Crossing the Line
By James Salwitz, MD Recently a patient with advanced lung cancer was admitted to a local hospital. Pain in his abdomen was diagnosed as a gallbladder infection. Because he had metastatic cancer, in...
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 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 ArticleBuilding a Better Health Care System: End of Life Care – A Case Study
By John Henning Schumann, MD She was 94 years old with advanced Alzheimer’s. She thought it was 1954 and asked if I wanted tea. Not a bad memory for someone in a hospital bed with a broken left hip....
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 ArticleIt’s the Ventilator’s Fault
By CRAIG KLUGMAN If you were from a foreign nation looking at the United States news right now, you would think that this was a nation that had declared war on death. Or perhaps we could state it...
View ArticleCrossing the Line
By James Salwitz, MD Recently a patient with advanced lung cancer was admitted to a local hospital. Pain in his abdomen was diagnosed as a gallbladder infection. Because he had metastatic cancer, in...
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 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 ArticleBuilding a Better Health Care System: End of Life Care – A Case Study
By John Henning Schumann, MD She was 94 years old with advanced Alzheimer’s. She thought it was 1954 and asked if I wanted tea. Not a bad memory for someone in a hospital bed with a broken left hip....
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 ArticleIt’s the Ventilator’s Fault
By CRAIG KLUGMAN If you were from a foreign nation looking at the United States news right now, you would think that this was a nation that had declared war on death. Or perhaps we could state it...
View Article
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