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Shielding patients from difficult diagnoses undermines their autonomy

Brian J. Carlisle, MD
Physician
March 2, 2016

The affection families express for their dying loved ones can take many forms.  Recently, I saw a spry 91-year-old Spanish-speaking gentleman with lung cancer which had consumed the better part of his right lung.  He had a large family with many doting daughters.  In his neighborhood, he was popular and well respected.   He, according his family, had “many girlfriends.”  His lung cancer was no doubt a result of a …

Read more…

Shielding patients from difficult diagnoses undermines their autonomy

Trust is the foundation of quality patient care at the end of life

Brian J. Carlisle, MD
Physician
February 21, 2016

“It’s those pain medicines you are giving her.  She’s very sensitive to them.  I think that’s why she’s confused — she is doped up.”

Two months after receiving her diagnosis Mrs. M signed up for hospice.  At our first visit, she was suffering and visibly uncomfortable.  Her skin appeared excoriated from weeks of scratching.  She was confused, restless, and racked by pain.

Mrs. M had metastatic liver cancer resulting from underlying cirrhosis.  …

Read more…

Trust is the foundation of quality patient care at the end of life

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  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

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