Four years ago, as chairman of the hospital ethics committee, I was asked to convene an emergency meeting brought by a distraught family as medical decisions had to be made for their ill loved one. The hospital, HMO lawyers, the family, three adult chi…
I have been at my current hospital for 12-plus years now. Like many of you, I have gotten to know some of my patients very well. I have known some of them since I first started out here. We talk about my dogs and cows, our newest grandkids, and politic…
“Arriving at an acceptance of one’s mortality is a process, not an epiphany.” – Atul Gawande Imagine a group of old (mature) friends gathered for a “girls” weekend in balmy Florida. The friendships started in grammar…
“He knew it was his time a month ago. We were sitting at the kitchen table, and he told me he couldn’t feel half his face. He kept tapping the left side and saying he couldn’t feel anything. I knew he had a stroke because my daughter …
I am a physician. We are always taught to see our patients as more than their state of illness or diagnosis. “Speak to the patient,” “listen,” “look them in the eye,” “do not put one foot out the door,” t…
An excerpt from A Caregiver’s Love Story. After Bill was given his terminal diagnosis of idiopathic pulmonary fibrosis and the bloody nose scare, I began to worry about the future. It was like “waiting for the other shoe to drop,” won…
“You’re dying.” I can often visualize the impact of my words as soon as they leave my mouth, the heavy weight sinking into the mind and body of my patient as they sit in the stark white hospital bed. It usually isn’t the first t…
“We can keep your loved one alive. but we won’t. Even though you think their life is worth living, we do not.” The first time I helped a hospital convey this type of offensive message to a patient’s family, it deeply humbled me….
Subscribe to The Podcast by KevinMD. “He needed to be taken to the hospital to be pronounced, and he was put on a gurney. One frequently mouthed wish was to be taken from his home feet first. I stood beside him as he was placed in the ambulance. …
The first occurred when the ethics committee gathered to discuss one of the residents on the nursing wing. She was in the late stages of dementia and unable to speak. She had developed an ulcer on her foot, and the doctor recommended antibiotics and wh…
