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Friday Reflection 31: 30 Years and Counting

Sensible Medicine

Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. That said, he would not hear about hospice care, telling us, and himself, that he might still regain enough strength for the oncologist to treat him.

Hospice 98
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Friday Reflection 30: Thirty Years and Counting

Sensible Medicine

Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. That said, he would not hear about hospice care, telling us, and himself, that he might still regain enough strength for the oncologist to treat him.

Hospice 52
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Issue #1: The Latest in Critical Care, 5/8/23

PulmCCM

Read in JAMA Endovascular thrombectomy for large ischemic stroke came to prominence based on limited data showing its efficacy in patients with smaller strokes; large strokes were excluded. Nursing home patients were no more likely to enter hospice after hospitalization than their community dwelling counterparts.

Stroke 52
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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

There was fatigue, weight loss, nausea, declining kidney function, and a few strokes. He had declined hospice care until the end and would not even accept “do not resuscitate” status. SV was a patient who kept me up at night for the better part of 18 months. She was in her late 70’s and she was dying.