Remove Hospice Remove Medication Remove Physical Exams
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A Call for Parentalism in Medicine

Sensible Medicine

There were ST elevations across all the precordial leads and signs of heart failure on physical exam. Even three decades ago when I started medical school, paternalism was a dirty word. Even on the medication, her liver function tests climbed and her kidney function declined. She was admitted to the hospital with an MI.

Hospice 154
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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. MT’s multiple medical problems and poor functional status made him a poor candidate for any therapy. Occasionally, these visits are more difficult and frustrating than sad.

Hospice 276
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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. MT’s multiple medical problems and poor functional status made him a poor candidate for any therapy. Occasionally, these visits are more difficult and frustrating than sad.

Hospice 130