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Second opinions: A chance to listen and teach

Lyle Fettig, MD
Physician
June 13, 2013

cancer treatment center of america

You drive down a busy expressway amidst thousands of other vehicles and a billboard jumps out at you.  In the font of confidence, it reads, “The first step in fighting cancer should be a second opinion.”

The billboard informs you of the location of the nearest Cancer Treatment Center of America (CTCA), “only” about 130 miles from the billboard.

When …

Read more…

Second opinions: A chance to listen and teach

Educate the patient about their disease and discharge plan

Lyle Fettig, MD
Physician
December 3, 2010

Have you ever discharged a patient from the hospital and had a gnawing feeling that maybe you could have done more to educate the patient about their disease, medications, and plan of care?

Probably so.  A recent survey published in the Archives of Internal Medicine tells us that this feeling is based in reality (I’m guessing that you already knew this) and that you are not alone.

The …

Read more…

Educate the patient about their disease and discharge plan

How to treat patients who want everything

Lyle Fettig, MD
Patient
July 3, 2010

The Annals of Internal Medicine had a perspective article by palliative medicine communication gurus Drs. Tim Quill, Bob Arnold, and Tony Back which details an approach to discussing treatment preferences with patients who want “everything.”

When I think of a patient requesting “everything,” I typically think of it as a response to a physician who offers the patient the choice of “doing nothing” if the patient’s heart should stop or …

Read more…

How to treat patients who want everything

Palliative care physicians confronting their own mortality

Lyle Fettig, MD
Conditions
April 23, 2010

Dr. Desiree Pardi was the palliative care medical director at Weill Cornell Medical Center in New York. She died of metastatic breast cancer in 2009 at the age of 41.

Her story provides palliative care clinicians an opportunity to reflect on how our own personal mortality interacts with our professional lives.

I did not personally know Dr. Pardi. I write this post knowing that many readers did indeed know her, some …

Read more…

Palliative care physicians confronting their own mortality

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  • Most Popular

  • Past Week

    • The Blanket Sign: Recognizing difficult patient encounters in the ER

      George Issa, MD | Physician
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
    • American health care policy reform: Why we need a bipartisan commission

      Steve Cohen, JD | Policy
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

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

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
  • Recent Posts

    • Essential personnel safety: the hypocrisy of hospital snow policies

      Debbie Moore-Black, RN | Conditions
    • Hospitals must establish safety guardrails before deploying AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • The Mamba Mentality of an immigrant physician’s journey

      Joshua Salabei, MD, PhD | Physician
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      David Wild, MD | Physician
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      Corina Fratila, MD | Physician
    • Finding balance in political turmoil: a poem on resilience

      Michele Luckenbaugh | Conditions

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