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Join Vickie Leff and Terry Altilio, both palliative care social workers, as we delve into their book, Mirrors and Windows: Reflections on the Journey in Serious Illness Practice, which offers a profound exploration of the experiences of health care professionals, including palliative social workers, in the world …
An excerpt from A Caregiver’s Love Story.
Whether you are the dying or the caregiver, living life to the fullest remains your goal, but somedays it’s just too darn hard. When you are so busy that it doesn’t seem you have time to take a breath, where does living …
Each year, Congress goes through its annual budget process to determine how to spend more than $6 trillion on America’s priorities. This year, as part of the discussions on how to spend Medicare’s $900 billion budget, we are being told the Medicare Trust Fund, which is projected to spend $415 billion in 2023 for Part A expenditures, which cover inpatient hospital, skilled nursing facility, nursing home, home health, and hospice care, …
Reality knocked me for a loop one evening when my father-in-law called from his home in another state and asked for help. This kind of request was very uncharacteristic for him. We responded immediately and drove to his home. After much conversation and many questions from both sides, we eventually came to the hard truth. His cancer had progressed and, to my mind, was most likely terminal. I dug in …
“If you don’t know how to die, don’t worry; Nature will tell you what to do on the spot, fully and adequately. She will do this job perfectly for you.”
– M. Montaigne (1533-1592)
In 2021, former U.S. President Bill Clinton was rushed to a California hospital suffering from a urinary tract infection that had developed into sepsis, a life-threatening blood infection. According to the National Institute of Health and Care Excellence, …
An excerpt from Mirrors and Windows: Reflections on the Journey in Serious Illness Practice. This reflection was written by Chris Onderdonk, one of over 50 contributors.
I’m sitting next to Tony in the surgical intensive care unit doing my best to make out what he’s writing. He’s intubated and I’ve just …
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Join Tyler Jorgensen, an emergency medicine and palliative care physician, and discover the profound insights he shares on the value of home visits in patient care. Explore the complexities of handling challenging situations, such as encountering conflicting …
My wife, Ruth, passed away in April, and I am currently struggling with the immense loss. I deeply miss her, and for the most part, I feel terrible. I haven’t reached a point of “getting over it.”
Since her death, numerous people, including relatives, friends, acquaintances, and caring individuals throughout my day, have approached me with the same question: How am I doing? Despite multiple attempts to respond, I still haven’t …
Death is an inevitable part of life, and in medicine, it is a topic that is frequently encountered. As medical professionals, we see patients who are faced with terminal illnesses and inevitably nearing the end of their lives. Dealing with death can be a daunting task, and it’s a topic that requires sensitivity, empathy, and compassion.
At the forefront of end-of-life care are the principles of compassionate care. It is about …
“One should . . . be able to see things as hopeless and yet be determined to make them otherwise.”
– F. Scott Fitzgerald
I’m in a massive ballroom with numerous tables and promotional placards lining the walls and center. In attendance are every pharmaceutical manufacturer and their sales reps. All the biggies are here; Pfizer, Merck, Novartis, and AstraZeneca, to name a few. Their drugs are household names because they advertise …
“I don’t know how you do what you do.” About 90 percent of the time, this is the response I get when I tell people that I am a hospice physician. “Isn’t it sad to work with dying people all the time? You lose all of your patients… that must be so difficult.”
Having been exposed to the many different ways that people can die throughout my medical training, I see …
A KevinMD article about Jimmy Carter’s end-of-life care decision, “The heartbreaking story of Jimmy Carter: a call for Medicare reform in end-of-life care,” indicated that the former president’s decision was heartbreaking. However, I have a different view. In my opinion, the 39th president, at age 98, made an autonomous and well-informed decision.
On February 18, The Carter Center announced in a statement that “after a series of short hospital stays, …
The purpose of the serious illness conversation is to offer patients a clear choice between treating and not treating an incurable disease like liver cancer. The goal is to give the person permission to alleviate pain and suffering. The individual might decide to be treated as a patient or honored as a person if given this option near the end of life.
A non-serious illness conversation ends with the patient wishing …
With no true endgame or advance directive, Tom Brady’s legacy as an NFL superstar and family man remains nebulous.
Is his recent retirement from football officially the end? Will he entertain offers to stay alive and play one more year? With being at the 45-year-old “yard line” and facing the goalpost at the end of the football field, what’s his endgame for the next year?
When do the false promises end …
Words are everything.
They carry energy. They are the currency of our connection to each other. They are the currency through which we will share with future generations; they are how we communicate with people in generations past. And they carry weight in terms of how we speak to ourselves.
When we begin to grow in awareness of the words we are using and the language we choose, it sometimes becomes humbling …
My husband passed away six months ago, and it is quite evident to me that not only do I miss him, but so does our dog Grace. She adored Bill and would scamper to find him if I directed her to “Go find dad!” I no longer use the word dad, as that sets her off on a sad but fruitless chase around the house.
Very soon after Bill died, it …
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Join us as we delve into the controversial topic of assisted suicide with our guest, Nicholas S. Tito, a medical student. This thought-provoking episode will explore the Western world’s growing support for legally assisted euthanasia and the …
“I just can’t. I can’t,” Wendy sobbed into my hair. We barely made it out the door when our bodies collapsed together, puddles holding puddles. The children, 5 and 7, had just left with their tiny grey backpacks, tiny soldiers off to the abyss. Pastel crayon drawings taped to every pale pink wall: “Mom! Get well soon!” But she wouldn’t. Rainbows and stick figures clung to the white paper on …
The recent decision by former U.S. President Jimmy Carter to transition to hospice brings much-needed attention to this crucial part of health care. Hospice care is an essential and compassionate component of modern medicine, providing support and care to patients and families during the most challenging time of their lives. Historically, hospice care has been long stigmatized as giving up on treatment. However, the truth is the opposite. Hospice provides …
My husband was clearly losing his independence after a terminal diagnosis and many hospital visits. I was getting more and more responsibility, which I didn’t mind, but the best way we could handle it was just to let it happen. There was no way to stop it, so we just had to live with it. The changes were slow in coming, and eventually, my being responsible for everything just fell …
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