Category: Palliative care

How race plays a role in palliative care

“Black life remains unexpected.” I have been mulling over these words written by Ibram X. Kendi, in The Atlantic. This followed his piece exploring the “anniversary” of slavery in 2019. He experiences this 400-year marker both with hope and concern giv…

Letting go when people let go of their lives

My 83-year-old patient had outlived peoples’ expectations on several occasions. Faced with a critical illness three years ago, she underwent emergency surgery and spent several months in the hospital with a series of complications, including sept…

Over 2,000 prayers for the dead. This was my hardest.

The day began in Mom’s room with a 10:00 a.m. conference at Upper Valley Medical Center, west of Columbus, Ohio. In attendance were my 93-year-old mother Joanne (now in her third week of hospitalization), her palliative-care nurse Richard, her Ep…

Avoiding late-stage dementia with advance directives for stopping eating and drinking

On October 1, 2019, Nevada began allowing individuals to avoid living in late-stage dementia. The new statute recognizes the legitimacy of an advance directive that instructs health care providers to stop hand feeding food and fluid by mouth. Individua…

The broader mission for hospice care

I remember it was raining outside when I told Ester she had metastatic stomach cancer.  She cried, as her son sat silently holding one thin hand in two of his.  After a while, she asked, how long did she have to live?  I explained it depended on how we…

In India’s Burgeoning Pain Market, U.S. Drugmakers Stand To Gain

What began in India as a populist movement to bring inexpensive morphine to the diseased and dying poor has paved the way for a booming pain management industry. Now, new customers are being funneled to U.S. drugmakers bedeviled by a government crackdown back home.

The last massage of his life

Clutching my duffel bag under my rain jacket, I dash from my truck toward a house that was built by Frankie, the man I’m here to give the last massage of his life. I’ve been massaging people since I was five and have been a professional mas…

Dr. Shoshana Ungerleider: spotlight physician speaker

Physician Speaking by KevinMD is the only physician-run, all-physician speakers bureau. We are practicing physicians and experienced keynote speakers, highlighting both large-scale events and intimate day-long workshops. Today’s spotlight physician spe…

Kathy Brandt, A Hospice Expert Who Invited The World Into Her Own Last Days With Cancer, Dies

Kathy Brandt and her wife, Kim Acquaviva, national experts in hospice and palliative care, shared intimate details of Brandt’s experience with terminal cancer before her death Sunday.

A critical discussion is needed about planned death

“Planned death.” When you put it like that, this can only mean one of two things: suicide or murder. For most of us in medicine, the very idea of “planned death” seems safely outside our purview. After all, the bulk of medicine is concerned with stavin…