Sekou & Steve: When Does Death Begin?
By MATTHEW HOLT This was sensational when I saw it live at TEDMED and it’s even more amazing second time around. Sekou & Steve do 18 minutes of beat poetry & intensity–”we know when life ends,...
View ArticleDoctor Versus Doctor
By Jim deMaine I felt sad when I went to make rounds in the hospital. One of my patients, a colleague, had been readmitted in poor condition for recurrence of a primary lung sarcoma. I spent a few...
View ArticleDenying Reality About Bad Prognoses
By Bob Wachter, MD The human capacity to deny reality is one of our defining characteristics. Evolutionarily, it has often served us well, inspiring us to press onward against long odds. Without...
View ArticleEngage with Grace this Thanksgiving
By Alexandra Drane Once again we’re hosting the annual Engage with Grace blogrally. Engage with Grace aims to get people talking about their wishes for end of life and advanced care. If you want to...
View ArticleTo DNR or Not to DNR
By James Salwitz, MD Here is a little appreciated fact: Patients cannot order medical care; they can only accept or refuse it. Only a doctor can order medical treatment. In an extreme medical...
View ArticleLet’s Have Dinner and Talk About Death
By Alexandra Drane Our family debates a lot of things over our dinner table – the best Looney Toon character, politics, whether or not (and where or when) something is appropriate… For many of these...
View ArticleHippocratic Hypocrisy: When It Comes to CPR, Is Less Care Actually Better Care?
By Elizabeth Dzeng, MD I am a doctor working both in the UK and in Baltimore. Recently I took care of a patient at a hospital in the US who was bleeding to death. Advanced cancer was consuming his...
View ArticleLet’s Have Dinner and Talk About Death: Indiegogo Campaign
When we launched our Indiegogo campaign earlier this month we blew through our initial goal – raising $7000 in a matter of hours – with funds coming from around the globe. This makes it clear that...
View ArticleInformed Refusal
By Richard Gunderman, MD Before undergoing many health care interventions, patients are asked to give their informed consent. In most cases, it represents a mere formality. The patient has come to...
View ArticleWhen the End of Life Is Not.
By Marya Zilberberg So begins this New York Times essay by Peter Bach, MD, where he talks about the inadequacy of resource use at the end of life as a policy metric. Now, I am not very fond of policy...
View ArticleEnd of the Line in the ICU
By Kristen McConnell Last year I graduated from nursing school and began working in a specialized intensive care unit in a large academic hospital. During an orientation class a nurse who has worked on...
View ArticleWhen Your Doctor Dies
By Abraar Karan Several studies have explored the experience of grief that physicians feel when they lose a patient. But what about when the patient loses a physician—when the doctor dies? Dr. K was a...
View ArticleWe Love to Talk About Our Lives. What About Our Deaths?
By Alexandra Drane, Leigh Calabrese-Eck & Matthew Holt Most of us find ourselves pretty fascinating… flipping through photos and slowing down for the ones where we’re included, tweeting our...
View ArticleHow Much Will It Cost to Let Me Die?
By JaBaris Swain, MD It was probably the most awkward question I had been asked before, and I did not have an answer… He was a middle-aged gentleman, neatly dressed—very simple and unassuming. He...
View ArticleDenying Reality About Bad Prognoses
By Bob Wachter, MD The human capacity to deny reality is one of our defining characteristics. Evolutionarily, it has often served us well, inspiring us to press onward against long odds. Without...
View ArticleEngage with Grace this Thanksgiving
By Alexandra Drane Once again we’re hosting the annual Engage with Grace blogrally. Engage with Grace aims to get people talking about their wishes for end of life and advanced care. If you want to...
View ArticleTo DNR or Not to DNR
By James Salwitz, MD Here is a little appreciated fact: Patients cannot order medical care; they can only accept or refuse it. Only a doctor can order medical treatment. In an extreme medical...
View ArticleLet’s Have Dinner and Talk About Death
By Alexandra Drane Our family debates a lot of things over our dinner table – the best Looney Toon character, politics, whether or not (and where or when) something is appropriate… For many of these...
View ArticleHippocratic Hypocrisy: When It Comes to CPR, Is Less Care Actually Better Care?
By Elizabeth Dzeng, MD I am a doctor working both in the UK and in Baltimore. Recently I took care of a patient at a hospital in the US who was bleeding to death. Advanced cancer was consuming his...
View ArticleLet’s Have Dinner and Talk About Death: Indiegogo Campaign
When we launched our Indiegogo campaign earlier this month we blew through our initial goal – raising $7000 in a matter of hours – with funds coming from around the globe. This makes it clear that...
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