Category: Palliative care

Do substituted decisions break the Golden Rule?

The way I learned the Golden Rule was: “Do unto others as you would have them do unto you.” Basically, it’s from the New Testament, but the concept goes way back to pre-Christian ancient civilizations in Babylonia, Egypt, India, and C…

How to have an exciting death: 5 tips from a palliative care physician

We’re all gonna die. It’s a simple truth that an astounding number of people neglect to acknowledge or accept. Some people die sudden, unexpected deaths, but most eventually fall victim to chronic or terminal conditions like COPD, heart fai…

How a patient saved this physician from losing her passion for medicine

I left a full-time academic position five years ago because I was literally, “check-all-the-boxes,” burned out. In looking back during that time prior to my decision to leave, I recall months of feeling overwhelmed, emotionally exhausted, depressed, an…

How a patient saved this physician from losing her passion for medicine

I left a full-time academic position five years ago because I was literally, “check-all-the-boxes,” burned out. In looking back during that time prior to my decision to leave, I recall months of feeling overwhelmed, emotionally exhausted, depressed, an…

A family meeting in Navajo Nation

“Let’s start the powwow,” a man with a brown jacket and braided ponytail said with a smile. Nineteen adults and one child filled the back conference room of the hospital. The hospital had made an industrial cylinder of coffee for the …

A family meeting in Navajo Nation

“Let’s start the powwow,” a man with a brown jacket and braided ponytail said with a smile. Nineteen adults and one child filled the back conference room of the hospital. The hospital had made an industrial cylinder of coffee for the …

Talk with family members about their wishes long before you think you’ll need to

I’ve been a doctor for a bit under a year now. I am a family medicine intern, working in blocks at a city hospital, wearing a lot of different hats. Sometimes I’m on the labor and delivery floor, helping new lives begin; sometimes I’m on the family med…

How families maintain hope of improvement, regardless of logic and science

I’ve always thought that I’ve understood illness and mortality very matter-of-factly. You live your life, you’ll most likely end up with some medical conditions along the way, and ultimately everyone’s life will come to an end because the body is not d…

Facebook Live: Inclusive Care at the End of Life: The LGBTQ+ Experience

For a generation of LGBTQ+ people who lived through unprecedented social change, getting older poses new challenges. When it comes to seeking elder care, concerns about lack of services, discrimination, neglect and even abuse threaten to reverse recent progress.

‘Living Their Values’: Palliative Care Power Couple Faces Cancer At Home

Kathy Brandt and Kim Acquaviva are both leaders in the world of hospice and palliative care. When Brandt learned she was dying of ovarian cancer, the couple decided it could be a teachable moment.