A recent study suggests that doctors may put off holding end of life care discussions that involve subjects like advance directives, hospice or site of death.
Recommendations suggest that physicians hold these conversations when patients have about a year to live, but the data show those guidelines aren’t being followed.
Why? Read more »
*This blog post was originally published at KevinMD.com*
One of my favorite patients died last week.
My reaction to this was not quite what you would think: I smiled. No, I didn’t smile because of his death; I smiled because of his life. I smiled because I got to be a part of that life. His death wasn’t his tragic end, it was the exclamation point to his life.
I am around a lot of death – it’s one of the things that makes being a doctor different from other jobs. My goal with all of my patients is to keep them healthy, to relieve their pain, and to do my best to keep them alive. Ultimately, though, it’s a losing battle; 100% of them will eventually die. That’s why I don’t like statistics about how many people who die due to inadequate doctoring. Our job is to resist an irresistible force. We are standing up to the hurricane, the avalanche, the flood. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
Dean Lorich, MD
I received this letter from a medical colleague today. It was written by Dr. Dean Lorich, Associate Director of the Orthopedic Trauma Service at NYC’s Hospital for Special Surgery. I hope to interview him for Better Health soon. Stay tuned for the audiocast…
***
I believe we went in with a reasonably comprehensive service we wanted to provide acute trauma care in an orthopedic disaster. Our plan was to be at a hospital where we could utilize our abilities as trauma surgeons treat the acute injuries involved in an orthopaedic disaster. We expected many amputations however came with a philosophy that would reasonably start limb salvage in what we thought was a salvageable limb.
David Helfet put a team together which included: Read more »
Back in the day when I was a newspaper reporter I completed a biomedical ethics fellowship at the University of Virginia Medical Center in Charlottesville, VA. In addition to sitting in on the hospital’s bioethics committee discussions, I spent much of the week shadowing a nurse in the ICU.
They called her the Death Nurse because her job was to intervene with doctors, nurses, patients and families when the time came for a patient to move from the ICU to hospice. While her title was Supportive Care, she flat out told her me her job was to help people die; not actively, but from behind the scenes by helping patients and those caring for them understand when the time had come to move from curative care to supportive care (email me if you’d like a copy of the article I wrote about her). Read more »
*This blog post was originally published at Debra Gordon on Medical Writing (and other medical topics of interest)*
If you think that the H1N1 pandemic is slowing down and have grown complacent with vaccination now that vaccines are more widely available, please learn something from last night’s tragic loss of local college student from Rhode Island, Lillian Chason:
A University of North Carolina at Chapel Hill student, who friends said was battling complications from the H1N1 virus, died Wednesday evening, according to UNC Hospitals and a Facebook post made by her father.
Freshman Lillian Chason had been in critical condition at UNC Hospitals for weeks. Friends told WRAL News on Tuesday that she started feeling bad before Thanksgiving and went into the hospital on Nov. 20. Read more »
*This blog post was originally published at Terra Sigillata*
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