MedPage Today:

  1. Studies Cement Value of HIV Prophylaxis. re-exposure prophylaxis (PrEP) with a single pill prevented HIV infection among more than 85% of two groups of men who have sex with men.
  2. NSAIDs: A Risky Addition to Post-MI Antithrombotics. Adding a non-steroidal anti-inflammatory drug (NSAID) to antithrombotic therapy after a heart ...

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Early on in my career I called an Indian internist in the middle of the night to admit a patient to him. The patient was an 88-year-old female with advanced dementia, a terminal brain disease. She had aspiration pneumonia, which is often the final common pathway of this illness. She was in respiratory failure, in septic shock and was a “full code.” I can still recall our 4 a.m. conversation: “Hi, Dr. ...

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asco-logoMom. Dad. Happy. Sad. Friend. Trust. I remember playing this game. A friend would say one thing, and then I would say the first thing that came to my mind. For some reason, it would pass the time. I remember how some words would spark an emotion or a memory. Sometimes happy, sometimes not so happy. But, playing that game was one of ...

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Neither of the two most important people in Aaron's life could stand to be in the same room with each other.  There was a long colorful history between his ex-wife and his brother, and as his disease began to accelerate, the feuding became quite intense.  They argued over Aaron's advance directives.  They both tried to coerce and manipulate themselves into commanding positions.  The shouting became louder, the fury more fierce.  ...

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