Sensible Medicine

AUGUST 30, 2024

KN is a 90-year-old man I visit at an inpatient hospice. When the medical outcomes of my patients are bad, I am sometimes haunted by the lack of a counterfactual. I also knew his family well, most of them were my patients. When things go well in medicine, we never second guess our decision making.

Hospice 87

Hospice Dehydration Wellness Outcomes 87

Sensible Medicine

JUNE 30, 2023

1] Would the outcomes be different? On the other hand, KW was a middle-aged American man with chest pain and significant risk factors for coronary artery disease – hypertension and diabetes – neither of which had ever been terribly well-controlled. She was well hydrated and her vital signs were normal.

Hospitals 82

Hospitals Hospice Resuscitation COPD 82

Taming the SRU

FEBRUARY 22, 2023

doing the little things right, with the understanding that small gains are additive, and that details can be the difference between a good outcome and a poor one. Lesson 10 Details matter and marginal gains accumulate. Lesson 11 Find what you love to do and surround yourself with people who make you better at doing it.

Hospice 40

Hospice EKG/ECG Resuscitation Wellness 40

PulmCCM

JANUARY 27, 2025

They know aggressive treatment at the end of life will likely produce and prolong suffering, without changing the outcome. It’s impossible to do all these things well at once. Intensivists and emergency physicians face these situations with dread. In a surveyed sample cited by ASCO , no oncologists did so—zero.

Hospice 89

Hospice Outcomes Sepsis Emergency Department 89