Category: Palliative care

COVID-19 is an opportunity to change the culture of death

The doom, gloom, and uncertainty surrounding the ongoing COVID-19 pandemic can be overwhelming, even for an emergency department physician such as myself. The heaviness of the situation largely stems from the deadly nature of the virus, our relatively …

Cowardice in the face of coronavirus

When coronavirus exploded, my family was on vacation in Colorado. We played the news nonstop, and it was frightening. I’m a control freak, a planner, and thus my worries were nonstop. What were other hospitals doing to prepare as compared to my own? Wh…

When should we start having a discussion about palliative and end of life care?

Many of us are learning and refreshing our knowledge of critical care and vent management, but how about acknowledging that one of the most meaningful aspects of the art of medicine is simply to bear witness to, and ease the suffering of our fellow hum…

Grieving the end of life experience from an ICU nurse

The image of patients dying in the intensive care unit is changing. Over the phone, family members cry on the other end as I tell them that we are not allowing visitors due to “the coronavirus” at this time. They tell me, “but I help make his decisions…

7 reflections on grief and personal loss as told by a medical student

Being a medical student during your clinical years imparts a certain feeling of invincibility. For many of us, this is our first-time taking care of patients. Our history-taking and physical exam skills are being honed like superpowers. Our clinical kn…

Proper endings like this feel right

He was a logical man. A northeast Ohio man. Who worked all his life and worked hard. I can see it in his hands. They are entirely calloused with traces of grease impervious even to pumice soap. A family man. His wife and sons and daughters are at bedsi…

We can’t deny death, even if it’s a colleague

Does care fall short or go higher when the patient is one of our own? It depends on who you ask: We, the medical team, believe we try hard for everyone, but go the extra mile when it’s one of our own. Perhaps to family/outsiders, we’re not …

When a wife won’t let her husband die

We were told to wear masks before entering this patient’s ICU room. Entering his room, you could smell his rotting flesh. He was 92 years old. His skin would slough off if you dared to bathe him. His decubitus ulcers were raging with infection. As long…

The medicine that defines hospice care

An excerpt from Death Is But a Dream: Finding Hope and Meaning at Life’s End. Published on February 11, 2020 by Avery, and imprint of Penguin Publishing Group, a division of Penguin Random House, LLC. Copyright © 2020 by William Hudson, LLC Dying…

I had to be there for this patient’s last breath

It’s the winter of 1993. A cold, snowy day. Windy. A blizzard. The phone rings. I’m not on call for my patients today — except for one. Daisy has been in my care since the early 1970s, and given the risk that she may suffer a serious downtu…