the essence of this experience is alone-ness …

… Nuala O’Faolain’s interview with Marian Finucane – on her experience after being diagnosed with metastatic lung cancer … a transcript. Her friend Nell McCafferty describes the interview as “listening to the cry of an animal in the forest.” “It amazed me, Marian, how quickly life turned black, immediately almost. For example, I lived somewhere

the essence of this experience is alone-ness … Read More »

nejm study … palliative care in lung cancer …

… is getting a lot of press … the NEJM article and editorial. … NYT … WSJ … Diane Rehm show with Diane Meier, Atul Gawande and the study authors. Alex Smith and GeriPal summarize … Tim Cousounis with an excellent summary … providing balance and caution … scroll down for Weissman’s warning of “over-interpretation” and

nejm study … palliative care in lung cancer … Read More »

default medicine …

… “Why do we make potentially inefficacious therapies the default and require patients to opt out to avoid them?” … asks Brauner in a JAGS editorial  accompanying an article on comfort feeding. “By creating an alternative treatment order—comfort feeding only (CFO)—Palecek and colleagues1 have taken an important step toward improving the care of persons with

default medicine … Read More »

so close …

“Convalescence” by Luigi Nono … “The formal structure of this painting closely recalls Munch’s “The sick child” (So close and yet so far. JMP 2003;1 (2):39), although the sickness of the child is perceived in a deeply different way. While Munch’s painting is dominated by an anguished desperation, here we find the image of a

so close … Read More »

burdens & benefits that patients weigh in making decisions …

… a study of the different factors that patients with ALS consider in deciding on assisted ventilation. “(1) the meaning of the intervention— participants made a sharp distinction between non-invasive ventilation, which they viewed as a means to relieve symptoms of respiratory failure, and invasive ventilation, which they viewed as taking over their breathing and

burdens & benefits that patients weigh in making decisions … Read More »