Category: Palliative care

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…

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. Brené 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…

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 o…

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…

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 Lev…

3 critical things health care providers should discuss in serious illness conversations

Canadians with serious or progressive chronic illness are feeling especially vulnerable during the COVID-19 pandemic. It has underscored how quickly circumstances can change. Talking about a serious illness diagnosis and the impact on life expectancy i…

The ultimate in patient empowerment: advance care planning

Some years ago, my husband and I sat with his mother at her kitchen table and went over advance care planning documents her doctor had given her. She was in her mid-70s then, living independently but managing several chronic health issues. The document…

Improving end of life care from the start of training

Physicians have gone toe-to-toe with death since the earliest days of the profession, even knowing that our efforts would often be futile. Over the past century, dramatic technological advances have nearly doubled the average American lifespan, and mod…

Death is personal for this physician [PODCAST]

“In Wooster, Ohio, where I practiced, a small not-for-profit hospice agency relied on local physicians, clergy, and many other volunteers to supplement the skills and dedication of their employed staff. It was through this work with Hospice of Wa…

My first end-of-life conversation

As a third-year medical student finally in the clinical arena, I’ve seen much more real medicine in the last three months than the entirety of my life. I’ve learned that the ethical dilemmas and the difficult patients are not restricted to TV medical d…